Rep. Barry Loudermilk

Maddy summaryThis bill adds Medicare coverage for multi-cancer early detection screening tests (blood or biological tests analyzing cell-free DNA) starting January 1, 2028. It directly affects Medicare beneficiaries aged 68 and older (starting in 2028, with the age limit increasing by 1 year annually), requiring tests to be FDA-cleared and deemed reasonable/necessary by the Secretary for early cancer detection across multiple organ sites. Payment will initially match current stool DNA test rates before 2031, then shift to a lower rate or new payment system after 2031, with limits preventing more than one test per year. The bill explicitly states it does not alter coverage for existing cancer screenings like breast, colorectal, or prostate cancer tests.

Maddy summaryThis bill would require all states to recognize valid concealed carry permits issued by other states, allowing permit holders to carry concealed handguns (excluding machine guns) in any state that either issues such permits or doesn't prohibit concealed carry. It directly affects law-abiding gun owners with valid permits from their home state, ensuring they can carry in states with similar permit systems or no prohibitions. Key provisions include treating valid permit documents as proof of legal carry (reducing officer stops), shifting the burden of proof to prosecutors if challenged, and allowing civil lawsuits for violations with attorney's fee awards. The bill does not override state laws restricting firearms on private property or government land, nor does it affect federal gun restrictions like those in section 922(q).

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 summaryH.J.Res. 127 proposes a constitutional amendment to establish parental rights regarding children's upbringing, education, and care as a fundamental right. It would guarantee parents the right to choose private, religious, or home schooling instead of public school, or make reasonable choices within public schools for their children. The amendment would require the government to demonstrate a "highest order" interest to limit these rights, and explicitly prohibits denying these rights based on disability. This proposal, if ratified by 38 states, would amend the U.S. Constitution but is not yet law.

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 summaryHR 5520, the Portal for Appraisal Licensing Act of 2025, creates a central online portal for appraisers and appraisal management companies (AMCs) to submit and renew licenses, certifications, and registrations. The portal will connect state licensing agencies, handle background checks through the FBI, process fees, and store education records, while allowing states to maintain final authority over licensing decisions. It requires appraisers and AMCs to use the portal for applications, background checks, and payments, with states retaining control over their own licensing standards. The bill also establishes an advisory committee and allows user fees to cover portal costs, ensuring no additional burden on states.

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 744 is a non-binding House resolution supporting the designation of September 21-27, 2025, as "Gold Star Families Remembrance Week." It honors families who lost members in military service (Gold Star Families) and families of veterans, recognizing their sacrifices. The resolution encourages Americans to observe the week through community service and by celebrating the lives of those who died defending the U.S. It does not create new laws or policies but formally recognizes these families annually. This is a commemorative measure, not a legislative change.

Maddy summaryThis federal bill requires abortion providers to inform patients about potential reversal of mifepristone-based chemical abortions (the two-drug process) at least 24 hours before the procedure. After the first drug is dispensed, providers must give written instructions stating that reversal may be possible if the second pill hasn't been taken. Facilities must post visible signs about reversal options, and the government must maintain a website with reversal resources. Violations allow affected patients or family members to sue for damages.

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.