Rep. Mike Quigley

Maddy summaryThis bill establishes minimum nurse-to-patient ratios for hospital units across the country, requiring hospitals to maintain specific staffing levels (such as 1:1 in trauma units, 2:1 in critical care units, and 3:1 in emergency rooms) to improve patient safety and quality of care. Hospitals must develop transparent staffing plans that account for patient acuity, involve direct care nurses in planning, and document actual staffing levels for each shift. The bill includes strong whistleblower protections for nurses who object to unsafe staffing levels and prohibits hospitals from retaliating against nurses who report violations. It requires hospitals to comply with these standards as a condition for receiving Medicare and Medicaid payments, with enforcement through audits and civil penalties of up to $50,000 for repeated violations. The bill also includes provisions to support nurse recruitment and retention through workforce initiatives and training programs.

Maddy summaryHR 3376 creates the Water Affordability, Transparency, Equity, and Reliability Trust Fund, funded by increasing the corporate tax rate from 21% to 24.5% starting in 2025, with annual funding capped at $35 billion or 1/20th of 20-year infrastructure needs. The bill allocates funds to clean water programs (42%), safe drinking water programs (42.5%), household water well systems (1%), colonias assistance (0.5%), and Indian health services (3%), requiring specific prioritization of low-income and minority communities for many programs. It mandates an EPA study on water affordability, discriminatory practices, and civil rights violations in water service, including data collection on service disconnections affecting vulnerable populations. The bill also includes provisions for lead service line replacement, PFAS contamination response, and job training grants for water system operators with specific requirements to prioritize low-income communities.

Maddy summaryThe Fiscal Commission Act establishes a 16-member commission to address the federal government's fiscal challenges, including reducing debt and deficit while aiming for a debt-to-GDP ratio of 100% by 2039. The commission must educate the public about fiscal issues, identify policy recommendations, and submit a detailed report with legislative language by November 2026 (with possible extension to April 2027). This report requires bipartisan approval, needing at least two Republican and two Democratic members for majority support. If approved, the recommended legislation would become an "implementing bill" considered under expedited procedures in both congressional chambers. The commission's work directly affects federal budget decisions and public awareness of fiscal policy, with hearings required to gather input from experts and government officials.

Maddy summaryHR 3277, the Ensuring Lasting Smiles Act, requires group health plans and health insurance issuers to cover medically necessary outpatient and inpatient treatments for congenital anomalies or birth defects primarily affecting the eyes, ears, teeth, mouth, or jaw. This includes reconstructive procedures, dental/orthodontic support during treatment, and follow-up care, but excludes purely cosmetic surgery not tied to a medical diagnosis. Cost-sharing (like copays) for these services must not be stricter than for other medical benefits. The law takes effect for plan years beginning January 1, 2026, and mandates insurers to provide notice about this coverage to beneficiaries.

Maddy summaryHR 3306, the Truth in Tariffs Act, requires retailers selling goods to U.S. consumers to clearly display the portion of a product's price caused by applicable tariffs (called a "tariff surcharge"). This applies to most retailers but exempts small businesses as defined by the Small Business Act. The Federal Trade Commission (FTC) will enforce this rule, treating violations as unfair or deceptive practices under existing law, with penalties similar to those for other FTC violations. The law takes effect 30 days after enactment, covering tariffs imposed by the President after January 20, 2025.

Maddy summaryThis bill requires federal agencies to incorporate bird-safe features in public buildings during construction, acquisition, or major facade renovations (over 50% alteration). It mandates the General Services Administration (GSA) to develop and regularly update a design guide with practical strategies - like specific glass treatments, lighting modifications, and maintenance practices - to reduce bird collisions. The guide must be shared with all federal agencies and included in annual compliance reports to Congress, which also require annual assessments of bird fatalities at federal buildings. Exemptions apply to historic sites like the White House, Supreme Court, and Capitol complex.

Maddy summaryHR 3295, the Federal Animal Research Accountability Act of 2025, requires research institutions receiving National Institutes of Health (NIH) funding to submit detailed annual reports on animal use. These reports must categorize animals by species and specify: (1) animals used with no pain/distress, (2) animals with pain/distress using pain relief, (3) animals with pain/distress where pain relief would interfere with research, and (4) animals bred but not yet used. The NIH must make these reports publicly accessible online within three months of submission through a searchable database. The bill applies to all NIH-funded research entities and takes effect two years after enactment.

Maddy summaryHR 3243, the Therapeutic Fraud Prevention Act of 2025, bans the provision of paid conversion therapy aimed at changing a person's sexual orientation or gender identity, and prohibits advertising such therapy as effective, safe, or without risk. It directly affects LGBTQ+ individuals and their families who might be targeted by these practices, as professionals have determined conversion therapy is ineffective and harmful. The law treats violations as deceptive acts under consumer protection laws, empowering the Federal Trade Commission and state attorneys general to enforce it through civil actions. It explicitly excludes legitimate gender transition support and non-discriminatory counseling from the ban.

Maddy summaryHR 3218, the Reproductive Data Privacy and Protection Act, requires law enforcement and government agencies to swear under oath that they will not use reproductive or sexual health information in investigations or legal proceedings. It amends federal wiretap laws (18 U.S.C. § 2518) and communication disclosure rules (18 U.S.C. § 2703) to mandate this protection. The bill defines "reproductive or sexual health information" broadly to include details about abortion, contraception, IVF, pregnancy, sexual health conditions, and related medical services. This directly affects law enforcement, courts, and service providers by legally restricting how sensitive health data can be used in investigations. The law aims to prevent government use of such data to target individuals seeking or providing reproductive care.

Maddy summaryHR 3184, the PFAS Alternatives Act, funds research to develop turnout gear (firefighter safety clothing) without harmful PFAS chemicals, directly affecting firefighters who wear this gear. It authorizes $25 million annually (2025-2029) for grants to eligible organizations to research and test PFAS-free gear, requiring partnerships with firefighting groups to translate findings into practice. The bill also allocates $2 million yearly (2027-2031) for training programs on safe gear use and decontamination. Its goal is to reduce firefighters' exposure to chemicals linked to occupational illnesses during operations.