Rep. Doris O. Matsui

Maddy summaryThis bill adds Medicare coverage for multi-cancer early detection screening tests (blood or biological tests analyzing cell-free DNA) starting January 1, 2028. It directly affects Medicare beneficiaries aged 68 and older (starting in 2028, with the age limit increasing by 1 year annually), requiring tests to be FDA-cleared and deemed reasonable/necessary by the Secretary for early cancer detection across multiple organ sites. Payment will initially match current stool DNA test rates before 2031, then shift to a lower rate or new payment system after 2031, with limits preventing more than one test per year. The bill explicitly states it does not alter coverage for existing cancer screenings like breast, colorectal, or prostate cancer tests.

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 concurrent resolution designates the week of September 22-28, 2025, as "National Falls Prevention Awareness Week" to raise public awareness about falls among older adults (65+). It directly affects older adults and organizations working on fall prevention, such as healthcare providers and community groups. The resolution cites CDC data showing falls cause 41,000 annual deaths and $80 billion in medical costs, while encouraging existing evidence-based strategies like home safety modifications and balance exercises. It does not create new laws or funding but supports awareness efforts and collaboration among federal agencies, the Aging Network, and healthcare providers.

Maddy summaryThe Mental Health Services for Students Act of 2025 would establish a federal grant program to fund school-based mental health services for students in grades K-12, particularly those experiencing trauma, grief, suicide risk, or violence. It directly affects schools (including Bureau of Indian Education schools), students, and community mental health providers through partnerships that must include school districts and local mental health entities. Key provisions require services to be culturally appropriate, trauma-informed, and integrated with positive behavioral supports, with grants capped at $2 million per award for 5 years (renewable) and funded at $300 million annually for 2027-2028. Recipients must report annually on program outcomes, ensure equitable access across urban and rural areas, and comply with privacy laws like HIPAA and FERPA.

Maddy summaryHJRES 126 is a joint resolution directing the removal of U.S. Armed Forces from military operations against specific targets without congressional authorization. It requires the President to end hostilities involving: (1) foreign terrorist organizations designated after February 20, 2025; (2) countries where those groups operate; or (3) non-state groups trafficking illegal drugs, unless Congress explicitly authorizes such actions through a war declaration or specific law. The bill cites recent military strikes on vessels as examples of unauthorized hostilities and emphasizes that drug trafficking alone does not justify military force under the War Powers Resolution. This resolution applies to all current and future operations targeting these groups without prior congressional approval.

Maddy summaryThis resolution designates September 22-28, 2025, as "Asian American and Native American Pacific Islander-Serving Institutions Week" to honor institutions that serve Asian American, Native Hawaiian, and Pacific Islander students. It recognizes these colleges and universities as critical providers of higher education, noting they enroll 46% of AANHPI undergraduates despite comprising only 7% of U.S. institutions. The resolution emphasizes their role in supporting low-income, first-generation students and preserving cultural heritage, while calling for national recognition through community activities during the designated week. It is a symbolic gesture with no funding or policy changes attached.

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 creates a FEMA program to help people affected by dangerous wildfire smoke. It targets low-income individuals or those with health conditions (like respiratory issues or pregnancy) living in areas with unhealthy air quality for 3+ consecutive days due to wildfires. The program provides funding for qualified entities (like states or health agencies) to purchase smoke protection equipment - such as air filters, N95 masks, and home sealing items - and offers transitional shelter if equipment alone isn’t sufficient. The relief is tied to specific air quality thresholds and income criteria, directly supporting vulnerable residents during wildfire smoke events.

Maddy summaryHRES 746 is a non-binding resolution passed by the U.S. House of Representatives condemning all political violence - including attacks on elected officials, candidates, and public figures - and rejecting rhetoric that dehumanizes opponents. It specifically urges law enforcement to investigate and prosecute such violence, calls on public officials and media to avoid inflammatory language, and references recent incidents like the 2025 assassination of activist Charlie Kirk and targeted shootings of Minnesota legislators. The resolution does not create new laws but formally expresses the House’s commitment to protecting public servants and promoting peaceful political discourse. It directly affects the House’s public stance and serves as a call to action for officials, media, and communities to foster civil engagement.

Maddy summaryThis bill requires most health insurance plans, Medicare Part D, Medicaid, and CHIP to cover vaccines recommended by the CDC's Advisory Committee on Immunization Practices (ACIP) without cost-sharing (like copays or deductibles). It applies to vaccines recommended as of October 25, 2024, including updates through 2029, and covers all such vaccines for the period starting when the bill is enacted until December 31, 2029. The requirement excludes vaccines given within minimum recommended intervals. It directly affects patients, insurers, and government health programs by ensuring no out-of-pocket costs for covered vaccines during this timeframe.