Rep. Gabe Evans

Maddy summaryHR 2314, the FAIR Act, requires hospitals participating in Medicare-funded residency programs to annually report data on applicants and acceptances from both osteopathic (DO) and allopathic (MD) medical schools. Hospitals must publicly affirm they consider applicants from both pathways equally and accept scores from either the COMLEX (for DOs) or USMLE (for MDs) exams. Non-compliant hospitals face a 2% reduction in Medicare payments starting in 2026 for each prior year of non-reporting. The bill directly affects hospitals receiving Medicare residency funding, aiming to increase transparency in admissions without mandating specific acceptance rates or federal oversight of medical education.

Maddy summaryThis bill requires states to verify that Medicaid providers and suppliers are not deceased during enrollment and at least quarterly while enrolled. Starting January 1, 2027, states must check the federal Death Master File (a government database of deceased individuals) as part of provider onboarding and revalidation. The law directly affects all entities billing Medicaid for services, aiming to prevent fraud where deceased individuals' identities might be used. It creates a concrete, ongoing screening mechanism to ensure only active providers participate in the program.

Maddy summaryHRES 227 is a non-binding resolution expressing the House of Representatives' support for designating March 18, 2025, as "National Agriculture Day" to honor agriculture's role as a vital U.S. industry. It does not create new laws, allocate funds, or impose requirements on any group. The resolution serves as a symbolic gesture to highlight agriculture's economic impact and contributions to the nation. As a procedural resolution, it has no direct policy effect beyond raising awareness.

Maddy summaryThe Innovative FEED Act of 2025 establishes a new regulatory category for "zootechnical animal food substances" - additives in animal feed that affect digestive byproducts, reduce foodborne pathogens, or alter an animal's gut microbiome without providing nutrition. These substances would be regulated as food additives (not drugs) under the Federal Food, Drug, and Cosmetic Act, requiring manufacturers to submit specific safety and efficacy data for approval. The bill mandates labeling stating "Not for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in animals" and allows optional claims about intended effects on animal body function. It explicitly excludes existing drugs, hormones, ionophores, and other substances from this category, ensuring no mandatory use of these additives.

Maddy summaryThis bill modifies Medicare's physician self-referral rules to improve access for rural communities. It creates a new exemption for "covered rural hospitals" (defined as facilities in rural areas more than 35 miles from another hospital or critical access hospital) from certain restrictions on physicians owning hospitals. The bill also removes a prohibition on expanding existing physician-owned hospitals, allowing such expansions after the law's enactment. These changes directly affect rural hospitals seeking Medicare participation and physicians who own or operate hospitals in underserved areas.

Maddy summaryHJRES 35 is a congressional resolution disapproving an Environmental Protection Agency (EPA) rule that established procedures for emissions charges on petroleum and natural gas systems. Specifically, it targets the EPA’s November 2024 rule titled "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions," which would have required companies to pay fees based on emissions. The resolution, passed by both chambers in February 2025, nullifies the rule, preventing it from taking effect. This directly affects oil and gas companies subject to the EPA’s emissions regulations, removing a specific compliance mechanism they would have faced.

Radiation Oncology Case Rate Value Based Program Act of 2025 or the ROCR Value Based Program Act This bill establishes a specialized payment program under Medicare for providers and suppliers of radiation oncology services.  Specifically, the Centers for Medicare & Medicaid Services (CMS) must establish a program under which radiation therapy providers (i.e., hospital outpatient departments) and suppliers (i.e., physician group practices and freestanding radiation therapy centers) receive payments for each episode of care provided to individuals with specified types of cancer. An episode of care  means the period beginning on the day radiation therapy planning is furnished to the individual and ending (1) for individuals with bone or brain metastases, 30 days later; and (2) for individuals with other cancer types, 90 days later. Participation in the program is mandatory for providers and suppliers that participate in Medicare, unless the provider or supplier is part of a state-based Center for Medicare & Medicaid Innovation model or qualifies for a significant hardship exemption. The CMS must set payment rates for the program based on national payment rates with specified adjustments (e.g., geographic adjustments). Providers and suppliers who provide certain transportation services for individuals under their care may receive an additional payment. Providers and suppliers must be accredited in accordance with certain standards, subject to payment reductions. The Government Accountability Office must report on (1) implementation of the program, and (2) underserved areas that are in need of more or newer radiation therapy resources.

Maddy summaryHR 2168, the BO’s Act, requires the Secretary of Health and Human Services to study home cardiorespiratory monitors used for infants. The study must assess the monitors' effectiveness in tracking heart rate and oxygen levels, evaluate new care models for safe infant sleep environments, and examine health insurance coverage criteria. A report on these findings must be submitted to Congress within one year of the bill’s enactment. This bill does not change current policy but aims to inform future decisions about monitor coverage and infant safety practices, directly affecting parents, healthcare providers, and insurers.

Maddy summaryHR 2092, the SPEAK Act of 2025, requires the Health and Human Services Secretary to create guidance for healthcare entities within one year of enactment. This guidance focuses on improving telehealth access for people with limited English proficiency, directly affecting health IT companies, hospitals, insurers, language service providers, and interpreters. Key provisions include best practices for using interpreters during video appointments, providing multilingual patient materials (like appointment reminders and prescriptions), and making digital health portals accessible. The bill aims to standardize language access in telehealth services without changing existing laws.

Homes for Every Local Protector, Educator, and Responder Act of 2025 or the HELPER Act of 2025 This bill establishes a program administered by the Department of Housing and Urban Development to provide mortgage assistance to law enforcement officers, elementary and secondary school teachers, firefighters, or other first responders. Specifically, these individuals may be eligible for a first-time mortgage on a primary family residence with no down payment. Instead, the mortgage is subject to a one-time, up-front mortgage insurance premium.