Rep. Gus M. Bilirakis

Maddy summaryThis bill updates the TRICARE Young Adult Program to make healthcare coverage more accessible for military dependents. It directly affects young adults (ages 21-26) who are children of active-duty service members, by eliminating a separate premium they previously paid for coverage. Key changes include removing an extra cost for young adults and adjusting eligibility rules to simplify enrollment. These amendments aim to reduce out-of-pocket expenses and streamline access to health insurance under the program.

Maddy summaryHJRES 111 is a joint resolution seeking congressional disapproval of a U.S. Fish and Wildlife Service rule on barred owl management. The rule, published in September 2024, outlined strategies to reduce barred owl populations to protect the endangered spotted owl. Under the Congressional Review Act, this resolution would nullify the rule, preventing its implementation. If enacted, the rule would have no legal effect, and the agency could not enforce the barred owl management strategy.

Maddy summaryThis bill creates a tax incentive for U.S. corporations to distribute company stock to employees. To qualify, corporations must have 500+ full-time U.S. employees, be U.S.-domiciled, and meet specific share distribution requirements (e.g., distributing at least 1% of shares to employees or maintaining a 5% "SHARE ratio" of shares granted). Eligible corporations receive a 3% reduction in corporate income tax and can deduct the fair market value of distributed stock. Employee stock received under these plans is excluded from taxable income, directly benefiting workers at qualifying companies while lowering tax liability for the corporations.

Maddy summaryHR 4710, the No Surprises Act Enforcement Act, increases penalties for health insurance plans and issuers that violate balance billing protections, which prevent surprise medical bills. The bill raises fines from $100 to $10,000 per violation for specific balance billing rule violations and adds a new penalty of three times the difference between initial payment and out-of-network rates for late payments after Independent Dispute Resolution decisions. It requires health plans and nonparticipating providers to make timely payments within 30 days of a payment determination, with interest accruing on late payments. The bill also establishes new transparency reporting requirements for the Secretary to submit regular reports to Congress about audits, enforcement actions, and penalties. These provisions directly affect health insurance issuers, group health plans, and nonparticipating healthcare providers.

Veterans' Assuring Critical Care Expansions to Support Servicemembers Act of 2025 or the Veterans' ACCESS Act of 2025 This bill addresses the administration of the Veterans Community Care Program (VCCP) and other Department of Veterans Affairs (VA) health care matters. Among other provisions regarding the VCCP, the bill establishes in statute access standards that determine when a veteran is eligible to receive non-VA care through the VCCP, requires the VA to notify veterans regarding their eligibility for care within two business days after the VA is aware the veteran is seeking care, and extends the deadline for the submittal of claims under the VCCP by health care entities and providers. The VA must address its mental health treatment programs by establishing a standardized screening process to determine whether a veteran satisfies criteria for priority or routine admission to a mental health residential rehabilitation treatment program or a program for residential care for mental health and substance abuse disorders, tracking the performance of medical facilities and Veterans Integrated Service Networks in meeting the requirements for mental health treatment screenings and timely admission to treatment programs under such screenings, and establishing an appeal process for when a veteran is denied admission to a covered treatment program or is accepted into a program but not offered bed placement in a timely manner. Additionally, the VA must establish an online self-service module for veterans to request and manage appointments, track referrals, and appeal and track decisions related to requests for care.

Maddy summaryHR 4606, the Ally’s Act, requires private health insurance plans (including employer-sponsored plans and individual coverage) to cover hearing implants and related services. It directly affects people with hearing loss who need cochlear implants, bone conduction devices, or external sound processors, as determined by a physician or audiologist. The bill mandates coverage for devices, maintenance, repairs, upgrades every 5 years, hearing assessments, surgery, and rehabilitation - without separate cost-sharing or stricter limits than other medical services. Insurers cannot deny coverage if a provider deems the service medically necessary. The law applies to all applicable health plans and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill establishes two grant programs to support construction and manufacturing apprenticeship colleges. It provides up to $500,000 per college for community outreach (e.g., connecting with high schools, rural businesses, and workforce boards) and student support services (e.g., academic advising, mental health resources, childcare). The grants target increasing enrollment and completion rates for underrepresented groups, including rural students, first-generation college students, and minorities. Funding of $5 million annually (2026-2030) requires colleges to report on program outcomes like retention rates and diversity metrics. The law directly affects apprenticeship colleges offering work-based training in construction and manufacturing fields.

Maddy summaryHR 4620 amends federal law to include rioting as a form of racketeering activity under Title 18, United States Code. This change would allow prosecutors to charge individuals who organize or participate in riots as part of a larger criminal enterprise under federal racketeering laws. The bill specifically targets coordinated riot activities linked to organized crime, not isolated or spontaneous protests.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.