Rep. Terri A. Sewell

Preserving Patient Access to Home Infusion Act  This bill specifically includes pharmacy services and home infusion drugs that are administered without a pump as part of covered home infusion therapy under Medicare. The bill also allows nurses and physician assistants to establish and review the plan of care for home infusion therapy, and it specifies that payment may be made regardless of whether a practitioner is physically present in the home at the time the drug is administered.

Maddy summaryHR 2106, the Expanding Medical Education Act, provides federal grants to establish or expand medical and osteopathic medicine schools in underserved areas. It prioritizes institutions in regions with no existing medical schools or minority-serving institutions, targeting recruitment of students from rural, low-income, and underrepresented racial/ethnic backgrounds. The bill requires grantees to develop curricula focused on care for underserved populations and modernize facilities. Recipients must report annually on student demographics and program outcomes, with public reports to Congress every five years tracking impacts on healthcare access and workforce diversity.

Maddy summaryThe Credit for Caring Act of 2025 creates a federal tax credit for family caregivers of elderly or disabled relatives. It allows eligible caregivers (with over $7,500 in earned income) to claim a credit equal to 30% of qualified caregiving expenses exceeding $2,000, capped at $5,000 per year. Qualified expenses include human assistance, home modifications, respite care, counseling, lost wages for unpaid time off, and transportation, all requiring certification from a licensed healthcare provider that the care recipient has long-term needs. The credit phases out for higher earners (over $75,000 single/$150,000 joint) and requires documentation of expenses and care recipient certification.

Maddy summaryHR 2029, the "Stop Comstock Act," amends federal obscenity laws to remove outdated restrictions on abortion and contraception. It deletes references to "indecent" materials and abortion-related language from Title 18 (e.g., removing "or means for procuring abortion" from section 552 and revising definitions in sections 1461 and 1462). The bill clarifies that federal law does not prohibit the distribution of materials related to abortion or contraceptives, updating how "obscene" is defined. These changes directly affect federal enforcement of obscenity laws, particularly regarding medical information and devices. The bill focuses on modernizing statutory language to align with current legal standards for protected speech and healthcare access.

Metastatic Breast Cancer Access to Care Act This bill expedites payment of Social Security Disability Insurance (SSDI) benefits and eligibility for Medicare coverage for those with metastatic breast cancer (i.e., breast cancer that has spread to other sites in the body). Specifically, the bill eliminates the 5-month waiting period for SSDI benefits and the subsequent 24-month waiting period for Medicare coverage for individuals with metastatic breast cancer. Under current law, individuals generally must wait 5 months after the onset of disability to begin receiving SSDI benefits and an additional 24 months to become eligible for Medicare.

Resident Education Deferred Interest Act or the REDI Act This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

Maddy summaryThis bill requires the Transportation Security Administration (TSA) to transition its workforce from a special personnel management system to the standard federal personnel system under Title 5 of the U.S. Code by December 31, 2025. It protects TSA employees by ensuring no reduction in pay, benefits, or retirement rights during the transition, while preserving collective bargaining rights for screening agents. The legislation also mandates consultation with labor unions during the process and requires several reports on workforce issues including recruitment, harassment policies, and workplace safety.

Maddy summaryThis bill changes how individual investors in mutual funds (regulated investment companies) are taxed on certain dividends. It allows investors to defer paying tax on capital gain dividends that are automatically reinvested in additional fund shares through a dividend reinvestment plan. The deferred tax is recognized later when the investor sells shares or upon their death. It also establishes that shares acquired through this reinvestment are treated as held for over one year from the start, potentially qualifying for long-term capital gains rates. The rule applies only to individual investors (not estates, trusts, or dependents claimed by others).

Maddy summaryThis bill would expand Medicare to cover dental, vision, and hearing services for beneficiaries 65 and older (and some younger people with disabilities), effective January 1, 2026. It would provide 100% coverage for preventative dental services in 2026, with basic and major dental services gradually increasing to 80% coverage by 2029. Vision benefits would include 80% coverage for annual eye exams and specific limits on eyeglasses, frames, and contact lenses ($100 per year for lenses, $100 every two years for frames, $200 every two years for contacts). Hearing services would include 80% coverage for hearing exams and hearing aids, with a limit of one hearing aid per ear every 48 months. The bill also adds oral health professionals to the United States Preventive Services Task Force to help guide coverage decisions.

Maddy summaryHR 2046 requires federal agencies and the President to obtain congressional approval before selling, transferring, or disposing of any U.S. property listed on the National Register of Historic Places. Specifically, officials must first notify Congress and then secure a joint resolution approving the action. This applies to all historically significant properties, including land, buildings, monuments, and sites owned by the federal government. The bill directly affects federal agencies and the executive branch by adding a legislative review step for all such transactions.