Protecting Air Ambulance Services for Americans Act of 2025 This bill authorizes payment changes under Medicare for air ambulance services based on certain collected data and requires additional reporting from providers of these services. Current law requires providers of air ambulance services to report certain information regarding general costs and utilization to the Department of Health and Human Services; private health insurers are also required to report information relating to coverage of these services. The bill authorizes the Centers for Medicare & Medicaid Services to revise payment rates under Medicare for air ambulance services based on this data, and it requires providers of air ambulance services to specifically report information relating to costs and utilization under Medicare. The bill also requires the Government Accountability Office to report on the data that is collected under current law requirements and to recommend changes to Medicare payment rates accordingly.
Sponsored bills
Maddy summaryThe Buffalo Soldiers Congressional Gold Medal Act of 2025 authorizes Congress to award a gold medal to the Buffalo Soldier regiments - the 9th and 10th Cavalry, and the 24th and 25th Infantry regiments - for their service from 1866 until the Army's desegregation in 1951. The medal, designed by the Secretary of the Treasury, will be displayed at the National Museum of African American History and Culture in the Smithsonian Institution. Duplicate bronze medals may be sold to the public at cost to cover production expenses. This bill is a commemorative measure that formally recognizes the historical contributions of these military units without creating new government programs or altering existing laws.
Maddy summaryThe Protecting Access to Credit for Small Businesses Act prohibits the Small Business Administration (SBA) from making direct loans under the 7(a) program for new applications. This means the SBA will no longer provide direct funding to small businesses through this specific channel, though it will continue servicing existing direct 7(a) loans approved before the bill's enactment. The bill does not affect the SBA’s standard role in guaranteeing loans made by banks under the 7(a) program, which remains the primary method for small business lending. As a result, small businesses seeking 7(a) loans after the bill takes effect must work with participating banks rather than the SBA directly.
Maddy summaryThis bill amends two existing banking regulations by increasing a numerical threshold from 15 to 20 in two specific sections: the Revised Statutes (12 U.S.C. 24) and the Federal Reserve Act (12 U.S.C. 338a). It makes a technical adjustment to banking rules without creating new programs or directly affecting citizens, businesses, or government programs. The change modifies how certain financial provisions are calculated under current law but does not alter the underlying policy or impact any specific groups. As a procedural amendment to existing statutes, it has no direct public-facing effect.
Maddy summaryS 2414, the Housing Supply Expansion Act of 2025, updates federal rules for manufactured homes by requiring states to treat homes without permanent chassis equally to those with chassis under state laws. States must certify this parity within 1-2 years of the bill’s enactment, covering areas like financing, insurance, and installation. States that miss deadlines face prohibitions on selling or installing "covered" manufactured homes (built after enactment without a permanent chassis). The bill directly affects states (through their regulations), manufactured home manufacturers, sellers, and buyers by standardizing how these homes are regulated nationwide.
Maddy summaryThis bill clarifies that the federal Consumer Financial Protection Bureau (CFPB) cannot enforce its rules on insurance companies regulated by state insurance departments when those companies are engaged in insurance activities. It directly affects insurance companies operating under state regulation by limiting the CFPB's authority over their insurance-related business. The key provision amends federal law to state that the CFPB may not enforce its rules regarding insurance business, and requires federal enforcement of related laws to be narrowly construed when insurance is involved. A new rule of construction explicitly favors state insurance regulators' authority over such companies.
Maddy summaryS 2413 would amend federal law to impose mandatory death or life imprisonment for first-degree murder and life imprisonment for second-degree murder committed by certain aliens. It directly affects non-citizens classified as "inadmissible" (e.g., due to past crimes) or "deportable" under specific immigration laws (sections 212(a)(6)(A), 212(a)(7), or 237(a)(1)(B)/(C)(i) of the Immigration and Nationality Act). The bill adds new sentencing provisions to Title 18, requiring the harshest penalties for these specific murder cases regardless of the location within U.S. jurisdiction. This changes federal criminal sentencing for a defined group of aliens convicted of murder, without altering immigration enforcement procedures.
Maddy summaryThis bill requires IRS supervisors to provide written approval before applying penalties or disallowance periods to taxpayers, mandating that approval occur before any penalty notice is sent. It defines an "initial determination" as a specific written notice detailing the exact penalty amount or disallowance period, excluding general inquiries. The bill also mandates annual IRS reports on all penalties assessed, broken down by IRS unit and process step. It directly affects taxpayers facing penalties for tax credits under Sections 24, 25A, or 32, and requires the IRS to publicly report penalty data starting 24 months after enactment.
Guiding and Establishing National Innovation for U.S. Stablecoins Act or the GENIUS Act This act establishes a regulatory framework for payment stablecoins (digital assets which an issuer must redeem for a fixed value). Under the act, only permitted issuers may issue a payment stablecoin for use by U.S. persons, subject to certain exceptions and safe harbors. Permitted issuers must be a subsidiary of an insured depository institution, a federal-qualified nonbank payment stablecoin issuer, or a state-qualified payment stablecoin issuer. Permitted issuers must be regulated by the appropriate federal or state regulator. Permitted issuers may choose federal or state regulation; however, state regulation is limited to those with a stablecoin issuance of $10 billion or less. Permitted issuers must maintain reserves backing the stablecoin on a one-to-one basis using U.S. currency or other similarly liquid assets, as specified. Permitted issuers must also publicly disclose their redemption policy and publish monthly the details of their reserves. The act specifies requirements for (1) reusing reserves; (2) providing safekeeping services for stablecoins; and (3) supervisory, examination, and enforcement authority over federal-qualified issuers. The act allows foreign issuers of stablecoins to offer, sell, or make available in the United States stablecoins using digital asset service providers, subject to requirements, including a determination by the Department of Treasury that they are subject to comparable foreign regulations. Under the act, permitted payment stablecoins are not considered securities or commodities under law. However, permitted issuers are subject to the Bank Secrecy Act for anti-money laundering and related purposes. (Sec. 3) This section establishes that only payment stablecoin issuers permitted under this act are allowed to issue a payment stablecoin in the United States. Knowing violations of this requirement shall be subject to a fine of up to $1 million for each violation, up to 5 years imprisonment, or both. Treasury may issue regulations establishing limited safe harbors from this requirement that are consistent with the act's purposes, limited in scope, and apply to a de minimus volume of transactions. Three years after the date of enactment, digital asset service providers are prohibited from offering or selling stablecoins that are not issued by permitted issuers. Providers are also prohibited from offering, selling, or otherwise making available in the United States a foreign-issued payment stablecoin, unless it complies with requirements provided in section 18 of the act. (Sec. 4) This section establishes requirements for permitted issuers. Issuers must maintain reserves on a one-to-one basis. Reserves must be comprised of U.S. coins and currency; demand deposits or shares at an insured depository institution; certain Treasury acts, notes, or bonds; money received under certain repurchase agreements or reverse repurchase agreements; certain investment company securities and money market funds invested in certain approved assets on this list; similarly liquid federal assets approved by regulators; or certain listed reserves in tokenized forms. Issuers must comply with redemption requirements, such as establishing timely redemption procedures and disclosing such procedures and associated fees. Issuers must also report on the monthly composition of the issuer's reserves. These reports must be examined by a registered public accounting firm and certified by the chief executive officer and chief financial officer of the issuer. The section prohibits the rehypothecation, or reuse, of reserves with limited exceptions. Primary federal payment stablecoin regulators (federal regulators) and state payment stablecoin regulators (state regulators), where applicable, must issue regulations to implement capital requirements, liquidity reserve standards, reserve asset diversification standards, and risk management standards. Issuers are subject to the anti-money laundering and counterterrorism requirements that are applicable to financial institutions. The section sets forth requirements regarding activities of a permitted issuer, including by prohibiting issuers from providing services on the condition that a customer obtains an additional paid product or service from the issuer or a subsidiary. Large issuers (those with more than $50 billion in consolidated total outstanding issuance) must publish an audited annual financial statement in accordance with generally accepted accounting principles. The section prohibits a public nonfinancial services company from issuing payment stablecoins unless the company obtains unanimous approval from the Stablecoin Certification Review Committee. A state qualified payment stablecoin issuer with a consolidated total outstanding issuance of not more than $10 billion may opt for state regulation if such regulation is substantially similar to the federal regulatory framework under this act. If the issuance exceeds that amount, the issuer must transition to federal regulation, receive a waiver from the federal regulator to remain under state regulation, or stop issuing stablecoins until the issuance is under the threshold. (Sec. 5) This section establishes requirements for stablecoins issued by subsidiaries of insured depository institutions and certain entities chartered by the Office of the Comptroller of the Currency (OCC) to issue payment stablecoins. Federal regulators must establish an application process and a supervision framework for such entities. The section sets forth requirements for the review of applications, explanations for denials, and an appeals process. (Sec. 6) This section sets forth supervision, examination, and enforcement requirements for payment stablecoin issuers under federal supervision. The provisions include reporting on financial conditions, risk management, compliance with the act, and compliance with sanctions and anti-money laundering requirements. The section specifies that payment stablecoin issuers with less than $10 billion in consolidated total outstanding issuance are subject to federal supervision if they are not state qualified payment stablecoin issuers. The section establishes civil penalties for violations of this act that are committed by those subject to federal supervision. (Sec. 7) This section establishes state regulatory authority over issuers that qualify for and elect state regulation. The Federal Reserve Board may exercise enforcement authority over state issuers in unusual and exigent circumstances. The OCC must exercise enforcement authority over nonbank state issuers in these circumstances. (Sec. 8) This section requires foreign issuers to comply with the terms of lawful orders to be allowed to offer, sell, or make available for trading a payment stablecoin in the United States. The section sets forth enforcement and appeal provisions. Treasury may waive the prohibition against the secondary trading of foreign payment stablecoins in the United States from noncompliant foreign issuers on a case-by-case basis if certain criteria are met. (Sec. 9) Treasury must seek public comment regarding methods, techniques, or strategies for financial institutions to detect illicit activities involving digital assets and perform research and risk assessments on such methods, techniques, or strategies. Treasury must report their legislative recommendations to Congress and the Financial Crimes Enforcement Network must issue rules based on the results. (Sec. 10) This section establishes requirements for custodial or safekeeping services for payment stablecoin reserves, collateral, and the private keys used to issue stablecoins. Among other requirements, such property must be separately accounted for and not comingled with other assets of the custodian. (Sec. 11) This section addresses the treatment of payment stablecoins and stablecoin issuers in bankruptcy and insolvency proceedings, including their claim priority, conditions for an automatic stay, and the treatment of reserves as property of the estate. Federal regulators must also report on topics regarding potential insolvency proceedings of issuers. (Sec. 12) Federal regulators may, if determined necessary after an assessment, prescribe technical standards for issuers to promote compatibility and interoperability with other issuers and the broader digital finance system. (Sec. 13) This section requires regulators to issue regulations to carry out the act, with federal and state regulators and Treasury coordinating as appropriate. (Sec. 14) This section requires Treasury to study and report on nonpayment stablecoins, including endogenously collateralized payment stablecoins (a digital asset the originator of which has represented will be converted, redeemed, or repurchased for a fixed amount of monetary value and that relies solely on the value of another digital asset created or maintained by the same originator to maintain the fixed price). (Sec. 15) This section requires federal regulators to annually report on payment stablecoin activity trends, the number of payment stablecoin issuer applicants, and the potential financial stability risks to the safety and soundness of the broader financial system posed by payment stablecoin activities. (Sec. 16) This section defines authorities related to the act, such as by providing that the act does not limit the authority of a depository institution, credit union, national bank, or trust company to issue digital assets to represent deposits or shares. Federal financial regulators may not require a financial institution to include certain digital assets held in its custody as a liability on financial statements or balance sheets. (Sec. 17) This section establishes that payment stablecoins issued by permitted issuers are not securities or commodities under federal law. (Sec. 18) This section provides an exception to the act's prohibition on foreign-issued payment stablecoins. For the exception to apply, foreign issuers must be subject to regulation and supervision by a foreign country that is comparable to the requirements under this act, as determined by Treasury. The foreign issuer must also be registered with the OCC, hold sufficient reserves in a U.S. financial institution (subject to exceptions), and the country where the issuer is domiciled must not be subject to U.S. sanctions. The section sets forth requirements for Treasury's determination as to whether a foreign country has comparable regulatory and supervisory requirements, including the process of requesting a determination, the deadline for Treasury to render a decision, and the process by which Treasury may rescind a previous determination. The section also sets forth OCC registration requirements. Treasury may implement reciprocal or bilateral agreements between the United States and jurisdictions with comparable regulatory requirements. (Sec. 19) This section requires certain federal employees to disclose holdings over $5,000 of permitted payment stablecoins as part of required financial disclosures. (Sec. 20) The act takes effect on the earlier of (1) 18 months after the date of enactment, or (2) 120 days after federal regulators issue final regulations implementing the act.
Maddy summaryThis bill extends the temporary waiver allowing hospitals to provide acute care at home until 2030, directly affecting hospitals participating in the Acute Hospital Care at Home initiative and the patients receiving care through this program. It requires the Department of Health and Human Services to conduct a detailed study by September 2028, comparing care quality, costs, patient outcomes, and experiences between home-based care and traditional inpatient hospital care. The study must analyze specific metrics like readmission rates, staffing ratios, treatment types, and patient demographics across participating and non-participating hospitals. The findings will be reported to Congress, providing data to inform future policy decisions about home-based hospital care.