Rep. Ryan Mackenzie

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryThe HEADACHE Act establishes a National Headache Disorders Initiative (NHDI) under the Department of Health and Human Services to address conditions like migraines, cluster headaches, and other headache disorders affecting vulnerable groups including children, pregnant women, and older adults. It creates an Advisory Council with patient advocates, healthcare providers, and federal agency representatives to guide research, improve diagnosis protocols, and reduce disparities in care. The bill requires federal agencies to share headache-related data and mandates an annual congressional report evaluating progress, disparities across demographics, and recommendations for better access to treatment and stigma reduction, with the initiative set to expire after five years.

Maddy summaryHR 5455, the Aviation Funding Stability Act of 2025, ensures continued operation of the Federal Aviation Administration (FAA) during government funding gaps. If Congress fails to pass regular appropriations or a continuing resolution before the new fiscal year begins, the bill allows the FAA to use existing funds from the Airport and Airway Trust Fund to maintain essential programs and airport infrastructure at the previous year’s funding level. This prevents shutdowns for FAA operations like air traffic control, airport grants, and safety programs for up to 30 days or until regular funding is enacted. The bill directly affects all FAA programs funded through the trust fund, including airport improvements and aviation safety initiatives, without creating new policies or altering funding levels.

Maddy summaryHRES 744 is a non-binding House resolution supporting the designation of September 21-27, 2025, as "Gold Star Families Remembrance Week." It honors families who lost members in military service (Gold Star Families) and families of veterans, recognizing their sacrifices. The resolution encourages Americans to observe the week through community service and by celebrating the lives of those who died defending the U.S. It does not create new laws or policies but formally recognizes these families annually. This is a commemorative measure, not a legislative change.

Maddy summaryThis bill amends the federal tax code to exclude certain overtime pay from taxable income. It directly affects workers who earn overtime under the Fair Labor Standards Act (FLSA) or through specific employer-employee agreements meeting defined conditions (like exceeding 40 hours per week or railway work standards). The key provision defines "qualified overtime compensation" to exclude this pay from federal income tax calculations. The change applies to tax returns filed for 2025 and later. This creates a concrete tax exemption for qualifying overtime earnings.

Maddy summaryThis bill requires a GAO study to evaluate early detection methods for pediatric liver disease, including adding bilirubin measurement to newborn screening panels and assessing trends in transplant wait-list mortality. It also mandates a public education program to inform families about early signs of liver disease and the safety of living liver donation, using existing HHS resources without new funding. The law directly affects infants and children with liver conditions like biliary atresia and liver cancer, aiming to improve early intervention. Key provisions include a study on cost-effective screening and a program to educate pediatric providers and families about warning signs.

Maddy summaryThis bill creates a 70% tax credit for eligible small businesses to cover costs of installing diaper changing stations and dispensers in restrooms. It applies to businesses with annual gross receipts under $5 million or fewer than 100 full-time equivalent employees. To qualify, businesses must ensure both men’s and women’s restrooms at each location have accessible diaper changing stations (free to use) and diaper dispensers. The credit is capped at $10,000 per business location annually and applies to expenses like station installation, labor, and restroom renovations meeting the "family bathroom requirement." The credit begins for tax years starting after December 31, 2025.

Maddy summaryHRES 727 is a symbolic resolution designating October 14, 2025, as a "National Day of Remembrance for Charlie Kirk." It does not create new law but formally honors Charlie Kirk, founder of Turning Point USA and a prominent advocate for free speech and civic education, who died by assassination on September 10, 2025. The resolution encourages educational institutions and citizens to observe the day with activities promoting civic engagement, liberty, and democracy. It directly affects no specific group through policy changes, as it is a commemorative gesture without binding requirements.

Maddy summaryThis bill permanently bans nitazenes and all structurally related synthetic opioids under federal law, creating a broad definition that covers numerous chemical variations designed to evade current restrictions. It directly affects anyone manufacturing, distributing, or possessing these substances without authorization, including illicit drug producers and users. The key mechanism is a class-wide Schedule I classification that includes specific structural features (like modified benzimidazole rings) and excludes new analogs from legal loopholes. This approach aims to prevent new nitazene variants from entering the illegal market and addresses their role in overdose deaths. Substances previously temporarily banned under similar rules will now be permanently prohibited as of the bill's enactment.

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.