Rep. Paul A. Gosar

Maddy summaryHR 810, the Personalized Care Act of 2025, expands Health Savings Account (HSA) eligibility and benefits. It broadens who qualifies for HSAs to include individuals covered by more health plans (like Medicaid, Medicare, TRICARE) and health care sharing ministries (section 2). The bill also increases annual HSA contribution limits (to $10,800 for individuals and $29,500 for families) and reduces penalties for non-qualified distributions (section 3, section 7). Additionally, it allows periodic fees paid to physicians for defined medical services and health care sharing ministry fees to be treated as deductible medical expenses (sections 5, 8-9). These changes apply to taxable years beginning after December 31, 2024.

Maddy summaryHR 719, the "No Abortion Coverage for Medicaid Act," would prohibit federal Medicaid funds from covering abortions under any Medicaid demonstration projects or waivers, with limited exceptions. It specifically blocks federal financial assistance for abortion services or related expenses (like travel) in Medicaid programs, except in cases of rape or incest, life-threatening pregnancy conditions, or treatment for miscarriage or ectopic pregnancy. This bill directly affects Medicaid recipients in states participating in federal demonstration projects, preventing them from using Medicaid funds for abortion services except under the narrow exceptions listed. The bill aims to permanently align Medicaid funding with the longstanding Hyde Amendment restrictions.

Maddy summaryHR 727 amends federal law to expand the definition of "valuable consideration" in transactions involving human fetal tissue. The bill specifically adds provisions to prohibit payments, waived fees, canceled debts, or free/discounted services related to tissue transportation, processing, storage, or implantation. This directly affects medical providers, laboratories, and facilities handling fetal tissue by restricting how they can receive compensation for these services. The key change clarifies that even indirect financial benefits, like reduced charges or waived costs, would be considered prohibited "valuable consideration."

Maddy summaryHR 720, the "Protecting Life in Health Savings Accounts Act," prohibits using Health Savings Accounts (HSAs), Archer MSAs, health flexible spending accounts, and retiree health accounts to pay for abortions, except in specific cases. The bill defines "excluded abortion" to include abortions related to rape or incest, or those necessary to prevent a life-threatening physical condition caused by pregnancy (as certified by a physician). This change would affect individuals relying on these tax-advantaged accounts for healthcare expenses, making most abortion costs non-reimbursable through such plans. The provisions would take effect for taxable years beginning after December 31, 2025.

Life at Conception Act This bill declares that the right to life guaranteed by the Constitution is vested in each human being at all stages of life, including the moment of fertilization, cloning, or other moment at which an individual comes into being. Nothing in this bill shall be construed to authorize the prosecution of any woman for the death of her unborn child.

Maddy summaryHR 685, the SAVE Moms and Babies Act of 2025, prohibits the FDA from approving new abortion drugs or allowing investigational use of existing ones. It restricts existing abortion drugs to in-person administration by certified healthcare providers in clinics or hospitals (not pharmacies), limits use to pregnancies under 70 days gestation, and requires providers to certify they can handle complications like severe bleeding or ectopic pregnancies. The bill mandates reporting of adverse events (such as hospitalizations or infections) to the FDA without patient identifiers and defines "abortion drug" broadly as any drug intended to terminate pregnancy, excluding specific medical exceptions. This directly affects FDA approval processes, healthcare providers prescribing these drugs, and drug manufacturers.

Maddy summaryHR 645, the National Constitutional Carry Act, would prevent all U.S. states and localities from requiring permits or imposing penalties for carrying firearms in public. It directly affects eligible U.S. citizens (including non-residents) who legally possess firearms under state and federal law, removing current permit requirements for public carry. The bill’s key provision amends federal law to invalidate any state or local law that criminalizes or discourages public firearm carry, except where private property owners clearly prohibit firearms or security screening occurs. This would override existing state permit laws, making permitless carry legal across all states and territories for qualified individuals.

Maddy summaryHR 682, the Heartbeat Protection Act of 2025, prohibits physicians from performing abortions without first checking for a detectable fetal heartbeat according to standard medical practice and informing the patient of the results. It directly affects physicians and clinics performing abortions, requiring them to document heartbeat checks and comply with strict exceptions for life-threatening conditions, rape (with 48-hour documentation of counseling/treatment), or incest involving minors (with proof of prior report to authorities). Violations could result in fines or up to five years in prison, though the bill explicitly states it does not create or recognize a right to abortion. The law adds detailed documentation requirements for exceptions and mandates retention of medical records per federal health privacy rules.

Maddy summaryThis bill prohibits U.S. federal funds from being used to support the United Nations Population Fund (UNFPA). It bans all contributions - direct or indirect - from any department or agency, including the State Department, that might reach the UNFPA. The law directly affects how federal agencies manage international aid budgets and prevents taxpayer money from flowing to the UNFPA. It does not alter existing funding for other UN programs or create new requirements.

Maddy summaryHR 648, the Strengthening our Servicemembers with Milk Act, requires the Secretary of Defense to provide a variety of milk options - including unflavored, organic, lactose-free, and different fat levels - to all members of the Armed Forces at military dining facilities. The bill mandates that installations offer these choices to support servicemember nutrition and dietary needs. It also prohibits purchasing milk from entities owned or controlled by foreign adversaries, as defined by Commerce Department regulations. This policy directly affects military personnel dining at on-base facilities nationwide.