Rep. Josh Harder

Maddy summaryThe AADAPT Act reauthorizes and expands Project ECHO grants to improve Alzheimer’s and dementia care through technology-enabled training. It specifically funds grants for healthcare providers in rural, frontier, or medically underserved areas to enhance early diagnosis, quality care, and provider retention for dementia patients. The bill authorizes $1 million annually (2027-2032) for these dementia-focused training programs, requiring funds to supplement - not replace - existing resources. This directly supports primary care providers licensed to serve underserved communities, using collaborative online learning to address care gaps.

Maddy summaryHR 2821, the FDA Modernization Act 3.0, requires the FDA to update regulatory language within one year of enactment. It directs the agency to replace all references to "animal tests" with "nonclinical tests" in 22 specific sections of the Code of Federal Regulations related to drug development and approval processes. The bill also adds a definition for "nonclinical test" into relevant FDA regulations to align with prior legislative changes. This update applies directly to pharmaceutical manufacturers and FDA reviewers who follow these regulatory guidelines during drug development. The changes aim to modernize terminology without altering current testing requirements.

Maddy summaryHR 1266, the Combating Illicit Xylazine Act, adds xylazine - a veterinary sedative increasingly found in illicit drug mixtures - to Schedule III of the Controlled Substances Act, regulating its use and trafficking. It directly affects veterinarians, animal owners, and manufacturers by allowing xylazine to be legally dispensed for animal use under specific veterinary prescriptions, while prohibiting non-veterinary human use. The bill includes transition periods (60 days for practitioners, 1 year for labeling) to ease compliance for manufacturers and practitioners, and requires the DEA and FDA to expedite necessary applications. It also mandates two congressional reports on xylazine's illicit use and trafficking patterns, and directs the Sentencing Commission to review penalties for offenses involving xylazine.

Maddy summaryHR 4288 would rename the Department of Veterans Affairs community-based outpatient clinic in San Jose, California, as the "Corporal Patrick D. Tillman VA Clinic." The bill directly affects this specific VA facility, updating all official references to it. The key provision requires the clinic to be designated by this new name in all federal records, documents, and maps following the bill's enactment. This is a procedural naming bill honoring Corporal Tillman, a former NFL player and Army Ranger killed in action in Afghanistan in 2004.

Maddy summaryHR 5880, the "Fight Illicit Pill Presses Act," requires manufacturers and distributors of pill-making machines (like tableting machines) and their critical parts (such as punches and dies) to affix permanent serial numbers to these items. It mandates that these businesses report transactions involving such machines to the Attorney General and maintain records of the serial numbers. The law prohibits tampering with or knowingly distributing machines with removed or altered serial numbers. This directly affects manufacturers, distributors, and sellers of these specific pill-production machines and parts, aiming to improve tracking of equipment used in illicit drug manufacturing.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Maddy summaryThis bill removes the annual limit on the number of pay waivers the Secretary of Veterans Affairs can issue to critical health care workers. Currently, there is a cap on how many times these specific employees can receive temporary pay increases above the standard rate, which this legislation aims to eliminate. By deleting the relevant restriction in the U.S. Code, the measure allows the Department of Veterans Affairs to grant these salary adjustments without a numerical ceiling. The change directly affects VA medical staff and administrators who manage compensation for essential healthcare roles.

Maddy summaryHR 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act, requires Veterans Affairs (VA) physicians or nurse practitioners to certify the death of a veteran who dies of natural causes within 48 hours of learning of the death. This directly affects veterans' families, who previously faced delays of up to eight weeks in burial and access to survivor benefits due to slow death certifications. The bill mandates annual reports to Congress on VA compliance with the 48-hour rule, including statistics on delays and their causes. The key change is establishing a strict timeline for death certification to prevent unnecessary delays in honoring veterans' final arrangements.

Maddy summaryThis bill authorizes Congress to award a Congressional Gold Medal to individuals who fought for or with the United States in the Pacific theater during World War II and subsequently became prisoners of war. The legislation specifically recognizes the service and sacrifice of those who defended locations such as Bataan and Corregidor, including Filipino soldiers and civilians who served alongside U.S. forces. To implement this award, the Speaker of the House and the President pro tempore of the Senate will arrange for the creation of a gold medal by the Secretary of the Treasury, which will be presented to the Smithsonian Institution for display. The act also allows for the production of duplicate bronze medals to cover the costs of the original gold medals, with any proceeds from these sales deposited into the United States Mint Public Enterprise Fund.

Maddy summaryHR 5351, the NSF AI Education Act of 2025, creates new funding mechanisms to expand artificial intelligence education. It authorizes scholarships and fellowships covering tuition, fees, and stipends for undergraduate and graduate students in AI-related fields, with priority for programs teaching AI in K-12 schools, advanced manufacturing, and agriculture. The bill also establishes up to eight regional "Centers of AI Excellence" at community colleges and career schools to develop AI curricula, build industry partnerships, and create student job pathways. Additionally, it funds research grants to develop K-12 AI teaching materials and supports professional development for educators and industry professionals to integrate AI into classrooms.