Rep. Jodey C. Arrington

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.

Maddy summaryThe Marketplace Fraud Accountability Act requires the healthcare.gov website to use multi-factor authentication for users enrolling in health plans or accessing their personal enrollment data. This security measure, which involves verifying identity through at least two methods like passwords and biometrics, must be implemented within one year of the bill's enactment. The law includes an exception for individuals who lack access to broadband or cellular service or cannot otherwise use this technology. By strengthening identity verification, the bill aims to protect consumer information while maintaining access for those with connectivity limitations.

Maddy summaryThe Medicaid RAC Improvement Act of 2026 strengthens oversight of the Medicaid Recovery Audit Contractor program to better detect and recover incorrect payments. It requires the Centers for Medicare and Medicaid Services to establish clear communication rules for when state program exceptions expire and mandates detailed annual reports on audit results, including amounts recovered and underpayments. The bill also expands the program to include Medicaid managed care plans, requiring these organizations to allow audits of their claims and cooperate with recovery efforts. Additionally, the legislation directs the government to study barriers preventing states from participating in the program and to run a five-year demonstration project to increase state involvement. Finally, it clarifies that audits can review payments made up to four years prior to the current fiscal year.

Repealing Big Brother Overreach Act This bill repeals the Corporate Transparency Act. The act requires existing companies and newly created companies to report beneficial ownership information to the Department of the Treasury’s Financial Crimes Enforcement Network for purposes of addressing the financing of terrorism and money laundering.

Maddy summaryThe Stopping Fraudulent Payments Act directs federal agencies to temporarily delay, condition, or split payments when there is a high risk of fraud or if a recipient is flagged in the Do Not Pay system. Under this law, agencies must notify payees of any pauses, explain the specific risk indicators involved, and allow recipients to contest the decision within a set timeframe. The bill requires that payments be resolved within 45 days and protects government officials from personal liability if they act in good faith to stop suspicious transactions. Additionally, it allows for the exemption of routine, historically consistent payment amounts while investigating anomalous or unusually large portions of a transfer.

Maddy summaryThis bill establishes new pre-payment verification requirements for federal agencies to prevent fraud before any money is disbursed. It mandates that agencies confirm a payee's identity, bank account validity, and eligibility using a centralized "Do Not Pay" system that cross-references data from the Treasury, IRS, and Social Security Administration. Additionally, the legislation requires recipients of federal awards over $50,000 to submit a one-time report detailing how they intend to use the funds within 180 days of receiving them. The act also expands the types of sensitive data the Treasury can access to detect improper payments while including specific privacy protections and penalties for unauthorized disclosure.

Maddy summaryThis bill extends existing U.S. tax anti-abuse rules, specifically wash sale and constructive sale regulations, to cover most digital assets. It directly affects taxpayers who hold or trade digital currencies and tokens by treating them similarly to traditional stocks and securities for tax purposes. Key provisions define specific types of digital assets, such as traded and widely traded assets, while creating exceptions for certain stablecoins and activities like staking or mining. The legislation also establishes clear definitions for terms like tokenized and wrapped digital assets to ensure consistent application of tax laws.

Maddy summaryThis bill requires states to report annually to the federal government on waste, fraud, and abuse detected in home and community-based services funded by Medicaid. Starting in 2026, state agencies must submit details on any such issues they find, along with descriptions of the steps they have taken to prevent them. The law directly affects state Medicaid programs that provide care in community settings rather than institutions. By mandating these reports, the legislation aims to increase transparency and accountability in how these services are managed.

Maddy summaryThis bill aims to improve the integrity of the Temporary Assistance for Needy Families (TANF) program by tightening rules on how federal funds are used and reported. It requires states to apply existing federal payment integrity standards to their programs and mandates a report outlining a plan to reduce improper payments within a decade. Additionally, the legislation restricts grants to families with income below twice the poverty line and sets strict deadlines for states to spend their allocated funds, allowing only a limited reserve for future use. The bill also prohibits states from using federal money to replace their own spending and requires official certification that funds will supplement, not supplant, existing state resources. These changes are scheduled to take effect on October 1, 2027.