Rep. Paul Tonko

Maddy summaryHR 2029, the "Stop Comstock Act," amends federal obscenity laws to remove outdated restrictions on abortion and contraception. It deletes references to "indecent" materials and abortion-related language from Title 18 (e.g., removing "or means for procuring abortion" from section 552 and revising definitions in sections 1461 and 1462). The bill clarifies that federal law does not prohibit the distribution of materials related to abortion or contraceptives, updating how "obscene" is defined. These changes directly affect federal enforcement of obscenity laws, particularly regarding medical information and devices. The bill focuses on modernizing statutory language to align with current legal standards for protected speech and healthcare access.

Metastatic Breast Cancer Access to Care Act This bill expedites payment of Social Security Disability Insurance (SSDI) benefits and eligibility for Medicare coverage for those with metastatic breast cancer (i.e., breast cancer that has spread to other sites in the body). Specifically, the bill eliminates the 5-month waiting period for SSDI benefits and the subsequent 24-month waiting period for Medicare coverage for individuals with metastatic breast cancer. Under current law, individuals generally must wait 5 months after the onset of disability to begin receiving SSDI benefits and an additional 24 months to become eligible for Medicare.

Maddy summaryThis bill requires the Transportation Security Administration (TSA) to transition its workforce from a special personnel management system to the standard federal personnel system under Title 5 of the U.S. Code by December 31, 2025. It protects TSA employees by ensuring no reduction in pay, benefits, or retirement rights during the transition, while preserving collective bargaining rights for screening agents. The legislation also mandates consultation with labor unions during the process and requires several reports on workforce issues including recruitment, harassment policies, and workplace safety.

Maddy summaryThis bill would expand Medicare to cover dental, vision, and hearing services for beneficiaries 65 and older (and some younger people with disabilities), effective January 1, 2026. It would provide 100% coverage for preventative dental services in 2026, with basic and major dental services gradually increasing to 80% coverage by 2029. Vision benefits would include 80% coverage for annual eye exams and specific limits on eyeglasses, frames, and contact lenses ($100 per year for lenses, $100 every two years for frames, $200 every two years for contacts). Hearing services would include 80% coverage for hearing exams and hearing aids, with a limit of one hearing aid per ear every 48 months. The bill also adds oral health professionals to the United States Preventive Services Task Force to help guide coverage decisions.

Maddy summaryHR 2033, the Military Spouse Hiring Act, expands the Work Opportunity Tax Credit to include spouses of active-duty military personnel. It adds "qualified military spouse" as an eligible category for the tax credit, meaning employers who hire such spouses can claim the credit. A "qualified military spouse" is defined as someone certified by a local agency as married to an active-duty service member at the time of hire. The credit applies to hires occurring after the bill's enactment date. This directly affects military spouses seeking employment and employers hiring them, providing a tax incentive to encourage their hiring.

Maddy summaryThis resolution (HRES 209) designates April 5, 2025, as "Barth Syndrome Awareness Day" to raise public awareness about Barth syndrome, a rare genetic disorder primarily affecting males. It directly supports patients, families, and caregivers of the estimated fewer than 150 diagnosed individuals in the U.S. who face challenges with diagnosis, limited treatments, and high mortality rates. The bill’s key mechanism is a symbolic House resolution expressing support for the awareness day, recognizing the need for improved diagnosis, research, and treatment development for this ultrarare condition. It does not create new programs or funding but aims to foster greater attention to Barth syndrome through official recognition.

Maddy summaryThis bill adjusts probationary periods for certain federal employees who were involuntarily separated between January 20, 2025, and January 20, 2029. It allows eligible employees (those separated while on probation in an Executive agency) to count their prior service time toward a new probationary period when rehired into a similar position with their former agency. Specifically, the new probation period equals the original required duration minus the time already served in their previous federal role. The law expires on January 20, 2029, and applies only to appointments matching the employee’s prior position.

Maddy summaryThis bill extends current Medicare payment rates for durable medical equipment (like wheelchairs and oxygen) in non-rural areas through December 2025. It delays implementing a new payment rule for all areas until January 2026. The law directly affects Medicare beneficiaries needing equipment and the suppliers who provide it by maintaining existing reimbursement rates for an additional year. This avoids immediate payment reductions for non-rural areas while postponing the full transition to new rates.

Maddy summaryThis bill amends Medicare eligibility rules to clarify that beneficiaries needing occupational therapy *or* speech therapy qualify for home health services. It updates two sections of the Social Security Act (Parts A and B) to replace "need occupational therapy or speech therapy" with "need occupational, or speech therapy," ensuring both therapies are explicitly covered. The change directly affects Medicare beneficiaries requiring either therapy for home-based care, removing potential confusion about eligibility. The updated rules will take effect for services provided on or after January 1, 2026.

Maddy summaryThis bill provides federal grants to public or nonprofit health care providers serving minority, low-income, or medically underserved communities to expand maternal and infant health services. It specifically funds prenatal, postnatal, and postpartum care while requiring grantees to offer culturally appropriate services and limit administrative costs to 10% of grant funds. Priority is given to organizations led by or located within the communities they serve, aiming to reduce racial and economic disparities in care access and health outcomes. The funding is authorized for fiscal years 2026-2030, with grantees required to coordinate with other federal maternal health programs to avoid duplication.