Rep. Melanie A. Stansbury

Maddy summaryThe End Solitary Confinement Act would prohibit most solitary confinement in federal prisons and detention centers, requiring all incarcerated people to have at least 14 hours daily of out-of-cell group interaction in shared spaces. It establishes strict limits on when solitary confinement can be used (only for brief counts, emergencies as a last resort, or medical isolation), with specific protections for vulnerable populations including youth, the elderly, people with disabilities, pregnant people, and LGBTQ+ individuals. The bill creates a community monitoring body to oversee implementation, requires detailed reporting on confinement practices, and provides incentives for states to adopt similar standards through funding adjustments. It also includes due process protections for placement in restrictive housing and prohibits punitive practices like limiting access to services or confiscating personal property.

Maddy summaryThis bill increases federal Medicaid funding for states that expand spending on behavioral health services (mental health and substance use treatment). It creates a new 90% federal reimbursement rate for the *increase* in quarterly state spending on these services compared to the 2019 baseline, provided states use the funds to supplement existing state funding and improve service delivery (e.g., raising provider payment rates). States must report annually to Congress on payment rates, rationale, and service utilization for these programs. The policy directly affects all 50 states administering Medicaid and the providers delivering behavioral health services within those programs. The changes take effect January 1, 2025, following enactment.

Maddy summaryThe RAP Act of 2025 amends federal evidence rules to generally prohibit the use of a defendant's creative or artistic expression (such as music, poetry, or visual art) as evidence in criminal or civil trials. It directly affects defendants whose artistic works might otherwise be presented against them, making such evidence inadmissible unless the government proves specific conditions by "clear and convincing evidence." These conditions require showing the expression was intended literally, directly relates to the specific facts of the case, is uniquely relevant, and has distinct probative value not available through other admissible evidence. If admitted under the exception, courts must redact the evidence and provide special jury instructions. The law aims to protect artistic expression from being misused in legal proceedings.

Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Maddy summaryHR 4734, the "Hands Off Our Social Security Act," prohibits federal actions that would alter Social Security benefits, data handling, workforce levels, office locations, or communication systems without explicit congressional approval. It directly protects Social Security beneficiaries and the Social Security Administration (SSA) by banning unauthorized changes to benefits, data mining, privatization, staff cuts, office closures, or reduced phone/in-person services. Key provisions require Congress to approve any modifications to benefits, workforce reductions, or office closures, and mandate the SSA to maintain existing communication channels. The bill also mandates annual GAO audits to ensure compliance with these restrictions. This legislation focuses on preserving current Social Security operations and access, not creating new benefits or altering eligibility.

Maddy summaryH.J. Res. 108 proposes a constitutional amendment to remove legal immunity for federal officials, including the President, from criminal prosecution for actions taken while performing official duties. It would prohibit the President from granting pardons to themselves and eliminate the defense that "official authority" excuses violations of federal or state law (with limited exceptions for certain congressional actions). If ratified, this amendment would require Congress to pass implementing laws to enforce these changes. The proposal is currently in the House Judiciary Committee and requires approval by three-fourths of state legislatures to become part of the Constitution.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.

Maddy summaryHR 4493, the Climate Health Emergency Act of 2025, requires the Secretary of Health and Human Services to declare a public health emergency specifically for climate-related health risks under existing law. This bill directly affects the federal public health system by mandating this emergency declaration, based on findings that climate change drives over half of recent public health emergencies (like extreme weather and disease spread). The key mechanism is the formal declaration under the Public Health Service Act, aiming to mobilize federal resources and improve coordination for climate-driven health threats. It focuses on addressing the growing health impacts linked to climate change, as identified in congressional findings.

Maddy summaryThis bill prohibits Medicare from paying for orthotics or prosthetics delivered directly to patients without in-person training from a qualified provider (a "drop shipment"), ensuring beneficiaries receive proper fitting and use instructions. It expands the list of healthcare providers who can prescribe these devices to include physical therapists, occupational therapists, orthotists, and prosthetists. The bill also specifically requires Medicare to cover replacements for custom-fitted orthotics and custom-fabricated orthotic devices, aligning with existing rules for prosthetic replacements. These changes aim to improve patient safety and access to properly fitted devices under Medicare.