Rep. Mark Pocan

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs. Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any). The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.

Maddy summaryHR 1269, the Honoring Our Fallen Heroes Act of 2025, expands benefits for public safety officers (like police and firefighters) who develop certain cancers linked to their work. It adds 22 specific cancers - including lung, mesothelioma, and breast cancer - to the list of conditions presumed to be "exposure-related" and sustained in the line of duty. This presumption applies if the officer served at least 5 years, was diagnosed with the cancer within 15 years after last active duty, and the cancer directly caused death or permanent disability. The bill also establishes a process for adding new cancers every 3 years based on medical evidence from agencies like NIOSH, and allows claims to be filed within 3 years of the law's enactment.

Rural Obstetrics Readiness Act This bill creates and expands federal grant programs within the Health Resources and Services Administration (HRSA) to increase capacity to provide emergency obstetric health services in rural areas or areas without practitioners or facilities specializing in obstetric services.  Specifically, HRSA must establish a program for providing grants to certain hospitals or consortiums that include hospitals in rural areas or areas with maternal health care professional shortages for training, developing a workforce, and purchasing equipment relating to obstetric emergencies. In addition, the bill requires HRSA’s Alliance for Innovation on Maternal Health Capacity program to provide grants for training on emergency obstetric services for practitioners in rural health care facilities without dedicated obstetric units. HRSA must also establish a pilot program to provide grants to government entities for developing or improving telehealth access programs to support urgent maternal health care in rural facilities without a dedicated obstetric unit.

Maddy summaryHR 1196 prohibits using federal funds to eliminate the U.S. Agency for International Development (USAID) as an independent agency, as defined by law. It requires the Secretary of State to certify annual compliance with this restriction to the House Foreign Affairs and Senate Foreign Relations committees. The bill directly affects USAID's operational status and U.S. foreign aid programs by preventing congressional or executive actions that would dismantle or merge the agency, maintaining its role in U.S. international development efforts.

Maddy summaryHR 1189, the National Plan for Epilepsy Act, creates a coordinated federal strategy to address epilepsy through a National Plan for Epilepsy. The plan requires the Secretary of Health and Human Services to establish an annual assessment, maintain a diverse Advisory Council (including people with epilepsy, caregivers, and experts), and coordinate research and care across federal agencies. Key provisions include annual progress reports to Congress, data sharing between agencies, and recommendations to improve diagnosis, treatment access, and reduce epilepsy-related disparities. The plan expires December 31, 2035, and directly affects the estimated 3.4 million people in the U.S. living with epilepsy and their caregivers.

Maddy summaryThis bill restricts access to Treasury payment systems (including the Bureau of the Fiscal Service) to only Treasury employees with a "fully successful" performance rating and at least one year of civil service, or contractors/outsiders with security clearances, required privacy/cybersecurity training, ethics agreements, and no conflicts of interest. It treats non-government users accessing these systems as government employees for ethics rules and defines specific actions (like stopping payments) as "personal and substantial participation" in government matters. The Treasury Inspector General must investigate any unauthorized access within 30 days and report to Congress, detailing the breach, security risks, and any halted payments. The bill directly affects Treasury staff, contractors, and any external entities accessing federal payment systems.

Maddy summaryThis proposed bill (HR 220) would expand VA healthcare benefits to cover infertility treatments like in vitro fertilization (IVF) and fertility preservation services for veterans with infertility or at risk of infertility (e.g., due to medical treatments), and their partners. It limits VA coverage to three successful IVF cycles or ten attempts, requires consent from veterans, partners, and donors, and allows use of donated eggs or embryos. Partners would receive travel reimbursement as if they were veterans, and temporary rules during implementation will immediately allow partners to access care without marriage requirements. The bill clarifies VA isn’t required to cover maternity care beyond existing rules and defers full implementation until VA issues final regulations within one year of enactment.

Blind Americans Return to Work Act of 2025 This bill requires the Social Security Administration to carry out a demonstration project during which blind Social Security Disability Insurance (SSDI) beneficiaries receive reduced benefits commensurate with income above certain thresholds. Under current law, only individuals who earn under a specified monthly income, known as the substantial gainful activity (SGA) threshold, are considered disabled and thereby eligible for SSDI benefits. For blind workers, this limit is $2,700 per month in 2025. SSDI beneficiaries may earn beyond the SGA threshold for a limited period of time, known as the trial work period , before their benefits are suspended and ultimately terminate. The bill establishes a 20-year demonstration project during which individuals who are entitled to SSDI benefits by reason of blindness and who earn above the SGA threshold continue to receive benefits at an amount gradually reduced commensurate with their earnings beyond a specified amount. During this period, blind workers’ SSDI benefits must be reduced by $1 for every $2 that a worker earns above the sum of (1) the SGA threshold, and (2) the worker’s expenses reasonably attributable to their work. The SGA threshold may not be used to determine whether an individual is disabled during this period, and blind workers’ SSDI benefits may not be terminated due to work-related earnings. The trial work period also must not apply.  After 10 years, affected beneficiaries may opt out of the modified benefits structure.

Maddy summaryThe SAFE Act requires Medicare to cover falls risk assessments and fall prevention services for seniors aged 65+ who have fallen in the previous year. These services, provided by physical or occupational therapists, will be included in Medicare's annual wellness visits and initial preventive physical exams starting January 1, 2026. The bill also mandates annual reports to Congress beginning in 2027 on falls among seniors aged 65+ that required treatment for fall-related injuries. This policy directly affects Medicare beneficiaries with a documented history of falls by adding targeted preventive care to their covered benefits.

Protecting Sensitive Locations Act This bill prohibits immigration enforcement actions within 1,000 feet of a sensitive location except in exigent circumstances, such as the imminent risk of death, violence, or physical harm to any person. Sensitive locations include  health care facilities; schools and school bus stops; places that provide assistance for people such as children, pregnant women, and abuse victims; child care facilities; places that provide disaster or emergency services; places of worship; courthouses and lawyers’ offices; facilities used as polling places; certain labor union facilities; and public assistance offices. The prohibition shall apply to Department of Homeland Security officers and agents, as well as state employees pursuing immigration enforcement actions. If an enforcement action is carried out in violation of this prohibition (1) no information resulting from the action may be entered into the record in a resulting removal proceeding, and (2) the affected individual may move to immediately terminate such a proceeding. U.S. Immigration and Customs Enforcement and U.S. Customs and Border Protection shall annually report to Congress about enforcement actions taken at sensitive locations in the preceding year.