Rep. April McClain Delaney

Maddy summaryHR 1300, the PSA Screening for HIM Act, requires health insurance plans and issuers to cover prostate cancer screenings without cost-sharing (like copays or deductibles) for men aged 40+ who are at high risk of prostate cancer. This directly affects African-American men and men with a family history of prostate cancer, as defined by the bill. The law amends existing insurance coverage rules to mandate this specific screening coverage, effective for plan years starting January 1, 2026. It does not change screening guidelines but removes financial barriers to recommended screenings for these high-risk groups.

Improving Care and Access to Nurses Act or the I CAN Act This bill allows other health care providers besides physicians (e.g., nurses) to provide certain services under Medicare and Medicaid. Among other changes, the bill (1) allows a nurse practitioner or physician assistant to fulfill documentation requirements for Medicare coverage of special shoes for diabetic individuals; (2) expedites the ability of physician assistants, nurse practitioners, and clinical nurse specialists to supervise Medicare cardiac, intensive cardiac, and pulmonary rehabilitation programs; and (3) allows nurse practitioners to certify the need for inpatient hospital services under Medicare and Medicaid.

Maddy summaryHR 1321, the "Ending DOGE Conflicts Act," requires special government employees (like officials overseeing federal contracts) who own, control, or lead companies doing business with the government to file financial disclosure reports with the Office of Government Ethics. These employees must now comply with the same financial disclosure rules as other government officials under Title 5 of the U.S. Code. Until their initial report is certified as compliant by the Office of Government Ethics, these employees are prohibited from performing any official duties related to federal contracting. The bill directly affects high-level government officials with direct financial ties to federal contractors.

United States-Israel Defense Partnership Act of 2025 This bill requires or authorizes certain actions to increase defense-related cooperation between the United States and Israel. Specifically, the bill requires the Department of Defense (DOD) to establish a cooperative program, with the concurrence of Israel's Ministry of Defense (MOD), to develop and deploy advanced technologies for countering unmanned systems that threaten the United States and Israel; establish in Israel an office of the Defense Innovation Unit (an organization that focuses on rapidly fielding and scaling commercial technology across the U.S. military); and seek to engage Israel's MOD on the ascension of Israel into the national technology and industrial base (currently defined in law as the persons and organizations engaged in research, development, production, integration, services, or information technology activities conducted within the United States, the United Kingdom, Australia, New Zealand, and Canada). The bill authorizes DOD, upon request of Israel's MOD, to jointly conduct research, development, test, and evaluation (RDT&E) of emerging technologies such as artificial intelligence and robotics to meet defense challenges. Additionally, the bill extends the authority for DOD to (1) carry out RDT&E on a joint basis with Israel to establish anti-tunnel and counter unmanned aerial systems capabilities through 2028, and (2) transfer defense articles intended for use as reserve stocks for Israel through January 1, 2029.

Maddy summaryHR 1269, the Honoring Our Fallen Heroes Act of 2025, expands benefits for public safety officers (like police and firefighters) who develop certain cancers linked to their work. It adds 22 specific cancers - including lung, mesothelioma, and breast cancer - to the list of conditions presumed to be "exposure-related" and sustained in the line of duty. This presumption applies if the officer served at least 5 years, was diagnosed with the cancer within 15 years after last active duty, and the cancer directly caused death or permanent disability. The bill also establishes a process for adding new cancers every 3 years based on medical evidence from agencies like NIOSH, and allows claims to be filed within 3 years of the law's enactment.

Maddy summaryHR 1189, the National Plan for Epilepsy Act, creates a coordinated federal strategy to address epilepsy through a National Plan for Epilepsy. The plan requires the Secretary of Health and Human Services to establish an annual assessment, maintain a diverse Advisory Council (including people with epilepsy, caregivers, and experts), and coordinate research and care across federal agencies. Key provisions include annual progress reports to Congress, data sharing between agencies, and recommendations to improve diagnosis, treatment access, and reduce epilepsy-related disparities. The plan expires December 31, 2035, and directly affects the estimated 3.4 million people in the U.S. living with epilepsy and their caregivers.

Maddy summaryThis bill restricts access to Treasury payment systems (including the Bureau of the Fiscal Service) to only Treasury employees with a "fully successful" performance rating and at least one year of civil service, or contractors/outsiders with security clearances, required privacy/cybersecurity training, ethics agreements, and no conflicts of interest. It treats non-government users accessing these systems as government employees for ethics rules and defines specific actions (like stopping payments) as "personal and substantial participation" in government matters. The Treasury Inspector General must investigate any unauthorized access within 30 days and report to Congress, detailing the breach, security risks, and any halted payments. The bill directly affects Treasury staff, contractors, and any external entities accessing federal payment systems.

Maddy summaryThis proposed bill (HR 220) would expand VA healthcare benefits to cover infertility treatments like in vitro fertilization (IVF) and fertility preservation services for veterans with infertility or at risk of infertility (e.g., due to medical treatments), and their partners. It limits VA coverage to three successful IVF cycles or ten attempts, requires consent from veterans, partners, and donors, and allows use of donated eggs or embryos. Partners would receive travel reimbursement as if they were veterans, and temporary rules during implementation will immediately allow partners to access care without marriage requirements. The bill clarifies VA isn’t required to cover maternity care beyond existing rules and defers full implementation until VA issues final regulations within one year of enactment.

Maddy summaryThis bill requires the Comptroller General to study and report on menopause care provided by the Department of Veterans Affairs (VA) to women veterans experiencing perimenopause, menopause, or genitourinary syndrome of menopause. The study will examine current VA protocols for diagnosis, treatment, provider training, veteran access to care, outreach efforts, and quality of care, including veteran feedback. The VA Secretary must then develop a strategic plan within six months of the report's release to improve menopause care access and quality for women veterans under VA healthcare programs.

Maddy summaryThis bill, titled the "Nobody Elected Elon Musk Act," makes the head of the Department of Government Efficiency personally liable for any legal claims against the federal government related to the department's activities. The department leader, defined as a special Government employee, would cover costs for claims arising from violations of labor laws, data privacy laws, security threats, or other federal statutes. This shifts financial responsibility from the government to the department leader for all such claims. The bill does not create new policies but directly imposes personal liability on the department head for the department's actions.