Rep. Josh Harder

Maddy summaryThis bill extends funding for respite care programs through fiscal year 2029, replacing the previous 2020-2024 authorization. It updates the definition of "family caregiver" in federal law to include "unpaid individual" instead of "unpaid adult," broadening eligibility. The legislation directly supports family caregivers and their care recipients by maintaining access to temporary relief services. It ensures existing respite care programs continue operating without interruption under the new funding period.

Maddy summaryHR 2533, the EASE Act of 2025, requires Medicare and Medicaid to test a new telehealth model designed to improve specialty care access for rural and underserved Medicare/Medicaid beneficiaries. The bill mandates the Centers for Medicare & Medicaid Services (CMS) to partner with nonprofit provider networks - comprising at least 50 community health centers or rural clinics (half in rural areas) - to deliver specialty care via telehealth and coordinate with primary care providers. Eligible individuals must be enrolled in Medicare Part B, Medicaid, or CHIP and reside in designated rural or underserved areas. The model requires networks to collect and evaluate data on service delivery, with funding subject to existing program rules. This creates a structured pilot program focused on expanding remote specialty care access in underserved regions.

Maddy summaryThe Nutrition CARE Act of 2025 requires Medicare to cover medical nutrition therapy services for beneficiaries with eating disorders starting January 1, 2026. It directly affects Medicare beneficiaries with eating disorders, including an estimated 1.6 million people on Medicare Part B, with specific focus on underserved groups like 420,500-560,700 Black, Indigenous, and People of Color beneficiaries. The bill mandates coverage through registered dietitians or nutrition professionals, requiring at least 13 hours of services in the first year (including initial assessment) and 4 hours annually thereafter, with referrals from physicians or psychologists. This addresses a current gap where Medicare does not cover medical nutrition therapy for eating disorders at any treatment level. The policy change aims to improve access to a critical treatment pillar for a condition with high mortality rates and significant healthcare costs.

Maddy summaryHR 2487, the Transgender Health Care Access Act, aims to improve access to gender-affirming care for transgender individuals by funding training and education for healthcare providers. The bill provides $10 million annually for medical schools to develop curricula on gender-affirming care and culturally competent treatment, and $15 million annually for grants to train medical residents, nurse practitioners, and community health centers serving transgender patients. It specifically targets rural providers through $5 million annually for collaborative networks to expand care in underserved areas. The legislation requires a report to Congress within two years detailing progress in improving health equity for transgender populations.

Maddy summaryHR 2500, the Abandoned Vessel Prevention Act, holds the original seller liable for cleanup and damage costs if a decommissioned commercial vessel (or a recreational vessel previously used commercially) sinks after being transferred for recreational use. It directly affects individuals or companies selling such vessels, requiring them to cover specified expenses like pollution cleanup, debris removal, and water intake repairs if the vessel sinks. Exceptions apply for vessels under 35 feet, under 40 years old, or if the new owner has insurance covering these costs. The law shifts financial responsibility from taxpayers to the transferor for preventable sinkings of converted commercial vessels.

Maddy summaryHR 2509, the COMPLETE Care Act, creates Medicare payment incentives for primary care providers who integrate specific behavioral health services into their practice. It directly affects Medicare providers offering services identified by HCPCS codes 99484, 99492, 99493, 99494, G2214, and G0323 (covering models like Collaborative Care and Primary Care Behavioral Health) during 2027-2029. The bill increases Medicare payments for these services to 125-175% of standard rates (phasing down from 175% in 2027 to 125% in 2029) and waives budget neutrality rules to fund these higher payments. Additionally, it requires the HHS Secretary to provide technical assistance to primary care practices adopting these models by 2026, with dedicated funding for 2025-2029.

Maddy summaryHR 1923, the Modernizing Wildfire Safety and Prevention Act of 2025, establishes training programs for wildfire professionals and improves retirement benefits for firefighters. It creates a National Smoke Monitoring and Alert System to protect public health during wildfire events and requires payment for wildfire recovery programs within 90 days of application approval. These provisions directly affect federal firefighters, wildfire response organizations, and communities in wildfire-prone areas. The bill also includes mechanisms for workforce development, casualty assistance, and data sharing to enhance wildfire management and public safety.

Maddy summaryThis bill establishes special base pay rates for wildland firefighters employed by the Forest Service or Department of the Interior, increasing their base pay by specific percentages (from 1.5% to 42%) based on their grade. It creates "incident response premium pay" at 450% of hourly rate for firefighters deployed to respond to qualifying wildfire incidents, with a yearly maximum of $9,000. The bill also provides for paid rest and recuperation leave following wildfire incident response. These provisions replace temporary pay increases that were previously authorized under other legislation and directly affect wildland firefighters who perform duties related to wildland fires.

Save America's Forgotten Equines Act of 2025 or the SAFE Act of 2025 This bill permanently prohibits the slaughter of equines (e.g., horses and mules) for human consumption. (Current law prohibits the slaughter of dogs and cats for human consumption. This bill extends the prohibition to equines.) Specifically, this bill prohibits a person from knowingly (1) slaughtering an equine for human consumption; or (2) shipping, transporting, possessing, purchasing, selling, or donating an equine to be slaughtered for human consumption or equine parts for human consumption. The bill subjects a violator to a fine. The bill applies to conduct in or affecting interstate or foreign commerce or within the special maritime and territorial jurisdiction of the United States. However, it does not apply to an activity carried out by an Indian for a religious ceremony. As background, in recent years, the appropriations acts have prohibited the Department of Agriculture (USDA) from using federal funds to inspect horses before they are slaughtered for human consumption. Therefore, there are currently no USDA-inspected horse slaughter facilities in the United States.

Maddy summaryHR 1417 establishes a new program within the U.S. Department of Agriculture to provide tailored technical assistance to rural health care facilities. The program directly supports facilities like hospitals, clinics, and health centers in rural areas by helping them identify operational needs, improve financial management, and access USDA loan and grant programs. Key provisions include prioritizing facilities in medically underserved areas or facing financial vulnerability, with a $2 million annual funding limit for fiscal years 2026-2030. The program requires annual reports on outcomes and effectiveness to Congress, focusing on preventing facility closures and strengthening rural health care delivery.