Rep. Scott DesJarlais

Maddy summaryHR 6393, the "DSH in Tennessee Act," permanently restores and guarantees specific federal hospital funding for Tennessee starting in fiscal year 2026. It directs the federal government to provide Tennessee with a Disproportionate Share Hospital (DSH) allotment equal to the state's 2015 level, adjusted annually for inflation based on the Consumer Price Index. This funding directly supports hospitals in Tennessee that serve large numbers of low-income patients, ensuring they receive consistent federal financial assistance. The bill treats Tennessee as a "low DSH state" for future funding calculations, establishing a permanent, inflation-adjusted funding formula.

Maddy summaryThis bill ensures that critical firearm-related government operations continue during federal shutdowns. It designates background checks (via the FBI's National Instant Criminal Background Check System), Bureau of Alcohol, Tobacco, Firearms and Explosives enforcement, and firearm export licensing (handled by Commerce and State Departments) as essential services that must remain operational. These functions would be treated as "excepted" under federal law, meaning their employees would continue working even if other government services halt. The bill affects how background checks and firearm export licenses are processed during shutdowns but does not change gun ownership laws or eligibility.

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 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 5649, the Judicial Accountability for Public Safety Act of 2025, allows individuals injured by a judicial officer's actions to sue for civil damages. It specifically targets cases where a judge intentionally ignored public safety risks or acted with gross negligence during bond or sentencing decisions in criminal cases. Victims must prove their injury with clear and convincing evidence, and courts may award compensatory or punitive damages. This bill removes legal immunity for such judges in these specific circumstances, applying to both federal and state judges handling criminal cases, but does not apply to actions taken in good faith or within normal judicial discretion.

Maddy summaryHR 5573, the Combatting Fentanyl Poisonings Act of 2025, creates three federal grant programs to address fentanyl-related harms. It funds state/local law enforcement to target illegal social media sales of controlled substances (including fentanyl-laced counterfeit pills) and provides education for schools and parents about fentanyl risks. Nonprofits receive grants up to $50,000 to run public awareness campaigns, produce educational materials, and offer counseling for families affected by fentanyl deaths - though funds cannot cover most harm reduction supplies (only naloxone is permitted). The bill allocates $10 million for law enforcement programs, $3 million for awareness grants, and $2 million for officer safety equipment like fentanyl test strips and naloxone training.

Maddy summaryHR 5581, the Uniform Standards Protection Act of 2025, prevents states from requiring federal law enforcement officers to wear specific uniforms. It directly affects federal officers, including those enforcing immigration laws, by overriding state laws that impose uniform requirements. The bill prohibits any state law mandating uniforms for these officers and stops ongoing state court cases against them for violating such laws. This creates a federal standard, ensuring uniform requirements for federal officers are set solely at the national level.

Maddy summaryHR 5401, the Pay Our Troops Act of 2026, ensures military personnel, civilian Defense workers, and supporting contractors receive pay during government funding gaps in fiscal year 2026. It appropriates emergency funds for active-duty service members, reserves, and their supporting personnel (including Coast Guard staff under DHS) if regular appropriations aren't enacted by the end of the fiscal year. The bill provides necessary pay and allowances during any period when full-year funding is unavailable, covering both active service and support roles. Funding expires when regular appropriations are passed, a funding resolution is enacted, or January 1, 2027, whichever comes first. This is a procedural measure to prevent pay delays for military and support staff during fiscal year 2026 funding lapses.

Maddy summaryThis bill would withhold 50% of federal highway funding from states that issue driver's licenses to people without proof of U.S. citizenship or legal residency status, starting in 2027. To comply, states must ban such licenses and allow local/state officials to share immigration status information with U.S. Customs and Border Protection. The Transportation Secretary would maintain a public database tracking each state's compliance with these requirements. The law directly affects state governments and their access to federal transportation funds, not individual drivers.

Maddy summaryHRES 695 is a commemorative resolution honoring Charlie Kirk, a conservative speaker and Turning Point USA leader, following his assassination on September 10, 2025, in Orem, Utah. The resolution condemns the attack, offers condolences to his family, and recognizes first responders. It reaffirms the First Amendment right to peaceful assembly and emphasizes that violence cannot silence democratic participation. This non-binding resolution does not create new laws or policies but serves as a symbolic tribute to Kirk's memory and the principles of democratic engagement.