Rep. Michael Guest

Maddy summaryHR 6167, the HEALTH Act of 2025, creates a new tax deduction for physicians providing unreimbursed charity care to patients enrolled in Medicaid (Title XIX) or CHIP (Title XXI) programs. The deduction equals the Medicare fee schedule amount for such care, but excludes services like sex reassignment surgeries and hormone treatments for gender transition. Additionally, the bill adds liability protection for physicians providing this charity care, shielding them from civil lawsuits for non-intentional harm during such services, and preempts conflicting state laws. This directly affects physicians who serve low-income patients through public health programs.

Maddy summaryHR 4070, the Tren de Aragua Border Security Threat Assessment Act, requires the Secretary of Homeland Security to conduct a detailed assessment of the criminal threats posed by the Venezuelan gang Tren de Aragua to U.S. borders within 180 days of the bill's enactment. The assessment must cover the group's origins, methods, funding, and specific threats to the southwest, northern, and maritime borders, followed by a strategic plan within one year outlining how federal, state, and local agencies will counter these threats through information sharing, interdiction, and preventing the group's expansion in the U.S. The bill directly affects DHS, intelligence agencies, and border law enforcement partners by mandating these reports and planning processes.

Maddy summaryThis bill amends U.S. Customs and Border Protection (CBP) authority to allow CBP officers to conduct joint operations with foreign governments to monitor and disrupt international drug trafficking, human smuggling, and other threats (like terrorism) entering the U.S. It directly affects CBP personnel operating abroad and partner governments. Key provisions include authorizing CBP to provide support like threat monitoring, emergency humanitarian aid (e.g., search and rescue), and law enforcement training in foreign countries, while establishing a claims process for incidents involving CBP operations overseas. Claims must be filed within two years of an incident, and the authority to pay such claims expires five years after the bill’s enactment.

Maddy summaryThe Generative AI Terrorism Risk Assessment Act requires the Department of Homeland Security (DHS) and the Director of National Intelligence to produce an annual report for five years on terrorism threats posed by terrorist groups using generative AI (such as AI that creates text, images, or videos). Each report must analyze past incidents where such AI was used to spread extremist content, recruit members, or develop weapons, and include countermeasures to address these threats. DHS must coordinate reports to protect privacy and civil liberties, post unclassified summaries online, and brief Congress within 30 days of submission. The law also directs DHS to share AI-related terrorism threat information with state and local fusion centers and incorporate their input into assessments. This bill directly affects DHS, intelligence agencies, and state/local fusion centers.

Maddy summaryThis bill would require Medicare to cover early detection screening tests for Alzheimer's disease and related dementias starting January 1, 2028. It defines eligible tests as FDA-cleared genomic blood tests, blood product analyses, or equivalent medical imaging methods (like protein expression or whole genome sequencing) that detect pre-symptomatic or early-stage conditions. Medicare beneficiaries would receive this coverage without cost-sharing for these specific screenings. The bill amends Medicare coverage rules to explicitly include these tests under Section 1861(nnn) of the Social Security Act.

Maddy summaryThis bill amends Section 2119 of Title 18 (carjacking statute) to clarify the legal definition of the offense. It removes the phrase "with the intent to cause death or serious bodily harm" from the main definition, replacing it with "knowingly," and refines the death penalty provision to specify that death must result from a carjacking taken with the intent to cause death or serious bodily harm. The change streamlines the statute by focusing on the act of taking a vehicle "knowingly" rather than requiring proof of intent to cause harm as a core element. This technical amendment affects how federal prosecutors define and prosecute carjacking cases under existing law.

Maddy summaryHR 1514 establishes the Mississippi River Basin Fishery Commission within the Department of the Interior to coordinate management of interjurisdictional fisheries across 31 U.S. states, two Canadian provinces, federal agencies, and tribal nations. The Commission oversees six sub-basin management plans, develops strategies to control invasive carp (like bighead and silver carp), and administers grant programs for conservation projects. It provides $30 million annually (2027-2029) and $50 million annually (2030-2032) to fund collaborative efforts, with grants prioritizing projects aligned with the existing MICRA Joint Strategic Plan. The Commission’s authority is nonbinding, requiring consensus among member entities but not overriding state or federal management laws.

Maddy summaryHR 2212 establishes a new DHS Intelligence Rotational Assignment Program for intelligence analysts. The bill requires the DHS Secretary to create this program within one year, allowing analysts in DHS intelligence components and the Secret Service's Office of Strategic Intelligence and Information to rotate between positions. This aims to build broader expertise by enabling analysts to gain experience across different DHS intelligence roles. The program must follow coordination requirements already set for DHS's existing rotation program. It directly affects DHS intelligence analysts and Secret Service strategic intelligence personnel.

Maddy summaryHR 6029 amends the Bank Secrecy Act to exempt cash reward payments by nonprofit crime stopper organizations from currency transaction reporting requirements. Specifically, it directs the Treasury Secretary to exempt transactions between a bank and a crime stopper organization when the payment is for a cash reward offered for crime information. This change would eliminate the need for banks to file currency transaction reports for these specific payments. The exemption applies only to nonprofit organizations operating as crime stopper programs that provide cash rewards for crime tips.

Maddy summaryHR 6018, the Bringing Assistance for Rural Needs During Shutdowns Act, ensures that Farm Services Agency (FSA) services remain operational during government shutdowns. This means FSA employees - providing critical support like farm loans, disaster assistance, and crop insurance - would continue working without furloughs. The bill directly affects rural farmers and communities relying on these services, preventing disruptions to essential agricultural aid. By classifying FSA services as "essential" under federal law (specifically, as covering "safety of human life or protection of property"), it guarantees uninterrupted access to these programs during shutdowns.