Rep. Robin L. Kelly

Washington, D.C. Admission Act This bill provides for the establishment of the State of Washington, Douglass Commonwealth, and its admission into the United States. The state is composed of most of the territory of the District of Columbia (DC), excluding a specified area that encompasses the U.S. Capitol, the White House, the U.S. Supreme Court building, federal monuments, and federal office buildings adjacent to the National Mall and the U.S. Capitol. The excluded territory shall be known as the Capital and serve as the seat of the government of the United States, as provided for in Article I of the Constitution. The state may not impose taxes on federal property except as Congress permits. The bill provides for the DC Mayor to issue a proclamation for the first elections to Congress of two Senators and one Representative of the state. The bill eliminates the office of Delegate to the House of Representatives. The bill applies current DC laws to the state. DC judicial proceedings and contractual obligations shall continue under the state’s authority. The bill also provides for specified federal obligations to transfer to the state upon its certification that it has funds and laws in place to assume the obligations. These include maintaining a retirement fund for judges and operating public defender services.  The bill establishes a commission that is generally comprised of members who are appointed by DC and federal government officials to advise on an orderly transition to statehood.

Maddy summaryThe REPORTS Act requires federal agencies to analyze how new significant regulations affect people living near or below the poverty line and racial inequity when proposing rules. It also mandates annual reports from the Government Accountability Office (GAO) examining government programs' impacts on poverty and racial inequity over the past five years. Agencies must include these analyses with proposed rules, and GAO reports must cover two to five programs annually. The law applies to major federal regulations and programs, focusing on transparency about equity impacts without altering policy outcomes.

Maddy summaryThe Treat and Reduce Obesity Act of 2023 expands Medicare coverage for obesity treatment by allowing a wider range of healthcare providers - including nurse practitioners, dietitians, psychologists, and community-based counseling programs - to deliver intensive behavioral therapy for obesity, provided they coordinate with primary care providers. It also adds Medicare Part D coverage for medications used to treat obesity or for weight loss management in overweight individuals with related health conditions like diabetes or high blood pressure. These changes directly affect Medicare beneficiaries, particularly older adults (65+), who face higher obesity rates and associated costs, including $50 billion annually in Medicare spending for obesity-related care. The bill requires annual reports to Congress on implementation to improve coordination of obesity care across federal health programs.

Maddy summaryThis bill, HR 1097 (Everett Alvarez, Jr. Congressional Gold Medal Act of 2023), authorizes the award of a Congressional Gold Medal to Everett Alvarez, Jr., in recognition of his service as a U.S. Navy pilot and Vietnam War prisoner of war. It directly honors Alvarez, who was the first U.S. pilot shot down in the Vietnam War, spent over 8.5 years in captivity, and later served in the Peace Corps and Veterans Administration. The bill’s key mechanism is directing the U.S. Mint to strike a gold medal bearing his name and image, with bronze duplicates available for sale to cover costs. It does not create new policies or affect any group beyond the honoree.

Maddy summaryThe Healthcare Cybersecurity Improvement Act establishes a Health Sector Cybersecurity Coordination Center under HHS to coordinate defense efforts across healthcare, and creates a $100 million grant program for small hospitals (under 300 beds) and rural clinics to purchase security equipment, hire IT staff, and improve infrastructure. It mandates the development of new security standards for medical devices and hospital networks by NIST, requiring Medicare/Medicaid participating hospitals to comply within two years of the standards' publication. The bill also limits liability for large hospitals (300+ beds) that provide cybersecurity assistance to smaller entities, barring lawsuits unless gross negligence or willful misconduct is proven. These provisions directly affect small healthcare providers and hospitals, aiming to address rising ransomware attacks and data breaches impacting millions of health records.

Maddy summaryThis bill extends the authorization period for the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) program through fiscal year 2030, instead of ending in 2025 as previously scheduled. It updates specific date references throughout the PEPFAR law, including the timeline for required reports from inspectors general and the Global Fund participation deadlines. The extension directly affects the ongoing U.S. government funding and implementation of global HIV/AIDS, tuberculosis, and malaria programs managed under PEPFAR. No new policy provisions or funding changes are introduced - this is a straightforward procedural update to maintain existing program authorization.

Maddy summaryThis bill expands financial support for living organ donors by amending the Public Health Service Act. It prohibits reimbursement programs from considering the recipient's income when covering donors' expenses and allows donors with household income up to 700% of the poverty line to qualify for reimbursement. Reimbursement is capped at $10,000 for fiscal year 2026 (adjusted annually for inflation), covering costs like travel or lost wages. The bill also requires annual reports tracking program participation, expenses, and impacts on Medicare savings, with funding authorized through 2035.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2027 and publish detailed data on their approval and denial rates for medical services by 2026. It directly affects Medicare Advantage plans (private insurers offering Medicare coverage) and their enrollees (seniors 65+), mandating transparency about prior authorization decisions, processing times, and appeal outcomes. Key provisions include requiring plans to report annual statistics on request approvals/denials, average processing times, and use of technology, with this data published publicly by the Centers for Medicare & Medicaid Services. The bill also sets timelines for plan responses to prior authorization requests and mandates reports to Congress on implementation and impacts.

Maddy summaryHR 7142 (Alternatives to PAIN Act) requires Medicare Part D plans to cover non-opioid pain management drugs with no deductible and at the lowest copay level starting in 2025. It defines "qualifying non-opioid drugs" as FDA-approved medications that don’t act on opioid receptors (like certain NSAIDs or nerve pain treatments), excluding opioids and schedule I-III drugs. The bill prohibits Medicare plans from forcing patients to try opioids first (step therapy) or requiring prior approval for these non-opioid options. It directly affects Medicare beneficiaries needing pain management, especially those seeking alternatives to opioids for post-surgical or acute pain. The policy change aims to improve access to non-addictive pain treatments while preserving doctors' authority to prescribe medically appropriate care.

Maddy summaryThe Nutrition CARE Act of 2024 expands Medicare Part B coverage to include medical nutrition therapy services for beneficiaries diagnosed with eating disorders. It directly affects Medicare beneficiaries with eating disorders - particularly an estimated 420,500-560,700 Black, Indigenous, and People of Color seniors - by requiring coverage for 13 hours of initial care (including assessment) and 4 hours annually for ongoing management. The bill amends Medicare law to specify that these services must be provided by registered dietitians or nutrition professionals following referrals from physicians or psychologists. Coverage applies to all eating disorders as defined by the DSM-5, addressing a gap where Medicare previously excluded this critical treatment component. This policy change aims to improve access to evidence-based care for a condition linked to high mortality and significant healthcare costs.