Rep. Lori Trahan

Maddy summaryThis bill (HR 2199) prevents private health insurance plans from discriminating against patients with end-stage kidney disease (ESRD) who require dialysis. It amends the Social Security Act to prohibit plans from treating dialysis coverage differently than other medical services or applying network restrictions that disproportionately harm ESRD patients. The law clarifies that plans cannot deny or limit benefits for dialysis based on a patient’s diagnosis, while preserving a plan’s right to choose which dialysis providers are in their network. It directly affects ESRD patients and their private health insurance coverage, ensuring dialysis is treated equally with other covered medical services. The bill does not require plans to include specific dialysis providers but stops them from unfairly restricting access to necessary care.

Maddy summaryThis bill delays two Medicare billing deadlines for ground ambulance services from 2025 to 2028. It amends the Social Security Act to extend the timeline for implementing specific billing rules under Section 1834(l). The change directly affects Medicare ambulance providers by postponing compliance deadlines for billing requirements. No new services or funding are created - only a technical extension of existing timelines.

Maddy summaryThe Air America Act of 2025 authorizes one-time payments of $40,000 to individuals who worked for Air America or its affiliated companies for at least five years during 1950-1976, or to their surviving spouses, children, or dependents. Additional payments of $8,000 per full year beyond five years are allowed. The program is capped at $60 million total funding, with claims required within two years of final regulations. Payments are a single lump sum with no ongoing benefits, and the bill explicitly states it does not create new entitlements beyond this one-time award.

Preserving Patient Access to Home Infusion Act  This bill specifically includes pharmacy services and home infusion drugs that are administered without a pump as part of covered home infusion therapy under Medicare. The bill also allows nurses and physician assistants to establish and review the plan of care for home infusion therapy, and it specifies that payment may be made regardless of whether a practitioner is physically present in the home at the time the drug is administered.

Maintaining and Enhancing Hydroelectricity and River Restoration Act This bill establishes a new investment tax credit in the amount of 30% of the basis of any hydropower improvement property. The bill defines hydropower improvement property as property that adds or improves fish passage at a qualified dam; maintains or improves the quality of the water retained or released by a qualified dam; promotes downstream sediment transport and habitat maintenance; upgrades, repairs, or reconstructs a qualified dam to meet safety and security standards; improves public uses of, and access to, public waterways impacted by a qualified dam; removes an obsolete river obstruction; or places into service an approved remote dam. Further, written approval for hydropower improvement property must be obtained from the Federal Energy Regulatory Commission or state or local officials prior to January 1, 2032. The bill also allows an election to claim the investment tax credit for qualified progress expenses for some types of hydropower improvement property in advance of such property being placed into service. Any investment tax credit amount claimed for qualified progress expenses reduces the amount of the investment tax credit that may be claimed once the hydropower improvement property is placed into service.  The bill authorizes certain entities, including tax-exempt and governmental entities, to treat the investment tax credit for hydropower improvement property as a payment of tax and receive a refund of any overpayment (also known as elective pay).  Finally, the investment tax credit for hydropower improvement property may be transferred (i.e., sold).

Maddy summaryHRES 216 is a resolution condemning the leadership of the House Republican Conference for allowing a social media post that falsely questioned the immigration status and patriotism of Congressman Adriano Espaillat (Chairman of the Congressional Hispanic Caucus). The resolution specifically names House Speaker Mike Johnson, Majority Leader Steve Scalise, Majority Whip Tom Emmer, and other top Republican leaders as responsible for the post. It characterizes the post as xenophobic and inappropriate, stating such rhetoric violates the standards of conduct expected of members of Congress.

Maddy summaryThe Access to Family Building Act establishes legal rights for individuals seeking fertility care and health care providers offering assisted reproductive technology (ART) services. It prohibits states or localities from imposing unreasonable restrictions on ART access - such as excessive costs, health barriers, or arbitrary limitations - that don’t advance safety or health outcomes. The bill allows patients, providers, or insurers to sue to enforce these rights, while explicitly preserving state health/safety regulations that protect patient safety. It does not override existing state insurance laws or require changes to medical facility safety standards. This bill directly affects patients pursuing fertility treatment, fertility clinics, and health insurers covering ART services.

Maddy summaryThe Credit for Caring Act of 2025 creates a federal tax credit for family caregivers of elderly or disabled relatives. It allows eligible caregivers (with over $7,500 in earned income) to claim a credit equal to 30% of qualified caregiving expenses exceeding $2,000, capped at $5,000 per year. Qualified expenses include human assistance, home modifications, respite care, counseling, lost wages for unpaid time off, and transportation, all requiring certification from a licensed healthcare provider that the care recipient has long-term needs. The credit phases out for higher earners (over $75,000 single/$150,000 joint) and requires documentation of expenses and care recipient certification.

Maddy summaryHR 2029, the "Stop Comstock Act," amends federal obscenity laws to remove outdated restrictions on abortion and contraception. It deletes references to "indecent" materials and abortion-related language from Title 18 (e.g., removing "or means for procuring abortion" from section 552 and revising definitions in sections 1461 and 1462). The bill clarifies that federal law does not prohibit the distribution of materials related to abortion or contraceptives, updating how "obscene" is defined. These changes directly affect federal enforcement of obscenity laws, particularly regarding medical information and devices. The bill focuses on modernizing statutory language to align with current legal standards for protected speech and healthcare access.

Metastatic Breast Cancer Access to Care Act This bill expedites payment of Social Security Disability Insurance (SSDI) benefits and eligibility for Medicare coverage for those with metastatic breast cancer (i.e., breast cancer that has spread to other sites in the body). Specifically, the bill eliminates the 5-month waiting period for SSDI benefits and the subsequent 24-month waiting period for Medicare coverage for individuals with metastatic breast cancer. Under current law, individuals generally must wait 5 months after the onset of disability to begin receiving SSDI benefits and an additional 24 months to become eligible for Medicare.