Rep. Maria Elvira Salazar

Maddy summaryThis bill would require Medicare to cover FDA-approved blood tests that screen for multiple cancers simultaneously (like breast, lung, or colorectal cancer) for beneficiaries. It directly affects Medicare recipients aged 65+ who could access these new screenings once per year, without prior authorization. The key provision adds "multi-cancer early detection screening tests" to Medicare's covered services under Part B, defining them as blood tests analyzing cell-free DNA, while maintaining existing coverage for standard screenings like mammograms. The bill does not change current coverage for individual cancer screenings but ensures Medicare keeps pace with new medical technology.

Maddy summaryThe HELLPP Act (HR 1634) amends Medicaid to recognize doctors of podiatric medicine (podiatrists) as physicians, enabling them to be reimbursed for services under Medicaid starting January 1, 2024. It also clarifies Medicare’s documentation requirements for therapeutic shoes for people with diabetes, mandating specific written certifications from a managing physician and a podiatrist to confirm medical necessity. These changes directly affect patients with foot conditions, especially those with diabetes, by improving access to podiatrist-provided care and coverage for therapeutic shoes. The bill includes a separate provision strengthening Medicaid program integrity through continuous levies on provider payments, but this does not alter patient coverage. All key provisions take effect on January 1, 2024.

Maddy summaryThis bill requires the Treasury Secretary to review 10 specific Chinese companies within 60 days to determine if they are responsible for or complicit in serious human rights abuses against Uyghurs and other Muslim groups in Xinjiang, or meet criteria under existing sanctions laws. If determined to meet these criteria, the companies - such as Hikvision, BGI Group, Tiandy Technologies, Alibaba, and ByteDance - would be added to a U.S. sanctions list blocking their assets. The Treasury must then report its findings to Congress, including the reasons for the determination, in an unclassified report with a potential classified annex. The bill directly affects these listed entities by subjecting them to potential U.S. financial sanctions.

Maddy summaryHR 589, the MAHSA Act, imposes U.S. sanctions on Iran's Supreme Leader, President, and affiliated entities responsible for human rights abuses and terrorism. It targets the Supreme Leader's Office, the President's cabinet, security forces involved in the crackdown following Mahsa Amini's death, and entities financing abuses. The bill requires the President to annually determine and apply existing sanctions - like property blocking and visa bans - against these individuals and entities. This directly affects Iran's top leadership and security apparatus, aiming to hold them accountable for abuses including the Morality Police's role in Amini's detention and the subsequent violent suppression of protests.

Maddy summaryHR 549, the Metastatic Breast Cancer Access to Care Act, removes waiting periods for disability and Medicare coverage for people diagnosed with metastatic breast cancer. Specifically, it amends Social Security Act sections to allow immediate eligibility for disability insurance benefits (eliminating the standard waiting period) and immediate Medicare coverage (waiving the 24-month waiting period) for these patients. The bill directly affects individuals with metastatic breast cancer who would otherwise face delays in accessing critical benefits. These changes apply to applications filed or benefits beginning after the bill's enactment date. The law makes no other policy changes beyond these specific eligibility adjustments.

Maddy summaryHR 7438 directs the U.S. Treasury to mint commemorative coins for the 2026 FIFA World Cup, including 100,000 $5 gold coins, 500,000 $1 silver coins, and 750,000 half-dollar coins. The coins will be sold to the public at face value plus surcharges ($35, $10, and $5 per coin, respectively), with all surcharge revenue paid to FWC2026 US, Inc. for U.S. soccer programs. These funds must support soccer initiatives, particularly in underserved communities and youth development, as specified in the bill. The coins are legal tender but will only be issued during 2026, with no net cost to the U.S. government.

Maddy summaryThis bill designates the U.S. Customs and Border Protection Air and Marine Operations Marine Unit at 101 Km 18.5 in Cabo Rojo, Puerto Rico, as the "Michel O. Maceda Marine Unit" to honor Marine Interdiction Agent Michel O. Maceda, who was mortally wounded during a 2022 drug interdiction operation. The bill ensures all future government documents, maps, and references will use this new name for the unit. It does not change policies, funding, or operations - only commemorates Agent Maceda's service and sacrifice.

Maddy summaryThis bill requires federal agencies to provide specific details when certifying that a new regulation won't significantly impact small businesses. Agencies must now include the number of affected small businesses (with industry codes), an estimate of compliance costs (as a percentage of revenue or similar measure), and a determination of whether the costs constitute a significant economic impact. It directly affects small businesses subject to federal regulations and the agencies creating those rules. The key change is adding mandatory transparency requirements to agency certifications under existing law.

Maddy summaryThis bill amends the Regulatory Flexibility Act to require federal agencies to more thoroughly assess how proposed regulations impact small businesses, including indirect costs on businesses that aren't directly regulated but are affected by the rules (e.g., suppliers or partners). It creates a new process allowing small businesses or their representatives to petition the Small Business Administration's Chief Counsel to review an agency's claim that a rule won't significantly affect small entities, with strict timelines for agency responses. If an agency fails to cooperate with this review, the final rule cannot apply to small businesses. Agencies must also publish regulatory guidance online for small businesses to comment on, ensuring greater transparency in rulemaking.

Maddy summaryHR 5349, the "Crucial Communism Teaching Act," requires the Victims of Communism Memorial Foundation to develop a high school curriculum and oral history resources about communism. The bill directs this foundation to create materials for social studies, history, and government classes that teach students: (1) communism caused over 100 million deaths worldwide, (2) communism and similar ideologies pose dangers to democracy, and (3) 1.5 billion people still live under communist systems. The curriculum must include comparative discussions of political ideologies and feature personal stories from individuals who experienced communist regimes. This bill directly affects high school students and educators in public schools by mandating specific content for civic education.