Rep. Mike Bost

Maddy summaryThe Preventing Forced Abortions Act of 2026 prohibits federal courts from enforcing any part of a surrogacy agreement that forces a surrogate mother to have an abortion. Instead, the law mandates that courts must uphold the financial compensation promised to the surrogate, even if the contract includes penalties or reduced payments for refusing an abortion. This legislation grants federal district courts specific authority to hear civil cases involving surrogacy contracts and defines key terms such as "abortion" and "surrogate mother" to clarify the scope of the protections.

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 summaryThe Take Care of America's Veterans Act is a comprehensive legislative bill designed to improve benefits, healthcare access, and administrative efficiency for veterans and their families. The bill directly affects veterans, their surviving spouses, caregivers, and the Department of Veterans Affairs (VA). Key provisions include expanding disability compensation for combat-related retirees, allowing remarried surviving spouses to retain certain survivor benefits, and increasing compensation rates for specific disability conditions like sleep apnea and tinnitus. The legislation also mandates significant healthcare improvements, such as establishing a pilot program to coordinate care between the VA and Medicare, creating a formulary for prosthetic items, and requiring the VA to provide lactation spaces in all medical centers. Additionally, the bill introduces administrative reforms to speed up claims processing, prohibit denying claims solely for missed medical appointments, and enhance oversight of the VA's disability rating system.

Maddy summaryHR 7651, the Chloe Cole Act of 2026, prohibits healthcare providers from performing certain medical interventions on minors under 18 aimed at altering physical development to align with gender identity. These "covered interventions" include puberty blockers, hormone treatments, and specific surgeries, but exclude medically necessary care for conditions like disorders of sexual development or traumatic injuries. The bill creates a federal civil lawsuit right for affected minors or their parents against providers who perform such interventions, allowing claims for damages including emotional distress and punitive awards, with strict liability for providers after the law's enactment. It explicitly allows exceptions for legitimate medical treatments and requires providers to prove such exceptions apply if challenged.

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.

Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.

Maddy summaryThe Diesel Engine Flexibility Act establishes a ten-year regulatory stability period for diesel engines used in on-road vehicles, non-road equipment, and heavy-duty trucks. During this time, the Environmental Protection Agency is prohibited from issuing new or stricter emission standards beyond the 2007 and 2010 rules for on-road vehicles, or the Tier 4 rules for non-road engines, unless specific exceptions for repairs or fraud enforcement apply. After the decade concludes, any new regulations must include a five-year delay before taking effect and must consider the financial and operational impacts on vehicle owners and manufacturers. The bill also provides legal protection for manufacturers using specific guidance documents to manage engine performance and monitor fluid quality without facing penalties.

Maddy summaryHR 3194, the LOCOMOTIVES Act, prevents states from setting their own emissions standards for locomotives used in interstate commerce. It amends the Clean Air Act to clarify that federal emissions rules exclusively apply to locomotives providing common carrier railroad transportation for hire (like commercial freight or passenger services across state lines), excluding these from state regulation. This directly affects railroads operating interstate services and state environmental agencies that previously could establish stricter local rules for such locomotives. The bill does not change the actual emissions requirements but shifts regulatory authority solely to the federal government for this specific category of locomotives.

Maddy summaryThis resolution expresses support for designating July 10th as Journeyman Lineworkers Recognition Day to honor the workers who maintain the nation's electrical grid. The bill specifically recognizes the dangerous conditions these employees face, such as working at heights near live power lines and responding to disasters like hurricanes and wildfires. It also commemorates Henry Miller, the first president of the International Brotherhood of Electrical Workers, who died on July 10, 1896, while performing his duties. Ultimately, the measure encourages the public to observe this day with reflection on the contributions of lineworkers.

Maddy summaryThis bill prohibits federal funding under the Elementary and Secondary Education Act for any program, activity, literature, or material provided to children under 18 that includes "sexually oriented material," defined as depictions of explicit conduct or content involving gender dysphoria or transgenderism. It exempts standard science courses (like biology and anatomy), religious texts, and specific "classic" works of literature and art listed in designated references (e.g., *Great Books of the Western World* and Smarthistory guides). The law directly affects federally funded K-12 educational programs, restricting how school districts can use federal dollars for curriculum materials. It does not ban teaching about human anatomy, art history, or literature, as those are explicitly excluded from the definition of prohibited material.