Rep. Sarah McBride

Maddy summaryThe Office of Gun Violence Prevention Act of 2025 would create a new office within the Department of Justice to coordinate federal efforts on reducing gun violence. The office, led by a Director appointed by the Attorney General, would integrate existing DOJ programs, evaluate data gaps, and develop evidence-based recommendations for Congress and the President. It would also establish an advisory council including survivors of gun violence, public health officials, and community representatives to guide its work. The office would produce annual reports detailing gun violence trends and policy proposals, while collaborating with agencies like Health and Human Services and the FBI.

Maddy summaryThis bill reauthorizes the Delaware River Basin Restoration Program through 2032, extending funding for watershed restoration projects. It adds Maryland as a fifth Basin state (previously a 4-State program) and requires the program to prioritize projects benefiting small, rural, or disadvantaged communities. The bill also updates definitions and administrative provisions from the original 2016 program under the Water Infrastructure Improvements for the Nation Act. This affects restoration efforts across the Delaware River Basin states (Delaware, New Jersey, New York, Pennsylvania, and Maryland).

Maddy summaryThis bill proposes a constitutional amendment stating that only "natural persons" (living humans) have rights protected by the U.S. Constitution, explicitly denying constitutional rights to corporations, LLCs, and other artificial entities. It would require governments to regulate campaign contributions and spending to prevent money from influencing elections, banning the view that spending to influence elections constitutes protected speech under the First Amendment. The amendment would not affect the constitutional right to a free press. This change would directly impact how corporations and other non-human entities can legally challenge laws or regulations in court.

United States-Israel Defense Partnership Act of 2025 This bill requires or authorizes certain actions to increase defense-related cooperation between the United States and Israel. Specifically, the bill requires the Department of Defense (DOD) to establish a cooperative program, with the concurrence of Israel's Ministry of Defense (MOD), to develop and deploy advanced technologies for countering unmanned systems that threaten the United States and Israel; establish in Israel an office of the Defense Innovation Unit (an organization that focuses on rapidly fielding and scaling commercial technology across the U.S. military); and seek to engage Israel's MOD on the ascension of Israel into the national technology and industrial base (currently defined in law as the persons and organizations engaged in research, development, production, integration, services, or information technology activities conducted within the United States, the United Kingdom, Australia, New Zealand, and Canada). The bill authorizes DOD, upon request of Israel's MOD, to jointly conduct research, development, test, and evaluation (RDT&E) of emerging technologies such as artificial intelligence and robotics to meet defense challenges. Additionally, the bill extends the authority for DOD to (1) carry out RDT&E on a joint basis with Israel to establish anti-tunnel and counter unmanned aerial systems capabilities through 2028, and (2) transfer defense articles intended for use as reserve stocks for Israel through January 1, 2029.

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 summaryThe PREEMIE Reauthorization Act of 2025 extends federal research funding for preterm birth prevention and care through fiscal years 2025-2029, replacing the prior 2019-2023 period. It requires the HHS Secretary to establish an interagency working group within 18 months and mandates a National Academies study on preterm birth costs, risk factors, and prevention strategies. The study must assess neonatal intensive care costs, long-term family expenses, and opportunities for early detection and support. It also analyzes targeted research for at-risk pregnancies, state program best practices, and precision medicine approaches starting in pregnancy. This bill directly affects preterm infants, their families, and federal health agencies through these research and coordination mechanisms.