Maddy summaryThis bill creates a 6-year Medicare pilot program providing medically tailored home-delivered meals and nutrition counseling to specific high-risk Medicare patients after hospital discharge. It targets individuals with diet-impacted conditions (like diabetes or heart failure) who live at home, have limited mobility, and are at high risk of hospital readmission. Selected hospitals must meet quality standards, screen patients using approved tools, and deliver at least two meals daily meeting nutritional needs while respecting cultural/religious dietary requirements, all without patient cost-sharing. The program requires hospitals to submit data for the Secretary to evaluate health outcomes, readmission rates, and cost savings compared to non-participants. Funding comes from the Medicare Hospital Insurance Trust Fund, offset by reductions to other hospital payments to maintain budget neutrality.
Rep. Maxine Dexter
Sponsored bills
Maddy summaryThe FAMILY Act would establish a national paid family and medical leave insurance program that provides wage replacement benefits for workers needing time off for caregiving or medical reasons. It defines "qualified caregiving" to include caring for a family member with a serious health condition, personal medical needs, or recovery from violence (including domestic violence, sexual assault, or stalking). Benefits would be calculated based on earnings, with a minimum monthly benefit of $580 and maximum of $4,000, administered by a new Office of Paid Family and Medical Leave within the Social Security Administration. Eligible individuals would need to have worked for at least 8 quarters in the previous year and file an application with required documentation, while existing state paid leave programs would continue to operate alongside this federal program.
Saving the Civil Service Act This bill generally prohibits changes to the classification of positions in the competitive service and excepted service unless certain conditions are met. (Competitive service positions are subject to competitive examination while excepted service positions are appointed under one of five schedules. Competitive service positions have notice and appeal requirements for adverse actions that are not applicable to most excepted positions, including those of a confidential, policy-determining, policy-making, or policy-advocating character under Schedule C.) On October 21, 2020, President Donald Trump issued an executive order that placed executive agency positions that are of a confidential, policy-determining, policy-making, or policy-advocating character, and that are not normally subject to change as a result of a presidential transition, under a new Schedule F in the excepted service. The order was subsequently revoked by President Joe Biden. The bill prohibits executive agency positions in the competitive service from being placed in the excepted service, unless such positions are placed in a schedule in the excepted service as in effect on September 30, 2020. The bill also prohibits positions in the excepted service from being placed in any schedule other than the aforementioned schedules. Additionally, agencies may not (1) transfer occupied positions from the competitive or excepted service into Schedule C without the consent of the Office of Personnel Management, or (2) transfer employees in the excepted service to another schedule or transfer employees in the competitive service to the excepted service without employee consent.
Maddy summaryHR 5309, the Congressional Tribute to Constance Baker Motley Act of 2025, authorizes a posthumous Congressional gold medal for Constance Baker Motley, a pioneering civil rights attorney and judge. The bill directs the Treasury Secretary to strike the medal with her image and name, to be presented to her son, Joel W. Motley III, and her niece, Constance Royster. It also permits the sale of bronze duplicates at cost to cover expenses, with proceeds going to the U.S. Mint fund. This is a commemorative measure with no substantive policy changes, honoring Motley’s legacy as the first African-American woman appointed to a federal judgeship.
Maddy summaryThis bill imposes a corporate tax penalty on large companies where CEO pay exceeds 50 times the average worker's pay. Specifically, corporations with a pay ratio above 50:1 face a tax rate increase of 0.5% to 5% (depending on how high the ratio is), effective for taxable years starting after 2025. It applies only to corporations with average annual revenue of at least $100 million over the prior three years, exempting smaller businesses. The penalty is calculated using a 5-year average of compensation data from SEC filings, and the Treasury will issue rules to prevent avoidance tactics like shifting to contractor workforces.
Maddy summaryThis bill directs the U.S. President to identify Pakistani officials responsible for undermining democracy and human rights within 180 days of enactment, then impose Global Magnitsky sanctions on them. It targets senior government, military, or security officials found to have committed gross human rights violations or interfered with democratic processes, such as during Pakistan’s 2024 elections or through constitutional changes. Sanctions would include asset freezes and travel bans, with exceptions for humanitarian aid, UN obligations, and national security activities. The bill expires on September 30, 2030, and aims to pressure Pakistan to uphold democratic norms, human rights, and judicial independence.
Maddy summaryThis bill modifies the Family and Medical Leave Act (FMLA) to extend eligibility to school support staff, including paraprofessionals, cafeteria workers, bus drivers, and clerical staff. It allows these employees to qualify for FMLA leave if they work 60% of their expected monthly hours (instead of the standard 1,250 hours), based on their school’s assigned schedule. Employers must maintain records of expected hours for each staff member. The change directly benefits part-time and seasonal education support staff who previously faced barriers to FMLA coverage.
Maddy summaryThis bill amends the Social Security Act to remove a payment limitation for certain Medicaid Home and Community-Based Services (HCBS) waivers. Specifically, it strikes a provision (subparagraph (C) of Section 1915(c)(11)) that restricted how states could fund these waivers under Medicaid. The change directly affects state Medicaid programs that use HCBS waivers to provide home and community care for people with disabilities or elderly individuals. By removing this restriction, states gain more flexibility in allocating Medicaid funds for these services, without altering eligibility or service requirements.
Maddy summaryThis bill requires the EPA to establish guidelines for indoor air contaminants like radon, formaldehyde, and carbon monoxide that affect schools and childcare facilities. It mandates a national assessment of indoor air quality in these buildings, with updates every five years, and provides technical assistance to schools and childcare providers to implement air quality improvements. The EPA must publish science-based guidelines with recommended concentration limits for key contaminants and support voluntary building certifications for healthier indoor environments. These provisions directly impact local schools, childcare centers, and state/local governments responsible for building maintenance and health standards.
Maddy summaryThis bill prohibits Members of Congress, their spouses, and dependent children from owning or trading certain investments, including stocks, commodities, and derivatives (referred to as "covered investments"). It requires affected individuals to divest these investments within 90-180 days, with specific exemptions for Treasury bonds, diversified mutual funds, small business interests, and family trusts meeting strict conditions. Violations incur penalties of 10% of the investment's value plus disgorgement of profits, paid directly to the U.S. Treasury. The law applies to all covered individuals during federal service, with exceptions for investments acquired through inheritance or occupational trading (e.g., a spouse’s finance job).