Rep. Sarah Elfreth

Maddy summaryThis bill temporarily allows doctors to prescribe and dispense certain Medicare-covered medications directly to seniors in their offices from 2026 to 2030, under specific conditions. It requires prior in-person visits, limits dispensing to group practices, and mandates billing through the physician’s practice. The bill also directs the GAO to study whether physician-owned pharmacies are becoming common and how such arrangements might affect prescribing. It directly affects seniors receiving Medicare Part D drugs and physician practices participating in these arrangements. The exception expires in 2030, with no changes to Medicare Part D program rules.

Maddy summaryThis bill requires most private health insurance plans to cover diagnostic and supplemental breast exams with no out-of-pocket costs (like deductibles or copays) for enrolled patients. It specifically covers exams used to evaluate abnormalities found in screenings (diagnostic) or for high-risk screening without abnormalities (supplemental), based on medical guidelines. Plans can still require prior authorization for these exams, and state laws offering stronger protections remain in effect. The rule takes effect for plan years starting January 1, 2026.

Maddy summaryHR 3045, the West Bank Violence Prevention Act of 2025, imposes U.S. sanctions on foreign individuals and entities responsible for violence, displacement, or property destruction in the West Bank. It targets those directly involved in attacks on civilians, forced displacement, or property seizures, including settler leaders or officials of groups engaged in such activities. Key provisions require freezing assets of sanctioned individuals within U.S. jurisdiction and blocking their entry into the United States via visa restrictions. The law applies to foreign nationals meeting specific criteria outlined in the bill, not U.S. citizens or entities.

Hot Foods Act of 2025 This bill expands the Supplemental Nutrition Assistance Program (SNAP) to permit the use of SNAP benefits to purchase hot foods or hot food products ready for immediate consumption.

Maddy summaryHR 2880 provides due process protections for federal employees who are promoted to career positions (in the competitive service, excepted service, or Senior Executive Service) and serve under a probationary period. It requires these employees to be covered by existing federal employment laws, including special protections for Department of Veterans Affairs staff. The bill also allows employees removed from such positions between January 20, 2025, and the law's enactment to be reinstated to their former or equivalent role with backpay. Political appointees are excluded from these protections and reinstatement provisions.

Maddy summaryThis bill prohibits the federal government from issuing new oil and gas leases for exploration, development, or production in the Mid-Atlantic region of the Outer Continental Shelf. It specifically blocks leasing in the area defined by the 2023 federal leasing plan (2024-2029 National Outer Continental Shelf Oil and Gas Leasing Proposed Final Program). The law directly affects energy companies seeking to drill in this coastal zone and requires the Secretary of the Interior to halt such lease sales. It does not impact existing leases or operations already authorized.

Climate Change Financial Risk Act of 2025 This bill addresses climate change risk and its potential impact on the financial system. The Federal Reserve Board must develop financial risk analyses relating to climate change for certain large nonbank financial companies and bank holding companies. Specifically, these entities must be evaluated every two years on whether they have the capital necessary to absorb financial losses that would arise under several different climate change risk scenarios. In response to the results of the evaluation, entities must develop and submit for approval a climate risk resolution plan. The plan must include a capital policy with respect to climate risk planning and targets to remedy identified vulnerabilities. If the plan is not approved, the entity’s ability to make capital distributions is restricted.  The bill also establishes the Climate Risk Scenario Technical Development Group to provide recommendations to the board regarding climate change risk scenarios, and determine the financial and economic risks of these scenarios. The board must develop a survey to assess (1) the ability of other large financial institutions to withstand each scenario, (2) which surveyed entities have activities in geographical areas or industries that are significantly exposed to the impacts of climate change, and (3) how these surveyed entities plan to adapt to risks presented in each scenario.

Maddy summaryThe GOSAFE Act prohibits the sale, manufacture, transfer, and possession of gas-operated semi-automatic firearms and large capacity ammunition feeding devices (those holding more than 10 rounds). It defines gas-operated firearms as those that use gas from fired cartridges to cycle the action, requiring the Attorney General to publish a list of prohibited firearms within 180 days. The bill establishes a process for manufacturers to seek approval for new firearm designs before selling to civilians and creates a "Firearm Safety Trust Fund" to cover related costs. Certain firearms are exempt, including single-shot, muzzle-loading, and firearms with permanently fixed magazines holding 10 or fewer rounds. Violations could result in fines up to $5,000 or up to 12 months in prison.

Maddy summaryHR 2767, the BRAIN Act, aims to advance brain tumor research and improve patient care by requiring the NIH to create a public database of tumor samples collected with federal funding. It authorizes $50 million annually for a Glioblastoma Therapeutics Network to accelerate treatment development and $10 million for cellular immunotherapy research (including CAR-T therapies) targeting brain tumors. The bill also mandates a national awareness campaign to increase understanding of cancer clinical trials and biomarker testing, plus $5 million yearly for pilot programs studying survivor care coordination and follow-up services. Additionally, it directs the FDA to issue guidance ensuring brain tumor patients can access clinical trials. These provisions directly affect patients, researchers, and healthcare providers focused on brain tumors and rare cancers.

Maddy summaryThe American Family Act (HR 2763) establishes a new refundable child tax credit that provides monthly payments to eligible families with children. It would pay $300 per month for each child under age 6 and $360 per month (120% of $300) for each child age 6 or older, with income limits of $150,000 for joint filers and $112,500 for other filers. The bill creates a "period of presumptive eligibility" to determine eligibility for monthly payments, allowing families to receive advance payments based on information from previous tax returns. This would directly affect millions of families with children who meet the income requirements, providing more consistent financial support throughout the year rather than an annual tax credit.