Rep. Sarah Elfreth

Maddy summaryHR 5278, the Affordable Inhalers and Nebulizers Act of 2025, limits out-of-pocket costs for patients using prescription inhalers and nebulizers to treat asthma and chronic obstructive pulmonary disease (COPD). The bill requires private health insurance plans, Medicare Part B and Part D, and new payment programs to cover these products with no deductible and a maximum cost of $15 per 30-day supply. It directly affects patients with asthma or COPD who rely on covered inhalers, nebulizers, and related equipment like spacers. The law applies to all specified inhaler products (including medications and administration equipment) and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill directs the U.S. President to identify Pakistani officials responsible for undermining democracy and human rights within 180 days of enactment, then impose Global Magnitsky sanctions on them. It targets senior government, military, or security officials found to have committed gross human rights violations or interfered with democratic processes, such as during Pakistan’s 2024 elections or through constitutional changes. Sanctions would include asset freezes and travel bans, with exceptions for humanitarian aid, UN obligations, and national security activities. The bill expires on September 30, 2030, and aims to pressure Pakistan to uphold democratic norms, human rights, and judicial independence.

Maddy summaryHR 5249 requires the President to submit a detailed reorganization impact report to Congress before implementing significant federal agency changes (like cutting 5%+ staff or merging agencies). Congress must then pass a specific "joint resolution of approval" within 7 days for the reorganization to proceed. The bill establishes an independent panel to review reports and provide advisory opinions within 30 days, while also mandating agencies to notify affected employees and comply with labor protections. This directly affects federal agencies planning major restructuring, Congress as the gatekeeper, and agency employees facing potential job impacts.

Maddy summaryHRES 684 is a non-binding House resolution designating September 9, 2025, as "National Firearm Suicide Prevention Day." It aims to raise public awareness about firearm suicide statistics (including that firearms were used in 55% of U.S. suicides in 2023) and promote safe firearm storage as a key suicide prevention strategy. The resolution encourages health professionals to discuss safe storage with patients and supports existing awareness efforts led by organizations like Brady and End Family Fire. It directly affects the public and healthcare providers by emphasizing evidence-based prevention practices, not by creating new laws.

Maddy summaryThis bill modifies the Family and Medical Leave Act (FMLA) to extend eligibility to school support staff, including paraprofessionals, cafeteria workers, bus drivers, and clerical staff. It allows these employees to qualify for FMLA leave if they work 60% of their expected monthly hours (instead of the standard 1,250 hours), based on their school’s assigned schedule. Employers must maintain records of expected hours for each staff member. The change directly benefits part-time and seasonal education support staff who previously faced barriers to FMLA coverage.

Maddy summaryThe Empowering Striking Workers Act of 2025 would expand unemployment insurance eligibility to workers unable to work due to labor disputes, including strikes or lockouts. It sets a 14-day waiting period (or earlier if replacements are hired, a lockout starts, or the dispute ends) before benefits begin, treating these workers as "unemployed" under federal law. The bill also removes the standard requirement for these workers to actively seek other employment to qualify for benefits. This directly affects workers involved in labor disputes, such as those on strike or unable to work due to employer lockouts.

Maddy summaryThis bill protects farmers and ranchers who apply for or receive loans or payments through the Farm Service Agency (FSA) by restricting how their personal information is shared. It prohibits FSA employees from disclosing borrower details to certain government employees (like special government employees or staff detailed to FSA under specific rules), except for anonymized statistics or with the borrower's voluntary consent. Violations could result in fines up to $10,000 or imprisonment. The law directly affects agricultural borrowers by strengthening privacy safeguards around their financial data in FSA programs.

Maddy summaryThis bill prohibits Members of Congress, their spouses, and dependent children from owning or trading certain investments, including stocks, commodities, and derivatives (referred to as "covered investments"). It requires affected individuals to divest these investments within 90-180 days, with specific exemptions for Treasury bonds, diversified mutual funds, small business interests, and family trusts meeting strict conditions. Violations incur penalties of 10% of the investment's value plus disgorgement of profits, paid directly to the U.S. Treasury. The law applies to all covered individuals during federal service, with exceptions for investments acquired through inheritance or occupational trading (e.g., a spouse’s finance job).

Maddy summaryThe SUN Act (HR 4998) requires the President to submit a detailed report to Congress within 15 days whenever National Guard members are deployed domestically for non-disaster purposes under specific laws. The report must include the legal basis for the deployment, evidence of reduced violence, input from local law enforcement, total costs, and a certification that the deployment won’t interfere with disaster response capabilities. It applies to all domestic uses of the National Guard except for responses to natural disasters under the Stafford Act. The bill aims to enhance congressional oversight of military deployments on U.S. soil.

Maddy summaryThis bill (HJRES 115) terminates a presidential emergency declaration made on August 11, 2025, which claimed a "crime emergency" in Washington, D.C. It directly affects the District of Columbia by ending federal restrictions that prevented D.C. from using $1 billion in locally-raised funds for public safety, law enforcement, fire services, and schools. The resolution cites that the emergency declaration was legally flawed - section 740 of the DC Home Rule Act does not permit federalizing the Metropolitan Police Department - and notes that D.C. violent crime has reached a 30-year low. The bill formally ends the emergency under the DC Home Rule Act, restoring D.C.'s authority over its own budget and public safety resources.