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.
Rep. Ron Estes
Sponsored bills
Maddy summaryThis bill modernizes the process for seasonal agricultural workers who need commercial driver's licenses (CDLs). It requires the Transportation Secretary to create online systems for easy license renewal (Section 2(a)) and clarifies that farm equipment like tractors and harvesters ("implements of husbandry") are not subject to commercial vehicle weight calculations (Section 2(b)). It directly affects farm-related service industries and their seasonal employees who operate restricted CDL vehicles. The changes simplify administrative processes and remove regulatory barriers for agricultural operations.
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 summaryHR 4448, the Restoring Equal Opportunity Act, prohibits lawsuits alleging discrimination based on "disparate impact" in employment and housing. It amends the Civil Rights Act of 1964 and Fair Housing Act to ban claims where a neutral policy (like a test or screening rule) unintentionally disadvantages protected groups (such as race or gender), even if there was no discriminatory intent. The bill also nullifies specific federal regulations implementing civil rights laws, removing legal grounds for such claims under current enforcement rules. This directly affects employers, housing providers, and federal agencies that enforce civil rights laws, changing how discrimination claims can be brought in court.
Maddy summaryHR 4382 authorizes the U.S. Mint to produce commemorative coins for the 2028 Los Angeles Olympics/Paralympics and 2034 Salt Lake City Winter Olympics/Paralympics. It specifies gold, silver, and half-dollar coin designs with defined mintage limits (e.g., up to 100,000 $5 gold coins for each event), all bearing inscriptions like "2028" or "2034" and standard coin features. A surcharge ($5-$50 per coin) is added to sales, with all funds directed to the respective Olympic committees to support event hosting and legacy programs like youth sports. The bill ensures no net cost to the government by requiring surcharge revenues to cover all design, production, and marketing expenses before funds are disbursed.
Maddy summaryThis bill requires online contact lens sellers to provide a secure electronic method for customers to transmit their contact lens prescriptions, directly affecting online retailers. It mandates that such electronic transmissions comply with HIPAA privacy rules and that any protected health information sent via email must be encrypted. The law updates existing rules to modernize prescription verification for online sales while maintaining privacy protections.
Maddy summaryHR 1713, the Agricultural Risk Review Act of 2025, requires the Secretary of Agriculture to join the Committee on Foreign Investment in the U.S. (CFIUS) when reviewing transactions involving U.S. agricultural land, biotechnology, or agriculture-related infrastructure (like transportation or processing). It specifically targets acquisitions of agricultural land by foreign entities from China, North Korea, Russia, or Iran, mandating that the Secretary of Agriculture first assesses these transactions before CFIUS decides whether to proceed with a full review. The law includes a sunset provision, ending these requirements for a specific country once it is removed from the federal list of foreign adversaries.
Improving Access to Medicare Coverage Act of 2025 This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)
Maddy summaryHR 3912, the Stop the Baseline Bloat Act of 2025, changes how the federal budget baseline is calculated by excluding emergency funding and supplemental appropriations. This affects the annual budget process by removing these funds from the baseline figure used to measure spending limits under the Budget Control Act. The key provision amends the Balanced Budget and Emergency Deficit Control Act to specify that emergency requirements and supplemental funding are not counted in the baseline calculation. As a result, future budget targets will reflect only regular appropriations, not additional emergency or supplemental spending.
Maddy summaryHR 3825, the Kelsey Smith Act, requires phone companies (mobile carriers and IP voice service providers) to share a device’s location with police during emergencies. If police claim the device was used in a 911 call within the past 48 hours or they have reasonable suspicion about an immediate risk of death or serious harm, companies must provide location data "without delay." Police must document each request with justification, and companies cannot be sued for complying. This directly affects telecommunications providers and law enforcement agencies responding to urgent public safety threats.