Rep. Adelita S. Grijalva

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryThis bill allocates $5 million annually (2026-2030) to states for collecting de-identified stillbirth data through existing health systems, including risk factor analysis. It also provides $1 million yearly to develop standardized guidelines for healthcare providers and public educational materials about stillbirths, requiring consultation with medical professionals, bereavement organizations, and affected families. The bill mandates that all data collection complies with privacy laws and requires the Department of Health and Human Services to publish a public report on stillbirth guidelines within five years. It directly affects state health departments, healthcare providers, and families experiencing stillbirth by improving data quality and access to resources.

Maddy summaryThe Tyler Clementi Higher Education Anti-Harassment Act of 2025 requires U.S. colleges and universities participating in federal financial aid programs to create and distribute clear anti-harassment policies covering harassment based on race, color, national origin, sex (including sexual orientation and gender identity), disability, or religion. These policies must explicitly prohibit harassment in all settings - including online, on campus, off-campus housing, and during school-sponsored activities - and outline reporting procedures and support services for victims. The bill also establishes a $50 million annual grant program to fund schools developing prevention programs, victim support services, or staff/student training on recognizing and addressing harassment. Grants are competitive, require annual reporting on effectiveness, and must be used to improve existing efforts without replacing existing civil rights laws like Title IX.

Maddy summaryHR 5476, the PARA Educators Act, provides federal grants to states to help recruit and retain school support staff (paraprofessionals) in public elementary, secondary, and preschool programs. It allocates funds based on previous Title I education funding, requiring states to prioritize schools serving high numbers of low-income students or those meeting specific poverty criteria. States can use the funds for proven programs like mentoring for paraprofessionals, professional development, helping staff earn credentials (e.g., special education or English learner certificates), and increasing wages or offering retention bonuses. The law mandates annual reporting on wage baselines, paraprofessional employment, and program outcomes. This bill directly affects paraprofessionals and the schools they support, particularly in high-poverty communities.

Maddy summaryThis bill requires the 988 Suicide Prevention Lifeline to establish a dedicated "Press 3" option (via IVR) for LGBTQ+ youth seeking crisis support, directly affecting LGBTQ+ youth who face a four times higher suicide risk than peers. It mandates that at least 9% of funds allocated for the lifeline's services be reserved specifically for these specialized LGBTQ+ youth services. The bill amends existing law to formalize this dedicated resource, building on current services that handled over 1.5 million contacts from LGBTQ+ youth in 2025. This creates a concrete policy change for accessing tailored crisis support without altering other lifeline operations.

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.

Maddy summaryThe National Infrastructure Bank Act of 2025 would establish a government-owned bank to finance infrastructure projects across the United States, aiming to address a $3.69 trillion financing gap identified by the American Society of Civil Engineers. The bank would provide loans up to $5 trillion for transportation, energy, environmental, and community development projects, with specific criteria focused on economic growth, environmental benefits, and serving disadvantaged communities. It would be governed by a 25-member Board of Directors with diverse regional and expertise qualifications, and would operate with tax exemptions and capital requirements to ensure financial stability. The bill also establishes regional economic accelerator planning groups to coordinate infrastructure development and create a pipeline of projects for the bank to finance.

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 summaryThe BUILDS Act establishes competitive federal grants to fund industry partnerships in infrastructure sectors like energy (including clean energy), construction, transportation, information technology, and utilities. It directly affects workers in these industries, particularly those facing employment barriers (such as individuals receiving food assistance or unemployment benefits), by requiring partnerships to develop paid on-the-job training programs, align education with industry needs, and provide support services like childcare and mentorship. Key mechanisms include $2.5 million grants for new partnerships (up to $1.5 million for renewals) to cover planning, business engagement, and 12-month support services for participants. The bill mandates partnerships to recruit diverse workers, address employment barriers through labor market analysis, and align training with nationally portable credentials. It authorizes $500 million annually for fiscal years 2026-2030 to implement these workforce development activities.

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.