Rep. Paul Tonko

Maddy summaryHR 4074, the Optimizing Postpartum Outcomes Act of 2025, requires the Health and Human Services Secretary to issue guidance within one year on improving Medicaid and CHIP coverage for pelvic health services during pregnancy and the postpartum period (defined as up to 6 months after birth or during lactation). The bill directs the GAO to study coverage gaps for these services and mandates a new CDC-led education campaign to train healthcare providers and inform postpartum women about pelvic floor exams and physical therapy. Key provisions include standardizing terminology for pelvic health conditions, sharing state best practices for payment models, and authorizing $2 million annually for the education program through 2030. This bill directly affects postpartum women covered by Medicaid or CHIP by aiming to increase access to evidence-based pelvic health care.

Maddy summaryThe Autism Family Caregivers Act of 2025 creates a 5-year pilot program funding grants to community organizations for free, evidence-based skills training for family caregivers of children (ages 0-9) with autism spectrum disorder or other developmental disabilities or delays. The program requires training in communication, social engagement, daily living skills, and caregiver self-care strategies, with emphasis on cultural competence and coordination with local health, education, and community services. Grants must support at least 25 organizations across 15+ states, using $10 million annually (2026-2030), and mandate stakeholder committees including caregivers and local providers. It directly affects families caring for young children with these conditions by expanding access to structured support, while requiring programs to supplement - rather than replace - existing Medicaid, education, or insurance-covered services.

Maddy summaryHCONRES 37 is a non-binding congressional resolution urging the President to establish a U.S. Commission on Truth, Racial Healing, and Transformation. The resolution does not create the commission itself but calls for its formation to acknowledge historical racial injustices (like discriminatory housing policies, the Chinese Exclusion Act, and forced Native American boarding schools) and catalyze efforts to eliminate racial inequities. The commission would focus on dismantling the "belief in a hierarchy of human value" and advancing racial healing, complementing ongoing efforts like H.R. 40 (the reparations study bill). It directly affects federal leadership (via the President) and aims to guide national policy, though it has no legal force.

Maddy summaryThis bill requires U.S. Immigration and Customs Enforcement (ICE) agents to visibly identify themselves during enforcement operations in the United States by not wearing facial coverings and wearing garments showing their name and agency affiliation. It directly affects ICE agents conducting activities like arrests, raids, or investigations. Exceptions exist for imminent threats or safety gear, but supervisors must review and document such uses within 48 hours. The bill also mandates annual reports to Congress on disciplinary actions and complaints related to violations.

Maddy summaryThis bill requires colleges receiving federal work-study funds to notify eligible students about potential eligibility for the SNAP food assistance program. It specifically targets students participating in federal work-study or receiving Pell Grants, mandating that institutions send email notifications with state-specific SNAP eligibility details and a document confirming their work-study status to overcome a key ineligibility barrier. The notifications, developed jointly by the Education and Agriculture Departments, include application contacts and guidance for schools on identifying eligible students. The policy change directly enables more college students to access nutrition assistance by clarifying their SNAP eligibility through institutional outreach.

Improving Access to Medicare Coverage Act of 2025 This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)

Maddy summaryThe PHARA Act of 2025 requires the National Institutes of Health (NIH) to immediately release all required funding for existing research grants and rapidly pay pending reimbursements. It prohibits NIH from terminating active research grants (entered after the bill's enactment) solely due to shifting agency priorities or program goals, and mandates new termination clauses requiring 90 days' written notice and attempts to amend terms before ending agreements. This directly affects researchers and institutions receiving NIH grants, ensuring funding continuity for ongoing projects. The bill aims to prevent abrupt halts in scientific research by restructuring grant termination processes.

Maddy summaryThis bill codifies existing protections for designated roadless areas within the National Forest System by prohibiting new road construction, road reconstruction, and logging in these areas. It directly affects National Forest lands already identified as "inventoried roadless areas" under the current Roadless Rule, which covers roughly 58 million acres. The key mechanism requires the Secretary of Agriculture to enforce these prohibitions, maintaining current protections without expanding restrictions to other lands or altering existing multiple-use management. The bill does not create new protected areas but legally solidifies the existing regulatory framework to preserve ecological and recreational values.

Maddy summaryThis bill, HR 3916 (My Body, My Data Act of 2025), requires businesses and other "regulated entities" to minimize collection and sharing of personal reproductive or sexual health data - such as pregnancy status, contraceptive use, or abortion-related information - and gives individuals specific rights. It mandates that entities provide individuals with easy access to their data, the ability to correct inaccuracies, and the right to request deletion of such information within 15 days. The law also requires clear privacy policies detailing data practices and prohibits retaliation against individuals who exercise these rights, such as charging higher prices or denying services. It applies broadly to most businesses (excluding HIPAA-covered healthcare providers) and is enforced by the FTC with private lawsuits allowed for violations.

Maddy summaryHR 3906, the Medical Research for Our Troops Act, restores funding levels for military medical research by increasing the Defense Health Agency's research budget from $40.395 billion to $41.576 billion in the 2025 appropriations act. It ensures Congressionally Directed Medical Research Programs funds are used consistently with the Consolidated Appropriations Act, 2024, requiring the Defense Secretary to support all previously identified research programs and maintain existing funding allocations. The bill directly affects military medical research initiatives and the Defense Health Agency's budget implementation. This is a procedural funding adjustment, not a new policy, maintaining continuity for ongoing research projects.