Rep. David Kustoff

Metastatic Breast Cancer Access to Care Act This bill expedites payment of Social Security Disability Insurance (SSDI) benefits and eligibility for Medicare coverage for those with metastatic breast cancer (i.e., breast cancer that has spread to other sites in the body). Specifically, the bill eliminates the 5-month waiting period for SSDI benefits and the subsequent 24-month waiting period for Medicare coverage for individuals with metastatic breast cancer. Under current law, individuals generally must wait 5 months after the onset of disability to begin receiving SSDI benefits and an additional 24 months to become eligible for Medicare.

Resident Education Deferred Interest Act or the REDI Act This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

Maddy summaryThis bill changes how individual investors in mutual funds (regulated investment companies) are taxed on certain dividends. It allows investors to defer paying tax on capital gain dividends that are automatically reinvested in additional fund shares through a dividend reinvestment plan. The deferred tax is recognized later when the investor sells shares or upon their death. It also establishes that shares acquired through this reinvestment are treated as held for over one year from the start, potentially qualifying for long-term capital gains rates. The rule applies only to individual investors (not estates, trusts, or dependents claimed by others).

Maddy summaryHR 1990, the American Innovation and R&D Competitiveness Act of 2025, amends tax rules for businesses to make research and development (R&D) costs more flexible. It allows companies to deduct R&D expenses immediately as business costs (instead of capitalizing them) or to spread these costs over a minimum 60-month period. The bill clarifies which R&D expenses qualify, excludes land improvements and mineral exploration costs, and ensures companies can claim R&D tax credits without conflict with expense treatment. This directly affects businesses that conduct R&D, changing how they account for these costs on tax returns starting for 2022 taxable years.

Maddy summaryThis bill extends current Medicare payment rates for durable medical equipment (like wheelchairs and oxygen) in non-rural areas through December 2025. It delays implementing a new payment rule for all areas until January 2026. The law directly affects Medicare beneficiaries needing equipment and the suppliers who provide it by maintaining existing reimbursement rates for an additional year. This avoids immediate payment reductions for non-rural areas while postponing the full transition to new rates.

Maddy summaryThis bill creates a process for establishing Medicare payment rates for pediatric-specific medical devices. It requires the Medicare program (via the Secretary of Health and Human Services) to set national payment rates (called "relative value units") for qualifying pediatric technologies upon manufacturer request, starting in 2026. A "qualifying pediatric technology" is defined as a covered medical device that is FDA-approved/cleared, has a temporary HCPCS code, and is either predominantly used for pediatric procedures or specifically designed for children. Manufacturers must submit detailed data with their requests, and the timeline for setting rates depends on when the request is received (by May 1 for same-year implementation). The bill does not mandate coverage but ensures payment mechanisms exist for these devices once approved.

Maddy summaryThis bill modifies tax reporting rules for gig economy platforms (like Uber or DoorDash) by reinstating a pre-American Rescue Plan threshold. It requires third-party payment platforms to report income to the IRS only if a gig worker earns over $20,000 in a year or completes more than 200 transactions. This directly affects low-earning gig workers who would no longer receive tax forms for smaller earnings. The change simplifies reporting for platforms and reduces administrative burden on workers with minimal income from these platforms.

Maddy summaryThis bill adds a new tax provision (Section 139J) to the Internal Revenue Code, excluding interest income from certain rural and agricultural loans from taxable income for qualifying lenders. It directly affects banks, insurance companies, and farm credit entities that provide loans secured by rural or agricultural property (including qualifying single-family homes in rural areas), while excluding loans to foreign adversary entities (like those linked to China, Russia, or Iran). The law requires lenders to report on how this tax exclusion impacts loan interest rates, with a Treasury report due to Congress within five years. The policy change aims to reduce lenders' tax burden on these specific loans, potentially lowering costs for borrowers in rural communities.

Maddy summaryThis bill allows notaries to perform remote and electronic notarizations for documents affecting interstate commerce, such as property deeds or legal agreements. It requires notaries to verify identities through multiple methods (e.g., two identity checks or a credible witness) and create audio-visual recordings of remote sessions, which must be retained for at least 5 years. The law applies to individuals needing notarization across state lines or for electronic records but does not require notaries to offer these services. It standardizes recognition of valid remote notarizations in federal courts and across state lines, ensuring consistency for users and notaries.

Maddy summaryThe American Innovation Act of 2025 modifies tax rules to support new businesses by changing how start-up and organizational costs can be deducted. It allows businesses to deduct up to $20,000 (adjusted for inflation) of initial costs in the first year, with remaining costs amortized over 15 years (180 months). The bill also preserves net operating losses and tax credits for new businesses after ownership changes, helping startups maintain tax benefits when sold or restructured. This primarily affects new businesses, startups, and small companies forming new ventures beginning after December 31, 2025.