Rep. Paul Tonko

Maddy summaryThis bill requires the State Department to obtain specific congressional authorization and submit a detailed reorganization plan before making any structural changes. The plan must cover impacts on diplomatic operations, consular services, workforce transitions, and risks to U.S. foreign policy interests. If the department bypasses these requirements, federal funds cannot be used for State Department efficiency activities or official travel by politically appointed officials. The bill directly affects State Department leadership and congressional committees, mandating strict oversight before any reorganization takes effect.

Maddy summaryThis bill creates a new Medicare payment model (the "Comprehensive Alternative Response for Emergencies Model") that allows Medicare Part B to cover ground ambulance services provided in response to emergency medical calls *without* a full transport. It directly affects Medicare beneficiaries receiving emergency ambulance care and ambulance providers, ensuring they are paid for services like dispatch and initial response that don't include transport. The model requires payment rates to align with standard transport payments, mandates compliance with state protocols, and operates for a 5-year test period. A report by the Comptroller General will evaluate the model's impact on beneficiary access, outcomes, and regional differences after 4 years.

Workplace Violence Prevention for Health Care and Social Service Workers Act This bill requires the Department of Labor to address workplace violence in health care, social service, and similar sectors. Specifically, Labor must issue an occupational safety and health standard that requires certain employers to take actions to protect workers and other personnel from workplace violence. The standard applies to employers in the health care sector, in the social service sector, and in sectors that conduct activities similar to those in the health care and social service sectors. Among other elements, the standard must require each employer to (1) develop a workplace violence prevention plan, (2) promptly investigate incidents of workplace violence, and (3) provide relevant training and education to employees.  The bill requires certain hospitals and skilled nursing facilities to comply with this standard as a condition of Medicare participation.

Maddy summaryThis bill (HR 2532) blocks federal funding for large-scale layoffs at the Department of Health and Human Services (HHS) and its sub-agencies. It prohibits using federal funds to remove 3% or more of all HHS employees, or 3% or more at any single sub-agency, within a 60-day period. This applies to actions like layoffs under federal workforce rules (Title 5) or agency reorganizations. The bill directly affects HHS employees and its operating divisions by preventing rapid, widespread workforce reductions. It does not change HHS policies but restricts how personnel actions can be funded.

Maddy summaryHR 2585, the Armenian Genocide Education Act, establishes a federal program through the Library of Congress to develop educational resources about the 1915-1923 Armenian Genocide for K-12 schools. It requires the Librarian to create and distribute accurate teaching materials, provide teacher training workshops, and maintain an online resource hub focused on the genocide's history, lessons, and prevention of hate. The program directly supports local educational agencies, independent schools, and educators by offering professional development and curriculum resources. It defines key terms like "denial" and "distortion" to guide the educational content, aiming to improve understanding of this historical event and its relevance to preventing modern-day hate crimes.

Maddy summaryHR 2586, the Reentry Act of 2025, amends Medicaid rules to allow incarcerated individuals to receive Medicaid coverage during the 30 days immediately before their release from prison or jail. This directly affects people leaving correctional facilities, ensuring they can access health care as they transition back into communities. The bill requires a report within 18 months analyzing current health care standards in prisons, the number of people who would gain coverage, and current discharge practices to improve Medicaid enrollment for newly released individuals. The report will also assess how to better connect people with community health services and addiction treatment after release.

Maddy summaryThis symbolic resolution (HCONRES 23) expresses Congress's support for International Transgender Day of Visibility, observed annually on March 31. It encourages Americans to recognize and celebrate transgender community achievements while acknowledging ongoing challenges like discrimination in employment, healthcare, and public accommodations. The resolution does not create new laws or policies but formally endorses the day's purpose through non-binding statements of support and recognition. It directly affects the broader public by promoting awareness and respect for transgender individuals' rights and contributions.

Maddy summaryHRES 277 is a non-binding resolution designating May 2025 as "National Myositis Awareness Month" to raise public awareness about myositis, a rare autoimmune muscle disease affecting millions of Americans. It specifically highlights the challenges of diagnosis, delayed treatment, and health disparities faced by patients - particularly women and people of color - with conditions like dermatomyositis and inclusion body myositis. The resolution encourages Americans to learn about myositis and support those affected, without creating new laws or funding. As a symbolic measure, it does not change policy or provide resources but aims to foster greater public understanding of this underrecognized condition.

Maddy summaryHRES 275 is a non-binding resolution supporting Social Work Month and World Social Work Day on March 18, 2025. It recognizes the contributions of social workers - nearly 728,000 professionals nationwide - who provide critical services in healthcare, mental health, education, disaster response, and community support. The resolution does not create new policies or funding but formally acknowledges their role in advancing community well-being, social justice, and addressing issues like mental health, veteran care, and poverty. It encourages public awareness activities but has no direct impact on legislation or affected individuals.

Maddy summaryHRES 274 is a symbolic resolution expressing congressional support for designating April 6-12, 2025, as "National Water Week." It does not create new laws or funding but acknowledges the importance of clean water access and infrastructure challenges, referencing issues like 2 million people lacking basic water services and rural community struggles. The resolution serves as a non-binding gesture to highlight water-related priorities without direct policy impact. It affects no specific group or program, as it only formally recognizes a designated week.