Rep. Ayanna Pressley

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 summaryHRES 1618 is a non-binding resolution designating November 20-December 20, 2024, as "National Survivors of Homicide Victims Awareness Month." It expresses support for raising awareness about survivors of homicide victims and encourages communities to provide them with support services and resources. The resolution calls for promoting survivor-centered initiatives, addressing trauma through behavioral health services, and fostering community engagement to honor victims and support families affected by homicide.

Maddy summaryHRES 1617 is a non-binding resolution expressing the House of Representatives' view that the federal government should dramatically expand and strengthen the care economy. It calls for federal investments to address systemic gaps in care infrastructure, including universal access to affordable childcare, elder care, paid family leave, and mental health services, while prioritizing higher wages and union protections for care workers - particularly women of color and immigrants. The resolution emphasizes repairing historical inequities rooted in exclusion from labor protections and connecting care infrastructure to broader goals like climate justice and economic equity. It does not create new law but urges future legislation to adopt these principles as a foundation for policy. The resolution directly affects millions of care workers, families relying on care services, and communities facing systemic barriers to care access.

Maddy summaryThis bill requires states to prohibit physicians from performing specific non-emergency surgeries on foster children under age 6 who have variations in sex characteristics (commonly called intersex traits), unless the procedure addresses an immediate life threat. It targets procedures like clitoral reduction, gonadectomy, and vaginoplasty that are often done without consent on infants. States must enforce this through licensing penalties, and it applies only to children in foster care as a condition for receiving federal foster care funding. The bill explicitly states it does not restrict medically necessary surgeries or procedures for transgender youth.

Maddy summaryThe Pharmacists Fight Back Act (HR 9096) sets new rules for Pharmacy Benefits Managers (PBMs) working with federal health care programs like Medicare Part D and Medicaid. It requires PBMs to reimburse in-network pharmacies at a rate covering the drug's actual cost plus a small fee (capped at $25), and to reduce patient cost-sharing by at least 80% of rebates received from drug manufacturers. The bill bans PBMs from steering patients to specific pharmacies, charging patients more than pharmacies are paid, or using rebates to lower pharmacy payments after claims are processed. It also mandates public reporting of drug pricing data to improve transparency, ensuring patients and pharmacies receive fairer treatment under federal health programs.

Maddy summaryHR 8796, the "Stop Comstock Act," removes outdated restrictions from federal law that previously banned the distribution of materials related to contraception and abortion as "obscene" or "indecent." The bill amends Title 18 and the Tariff Act by deleting references to "indecent," "immoral," "unlawful abortion," and "procuring abortion" from provisions governing obscene materials. It clarifies that the law only prohibits "obscene materials" in commerce, eliminating broad restrictions on reproductive health information. This directly affects internet platforms, healthcare providers, and individuals sharing reproductive health resources by removing legal barriers to their distribution.

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 summaryThe End Polluter Welfare Act of 2024 eliminates numerous subsidies and tax benefits for fossil fuel companies by repealing provisions that provide royalty relief, reducing royalty rates, and ending tax incentives for oil, natural gas, and coal production. The bill prohibits federal funding for fossil fuel projects by restricting international financial institutions, the Export-Import Bank, and the Department of Transportation from supporting fossil fuel infrastructure. It also repeals recent legislation that provided fossil fuel subsidies, including parts of the Fiscal Responsibility Act and Inflation Reduction Act. This comprehensive approach directly affects oil, gas, and coal producers by removing financial benefits that have historically supported the fossil fuel industry, while directing studies to identify and eliminate additional fossil fuel subsidies.

Maddy summaryHR 6780 establishes a 4-year Medicare demonstration program testing whether hospitals providing medically tailored home-delivered meals to specific patients improves health outcomes and reduces hospital readmissions. The program targets Medicare beneficiaries with diet-sensitive chronic conditions (like diabetes or heart failure) who are at high risk of readmission and meet specific discharge criteria, such as limited daily living activities. Selected hospitals must screen patients, provide at least two tailored meals daily for 12 weeks, and offer medical nutrition therapy, all without patient cost-sharing. The program requires hospitals to submit data for evaluation, with the goal of assessing impacts on hospital admissions, care costs, and patient satisfaction before reporting to Congress in 2027 and 2030.

Maddy summaryThe Marriage Equality for Disabled Adults Act removes a rule requiring disabled adult children to remain unmarried to receive Social Security benefits. It ensures married disabled adult children, or their spouses, can maintain eligibility for Social Security Disability Insurance and Medicaid without losing benefits due to marriage. The bill changes how income and resources are counted, so a spouse's income and resources are no longer deemed against the disabled adult child for benefit calculations. It also requires states to preserve Medicaid eligibility for these individuals at the same level as if they were unmarried.