Rep. Brad Finstad

Maddy summaryThis bill creates a 4-year transitional coverage period for Medicare to automatically cover "breakthrough medical devices" - new FDA-prioritized devices approved after March 2021 - as "reasonable and necessary" for treatment. During this period, these devices qualify for additional payments under Medicare's hospital and outpatient payment systems without requiring separate approval. After the 4-year period, Medicare must develop regular coverage based on additional data, with automatic coverage for all approved uses if no action is taken within two years. The bill requires Medicare to assign unique codes for these devices within three months of FDA approval and to update payment systems regularly. It also includes special provisions for "specified breakthrough devices" that lack existing Medicare benefit categories, requiring reports on their impact and cost to Congress.

Maddy summaryThis bill allows Members of Congress to use Department of Veterans Affairs (VA) facilities for meetings with veterans who are their constituents. It requires the VA Secretary to create regulations within 90 days, ensuring spaces are visible, accessible during business hours, and rented at rates similar to standard office space in the area. The regulations prohibit campaigning, political discussions, photographing patients without consent, and meetings during the 60 days before federal elections. It directly affects veterans seeking congressional assistance and Members of Congress who can now hold constituent meetings at VA locations. The bill does not change VA benefits or services but streamlines access to representatives for veterans.

Maddy summaryThe Conservation Reinvestment Act provides $1.45 billion in 2025 for economic loss coverage to farmers, plus $1 billion for sales-based crops and $450 million for flat-rate crop payments, all funded through the Commodity Credit Corporation. It increases annual conservation funding under the Food Security Act to $700 million by 2031, requiring at least 30% of these funds to support practices that improve soil carbon or reduce emissions. The bill also allocates $10 million for dairy processing cost reporting, establishes a $7 billion contingency fund for 2028, and allows schools to serve organic or non-organic whole milk under lunch programs. These changes directly affect farmers, conservation programs, and school nutrition providers through specific funding mechanisms and updated eligibility rules.

Maddy summaryThe ELITE Vehicles Act (HR 10516) repeals three federal tax credits for electric vehicles: one for new clean vehicles (Section 30D), one for previously-owned clean vehicles (Section 25E), and one for commercial clean vehicles (Section 45W). It also removes tax credit eligibility for electric vehicle recharging infrastructure under Section 30C. These changes take effect 30 days after the bill’s enactment, eliminating tax benefits for individuals and businesses purchasing or contracting for eligible electric vehicles or charging equipment after that date. The bill directly affects consumers, dealers, and manufacturers who previously claimed these credits.

Maddy summaryHR 8784, the FREE Act, requires federal agencies to replace slow, discretionary permitting systems with a streamlined "permit by rule" process. Applicants would certify compliance with written requirements, and permits would automatically be approved within 30 days unless the agency proves non-compliance. Agencies must first report on all current permits and identify which could switch to this system, with a deadline of 240 days after enactment. This directly affects federal agencies managing permits and applicants seeking permits, aiming to reduce delays while maintaining enforcement for violations through audits and appeals.

Maddy summaryHR 7513, the Protecting America’s Seniors’ Access to Care Act, prohibits the Department of Health and Human Services from implementing or enforcing a proposed rule that would have set minimum staffing requirements for nursing homes and other long-term care facilities receiving Medicare or Medicaid funding. The bill specifically blocks the September 2023 proposed rule (88 Fed. Reg. 61352-61429) and any substantially similar rule. This directly affects long-term care facilities that rely on federal healthcare program payments. The key mechanism is a clear statutory prohibition preventing the rule from taking effect, without altering existing staffing standards or requirements.

Maddy summaryHR 2367, the Truck Parking Safety Improvement Act, creates a federal grant program to address commercial truck parking shortages on highways. It provides competitive grants (totaling $175M-$320M over three years) for projects like building new rest areas, expanding parking at ports or truck stops, or improving safety at existing facilities. The program requires all funded parking to be free, publicly accessible to all truck drivers, and maintained without user fees. This directly affects commercial truck drivers, motor carriers, and highway safety by aiming to improve parking access, reduce traffic congestion, and enhance safety on federal-aid highways.

Maddy summaryHR 3269, the Law Enforcement Innovate to De-Escalate Act, exempts specific less-than-lethal projectile devices from federal firearm taxes and National Firearms Act restrictions. The bill defines these devices as those firing projectiles at under 500 feet per second and designed not to cause death or serious injury. This directly affects law enforcement agencies using such devices and manufacturers producing them, by removing tax burdens and registration requirements. The key change is creating a clear legal exemption for these devices under federal law, streamlining their use for de-escalation purposes.

Maddy summaryThis bill creates a new Medicare payment model for emergency medical services (EMS) that allows coverage when ambulance providers deliver critical care on-site without transporting patients to a hospital. It directly affects Medicare beneficiaries receiving such on-site emergency care and ambulance providers who would previously not be reimbursed for non-transport services. The key provision requires Medicare to pay for these services at rates matching what would have been paid for transport, based on state protocols and emergency call responses, for a 5-year trial period. A report due 4 years after implementation will evaluate impacts on patient outcomes, system efficiency, and regional access.

Maddy summaryThe MOMS Act establishes a federal resource website called pregnancy.gov that will help pregnant and postpartum women find local services through a ZIP code-based search system. It creates grant programs to support nonprofit organizations providing services like medical care, housing assistance, and parenting support to pregnant women, while prohibiting organizations that provide or support abortion from receiving these funds. The bill also amends child support laws to allow enforcement of child support obligations for unborn children, beginning from the month of conception with the mother's consent. These provisions aim to improve access to prenatal and postnatal resources while maintaining a focus on supporting women and their families.