Rep. Darin LaHood

Maddy summaryThis bill, the Provider Reimbursement Stability Act of 2026, aims to create more predictable payment adjustments for physicians and other healthcare providers under the Medicare program. It directly affects medical practices and providers who receive reimbursement for services through the physician fee schedule. The legislation increases a threshold for certain budget neutrality calculations from $20 million to $54.3 million in 2027, with automatic increases every five years thereafter. It also requires the government to correct payment estimates when actual service usage differs significantly from projections, mandates regular updates to cost calculations for practice expenses, and limits how much Medicare payment rates can change from year to year to a maximum of 2.5 percent.

Maddy summaryThis bill would add pharmacist services to Medicare Part B coverage for beneficiaries, specifically covering pharmacist-led testing and treatment for illnesses like flu, COVID-19, or strep throat during public health emergencies. It defines covered services as those performed under state law, often requiring collaboration with a physician, and sets payment at 80% of the lesser of the actual charge or 85% of physician payment rates. Pharmacists would be prohibited from balance billing for these services, ensuring Medicare beneficiaries pay only their standard copayment. The changes would take effect January 1, 2026.

Maddy summaryThe Smithsonian American Women’s History Museum Act authorizes the creation of a new Smithsonian museum dedicated to women’s history, to be located within the National Mall Reserve in Washington, D.C. If the site is managed by another federal agency, the bill requires that agency to transfer the land after notifying Congress and relevant committees. The museum must ensure exhibits and programs accurately represent diverse women’s experiences by consulting a broad range of experts and community voices. The Smithsonian will submit biennial reports to Congress detailing how the museum meets these representation standards.

Maddy summaryThe Dietary Supplements Access Act allows individuals to use funds from specific tax-advantaged health accounts to purchase dietary supplements without paying income taxes on those withdrawals. This legislation directly affects holders of Health Savings Accounts, Archer Medical Savings Accounts, and Health Flexible Spending Arrangements by permitting up to $500 per year in tax-free spending on these products, with a lower limit of $250 for married couples filing separately. The bill explicitly defines dietary supplements according to federal law but excludes energy drinks, soft drinks, and sodas from this benefit. These tax advantages will only become effective for expenses incurred after December 31, 2025.

Maddy summaryHR 7432, the Foster Youth Housing Opportunity Act, improves housing access for foster youth aged 18 to 26 who are aging out of care. It amends federal law to explicitly include "access to housing" in support services, allowing states to use existing funds for housing-related supportive services like financial counseling, lease assistance, and help with security deposits. The bill also requires the Health and Human Services and Housing and Urban Development departments to create joint guidance within a year to coordinate housing programs and child welfare services. States must report to Congress within three years on outcomes like stable housing rates and homelessness reduction for these youth. The law takes effect one year after enactment.

Maddy summaryThe Rural MOMS Act of 2026 modifies how Medicare counts hospital beds, specifically excluding labor and delivery rooms from the total number of acute care inpatient beds used to determine if a facility qualifies as a Critical Access Hospital. This change directly affects rural hospitals that provide maternity services by altering the financial thresholds required to maintain their special status under the Medicare program. By removing delivery rooms from the bed count calculation, the bill aims to prevent these facilities from losing their designation solely because they offer childbirth care. The legislation does not change how these hospitals are funded or operated, but rather adjusts the metric used to evaluate their eligibility for critical access benefits.

Nationwide Consumer and Fuel Retailer Choice Act of 2025 This bill amends the Clean Air Act to address the limitations on Reid Vapor Pressure (a measure of gasoline's volatility) that are placed on gasoline during the summer ozone season. Specifically, the bill applies the waiver for Reid Vapor Pressure requirements that is applicable to gasoline blended with 10% ethanol (E10) to gasoline blended with up to 15% ethanol (E15). This change allows gasoline that is blended with 10% to 15% ethanol to be sold year-round. Currently, states may be excluded from the waiver for Reid Vapor Pressure requirements by submitting documentation supporting that the waiver would increase air pollution. The bill nullifies existing state exclusions, but states may submit documentation after enactment of the bill to be excluded going forward. The bill also modifies the Renewable Fuel Standard Program, which requires transportation fuel sold or introduced into commerce in the United States to contain minimum volumes of renewable fuel. Under the existing program, obligated parties, such as small refineries, must satisfy the volume obligations by either blending renewable fuels into their gasoline or diesel fuel products or by acquiring credits that represent the required renewable fuel volume. The bill directs the Environmental Protection Agency to return compliance credits to small refineries under certain circumstances.

Maddy summaryThe Fresh Starts for Foster Youth Act amends the John H. Chafee Foster Care Program to require states to provide legal counseling access for youth aging out of foster care, directly affecting current and former foster youth aged 18-21 transitioning to adulthood. Key provisions mandate that states certify their case planning processes address legal barriers impacting housing, education, employment, and family connections - such as court records, custody issues, and family relationship recognition. This ensures foster care systems proactively help youth navigate legal challenges during their transition to independence. The law applies to state plans approved one year after enactment, requiring states to integrate legal support into their transition services. It does not change funding but adds specific requirements for how states must address legal obstacles for foster youth.

Maddy summaryThis bill expands Medicaid coverage to include services in assisted living facilities for individuals who currently require hospital or nursing home care, provided they meet state income and resource limits. It also modifies the Low-Income Housing Tax Credit to give priority funding to projects that help reduce long-term medical costs for the elderly by offering care in non-institutional settings. Both changes are scheduled to take effect on January 1, 2027, allowing states time to update their laws and plans to comply with the new requirements.

Maddy summaryHR 2424, the Modern, Clean, and Safe Trucks Act of 2025, repeals a 12% federal excise tax on new heavy trucks, tractors, and trailers. This tax currently adds significant costs - $7,000+ for trailers, $20,000+ for clean diesel trucks, and up to $50,000 for advanced technology trucks - discouraging replacement of older, less efficient vehicles. The bill directly affects truck manufacturers, dealers, and fleet operators by removing this cost barrier, making newer, cleaner models more affordable. It aims to accelerate the adoption of modern trucks with improved safety and environmental features, particularly benefiting electric and alternative-fuel vehicles that face higher upfront costs.