Rep. Beth Van Duyne

Maddy summaryHR 5031, the *Preserving Patient Access to Long-Term Care Pharmacies Act*, requires Medicare Part D plans and Medicare Advantage plans with drug coverage (MA-PD) to pay long-term care pharmacies an additional supply fee for each specified prescription dispensed to eligible beneficiaries during 2026 ($30) and 2027 (adjusted for inflation). This fee must be paid alongside existing reimbursements for drug costs and dispensing, with a $10,000 penalty for non-payment. The bill also directs the GAO to study long-term care pharmacy payment sustainability under Medicare, analyzing historical payments for brand/generic drugs and dispensing fees. It aims to ensure uninterrupted pharmacy access for Medicare beneficiaries in long-term care settings, particularly in rural areas.

Maddy summaryHR 4991, the Disarming Felons Act, prohibits the sale or transfer of firearms to, and possession of firearms by, adults who committed an act as a juvenile (aged 15-17) that would have been a felony if committed as an adult. The bill amends existing federal law (18 U.S.C. §§ 922(d) and 922(g)) to add this new category to the list of prohibited firearm transactions and possession. It directly affects individuals who were juveniles at the time of a serious offense but are now adults, restricting their access to firearms. The law creates a specific legal barrier to firearm access based on the severity of a juvenile offense, without altering penalties for the offense itself.

Maddy summaryThis bill establishes "cottage family homes" as a new foster care placement option under federal law. It defines these homes to require trauma-informed care, prohibit seclusion/restraints (except brief physical restraint for safety), ensure children can participate in normal activities, and maintain family connections. The bill removes time limits on foster care payments for children in these homes and gives states flexibility to classify them as foster family homes if they serve children's best interests. It directly affects foster children placed in cottage homes and the agencies operating them.

Maddy summaryThis bill amends Medicare rules to improve payment for air ambulance services. It requires air ambulance providers to submit detailed cost and revenue data every three years (including fixed costs per base, utilization rates, and revenue) to the Medicare Secretary. The Secretary must then revise fee schedules based on this data and stakeholder input, aiming to better align payments with actual costs. A separate provision mandates the GAO to study average operating costs, payment adequacy, geographic variations, and make recommendations within one year of data collection starting. The bill directly affects Medicare beneficiaries using air ambulances and the providers operating those services.

Maddy summaryHR 4710, the No Surprises Act Enforcement Act, increases penalties for health insurance plans and issuers that violate balance billing protections, which prevent surprise medical bills. The bill raises fines from $100 to $10,000 per violation for specific balance billing rule violations and adds a new penalty of three times the difference between initial payment and out-of-network rates for late payments after Independent Dispute Resolution decisions. It requires health plans and nonparticipating providers to make timely payments within 30 days of a payment determination, with interest accruing on late payments. The bill also establishes new transparency reporting requirements for the Secretary to submit regular reports to Congress about audits, enforcement actions, and penalties. These provisions directly affect health insurance issuers, group health plans, and nonparticipating healthcare providers.

Maddy summaryThis bill (HR 4677) renames a U.S. Postal Service facility in Amarillo, Texas (located at 505 East 9th Avenue) as the "Mayor Jerry H. Hodge Post Office Building" to honor the late mayor. It updates all official U.S. government references to the building to reflect this new name. The bill has no policy impact beyond this ceremonial designation and affects no specific legislation or funding.

Maddy summaryHR 4704, the ROTOR Act, requires the Defense Health Agency to study cancer rates among military helicopter pilots and aviation support personnel. It directly affects service members who served as rotary-wing aircrew (pilots or support staff) since 1961 and receive VA healthcare. The bill mandates a two-phase study: first, comparing cancer prevalence/mortality for 12 specific cancers (like lung, prostate, and breast cancer) between these service members and the general population; second, if increased rates are found, investigating potential causes like aircraft toxins, radiation exposure, or other service-related hazards. The study will use existing VA and cancer registry data, with findings reported to Congress within two years.

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 summaryHR 4620 amends federal law to include rioting as a form of racketeering activity under Title 18, United States Code. This change would allow prosecutors to charge individuals who organize or participate in riots as part of a larger criminal enterprise under federal racketeering laws. The bill specifically targets coordinated riot activities linked to organized crime, not isolated or spontaneous protests.

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.