Rep. Sam Graves

Maddy summaryThis bill would require Medicare to cover FDA-approved blood tests that screen for multiple cancers simultaneously (like breast, lung, or colorectal cancer) for beneficiaries. It directly affects Medicare recipients aged 65+ who could access these new screenings once per year, without prior authorization. The key provision adds "multi-cancer early detection screening tests" to Medicare's covered services under Part B, defining them as blood tests analyzing cell-free DNA, while maintaining existing coverage for standard screenings like mammograms. The bill does not change current coverage for individual cancer screenings but ensures Medicare keeps pace with new medical technology.

Maddy summaryHR 1610 would modernize Medicare coverage for chiropractic care by removing the current restriction that limited beneficiaries to one chiropractic service per visit. It expands coverage to include all services provided by licensed chiropractors within their state-authorized scope, aligning Medicare with VA, military, and private insurance practices. The bill requires chiropractors to complete a Secretary-approved educational webinar to cover non-spinal services, while still allowing payment for spinal manipulation treatments without this requirement. This directly affects Medicare beneficiaries seeking chiropractic care and chiropractors seeking Medicare reimbursement for their services.

Maddy summaryThe Save America's Rural Hospitals Act aims to prevent rural hospital closures by making significant changes to Medicare and Medicaid payment structures. Key provisions include eliminating Medicare sequestration for rural hospitals, reversing cuts to bad debt reimbursement for critical access hospitals, and extending permanent payment levels for low-volume and Medicare-dependent hospitals. The bill also makes permanent telehealth enhancements for rural health clinics, restores state authority to waive the 35-mile rule for critical access hospital designations, and creates grants for rural hospital flexibility programs. These changes directly affect approximately 453 rural hospitals at risk of closure and millions of rural Medicare beneficiaries who face significant barriers to accessing healthcare.

Maddy summaryHR 751, the FAIR Act, requires hospitals running medical residency programs to report annual data on applicants and acceptances from both osteopathic (DO) and allopathic (MD) medical schools starting in 2024. Specifically, hospitals must submit the number of applicants and accepted candidates from each medical school type, confirm they accept both DO and MD applicants, and state that COMLEX and USMLE exam scores are equally accepted. The Health Secretary must then publish this data online for public transparency. The bill directly affects hospitals operating residency programs and aims to make their admissions processes more visible, without mandating specific acceptance rates or changing admission criteria.

Maddy summaryThis bill bans federal funding for abortions in most cases, prohibiting the use of taxpayer money for abortion services or health insurance plans covering abortion. Exceptions allow funding for abortions resulting from rape, incest, or when a pregnancy endangers a woman's life. It requires health insurance plans sold through the Affordable Care Act (ACA) marketplaces to clearly disclose any separate costs for abortion coverage and prohibits ACA subsidies from being used for plans that cover abortion (except in the specified exceptions). The law directly affects federal programs like Medicaid, ACA marketplace plans, and insurers offering health coverage to individuals using federal subsidies.

Maddy summaryThis bill removes geographic restrictions that previously limited Medicare telehealth access to rural areas and expands where patients can receive these services. It directly affects Medicare beneficiaries and healthcare providers by allowing telehealth visits to occur from any location (not just rural zones) and enabling more types of facilities (like clinics or pharmacies) to serve as "originating sites." The key change amends the Social Security Act to replace temporary language about a 151-day period with permanent language, making these expanded telehealth access rules permanent. This simplifies access for patients seeking remote care without requiring providers to navigate temporary policy limits.

Maddy summaryThe PIPES Act of 2023 establishes new safety standards specifically for carbon dioxide pipelines, which are increasingly important for carbon capture and storage projects. It creates a voluntary information-sharing system that allows pipeline operators to share safety data without fear of enforcement action, fostering industry collaboration on safety improvements. The bill authorizes funding for pipeline safety programs through 2027, including resources for workforce development at the Pipeline and Hazardous Materials Safety Administration. This legislation directly affects pipeline operators, state pipeline safety programs, and federal regulators overseeing pipeline safety.

Maddy summaryThis bill requires Amtrak's Board of Directors to follow stricter public meeting rules and improve transparency. It mandates that closed board meetings (only for discussion, not voting) must be followed by public disclosure of attendees and topics within two business days, unless tied to an ongoing decision. Additionally, Amtrak's Board Chair must provide Congress with an annual briefing detailing all voted-on matters and pending votes before each fiscal year. The bill directly affects Amtrak's governance, aiming to increase accountability to passengers and taxpayers through clearer meeting practices and reporting.

Maddy summaryHR 8689, the Amtrak Executive Bonus Disclosure Act, requires Amtrak to publicly disclose performance-based bonuses paid to its top executives. It mandates that Amtrak brief relevant congressional committees 30 days before awarding such bonuses and publish the bonus amount, along with the calculation criteria, in the Federal Register within 30 days of payment. The law directly affects 12 specific Amtrak executive roles, including the CEO, CFO, and other senior leadership positions defined in the bill. This policy change focuses on transparency around taxpayer-funded executive compensation, without altering bonus eligibility or amounts.

Maddy summaryThis bill allows livestock producers and their employees to take black vultures (Coragyps atratus) that are harming or threatening livestock, bypassing the usual protections under the Migratory Bird Treaty Act. It directly affects ranchers and farm workers in areas where black vultures cause livestock deaths or injuries. The key provision requires annual reporting to the U.S. Fish and Wildlife Service about any vultures taken, using a simplified form similar to existing reporting for permitted bird take. This creates a specific, limited exception to federal bird protections for livestock protection, with no new restrictions on vulture populations.