Rep. Mike Bost

Give Kids a Chance Act of 2025 This bill expands the Food and Drug Administration’s (FDA’s) authority with respect to research on rare pediatric diseases, including by permitting the FDA to take enforcement action against drug sponsors that fail to satisfy pediatric study requirements and by reauthorizing programs that support pediatric research.  Specifically, the bill modifies requirements relating to molecularly targeted pediatric cancer investigations to permit research on new drugs in combination with active ingredients that have already been approved, provided certain conditions are met; permits the FDA to take enforcement action against drug sponsors that fail to comply with pediatric study requirements, if such sponsors demonstrated a lack of due diligence in satisfying the requirement; renews the FDA’s authority to award priority review vouchers to sponsors of new products intended to treat rare pediatric diseases through September 30, 2029; and reauthorizes through FY2027 certain funding for the National Institutes of Health to support priority pediatric research.  The bill also provides statutory authority for the FDA’s interpretation of the orphan drug exclusivity period. The bill specifies, consistent with FDA regulations, that the seven-year market exclusivity period for drugs for rare diseases or conditions (i.e., orphan drugs) prohibits the approval of the same drug for the same approved use or indication with respect to the disease or condition. (In Catalyst Pharmaceuticals, Inc. v. Becerra , a court rejected the FDA’s interpretation and held that orphan drug exclusivity extends to all uses or indications for the disease or condition.)

Maddy summaryHR 5563, the DRIVE-SAFE Act, creates a structured apprenticeship program for commercial drivers under age 21. It requires employers to provide a two-phase training program: a 120-hour probationary period focused on basic driving skills (like traffic navigation and safety awareness), followed by a 280-hour period covering advanced tasks (such as pre-trip inspections and load management). During both phases, apprentices must operate vehicles equipped with automatic transmissions, collision mitigation systems, and video capture, and must be accompanied by an experienced driver (26+ years old with no recent accidents or violations). The bill does not change existing commercial driver’s license requirements and mandates employers to maintain records and provide remediation for preventable accidents or violations during training.

Maddy summaryThis bill prohibits federal funds from being used to cover any abortion-related expenses for individuals classified as "illegal aliens" under immigration law. It specifically blocks taxpayer money from paying for travel, lodging, meals, childcare, translation, doula care, or patient education services connected to abortion access. The law directly affects non-citizens who are inadmissible or deportable under specific immigration statutes (as defined in the Immigration and Nationality Act). It applies to all federal programs and funds, restricting assistance for abortion services beyond the procedure itself.

Maddy summaryThis bill prohibits Medicare-approved medical residency programs from requiring residents to undergo abortion training without their voluntary consent. It specifically bans programs from making such training mandatory (requiring residents to "opt-in" rather than "opt-out") or from discriminating against residents who refuse this training or do not perform abortions. The law directly affects medical residents in Medicare-funded postgraduate training programs across the U.S., ensuring they cannot be forced into abortion-related clinical experiences or penalized for declining them.

Maddy summaryHR 6019 repeals a requirement that Senate offices must be notified when legal requests seek Senate data. Specifically, it removes Section 213 of the 2026 appropriations act, which mandated that Senate offices be informed about legal processes requesting disclosure of Senate data. This change directly affects Senate offices by eliminating a procedural notification step for legal requests involving their data. The bill makes no other policy changes, solely removing this specific administrative requirement.

Maddy summaryHR 1560, the Postal Supervisors and Managers Fairness Act of 2025, requires the U.S. Postal Service to formally negotiate pay and benefits changes with supervisors' organizations. It mandates that the Postal Service provide written proposals to these organizations 60 days before pay decisions expire or after new collective bargaining agreements affecting supervisor pay are reached. The bill also shortens dispute resolution timelines, requiring binding final decisions within 15 days of a panel's recommendation. This directly affects postal supervisors and managers covered under recognized bargaining organizations. The law changes the negotiation process but does not alter specific pay rates or benefits.

Maddy summaryThis bill would require Medicare to cover early detection screening tests for Alzheimer's disease and related dementias starting January 1, 2028. It defines eligible tests as FDA-cleared genomic blood tests, blood product analyses, or equivalent medical imaging methods (like protein expression or whole genome sequencing) that detect pre-symptomatic or early-stage conditions. Medicare beneficiaries would receive this coverage without cost-sharing for these specific screenings. The bill amends Medicare coverage rules to explicitly include these tests under Section 1861(nnn) of the Social Security Act.

Maddy summaryHR 6137 would create a new separate job code for "direct support professionals" (DSPs) within the federal Standard Occupational Classification system. This change aims to better recognize DSPs - who provide daily support for people with intellectual and developmental disabilities (like helping with daily living, community participation, and goal-setting) - as distinct from other roles like home health aides. The bill requires the Office of Management and Budget to consider this revision during the next system update, without authorizing new funding. It addresses data gaps caused by high turnover rates (39% nationally) in DSP hiring and retention.

Maddy summaryHR 1514 establishes the Mississippi River Basin Fishery Commission within the Department of the Interior to coordinate management of interjurisdictional fisheries across 31 U.S. states, two Canadian provinces, federal agencies, and tribal nations. The Commission oversees six sub-basin management plans, develops strategies to control invasive carp (like bighead and silver carp), and administers grant programs for conservation projects. It provides $30 million annually (2027-2029) and $50 million annually (2030-2032) to fund collaborative efforts, with grants prioritizing projects aligned with the existing MICRA Joint Strategic Plan. The Commission’s authority is nonbinding, requiring consensus among member entities but not overriding state or federal management laws.

Maddy summaryThis bill amends the Immigration and Nationality Act to add new grounds for deporting non-citizens. It makes any non-citizen deportable if they have been convicted of a felony or two misdemeanors (under either state or federal law) after entering the United States. The key provision expands deportation eligibility beyond previous standards by explicitly including state misdemeanor convictions alongside federal offenses. This change directly affects non-citizens with specific criminal records, potentially increasing deportation risks for those with certain convictions. The policy alters the legal standard for removal but does not change sentencing or enforcement procedures.