Maddy summaryThe Primary Care Enhancement Act of 2025 changes how certain primary care arrangements are treated for tax purposes. It defines "direct primary care service arrangements" as fixed-fee models (max $150/month per person, excluding prescriptions/anesthesia/labs) that won’t count as "health plans" under tax law. This allows the fees to be treated as deductible medical expenses and requires employers to report them on W-2 forms. The law applies to taxable years starting after 2025, affecting patients in these arrangements, employers offering them, and tax filing processes.
Rep. Kim Schrier
Sponsored bills
Maddy summaryThis bill modifies corporate tax rules to prevent companies from avoiding US taxes by moving operations overseas. It targets tax breaks that companies currently use when they outsource work to foreign countries or reorganize as foreign entities (so-called "inverted corporations"). The bill requires companies to pay tax on foreign profits based on each country where they operate, limits tax deductions for interest by multinational corporations, and treats foreign corporations managed in the US as domestic for tax purposes. These changes aim to close loopholes that allow companies to reduce their US tax burden through foreign operations.
Maddy summaryThis bill establishes a federal right to access contraception, protecting individuals' ability to obtain contraceptives and health care providers' ability to offer them without government interference. It prohibits states from banning or restricting contraceptive services, products, or information, including laws that force providers to deny care based on personal beliefs or limit access to specific methods. The law immediately overrides conflicting state regulations and ensures that contraception remains available regardless of factors like race, income, disability, or location. It applies to all individuals and providers, building on existing federal protections like the Affordable Care Act's coverage requirements.
Maddy summaryThis bill reauthorizes the Dr. Lorna Breen Health Care Provider Protection Act, extending mental health support programs for healthcare professionals through 2030 (previously ending in 2024). It requires funded programs to specifically address reducing administrative burdens on healthcare workers while continuing to promote access to mental health and substance use disorder services. The legislation directly affects healthcare providers across the U.S. who may access these federally supported resources. Key provisions include extending funding periods and mandating that grant recipients focus on easing workplace administrative tasks, alongside maintaining existing awareness initiatives. The bill does not create new programs but continues and refines existing mental health support for the healthcare workforce.
National Origin-Based Antidiscrimination for Nonimmigrants Act or the NO BAN Act This bill imposes limitations on the President's authority to suspend or restrict aliens from entering the United States. It also prohibits religious discrimination in various immigration-related decisions, such as whether to issue an immigrant or nonimmigrant visa, unless there is a statutory basis for such discrimination. The President may temporarily restrict the entry of any aliens or class of aliens after the Department of State determines that the restriction would address specific and credible facts that threaten U.S. interests such as public safety. The bill also imposes limitations on such restrictions, such as requiring the President, State Department, and the Department of Homeland Security (DHS) to (1) only issue a restriction when required to address a compelling government interest, and (2) narrowly tailor the suspension to use the least restrictive means to achieve such an interest. Before imposing a restriction, the State Department and DHS shall consult with Congress. The State Department and DHS shall report to Congress about the restriction within 48 hours of the restriction's imposition. If such a report is not made, the restriction shall immediately terminate. Individuals or entities present in the United States and unlawfully harmed by such a restriction may sue in federal court. The bill transfers the authority to suspend the entry of aliens traveling to the United States on a commercial airline that failed to comply with regulations related to detecting fraudulent travel documents from the Department of Justice to DHS.
This bill provides for the presentation of a Congressional Gold Medal to the Freedom Riders, in recognition of their contribution to civil rights by fighting for equality in interstate travel.
Health Care Workforce Innovation Act of 2025 This bill establishes the Health Care Workforce Innovation Program within the Health Resources and Services Administration to provide grants to federally qualified health centers, rural health clinics, and post-secondary vocational programs for developing education and training for allied health professionals (e.g., professionals providing clinical or non-clinical support services, community health workers, and health education specialists). Specifically, grant recipients must use the funds to carry out innovative, community-based programs to train allied health professionals, with a focus on supporting rural and underserved areas. Grant recipients may use the funds to launch or expand health care professional partnerships (e.g., between a grant recipient and a school), establish apprenticeship or other career programs, or invest in training equipment, among other activities.
Medicare Patient Access and Practice Stabilization Act of 2025 This bill increases certain payment adjustments under the Medicare physician fee schedule for services furnished between April 1, 2025, and January 1, 2026.
Maddy summaryHR 903, the Smoke and Heat Ready Communities Act of 2025, creates federal grant programs to help communities prepare for wildfire smoke and extreme heat events. It funds air pollution control agencies to monitor air quality, deploy monitoring equipment, equip public buildings with air filtration, and distribute protective gear like N95 masks. The bill also establishes university research centers to study health impacts and develop community response strategies, and provides competitive grants for local governments, tribes, and Native Hawaiian organizations to create collaborative community plans. These programs target communities most vulnerable to poor air quality from wildfire smoke and extreme heat, with priority given to areas impacted by these events.
Maddy summaryThis resolution expresses the House of Representatives' position that Congress should take steps to prevent the privatization of the United States Postal Service (USPS), ensuring it remains a federal independent agency. It highlights USPS’s constitutional role, self-sustaining nature (relying on service revenue, not taxpayer funds), and critical functions - serving 168 million addresses daily, supporting rural communities, and underpinning e-commerce. The resolution opposes privatization, noting it would raise prices, reduce services, and harm the $1.9 trillion mailing industry. As a non-binding resolution, it reflects the House’s stance but does not create new law or policy.