Rep. Darin LaHood

Maddy summaryThe Essential Caregivers Act of 2024 requires nursing homes and similar facilities to allow residents to designate essential caregivers who provide emotional support or assistance with daily activities. During emergencies when regular visitation is restricted, facilities must permit at least one essential caregiver access to residents daily and cannot deny access without following specific procedures. Facilities may deny access for a maximum of 7 days during emergencies (or 14 days with state approval), and must provide a written explanation and appeal process if access is denied. The bill establishes a 48-hour appeal process for residents and caregivers to challenge denials, with facilities required to prove violations during appeals. This law applies to Medicare skilled nursing facilities, Medicaid nursing facilities, intermediate care facilities, and certain inpatient rehabilitation facilities.

Maddy summaryHR 7962 establishes the Indo-Pacific Trade Strategy Commission to develop a comprehensive U.S. trade strategy for the Indo-Pacific region. The bill requires the U.S. International Trade Commission to investigate how existing trade agreements (like RCEP) affect American exports, supply chains, and competitiveness, and mandates the Commission to hold public hearings and submit a report to Congress within 18 months. The Commission, composed of 12 experts in trade, supply chains, labor, or environmental policy, will focus on countering China's economic influence, promoting U.S. values, and strengthening supply chain resilience. This legislation directly affects U.S. businesses, workers, and economic strategy in the Indo-Pacific by creating a formal process to address gaps in current trade engagement.

Maddy summaryThis bill expands eligibility for certain tax-advantaged health accounts to cover medical expenses for parents. It amends the tax code to allow individuals to use funds from Health Savings Accounts (HSAs), Flexible Spending Accounts (FSAs), and Health Reimbursement Arrangements (HRAs) for qualified medical care of their parents or their spouse's parents - previously limited to immediate family members. The changes apply to expenses incurred after December 31, 2023, directly benefiting adult caregivers (like children supporting elderly parents) who use these accounts for parental healthcare costs. The bill makes no new funding commitments but adjusts existing account rules to reduce out-of-pocket costs for caregivers.

Maddy summaryThe EASE Act of 2024 requires the Centers for Medicare & Medicaid Services (CMS) to test a new model improving access to specialty health care for Medicare and Medicaid beneficiaries in rural or underserved areas. It mandates CMS to partner with selected provider networks - comprising at least 50 community health clinics, nonprofits with proven community health work, and commitment to research - to deliver specialty care via telehealth and remote technology, coordinated with patients’ primary care providers. This model directly affects Medicare Part A/B beneficiaries and Medicaid enrollees living in designated underserved regions. The bill establishes specific criteria for network selection and defines "eligible individuals" based on coverage type and geographic location.

Maddy summaryThis bill amends the Trade Act of 1974 to update criteria the U.S. government uses when designating countries for trade purposes. It adds new requirements for the President (via the U.S. Trade Representative) to assess whether a country restricts digital trade in ways harming U.S. development goals or competitiveness. The bill also mandates evaluating countries based on whether they avoid digital trade barriers (like data localization rules or forced source code disclosure) and support consumer protections and open digital ecosystems. This directly affects how the U.S. government evaluates foreign digital trade policies in trade negotiations and designations.

Maddy summaryThe Preserving Seniors’ Access to Physicians Act of 2023 increases the Medicare payment adjustment rate for physicians from 1.25% to 4.62%, directly affecting doctors who treat Medicare patients (primarily seniors). It also reduces the funding for the Medicaid improvement fund from $5,796,117,810 to $3,973,117,810. These changes impact Medicare providers and Medicaid programs, with the Medicare adjustment aimed at supporting physicians adjusting to payment changes. The bill does not specify how the Medicaid funding reduction relates to its stated goal of preserving seniors' access to physicians.

Maddy summaryThis bill updates the "competitive need limitation" for duty-free imports from beneficiary developing countries under the Trade Act of 1974. It increases the annual cap for eligible imports from $75 million to $600 million and changes how the limit is calculated to count only duty-free entries during a calendar year. The President must restore duty-free treatment for most eligible articles within 120 days of the bill's enactment, with a one-year review period for sensitive products requiring continued withholding. The bill also requires a report to Congress within one year detailing restored and withheld duty-free treatments. This directly affects importers of goods from designated developing countries eligible for trade benefits.

Maddy summaryThis bill requires Medicare to use the most recent, accurate data when calculating geographic payment adjustments for physicians, directly affecting doctors who treat Medicare patients. It specifically mandates using current physician wage data instead of non-physician wage data as a proxy, and requires updated office rent or health center expense data for practice cost calculations. The bill also establishes minimum payment floors for 2024 and beyond, preventing budget-neutral reductions in physician reimbursement rates. These changes aim to better reflect current costs for delivering care in different areas.

Maddy summaryThis bill amends tax code rules to allow married individuals to contribute to their own health flexible spending account (FSA) even if their spouse already has an FSA. It permits these contributions provided the combined reimbursements for both spouses do not exceed the total eligible expenses that would apply if the spouse's account didn't exist. The change applies to health savings plans starting in 2024, affecting married taxpayers with dual FSA coverage. It clarifies the reimbursement limits without creating new benefits or altering existing FSA structures.

Maddy summaryThe Preserving Access to Home Health Act of 2023 repeals a 2018 payment adjustment for Medicare home health agencies, restoring prior payment rates for 2024 and subsequent years. It requires the Medicare Payment Advisory Commission (MedPAC) to analyze how home health agencies' financial performance affects access to care, including reviewing spending and utilization data across Medicare, Medicaid, and other payers. Starting in 2025, the bill mandates home health agencies to report detailed data on visit volumes and payments by payer source (Medicare, Medicaid, private insurers) through updated cost reports. This data will help MedPAC assess payment policy impacts on access to home health services for Medicare beneficiaries.