Rep. Lizzie Fletcher

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Maddy summaryThis resolution expresses support for designating July 10th as Journeyman Lineworkers Recognition Day to honor the workers who maintain the nation's electrical grid. The bill specifically recognizes the dangerous conditions these employees face, such as working at heights near live power lines and responding to disasters like hurricanes and wildfires. It also commemorates Henry Miller, the first president of the International Brotherhood of Electrical Workers, who died on July 10, 1896, while performing his duties. Ultimately, the measure encourages the public to observe this day with reflection on the contributions of lineworkers.

Maddy summaryThis resolution commemorates the 250th anniversary of the United States by reaffirming the nation's historical commitment to separating church and state. It highlights key constitutional principles, such as the First Amendment and the prohibition of religious tests for public office, which protect individual religious freedom and prevent government endorsement of specific beliefs. The document cites historical figures like Thomas Jefferson and James Madison to underscore the importance of maintaining a secular government that safeguards religious pluralism. Ultimately, the measure serves as a formal statement of values rather than a law that changes existing policies or imposes new requirements.

Maddy summaryThe SAFE Training for OB-GYNs Act creates a new federal grant program to help medical residents who must leave their home states to receive training in reproductive health care due to local abortion restrictions. Funded with up to $10 million annually from 2027 to 2031, these grants support residency programs that offer specialized training in sexual and reproductive health, including abortion care. The funding can be used to expand existing programs or establish new ones specifically for out-of-state residents and to cover their travel expenses. This legislation directly affects health care professionals seeking specialized training and the medical residency programs that provide it.

Maddy summaryThe Reproductive Health Care Training Act of 2026 authorizes $25 million over five years to fund a program that provides grants to health schools and clinics for expanding abortion care training. These funds are specifically designated for institutions located in states where comprehensive abortion training is legal, with a priority on serving minority-serving schools and those training students from medically underserved areas. The program supports activities such as developing clinical curricula, utilizing telehealth, recruiting diverse healthcare workers, and offering scholarships to students pursuing this specialized training. Recipients must submit annual reports on program performance while ensuring federal funds supplement, rather than replace, existing state and private resources.

Maddy summaryThis bill redesignates the existing National Parks and Public Land Legacy Restoration Fund as the America's Legacy Restoration Fund to address deferred maintenance on federal lands. It directs revenue from recreation fees and a portion of energy development income into the fund, which must be used primarily for repairing critical infrastructure like roads, trails, and buildings managed by agencies such as the National Park Service and the Forest Service. The legislation establishes strict rules requiring that most funds go toward non-transportation projects, mandates transparency through public dashboards tracking project status, and sets aside a small percentage for matching private donations. Additionally, the bill increases entrance fees for foreign visitors to ensure they contribute to the fund, while prohibiting the use of these specific funds for land acquisition or employee bonuses.

Maddy summaryHR 5109 requires the Transportation Security Administration (TSA) to create guidelines helping individuals in federal, state, and local prisons prepare for and apply for Transportation Worker Identification Credential (TWIC) cards *before* their release. The bill directs TSA to develop specific procedures for prison staff to assist inmates in pre-applying for TWIC cards and navigating appeals or waivers if initially denied. This aims to streamline access to TWIC cards - required for many port and maritime jobs - allowing returning citizens to secure employment faster after release. The bill cites that 525,000 jobs in Louisiana alone depend on TWIC access, and faster credential acquisition supports reintegration efforts.

Maddy summaryThe Protecting America's Herds Act creates a grant program for cooperative extension services to help prepare for and respond to New World screwworm outbreaks in livestock. Funds awarded through this competitive process can be used to train staff, support animal inspections, educate producers, and provide direct technical assistance on prevention and treatment. The Department of Agriculture must prioritize grants for states and Tribal communities at higher risk of the pest spreading and coordinate closely with veterinary and agricultural experts. This legislation aims to strengthen the nation's ability to detect and manage this specific animal health threat through improved readiness and education.

Maddy summaryThis bill establishes the Lone Star Coastal National Recreation Area as a unit of the National Park System to protect the natural, cultural, and recreational resources along the Texas Gulf Coast. The area would be created only after the Secretary of the Interior acquires sufficient land through voluntary means such as donations, purchases from willing sellers, or exchanges, with no use of condemnation. A new partnership involving federal, state, local, and private stakeholders will develop a management plan that coordinates activities across both federally owned lands and participating private or state lands. The legislation ensures that private landowners retain their rights and that existing economic activities like hunting, fishing, and oil and gas operations continue without new regulations, while allowing the National Park Service to provide technical assistance and interpretive services.

Maddy summaryThis bill, titled the Dignity and Due Process for Children Act of 2026, restricts how unaccompanied children under 18 are handled by immigration authorities in the United States. It requires immigration judges to issue an arrest warrant before detaining these children pending removal decisions and prohibits the use of military personnel or Department of Defense vehicles to transport them for deportation, except during declared natural disasters. Additionally, the law forbids government agencies from pressuring children to sign legal documents that affect their status without first ensuring they have confidential access to a lawyer, mandating legal referrals within five business days if a child does not already have one.