Rep. Shri Thanedar

Maddy summaryThis bill limits how many Medicare Advantage (MA) plans a single organization can offer under Medicare contracts. It prohibits the Medicare program from contracting with an MA organization for more than three plans in a single year, and requires that if an organization offers multiple plans, each must be meaningfully different in premiums, benefits, or out-of-pocket costs. The rule applies to new or renewed contracts starting one year after the bill becomes law. It directly affects MA plan providers and Medicare's contracting process, aiming to reduce plan complexity for beneficiaries.

Maddy summaryThe CLEANER Act of 2025 requires the EPA to evaluate within one year whether drilling fluids, produced waters, and other wastes from oil, gas, and geothermal operations qualify as hazardous waste under federal law. If determined hazardous, the EPA must list these wastes and create tailored regulations for their handling, while also setting new safety standards for facilities managing non-hazardous waste from these sources. Key provisions include mandatory groundwater monitoring, location criteria for waste facilities, and financial assurance requirements to protect public health and the environment. This bill directly affects oil and gas producers, waste management facilities, and geothermal energy operations by imposing new regulatory obligations on their waste streams.

Maddy summaryThis bill requires Medicare Advantage (MA) plan advertisements to disclose specific data about prior authorization denials. Starting one year after enactment, ads must include the number of denied prior authorization requests, how many were later approved after reconsideration, and the average time between denial and approval. These disclosures must cover the most recent plan year before the ad is published, using both verbal and visual methods where possible. The policy directly affects MA plan marketers and beneficiaries who view these advertisements, aiming to provide clearer information about plan coverage experiences.

Maddy summaryThis bill requires oil and gas companies conducting hydraulic fracturing operations to disclose detailed chemical ingredients before starting and within 30 days after completing operations. Companies must provide full chemical names, CAS numbers, safety data sheets, and volumes to state or federal authorities, who then make this information publicly available online. The bill includes an exception allowing immediate disclosure of proprietary chemical formulas during medical emergencies, though companies can later request confidentiality agreements. It directly affects fracking operators in oil, gas, and geothermal production, amending the Safe Drinking Water Act to mandate transparency while maintaining trade secret protections outside emergency situations.

Maddy summaryHR 6108 requires the federal government to automatically exclude from all federal health care programs anyone convicted of specific fraud-related crimes after a one-year implementation period. It targets convictions for health care fraud, theft, or financial misconduct in health care delivery or government programs (including non-health care programs funded by government). The bill mandates this exclusion without requiring additional administrative action by the Secretary. This directly affects health care providers and organizations found guilty of such offenses, barring them from participating in programs like Medicare or Medicaid.

Maddy summaryThis bill (HR 6110) requires Medicare Advantage plans to automatically reconsider coverage denials without needing an enrollee to request it. It directly affects Medicare Advantage beneficiaries whose initial coverage requests are denied. The key change amends existing law to eliminate the requirement for patients to submit a separate request for reconsideration, instead mandating that plans proactively review these denials. This streamlines the process for enrollees facing coverage rejections under their Medicare Advantage plan.

Maddy summaryThe Biomanufacturing Excellence Act of 2025 establishes a National Biopharmaceutical Manufacturing Center of Excellence under the National Institute of Standards and Technology (NIST). It authorizes $120 million in funding for fiscal year 2026 to competitively award a grant to eligible entities - such as public-private partnerships, universities, or consortia - to create this center. The center will advance biopharmaceutical manufacturing technology, strengthen U.S. supply chains for medicines, and develop workforce training programs, with a focus on products critical to national security, health, and economic security. It requires annual progress reports to Congress and mandates the center to collaborate with manufacturers, research institutions, and educational partners to scale innovative production methods.

Maddy summaryHR 6114 prohibits using federal funds from previous appropriations to the Department of Health and Human Services for any activity that automatically enrolls Medicare beneficiaries in Medicare Advantage (MA) plans without their active choice. Specifically, it blocks the use of these funds to implement a system where individuals who fail to select a plan are deemed enrolled in MA by default. This directly affects Medicare beneficiaries who might otherwise be automatically enrolled in MA plans without actively choosing them. The bill’s key mechanism is a funding restriction that prevents HHS from using appropriated money to operate this default enrollment process under Medicare Part C. The policy change ensures beneficiaries must actively elect an MA plan to enroll, rather than being enrolled automatically.

Maddy summaryThis bill requires Medicare Advantage plans to have average monthly payments from the government that don't exceed the average cost of original Medicare (Parts A and B) for the same year. If a plan's payments exceed this cost, the government cannot allow new enrollments or re-enrollments in that plan for the following year. It directly affects Medicare Advantage plans and their enrollees, creating a financial check on plan pricing. An exception applies to specialized Medicare Advantage plans designed for individuals with specific health needs. The provision takes effect one year after the bill's enactment.

Maddy summaryHR 6092, the Constitutional Accountability Act, amends Section 1983 of federal law (42 U.S.C. 1983) to expand liability for constitutional violations by law enforcement. It directly affects local governments, police departments, and private entities contracting with law enforcement by removing the current barrier that requires proving a "municipal policy" under the *Monell* doctrine. The bill makes these entities liable for officers' actions - similar to how private employers are held responsible for employees - without needing to show policy or custom, and waives state sovereign immunity under the 14th Amendment. This change aims to strengthen accountability for police misconduct by enabling lawsuits against the employing entity itself.