Rep. Marie Gluesenkamp Perez

Maddy summaryHR 5813, the Women’s Health and Cancer Rights Modernization Act of 2025, requires health insurance plans to cover all medically necessary breast or chest wall reconstruction services following breast cancer treatment, including mastectomy or breast-conserving surgery. It mandates coverage for every reconstruction method (like implants, tissue flaps, or future recognized techniques), symmetrical surgery for the other breast, custom prostheses, and treatment of complications like lymphedema. Health plans must ensure at least one in-network provider for each reconstruction type, provide annual written notices to patients about this coverage, and cannot deny coverage or penalize providers for following these requirements. This applies to group and individual health insurance plans, with no effect on stricter state laws requiring broader coverage.

Maddy summaryThis bill ensures SNAP (food stamp) benefits continue uninterrupted during government funding gaps in fiscal year 2026. It directs the USDA to use existing Treasury funds to pay SNAP benefits if Congress fails to pass a full-year budget for the Department of Agriculture by September 30, 2025. The bill also covers retroactive payments for missed benefits starting September 30, 2025, through the bill's enactment date. Benefits funded this way stop once Congress enacts a full FY2026 budget for the USDA. It directly affects SNAP recipients who rely on these benefits during budget delays.

Maddy summaryHR 5755, the No Budget, No Pay Act, requires Congress to pass a budget resolution and all regular appropriations bills by October 1 each fiscal year, or members of Congress (excluding the Vice President) will not receive pay starting October 2. The bill mandates that pay is withheld for each day after October 1 until both chambers approve the budget resolution and all appropriations bills. It explicitly prohibits retroactive payment for any withheld pay period and establishes procedures for Senate and House committees to certify compliance with the deadlines. The law takes effect February 1, 2027, and directly affects congressional members' salaries based on budget process deadlines.

Fair Pay for Federal Contractors Act of 2025 This bill provides back pay to employees of federal contractors who lost pay due to a lapse in appropriations (i.e., government shutdown) in FY2026. Specifically, the bill provides appropriations for federal agencies that are subject to a lapse in appropriations in FY2026 to adjust the price of contracts to compensate federal contractors for providing back pay to employees who were affected by the lapse in appropriations.  The agencies must adjust the price of any contract for which the contractor stopped, suspended, delayed, or interrupted all or part of the work under the contract due to the lapse in appropriations. The price adjustment must compensate the contractor for reasonable costs incurred to (1) compensate employees who were furloughed or laid off, were not working, or experienced a reduction of hours or compensation due to the lapse in appropriations; or (2) restore paid leave taken by employees during the lapse in appropriations if the contractor required or permitted employees to use paid leave as a result of the lapse in appropriations. The maximum amount of weekly compensation of an employee for which an adjustment may be made under this bill may not exceed the lesser of (1) the employee's actual weekly compensation, or (2) $1,442 (or a lesser amount pro-rated for an employee who works less than 40 hours per week). The bill also requires the Office of Federal Procurement Policy to submit a report to Congress on the adjustments made under this bill.

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 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 summaryThe Tyler Clementi Higher Education Anti-Harassment Act of 2025 requires U.S. colleges and universities participating in federal financial aid programs to create and distribute clear anti-harassment policies covering harassment based on race, color, national origin, sex (including sexual orientation and gender identity), disability, or religion. These policies must explicitly prohibit harassment in all settings - including online, on campus, off-campus housing, and during school-sponsored activities - and outline reporting procedures and support services for victims. The bill also establishes a $50 million annual grant program to fund schools developing prevention programs, victim support services, or staff/student training on recognizing and addressing harassment. Grants are competitive, require annual reporting on effectiveness, and must be used to improve existing efforts without replacing existing civil rights laws like Title IX.

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 summaryThe Bipartisan Bulletproof Vest Partnership Program Expansion Act increases federal funding for law enforcement bulletproof vests by raising the grant share from 50% to 60% for state and local agencies. It also authorizes $60 million annually for the program from fiscal years 2026 through 2030. This change reduces the cost burden on participating agencies, requiring them to cover only 40% of vest costs instead of 50%. The bill directly affects state and local law enforcement agencies that apply for these grants to purchase protective gear.

Rural Veterans’ Improved Access to Benefits Act of 2025 This bill extends and expands the pilot program under which certain non-Department of Veterans Affairs (VA) health care professionals may be contracted to provide disability examinations to veterans, regardless of the jurisdiction of their licensure, for purposes of Department of Veterans Affairs (VA) benefits and care. Specifically, the bill (1) expands the types of health care professionals who may provide such examinations, and (2) extends the authority for such professionals to be contracted for this purpose through January 5, 2031. Currently, such examinations may only be contracted to licensed non-VA physicians, physician assistants, nurse practitioners, audiologists, or psychologists. The bill expands the list to include qualified health care professionals who are eligible for appointment to specified positions in the Veterans Health Administration, including hospital or clinic directors, dentists, and pharmacists. The VA must report on its use of the expanded authority under this bill.