Rep. Earl L. "Buddy" Carter

Maddy summaryThe Catastrophic Specialty Hospital Act of 2025 establishes a new Medicare payment designation for long-term care hospitals specializing in spinal cord injury and acquired brain injury rehabilitation. To qualify, hospitals must meet strict criteria over three years, including 80% of discharges for these conditions, a full continuum of inpatient/outpatient care, minimum annual discharge thresholds (175+ for each condition), 30% out-of-state patients, and demonstrated neurorehabilitation research commitments. Designated hospitals would receive Medicare payments outside the standard long-term care hospital payment system, exempting them from existing billing rules. This directly affects eligible specialized hospitals and modifies Medicare’s payment structure for these specific facilities.

Maddy summaryHR 5580, the Charlie Kirk Commemorative Coin Act, authorizes the U.S. Mint to produce 400,000 $1 silver coins in 2026 to honor Charlie Kirk, founder of Turning Point USA, who died in 2025. The coins must feature Kirk's image on the obverse and "well done, good and faithful servant" on the reverse, with standard minting specifications. They will be sold at face value plus production costs to collectors, with no net cost to the government. This bill has no policy impact beyond commemoration; it affects only the U.S. Mint and coin collectors.

Maddy summaryHR 5552, the "Eliminate Shutdowns Act," would automatically continue federal funding for most government programs during a funding gap. If Congress fails to pass annual appropriations bills by the start of a fiscal year, the bill would automatically provide funding at the previous year's level for 14 days, extending in 14-day increments until a new funding bill is enacted. This applies to all federal programs except those specifically prohibited or covered by other laws, including maintaining current funding for entitlement programs like food assistance under the Food and Nutrition Act. The bill aims to prevent shutdowns by ensuring continuous operations without requiring new congressional action during the funding gap. It would take effect on September 30, 2025.

Maddy summaryHRES 719 is a House resolution honoring Charles "Charlie" James Kirk, the founder of Turning Point USA who was assassinated on September 10, 2025. The resolution condemns his assassination and all political violence, extends condolences to his family, and calls on Americans to reject violence while promoting civil discourse. It specifically recognizes Kirk's legacy as a defender of constitutional principles and his role in inspiring youth through free speech and faith-based civic engagement. As a commemorative resolution, it does not enact policy changes but formally expresses the House's stance on honoring his life and legacy.

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryHRES 742 is a ceremonial resolution recognizing the 250th anniversary of the U.S. Navy's founding on October 13, 1775, when the Continental Congress established the first U.S. naval force. It formally acknowledges the Navy's historical role in protecting American interests and its current global presence (over 290 ships, 3,700 aircraft, and 500,000 personnel). The resolution expresses appreciation for Navy personnel past and present and reaffirms congressional support for the Navy as a key element of national defense and global stability. As a commemorative resolution, it has no policy or funding impact - it serves only to honor the Navy's legacy.

Maddy summaryThis bill allocates $5 million annually (2026-2030) to states for collecting de-identified stillbirth data through existing health systems, including risk factor analysis. It also provides $1 million yearly to develop standardized guidelines for healthcare providers and public educational materials about stillbirths, requiring consultation with medical professionals, bereavement organizations, and affected families. The bill mandates that all data collection complies with privacy laws and requires the Department of Health and Human Services to publish a public report on stillbirth guidelines within five years. It directly affects state health departments, healthcare providers, and families experiencing stillbirth by improving data quality and access to resources.

Maddy summaryHR 5483, the Chloe Cole Act, prohibits health care professionals, hospitals, or clinics from providing certain gender-affirming treatments to minors under 18 that aim to alter their body to align with a gender identity different from their sex assigned at birth. This includes puberty blockers, sex hormones, and specific surgeries, unless the treatment falls under narrow exceptions like medically necessary care for disorders of sexual development, injuries, or detransition. The bill creates a private right for affected minors or their guardians to sue providers for damages in federal court, with strict liability for violations. It applies when interstate commerce is involved (e.g., payments, travel, communications) and sets a 25-year statute of limitations from the minor’s 18th birthday.

Maddy summaryThis bill ensures Medicare coverage for new medical devices designated as "breakthrough devices" during a 4-year period after FDA approval. To qualify, devices must meet specific criteria, including FDA priority review, clinical data from Medicare beneficiaries, and a safety review showing benefits outweigh risks. Medicare must finalize coverage decisions within 6 months of manufacturer applications and before the 4-year period ends. The law appropriates $10 million annually (2025-2030) for Medicare to administer this process.

Maddy summaryHRES 709 is a symbolic House resolution condemning the fictional September 10, 2025, assassination of Charlie Kirk, founder of Turning Point USA, and honoring his life and legacy. The resolution formally condemns the killing, expresses condolences to his family, praises first responders, and reaffirms the right to peaceful political assembly. It does not create new laws or policies but serves as a ceremonial statement by the House of Representatives. The resolution directly addresses the House's stance on this event and its commitment to protecting free speech, without affecting any specific individuals or groups through legislative action.