Rep. Kim Schrier

Maddy summaryHR 6220, the MIRACLE Act of 2025, directs the U.S. Department of Health and Human Services (HHS) to study neonatal abstinence syndrome (NAS), a condition affecting infants exposed to substances in utero. The study will examine NAS prevalence, barriers to accurate data collection under Medicaid (Title XIX), and the scope of available treatment services for affected infants and mothers. HHS must complete the study and submit a public report to Congress within three years of the bill’s enactment, detailing findings and recommendations. This bill directly affects HHS, state Medicaid programs, and pediatric transitional care facilities providing NAS treatment, but does not create new programs or funding.

Maddy summaryHR 6181, the John Lewis Every Child Deserves a Family Act, prohibits child welfare agencies receiving federal funds from discriminating against children, youth, or prospective foster/adoptive parents based on religion, sex (including sexual orientation and gender identity), or marital status. It directly affects LGBTQ youth in foster care - overrepresented at 30% of the system - who face higher risks of trauma, group home placements, and suicide attempts compared to non-LGBTQ peers. Key provisions require agencies to collect data on sexual orientation and gender identity, establish a National Resource Center for LGBTQ youth support, provide cultural competency training, and eliminate discriminatory practices. The law aims to improve safety, permanency, and placement stability by expanding access to family-based care and ensuring equitable services for all children in the system.

Maddy summaryThis bill (HR 6015) ensures existing labor agreements between the Department of Veterans Affairs (VA) and employee unions remain in full effect through their scheduled terms. It also cancels two executive orders (14251 and 14343) that previously excluded VA from standard federal labor-management programs. The bill directly affects VA employees and their unions by preserving current collective bargaining rights and requiring VA to follow standard federal labor rules. It does not change veterans' benefits or healthcare access; it only modifies VA's internal labor relations procedures. This is a procedural bill focused on labor-management processes, not direct policy changes for veterans.

Maddy summaryThis bill establishes fairer pay and retirement benefits for federal firefighters. It requires that overtime hours worked during a firefighter's regular schedule be included in retirement calculations, improving retirement payouts. The bill also sets a maximum 60-hour regular workweek for federal firefighters, to be defined by the Office of Personnel Management within one year. These changes directly affect federal firefighters by addressing pay disparities with municipal firefighters and enhancing recruitment and retention.

Maddy summaryThis bill changes how Medicare pays doctors and healthcare providers after 2025. It replaces the current two-part payment system with a single annual update based on the Medicare Economic Index (MEI), which tracks costs providers face. Starting in 2026, the payment rate for physician services will automatically adjust each year using the MEI, rather than separate calculations. This directly affects doctors, clinics, and other Medicare providers who receive payments under the physician fee schedule.

Maddy summaryThe Global Respect Act (HR 6151) requires the U.S. President to publicly list foreign officials responsible for severe human rights violations against LGBTQI individuals, including torture, prolonged detention, or violence based on sexual orientation or gender identity. It mandates denying visas and entry to listed individuals and requires annual reports on the list's updates and impacts. The bill also directs the State Department to track global violence against LGBTQI people and update annual human rights reports to include discrimination based on sexual orientation or gender identity. These provisions directly affect foreign government officials and entities implicated in such abuses, aiming to increase accountability through U.S. visa restrictions.

Maddy summaryThe NEST Act (HR 6096) requires the federal government to provide newborn supply kits to new mothers, focusing on low-income families and communities with high maternal health risks. These kits include essential items like diapers, postpartum pads, breastfeeding supplies, blood pressure monitors, and health information resources. Funds for the kits come from a $5 million annual set-aside in Social Security Act funding, distributed through grants to community health centers, tribal organizations, and hospitals. Priority is given to rural areas, maternity care deserts, and mothers earning below 185% of the poverty line. The program mandates annual reporting on distribution demographics and health outcomes to Congress.

Maddy summaryHR 5940, the Seniors Deserve SMARTER Care Act of 2025, prohibits the implementation of the Medicare WISeR model (described in a July 2025 federal notice). The bill specifically blocks the Secretary of Health and Human Services from using the WISeR model, which would have required prior authorization for certain medical services under Medicare. This directly affects Medicare beneficiaries and healthcare providers who would have been subject to the model's requirements. The key provision is a clear ban on implementing WISeR or any substantially similar payment model, preventing changes to Medicare's service authorization process. The bill does not create new programs but stops a specific proposed Medicare policy change.

Maddy summaryHR 5907 authorizes the U.S. Department of Housing and Urban Development (HUD) to award grants to local governments, tribal entities, and municipal organizations to select pre-approved construction plans for mixed-income housing structures. These structures include duplexes, cottage courts, and other small-scale developments (up to 25 units) designed to promote affordability, with a specific requirement that 10% of annual funding must support rural areas. The bill mandates grantees to report on housing impacts, permits issued using the approved designs, and units built, while requiring the return of funds if selected designs aren’t adopted within five years. It focuses on streamlining housing approvals through pre-reviewed plans, not construction funding, to increase affordable housing supply.

Maddy summaryThis bill amends the tax code to allow businesses to claim charitable tax deductions for donating specific food-related equipment to hunger-relief organizations. It creates a new category called "qualified property," covering fully functional food storage equipment (like industrial freezers), transportation vehicles (delivery trucks), and meal preparation tools (industrial ovens, packing machinery). Donors can deduct up to 25% of the equipment's fair market value, with annual limits of $500 for transport equipment and $15,000 for preparation equipment. The changes apply to tax years beginning after December 31, 2025, and only affect donations to organizations whose primary mission is distributing food to people in need.