Rep. Bill Huizenga

Maddy summaryThis bill requires Congress to approve major federal regulations before they take effect. It would mandate that agencies submit detailed reports including cost-benefit analyses, economic impact assessments, and other information to Congress before implementing significant regulations. Major rules - defined as those with at least $100 million annual economic impact or significant effects on costs, competition, or employment - would need a joint resolution of approval from Congress within 70 session days. Nonmajor rules would follow a less stringent disapproval process. The bill aims to increase legislative oversight of the regulatory process, requiring Congress to formally review and approve rules that significantly impact the economy or public regulations.

Maddy summaryThis bill, HR 1097 (Everett Alvarez, Jr. Congressional Gold Medal Act of 2023), authorizes the award of a Congressional Gold Medal to Everett Alvarez, Jr., in recognition of his service as a U.S. Navy pilot and Vietnam War prisoner of war. It directly honors Alvarez, who was the first U.S. pilot shot down in the Vietnam War, spent over 8.5 years in captivity, and later served in the Peace Corps and Veterans Administration. The bill’s key mechanism is directing the U.S. Mint to strike a gold medal bearing his name and image, with bronze duplicates available for sale to cover costs. It does not create new policies or affect any group beyond the honoree.

Maddy summaryThis bill requires federal financial regulators to coordinate with state insurance regulators before collecting data from insurance companies, ensuring they first check if the data is already available through state agencies or public sources. It strengthens confidentiality protections by preventing the sharing of nonpublic data with federal regulators from waiving existing privacy rights under federal or state law. Insurance companies and state regulators are directly affected, as the law governs how data is shared between federal financial regulators and state agencies. The bill modifies existing rules to streamline data collection while maintaining privacy safeguards.

Maddy summaryHR 5409, the Safeguarding American Farms from Foreign Influence Act, requires the Committee on Foreign Investment (CFIUS) to review certain foreign purchases of U.S. farmland within 30 days. It applies to transactions where a foreign person (not from an exempt country) acquires agricultural land and must be reported under the 1978 Agricultural Foreign Investment Disclosure Act. The Committee must determine if the transaction is "covered" and whether to initiate a full review. This directly affects foreign buyers of U.S. farmland and landowners selling to them. The bill adds a federal review step for specific transactions already subject to reporting, without changing who may legally purchase farmland.

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 summaryThis bill extends telehealth flexibilities for hospice care recertifications through 2026 (instead of 2024), allowing providers to use telehealth for reconfirming patient eligibility. It includes exceptions for areas with hospice enrollment moratoriums, providers under enhanced oversight, or telehealth visits by unenrolled physicians/nurse practitioners. After 2026, providers must use specific codes or modifiers in claims to indicate telehealth visits were used for recertification. The bill directly affects hospice providers and patients receiving hospice care, ensuring continued access to telehealth for eligibility checks under Medicare.

Maddy summaryHR 7652, the Oversight of Medicare Billing Code Cost Act, requires the HHS Inspector General to study how Medicare adds, modifies, and removes billing codes used by healthcare providers to bill for services. The study will analyze data sources, trends in code changes, high-growth specialties, and CMS's monitoring of cost and outcome impacts. Within one year of enactment, the Inspector General must report findings and recommendations to Congress. Additionally, starting in 2024, HHS must annually publish reports listing new Medicare billing codes and their associated costs and usage volumes on its public website.

Maddy summaryThe Maximum Pressure Act (HR 6114) is a legislative proposal that would maintain and expand U.S. sanctions against Iran. The bill would codify existing sanctions, require Iran to meet 12 specific conditions before sanctions could be lifted (including ending support for terrorism, releasing hostages, and ending nuclear enrichment), and expand sanctions on Iran's Revolutionary Guard Corps and missile programs. It also establishes new reporting requirements for the U.S. government to monitor Iran's activities and the impact of sanctions. The legislation would require congressional review before any sanctions could be lifted or modified, preventing the executive branch from unilaterally easing restrictions.

Maddy summaryThe Revoke Iranian Funding Act of 2023 would cancel all existing U.S. licenses and exemptions allowing funds to be released to Iran for humanitarian purposes, including a $6 billion transfer from South Korea. It also rescinds a specific waiver issued in September 2023 that permitted such transfers. The bill requires the Treasury to submit a 30-day report to Congress detailing Iranian assets blocked by the U.S. and current sanctions exemptions related to Iran. This legislation directly restricts U.S. financial access for Iran and its designated entities, aiming to prevent funds from being diverted to support terrorism.

Maddy summaryThis bill eliminates a 190-day lifetime limit on inpatient psychiatric hospital services covered by Medicare. It directly affects Medicare beneficiaries requiring long-term inpatient mental health treatment, allowing them access to necessary care without the previous cap. The key provision amends Section 1812 of the Social Security Act to remove the lifetime limit, effective January 1, 2025. This change ensures continuous coverage for psychiatric hospital stays as needed, rather than restricting access after a set number of days.