Rep. Rashida Tlaib

Maddy summaryThis bill amends the Social Security Act to remove a payment limitation for certain Medicaid Home and Community-Based Services (HCBS) waivers. Specifically, it strikes a provision (subparagraph (C) of Section 1915(c)(11)) that restricted how states could fund these waivers under Medicaid. The change directly affects state Medicaid programs that use HCBS waivers to provide home and community care for people with disabilities or elderly individuals. By removing this restriction, states gain more flexibility in allocating Medicaid funds for these services, without altering eligibility or service requirements.

Sickle Cell Disease Comprehensive Care Act This bill allows state Medicaid programs to establish health homes to provide coordinated care for individuals with sickle-cell disease. (Under current law, state Medicaid programs may establish health homes to provide coordinated care for individuals with specified chronic conditions.) States must ensure that such care includes dental and vision services. The Centers for Medicare & Medicaid Services must issue best practices for states on how to design and implement such health homes.

Maddy summaryThe Empowering Striking Workers Act of 2025 would expand unemployment insurance eligibility to workers unable to work due to labor disputes, including strikes or lockouts. It sets a 14-day waiting period (or earlier if replacements are hired, a lockout starts, or the dispute ends) before benefits begin, treating these workers as "unemployed" under federal law. The bill also removes the standard requirement for these workers to actively seek other employment to qualify for benefits. This directly affects workers involved in labor disputes, such as those on strike or unable to work due to employer lockouts.

Maddy summaryHR 2181, the Protect Our Watchdogs Act of 2025, strengthens protections for federal Inspectors General (IGs) by requiring the President to have specific, documented reasons to remove them. The bill amends federal law to specify nine grounds for removal, including documented felony convictions, gross mismanagement, waste of funds, abuse of authority, or neglect of duty - each requiring written justification. This directly affects IGs who oversee federal agency accountability and investigations, as it prevents arbitrary removals and mandates transparency in the process. The law applies to all federal Inspectors General across agencies, ensuring their independence is maintained through clear, enforceable standards.

Maddy summaryHR 1510, the Due Process Continuity of Care Act, expands Medicaid eligibility to cover individuals in jail or custody while awaiting trial or disposition of charges, at a state's option. This allows states to provide Medicaid benefits to this population without requiring them to be convicted first. The bill provides $50 million in planning grants to states to develop implementation plans, including assessing healthcare needs, recruiting providers (especially for behavioral health and substance use treatment), and creating electronic billing systems for correctional facilities and outpatient providers. States must also consult with stakeholders like jails, providers, and Medicaid advocates before finalizing their plans.

Maddy summaryThis bill requires most health insurance plans to cover HIV prevention services - including PrEP and PEP drugs, related lab tests, counseling, and monitoring - without cost-sharing (like copays or deductibles) or prior approval. It applies to private insurance, Medicare, Medicaid/CHIP, and federal employee health plans, directly affecting people who use HIV prevention medications. Key provisions mandate 100% coverage for FDA-approved HIV prevention drugs, eliminate cost-sharing for these services, and prohibit insurers from requiring preauthorization for them. The bill defines covered services to include all necessary components of HIV prevention care as outlined in current public health guidelines.

Maddy summaryHR 5126, the HIV Prevention Now Act, appropriates $2.165 billion for the CDC's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention for fiscal year 2026. This funding is in addition to existing CDC appropriations and must be used exclusively by that specific center for its programs, with no transfer to other entities. The bill directly affects the CDC's public health operations by providing dedicated resources for prevention and treatment programs targeting HIV, viral hepatitis, STDs, and tuberculosis. It does not create new policies or alter eligibility but ensures sustained funding for existing prevention efforts at the federal level.

Maddy summaryThis bill requires the Bureau of Prisons (BOP) to issue photo identification cards meeting REAL ID standards to U.S. citizen prisoners being released from federal custody within 180 days of enactment. The card is valid for 18 months and must be accepted by states for state ID purposes (through negotiated agreements) and by federal programs like Social Security, Medicare, Medicaid, food assistance, and housing programs. It directly affects federal prisoners upon release, states (through required negotiations), and federal agencies that provide services requiring ID. The law mandates annual reports to Congress on state agreement progress but does not change existing prerelease planning procedures.

Maddy summaryThis bill prohibits Members of Congress, their spouses, and dependent children from owning or trading certain investments, including stocks, commodities, and derivatives (referred to as "covered investments"). It requires affected individuals to divest these investments within 90-180 days, with specific exemptions for Treasury bonds, diversified mutual funds, small business interests, and family trusts meeting strict conditions. Violations incur penalties of 10% of the investment's value plus disgorgement of profits, paid directly to the U.S. Treasury. The law applies to all covered individuals during federal service, with exceptions for investments acquired through inheritance or occupational trading (e.g., a spouse’s finance job).

Maddy summaryThis bill bans U.S. embassies, consulates, and diplomatic posts from hosting fundraising events for foreign political parties or candidates in foreign elections. It prohibits using federal funds or personal funds of U.S. diplomats to organize such events, including facilitating donor interactions. The law amends existing regulations to enforce this ban and requires the State Department to update its internal guidelines (DSSR/FAM) to reflect the prohibition. The policy aims to maintain U.S. diplomatic neutrality in foreign electoral processes, ensuring embassies do not provide financial or electoral advantages to any foreign political group.