Rep. Kathy Castor

Maddy summaryHR 2678, "Ellie’s Law," authorizes $20 million annually from fiscal years 2026 through 2030 for the National Institute of Neurological Disorders and Stroke to conduct new research on unruptured brain aneurysms. The funding specifically aims to study diverse patient populations by age, sex, and race, addressing gaps in current research. This bill directly affects the estimated 6.8 million Americans with unruptured brain aneurysms - particularly women and people of color, who face higher rupture risks - by advancing medical understanding of the condition. The law requires the funds to supplement, not replace, existing research budgets.

Maddy summaryThe Tax Fairness for Workers Act (HR 2671) would allow certain employees to deduct work-related expenses directly from their gross income. Specifically, it creates an above-the-line deduction for union dues (amending IRC Section 62(a)(1)) and reinstates a deduction for other out-of-pocket work costs like uniforms or tools (amending IRC Section 67(g)), effective for 2025 tax years. This directly affects union members and workers with significant job-related expenses who previously could not deduct these costs. The bill removes the prior limitation that barred these deductions, making them available without needing to itemize. The policy change simplifies tax filing for affected workers by treating these expenses as deductible business costs.

Maddy summaryHR 2245, the Autonomy for Disabled Veterans Act, increases funding limits for home modifications for disabled veterans using VA home health services. It raises the maximum annual amount for home improvements from $6,800 to $10,000 and for structural alterations from $2,000 to $5,000. The bill also requires annual inflation adjustments to these amounts based on the Consumer Price Index, ensuring the funding keeps pace with rising costs. This directly affects veterans who need home modifications as part of their VA-provided home health services.

Maddy summaryThis bill, HR 2253 (Puppy Protection Act of 2025), sets new federal standards for commercial dog dealers who sell puppies to the public. It requires specific housing sizes based on dog size (e.g., 12-30 square feet per dog), daily exercise in safe outdoor areas, clean water and nutritious food twice daily, and annual veterinary exams including dental checks. The bill also limits breeding frequency (max 2 litters in 25 months), sets age minimums for breeding (18 months for small dogs, 2 years for large dogs), and mandates health screenings to prevent genetic diseases. These requirements apply directly to commercial dealers, with final regulations to be issued within 18 months of enactment.

Maddy summaryThis bill, HR 2102 (Major Richard Star Act), allows veterans with combat-related disabilities to receive both full military retired pay and veterans' disability compensation simultaneously, without the previous offset that reduced retired pay. It directly affects veterans already eligible for both benefits due to combat-related injuries, removing the requirement that their retired pay be reduced by the disability compensation amount. The key provision amends Title 10 and Title 38 to eliminate the offset rule (sections 5304 and 5305 of Title 38) for these veterans. The change applies to payments starting after the bill’s enactment date, effective for all qualifying veterans. This is a policy change to increase financial support for affected veterans, not a new benefit.

Maddy summaryThe IDEA Full Funding Act (HR 2598) mandates specific annual federal funding levels for the Individuals with Disabilities Education Act (IDEA), directly affecting schools and students with disabilities nationwide. It requires the federal government to appropriate either a fixed dollar amount or a specified percentage (increasing annually from 4.5% to 40%) of a calculated total - based on the number of eligible students and average per-pupil costs - starting in fiscal year 2026 through 2035. The bill sets clear, escalating funding targets, with the higher of two calculated amounts (dollar figure or percentage) becoming available for obligation each fiscal year. This establishes a binding financial commitment to address long-standing underfunding of special education services under IDEA.

Workplace Violence Prevention for Health Care and Social Service Workers Act This bill requires the Department of Labor to address workplace violence in health care, social service, and similar sectors. Specifically, Labor must issue an occupational safety and health standard that requires certain employers to take actions to protect workers and other personnel from workplace violence. The standard applies to employers in the health care sector, in the social service sector, and in sectors that conduct activities similar to those in the health care and social service sectors. Among other elements, the standard must require each employer to (1) develop a workplace violence prevention plan, (2) promptly investigate incidents of workplace violence, and (3) provide relevant training and education to employees.  The bill requires certain hospitals and skilled nursing facilities to comply with this standard as a condition of Medicare participation.

Maddy summaryThis bill (HR 2532) blocks federal funding for large-scale layoffs at the Department of Health and Human Services (HHS) and its sub-agencies. It prohibits using federal funds to remove 3% or more of all HHS employees, or 3% or more at any single sub-agency, within a 60-day period. This applies to actions like layoffs under federal workforce rules (Title 5) or agency reorganizations. The bill directly affects HHS employees and its operating divisions by preventing rapid, widespread workforce reductions. It does not change HHS policies but restricts how personnel actions can be funded.

Maddy summaryThe Heating and Cooling Relief Act (HR 2486) expands the Low-Income Home Energy Assistance Program (LIHEAP) to help low-income households struggling with energy costs. It increases funding to cover all eligible households (those with incomes up to 250% of poverty level or 80% of State median income), sets a goal that no household should spend more than 3% of income on energy, and requires states to operate assistance programs year-round. The bill includes new protections against utility shutoffs for 2 years after assistance is received, prohibits late fees during the 6 months following assistance, and mandates weatherization and energy efficiency improvements in low-income housing. It also requires states to develop extreme heat response plans and addresses the $21 billion in residential utility arrears as of September 2024.

Maddy summaryThe Nutrition CARE Act of 2025 requires Medicare to cover medical nutrition therapy services for beneficiaries with eating disorders starting January 1, 2026. It directly affects Medicare beneficiaries with eating disorders, including an estimated 1.6 million people on Medicare Part B, with specific focus on underserved groups like 420,500-560,700 Black, Indigenous, and People of Color beneficiaries. The bill mandates coverage through registered dietitians or nutrition professionals, requiring at least 13 hours of services in the first year (including initial assessment) and 4 hours annually thereafter, with referrals from physicians or psychologists. This addresses a current gap where Medicare does not cover medical nutrition therapy for eating disorders at any treatment level. The policy change aims to improve access to a critical treatment pillar for a condition with high mortality rates and significant healthcare costs.