Rep. Troy Balderson

Maddy summaryHR 5170, the CABLE Leadership Act, requires local governments to approve or deny new cable franchise requests within 120 days of receiving a complete application. If a local government fails to act within this timeframe, the request is automatically approved. The bill also mandates that denials must be in writing, supported by evidence, and publicly released the same day. This directly affects cable companies seeking new franchises and local governments responsible for reviewing these applications.

Maddy summary# Summary of Proposed FEMA Reform Legislation (FEMA Act of 2025) This comprehensive legislative document proposes significant reforms to the Robert T. Stafford Disaster Relief and Emergency Assistance Act, with four main sections addressing: ## 1. Disaster Assistance Reforms - **Expanded eligibility** for assistance, including clarifying that absence of a fixed address doesn't disqualify individuals from sheltering assistance - **Improved rental assistance** with consideration of local post-disaster rent increases - **Direct assistance** for those unable to use financial assistance, with no requirement to show other assistance can cover costs (except insurance) - **Enhanced notices** for applicants, including documentation of denial decisions - **Clarification of displacement assistance** eligibility, stating insurance shouldn't be considered a duplication of benefits ## 2. Mitigation Program Enhancements - **Preapproved project mitigation plans** requiring states to develop plans with peer review processes - **Improved allocation of funds** with formulas prioritizing vulnerable communities, high-risk areas, and rural/economically distressed communities - **Resilient buildings** requirements for housing retrofits using the latest building codes - **Streamlined application processes** for hazard mitigation funds across multiple programs - **Study on mitigation benefits** to evaluate cost savings and effectiveness ## 3. Transparency and Accountability Measures - **Public dashboards** for both individual assistance (431) and public assistance (432) showing application status, approvals, denials, and funding - **Transparency requirements** for disaster declarations with detailed justifications for approvals/denials - **GAO studies** on numerous topics including: - Identity theft in disaster assistance (409) - Insurance utilization for public assistance facilities (410) - Wildfire management plans (411) - Effectiveness of alerting systems (412) - Cost savings of repair/rebuilding reforms (415) - **Prohibition on political discrimination** in assistance distribution ## 4. Workforce and Operational Improvements - **Study on workforce retention** in noncontiguous communities - **Pilot program** for preliminary damage assessments in remote communities - **Fast-moving disasters working group** to develop best practices for rapid response The legislation focuses on improving efficiency, transparency, and effectiveness of disaster relief programs while prioritizing vulnerable populations and communities with higher risk of disasters. It also emphasizes data-driven decision making through required studies and reports to continuously improve disaster management policies.

Maddy summaryHRES 639 designates the week beginning August 3, 2025, as "National Health Center Week" and encourages all Americans to visit local community health centers during that week. The resolution highlights community health centers' role in providing accessible primary care to over 32 million people across 16,000 locations, including rural and underserved areas. It emphasizes their contributions to health outcomes (like cancer screenings and chronic disease management) and local economies without creating new laws or funding. This is a symbolic resolution, not a policy change, meant to recognize existing health centers' work. It directly affects community health centers by promoting public awareness of their services.

Maddy summaryThis bill makes Executive Order 14260 permanent law, which prohibits states from imposing regulations that conflict with federal energy policies. It directly affects state governments and federal agencies by requiring states to align energy regulations with federal directives. The key mechanism is codifying the existing executive order, ensuring it has the force of law without needing future presidential action. This does not create new regulations but solidifies current federal authority over state energy oversight.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.

Maddy summaryThis bill prohibits Medicare from paying for orthotics or prosthetics delivered directly to patients without in-person training from a qualified provider (a "drop shipment"), ensuring beneficiaries receive proper fitting and use instructions. It expands the list of healthcare providers who can prescribe these devices to include physical therapists, occupational therapists, orthotists, and prosthetists. The bill also specifically requires Medicare to cover replacements for custom-fitted orthotics and custom-fabricated orthotic devices, aligning with existing rules for prosthetic replacements. These changes aim to improve patient safety and access to properly fitted devices under Medicare.

Maddy summaryHR 4484 (ADAPT Act) adds Medicare coverage for psychological services provided by supervised trainees - doctoral interns or postdoctoral residents in APA-accredited programs under licensed psychologists' supervision. It requires a new billing code (GC modifier) for these services and directs the Health Secretary to issue Medicaid/CHIP guidance to states on implementing similar coverage, including recommended billing codes and state examples. The bill directly affects trainees seeking licensure and their supervising psychologists by enabling federal billing for their services. States would use the guidance to adjust coverage policies for trainee services under Medicaid and CHIP programs.

Maddy summaryHR 1919, the "Anti-CBDC Surveillance State Act," prohibits the Federal Reserve from developing, testing, or issuing any central bank digital currency (CBDC) or similar digital assets. It specifically bans the Fed from offering direct financial products to individuals, maintaining individual accounts, or issuing CBDCs directly or indirectly through intermediaries like banks. The bill also blocks the Fed from using any digital asset for monetary policy and clarifies that physical currency's privacy protections remain intact. This policy directly affects the Federal Reserve System's ability to create or manage digital monetary tools.

Maddy summaryThis bill requires the Congressional Budget Office (CBO) to identify potential budget savings from preventive health care in its scoring of proposed legislation. Specifically, it directs the CBO Director to describe and estimate reductions in future federal spending resulting from preventive health interventions - such as screenings or vaccinations - when requested by congressional budget committee leaders. These savings would be included as supplementary information in budget projections, but not used to meet budget enforcement rules. The bill does not change actual health programs or funding; it only modifies how the CBO accounts for potential long-term savings from preventive care in budget analysis.