Rep. Laura Gillen

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryThe MAP Roads Act establishes a federal pilot program to fund states in digitizing county road records and creating publicly accessible digital maps. It directly affects rural counties and state transportation departments by providing grants to convert paper maps into standardized digital formats, ensuring datasets distinguish public vs. private roads and work with mapping platforms. States must use funds for digitization, training, and building centralized repositories updated annually, with $20 million authorized yearly from 2026-2031. The program aims to improve rural commerce, safety, and navigation without altering road jurisdiction or ownership under existing law.

Maddy summaryThis bill amends the federal tax code to exclude certain overtime pay from taxable income. It directly affects workers who earn overtime under the Fair Labor Standards Act (FLSA) or through specific employer-employee agreements meeting defined conditions (like exceeding 40 hours per week or railway work standards). The key provision defines "qualified overtime compensation" to exclude this pay from federal income tax calculations. The change applies to tax returns filed for 2025 and later. This creates a concrete tax exemption for qualifying overtime earnings.

Maddy summaryThis bill allocates $5 million annually (2026-2030) to states for collecting de-identified stillbirth data through existing health systems, including risk factor analysis. It also provides $1 million yearly to develop standardized guidelines for healthcare providers and public educational materials about stillbirths, requiring consultation with medical professionals, bereavement organizations, and affected families. The bill mandates that all data collection complies with privacy laws and requires the Department of Health and Human Services to publish a public report on stillbirth guidelines within five years. It directly affects state health departments, healthcare providers, and families experiencing stillbirth by improving data quality and access to resources.

Maddy summaryHR 5456, the NWR Modernization Act of 2025, modernizes the NOAA Weather Radio system to improve nationwide access to weather and hazard alerts. It requires expanding coverage to rural communities, national parks, tribal lands, and areas with poor cellular service while upgrading to internet-based broadcasts and developing backup systems. The bill mandates a 12-month assessment to evaluate access needs, compatibility with third-party apps, and reliability during outages. This directly affects all U.S. residents, particularly those in underserved areas currently lacking reliable access. Key provisions include transitioning to modern infrastructure, enhancing alert systems, and ensuring continuous real-time broadcasts.

Maddy summaryThe Stop CMV Act of 2025 requires hospitals to screen all infants under 21 days old for congenital cytomegalovirus (CMV), a virus that can cause hearing loss and developmental delays. States must establish screening standards - including parent notification - within two years of the law’s enactment, or the federal Advisory Committee on Heritable Disorders will set them. The bill provides federal grants for states to implement screening, improve data systems, and fund research on CMV prevention, diagnostics, and treatments through the CDC and NIH.

Maddy summaryHR 5401, the Pay Our Troops Act of 2026, ensures military personnel, civilian Defense workers, and supporting contractors receive pay during government funding gaps in fiscal year 2026. It appropriates emergency funds for active-duty service members, reserves, and their supporting personnel (including Coast Guard staff under DHS) if regular appropriations aren't enacted by the end of the fiscal year. The bill provides necessary pay and allowances during any period when full-year funding is unavailable, covering both active service and support roles. Funding expires when regular appropriations are passed, a funding resolution is enacted, or January 1, 2027, whichever comes first. This is a procedural measure to prevent pay delays for military and support staff during fiscal year 2026 funding lapses.

Maddy summaryHR 3427, the Water Resources Technical Assistance Review Act, requires the Government Accountability Office (GAO) to review the Environmental Protection Agency's (EPA) clean water technical assistance programs within one year of the bill's enactment. The GAO must examine how the EPA selects and partners with technical assistance providers, matches services to community needs (especially in economically distressed areas), coordinates with other agencies, and whether the assistance helps communities access broader water infrastructure programs. The review will also assess duplication across EPA programs and gaps in serving communities eligible for clean water infrastructure support. The EPA must then submit annual plans detailing how it implements the GAO's recommendations to improve these programs.

Maddy summaryThis bill would establish September 11 as a permanent legal public holiday for federal employees and agencies. It amends Title 5 of the U.S. Code to add "September 11 Day of Remembrance" to the list of designated federal holidays, following Labor Day. The change would require federal offices to close on September 11 each year, directly affecting federal workers and government operations.

Maddy summaryHR 5321 extends the deadline for allowing low-emission and energy-efficient vehicles to use high-occupancy vehicle (HOV) lanes from September 30, 2025, to December 31, 2026. It also requires the Transportation Secretary to conduct a study within 180 days of enactment on whether electric vehicle exemptions in HOV lanes reduce traffic congestion, with results reported to Congress. The bill directly affects state and local transportation agencies managing HOV facilities and the Department of Transportation. Key provisions include the deadline extension and the mandated study, with no changes to vehicle eligibility rules.