Rep. Cleo Fields

Improving Access to Medicare Coverage Act of 2025 This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)

Maddy summaryThe PHARA Act of 2025 requires the National Institutes of Health (NIH) to immediately release all required funding for existing research grants and rapidly pay pending reimbursements. It prohibits NIH from terminating active research grants (entered after the bill's enactment) solely due to shifting agency priorities or program goals, and mandates new termination clauses requiring 90 days' written notice and attempts to amend terms before ending agreements. This directly affects researchers and institutions receiving NIH grants, ensuring funding continuity for ongoing projects. The bill aims to prevent abrupt halts in scientific research by restructuring grant termination processes.

Maddy summaryThe Domestic Workers Bill of Rights Act (HR 3971) would establish key labor protections for domestic workers, including nannies, housekeepers, and caregivers who work in private homes. The bill requires written agreements for workers employed 8+ hours per week, provides earned sick days (1 hour for every 30 hours worked), mandates fair scheduling practices with 72-hour notice for schedule changes, and extends overtime protections to live-in domestic employees. It also prohibits unfair wage deductions, guarantees meal and rest breaks, and ensures privacy protections including no monitoring in private living spaces. The bill directly affects approximately 2.2 million domestic workers across the U.S., who are disproportionately women of color and immigrants. Enforcement would be handled by the Department of Labor through new complaint resolution mechanisms and oversight.

Maddy summaryThis bill codifies existing protections for designated roadless areas within the National Forest System by prohibiting new road construction, road reconstruction, and logging in these areas. It directly affects National Forest lands already identified as "inventoried roadless areas" under the current Roadless Rule, which covers roughly 58 million acres. The key mechanism requires the Secretary of Agriculture to enforce these prohibitions, maintaining current protections without expanding restrictions to other lands or altering existing multiple-use management. The bill does not create new protected areas but legally solidifies the existing regulatory framework to preserve ecological and recreational values.

Maddy summaryThis bill prevents colleges and universities from requiring students to sign enrollment agreements that force them to resolve disputes through private arbitration instead of in court. It specifically removes the Federal Arbitration Act from student enrollment contracts (where students pay for education) and amends the Higher Education Act to prohibit institutions from enforcing restrictions on students' ability to pursue legal claims - such as limiting jury trials, choice of venue, or applicable law. The law directly affects students who enroll in higher education programs and the institutions that require such contracts. It takes effect one year after enactment.

Maddy summaryHR 3906, the Medical Research for Our Troops Act, restores funding levels for military medical research by increasing the Defense Health Agency's research budget from $40.395 billion to $41.576 billion in the 2025 appropriations act. It ensures Congressionally Directed Medical Research Programs funds are used consistently with the Consolidated Appropriations Act, 2024, requiring the Defense Secretary to support all previously identified research programs and maintain existing funding allocations. The bill directly affects military medical research initiatives and the Defense Health Agency's budget implementation. This is a procedural funding adjustment, not a new policy, maintaining continuity for ongoing research projects.

Maddy summaryThis bill requires private firearm transfers between individuals to go through a licensed dealer who must conduct a background check. It applies to most private sales but includes exceptions for transfers between family members (like parents and children), law enforcement, emergencies preventing harm, and temporary loans at shooting ranges or for hunting. Dealers must provide background check notices in both English and Spanish. The law aims to prevent prohibited individuals from obtaining firearms through private transactions while maintaining existing state authority on firearm laws.

Maddy summaryHR 3884, the Telemental Health Care Access Act of 2025, expands Medicare coverage for mental and behavioral health services provided via telehealth. It removes geographic restrictions that previously limited telehealth mental health coverage to rural areas, allowing beneficiaries nationwide to access these services through telehealth. The bill amends the Social Security Act to explicitly include "mental and behavioral health services furnished through telehealth" under Medicare coverage rules. This change directly affects Medicare beneficiaries seeking remote mental health care, making it easier to receive these services regardless of location. The policy change applies to all Medicare Part B beneficiaries using telehealth for qualifying mental or behavioral health services.

Maddy summaryHR 3868, the Enhanced Background Checks Act of 2025, modifies federal firearm background check procedures to address delays. It requires federal firearms licensees to wait 10 business days after a background check query if the system doesn’t immediately flag a transfer, unless the buyer submits an electronic petition confirming they aren’t prohibited from owning firearms. The petition process includes a 10-day response deadline from the Attorney General, with licensees allowed to proceed if the system remains silent after 10 days. The bill also mandates detailed annual reports from the FBI on petition delays and GAO reports on implementation, focusing on how these changes affect firearm transfers to prohibited individuals.

Maddy summaryHR 3829 requires the Financial Crimes Enforcement Network (FinCEN) and the Small Business Administration (SBA) to create a formal agreement within 90 days to improve outreach about beneficial ownership reporting requirements. The agreement mandates joint efforts to help small businesses - specifically reporting companies under the Corporate Transparency Act - understand and comply with registration rules through resource partners like small business development centers, multilingual materials, and virtual/in-person town halls. It also requires quarterly reports to Congress tracking outreach efforts, compliance rates, and strategies to address non-compliance. This bill focuses on coordination, not changing the underlying registration rules, to support small businesses navigating existing federal requirements.