Rep. Dan Crenshaw

Maddy summaryThe FEHB Protection Act of 2025 strengthens the Federal Employees Health Benefits Program by requiring the Office of Personnel Management (OPM) to verify the eligibility of family members added to health plans. It mandates OPM to confirm the truthfulness of qualifying life events (like marriage or birth) used to enroll family members, conduct a 3-year audit using documents such as marriage certificates, and develop a process to disenroll ineligible enrollees within six months. The bill also allocates specific funding for oversight, including $36.8 million in fiscal year 2026 for OPM and $80 million for the required audit. This directly affects federal employees and their families enrolled in the FEHB Program.

Maddy summaryHR 2296, the National Weather Service Communications Improvement Act, requires the National Weather Service (NWS) to replace its internal instant messaging system (NWSChat) with a commercial cloud-based solution by October 1, 2027. The new system must accommodate future growth, support increased users, be user-friendly, and resemble common commercial platforms. Funding up to $3 million annually from 2026-2029 will cover this upgrade, sourced from existing NWS operational budgets. This bill directly affects NWS personnel who rely on internal communications for weather forecasting and warnings.

Maddy summaryHR 2197, the "No 340B Savings for Transgender Care Act," prohibits covered entities participating in the federal 340B drug pricing program from using savings from discounted drug purchases to pay for specific transgender healthcare services. The bill amends the Public Health Service Act to ban using 340B savings for sex reassignment surgeries or hormone treatments provided "for the purpose of gender alteration" of transgender individuals. This directly affects hospitals and clinics enrolled in the 340B program, restricting how they allocate funds saved through the program’s discounted drug pricing. The key provision is a targeted restriction on fund usage, not a ban on providing the medical services themselves. The bill focuses on reallocating program savings away from these specific care types.

Preserving Patient Access to Home Infusion Act  This bill specifically includes pharmacy services and home infusion drugs that are administered without a pump as part of covered home infusion therapy under Medicare. The bill also allows nurses and physician assistants to establish and review the plan of care for home infusion therapy, and it specifies that payment may be made regardless of whether a practitioner is physically present in the home at the time the drug is administered.

Maddy summaryHJRES 35 is a congressional resolution disapproving an Environmental Protection Agency (EPA) rule that established procedures for emissions charges on petroleum and natural gas systems. Specifically, it targets the EPA’s November 2024 rule titled "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions," which would have required companies to pay fees based on emissions. The resolution, passed by both chambers in February 2025, nullifies the rule, preventing it from taking effect. This directly affects oil and gas companies subject to the EPA’s emissions regulations, removing a specific compliance mechanism they would have faced.

Maddy summaryHRES 224 is a symbolic resolution (not a binding bill) expressing support for recognizing "Detransition Awareness Day." It urges the development of policies ensuring mental health services for people experiencing discomfort with their sex, advocating for informed consent processes about gender-affirming medical procedures, and extending medical malpractice statute of limitations. The resolution also calls for removing damage caps in malpractice claims related to such procedures and requests the Department of Health and Human Services review care guidelines. It has no legal effect but aims to foster public understanding of detransition experiences and promote ethical medical standards.

Maddy summaryHR 2128, the Reimbursing Border Communities Act of 2025, creates a federal grant program to reimburse eligible local governments within 200 miles of the U.S.-Mexico land border for costs related to border security measures, such as additional law enforcement wages. To qualify, communities must be local governments (not sanctuary jurisdictions), submit applications to the DHS Secretary, and cannot use funds for legal aid, housing, healthcare, or other services for immigrants. Grants are capped at $500,000 per community per year, with $25 million authorized annually from 2026-2036. The program requires annual reports to Congress detailing grant usage and implementation, including recommendations for future funding adjustments.

Maddy summaryThis bill reauthorizes federal funding for children's hospitals operating graduate medical education (GME) programs through 2030, extending current support until fiscal year 2030. It prohibits payments to any hospital that provided "specified procedures and drugs" to minors under 18 during the prior fiscal year, including surgeries like hysterectomies or puberty-blocking medications. Exceptions apply for medically necessary treatments, such as puberty suppression for precocious puberty or genetic disorders, and care for life-threatening conditions. The bill specifies annual funding levels: $124 million for hospital GME support and $261 million for other program payments from 2026-2030. It directly affects children's hospitals receiving federal GME funding, requiring them to comply with the new restrictions on certain medical services for minors.

Radiation Oncology Case Rate Value Based Program Act of 2025 or the ROCR Value Based Program Act This bill establishes a specialized payment program under Medicare for providers and suppliers of radiation oncology services.  Specifically, the Centers for Medicare & Medicaid Services (CMS) must establish a program under which radiation therapy providers (i.e., hospital outpatient departments) and suppliers (i.e., physician group practices and freestanding radiation therapy centers) receive payments for each episode of care provided to individuals with specified types of cancer. An episode of care  means the period beginning on the day radiation therapy planning is furnished to the individual and ending (1) for individuals with bone or brain metastases, 30 days later; and (2) for individuals with other cancer types, 90 days later. Participation in the program is mandatory for providers and suppliers that participate in Medicare, unless the provider or supplier is part of a state-based Center for Medicare & Medicaid Innovation model or qualifies for a significant hardship exemption. The CMS must set payment rates for the program based on national payment rates with specified adjustments (e.g., geographic adjustments). Providers and suppliers who provide certain transportation services for individuals under their care may receive an additional payment. Providers and suppliers must be accredited in accordance with certain standards, subject to payment reductions. The Government Accountability Office must report on (1) implementation of the program, and (2) underserved areas that are in need of more or newer radiation therapy resources.

Maddy summaryThe FOCA Act of 2025 prohibits federal agencies from requiring or banning contractors from using union agreements in construction project bids or contracts. It directly affects federal agencies, contractors, and subcontractors working on federally funded or assisted construction projects (like buildings or infrastructure). The law requires bid documents to not favor or penalize contractors based on whether they have union agreements, aiming to promote open competition and prevent discrimination. This changes how agencies structure bids but does not affect union agreements themselves. The bill applies to all new contracts and subcontracts after enactment, with limited exemptions only for public health/safety emergencies or national security.