Rep. Beth Van Duyne

Maddy summaryHR 5813, the Women’s Health and Cancer Rights Modernization Act of 2025, requires health insurance plans to cover all medically necessary breast or chest wall reconstruction services following breast cancer treatment, including mastectomy or breast-conserving surgery. It mandates coverage for every reconstruction method (like implants, tissue flaps, or future recognized techniques), symmetrical surgery for the other breast, custom prostheses, and treatment of complications like lymphedema. Health plans must ensure at least one in-network provider for each reconstruction type, provide annual written notices to patients about this coverage, and cannot deny coverage or penalize providers for following these requirements. This applies to group and individual health insurance plans, with no effect on stricter state laws requiring broader coverage.

Maddy summaryHR 5815, the District of Columbia Medicaid Fairness Act, adjusts federal Medicaid funding for Washington D.C. by setting a specific Federal Medical Assistance Percentage (FMAP) for the district. It directly affects D.C. residents enrolled in Medicaid by guaranteeing a minimum federal funding share: 70% for fiscal years before 2027, gradually decreasing to 55% by 2029. For fiscal years 2030 and beyond, D.C. will receive the standard FMAP rate calculated under the Social Security Act, without the special adjustment. This change ensures D.C. receives a higher federal share than it would under the standard formula until 2029, after which it aligns with other states. The bill modifies Section 1905 of the Social Security Act to implement these funding adjustments.

Maddy summaryThis bill would require the U.S. Census Bureau to count only U.S. citizens, not all residents, when tabulating state populations for congressional apportionment based on the 2020 census. It mandates that states use this revised citizen-only count for determining congressional seats and all other purposes where they previously used total population data. States would lose federal grants if they do not adopt this revised count within 60 days of receiving it from the Commerce Secretary. The bill directly affects all 50 states by changing how they calculate representation and eligibility for federal funding tied to population data.

Maddy summaryThis bill would deny visas and immigration benefits to individuals who adhere to Sharia law, directly affecting immigrants and visa applicants. It allows officials to revoke existing immigration benefits, deport people found adhering to Sharia, and penalize false statements about Sharia adherence. Decisions under this law would be final and unreviewable by courts. The policy changes immigration eligibility based solely on adherence to Sharia law, with no judicial oversight.

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.

Maddy summaryThis bill would require all states to recognize valid concealed carry permits issued by other states, allowing permit holders to carry concealed handguns (excluding machine guns) in any state that either issues such permits or doesn't prohibit concealed carry. It directly affects law-abiding gun owners with valid permits from their home state, ensuring they can carry in states with similar permit systems or no prohibitions. Key provisions include treating valid permit documents as proof of legal carry (reducing officer stops), shifting the burden of proof to prosecutors if challenged, and allowing civil lawsuits for violations with attorney's fee awards. The bill does not override state laws restricting firearms on private property or government land, nor does it affect federal gun restrictions like those in section 922(q).

Maddy summaryHR 5636, the *Protect Consumers from Reallocation Costs Act of 2025*, prevents the Environmental Protection Agency from shifting renewable fuel obligations from small refineries with extended exemptions to other companies. It directly affects small refineries that have received extended exemptions under the Clean Air Act. The bill requires the EPA to include gasoline or diesel refined by these exempt refineries in the total fuel volume calculations for the year, rather than excluding it or reallocating the obligation. This change ensures small refineries’ production is counted toward overall fuel volume, preventing other entities from bearing their renewable fuel requirements. The law modifies Section 211(o)(9) of the Clean Air Act (42 U.S.C. 7545(o)(9)).

Maddy summaryThis bill requires airlines and ticket agents to issue refunds within 7 days for canceled or significantly delayed/changed flights. It directly affects travelers who experience flight disruptions and the airlines/ticket agents handling refunds. The key change replaces vague "prompt" refund language with a specific 7-day deadline after the ticket agent receives funds from the airline. This applies to all domestic and international flights covered under existing airline refund rules. The rule tightens existing requirements without creating new obligations.

Maddy summaryThis bill bans the import, export, and sale of donkey skins and ejiao products (a gelatin made from donkey skin) in U.S. commerce. It directly affects U.S. businesses importing or selling ejiao, which currently accounts for $12 million in annual U.S. imports. The law prohibits trading in donkey skins for ejiao production or any product containing ejiao, with civil penalties up to $10,000 per violation or criminal charges for larger offenses. Enforcement will be handled by U.S. Customs and Border Protection, targeting the U.S. market for a product driving global donkey population declines.

Maddy summaryHRES 719 is a House resolution honoring Charles "Charlie" James Kirk, the founder of Turning Point USA who was assassinated on September 10, 2025. The resolution condemns his assassination and all political violence, extends condolences to his family, and calls on Americans to reject violence while promoting civil discourse. It specifically recognizes Kirk's legacy as a defender of constitutional principles and his role in inspiring youth through free speech and faith-based civic engagement. As a commemorative resolution, it does not enact policy changes but formally expresses the House's stance on honoring his life and legacy.