Rep. Betty McCollum

Maddy summaryThis bill (HR 1753) ensures 310+ female service members who served in specialized cultural support teams (2010-2021, identified by skill codes R2J/5DK) receive proper military records and veterans benefits. It requires the military to include this service in personnel records and count it as combat service for disability claims. Veterans denied benefits for injuries from this service can now file supplemental claims within three years of enactment, with claims treated as if filed on their original claim date. The bill also mandates VA outreach to inform affected veterans and families about this new process.

Maddy summaryHR 9152, the "SCHOOL Professionals Act of 2024," clarifies that contractors primarily providing operations or logistics services to educational organizations must be treated like direct employees for health coverage purposes under federal tax law. This means educational institutions using such contractors must determine if these workers qualify as "full-time" for health insurance requirements, similar to their own employees. The bill directly affects schools and colleges that rely on external contractors for facility or support services, requiring them to apply the same full-time employee rules to these contractors when assessing health coverage obligations. The rule change applies to months beginning after the bill's enactment date.

Maddy summaryThe Pharmacists Fight Back Act (HR 9096) sets new rules for Pharmacy Benefits Managers (PBMs) working with federal health care programs like Medicare Part D and Medicaid. It requires PBMs to reimburse in-network pharmacies at a rate covering the drug's actual cost plus a small fee (capped at $25), and to reduce patient cost-sharing by at least 80% of rebates received from drug manufacturers. The bill bans PBMs from steering patients to specific pharmacies, charging patients more than pharmacies are paid, or using rebates to lower pharmacy payments after claims are processed. It also mandates public reporting of drug pricing data to improve transparency, ensuring patients and pharmacies receive fairer treatment under federal health programs.

Maddy summaryHR 8796, the "Stop Comstock Act," removes outdated restrictions from federal law that previously banned the distribution of materials related to contraception and abortion as "obscene" or "indecent." The bill amends Title 18 and the Tariff Act by deleting references to "indecent," "immoral," "unlawful abortion," and "procuring abortion" from provisions governing obscene materials. It clarifies that the law only prohibits "obscene materials" in commerce, eliminating broad restrictions on reproductive health information. This directly affects internet platforms, healthcare providers, and individuals sharing reproductive health resources by removing legal barriers to their distribution.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2027 and publish detailed data on their approval and denial rates for medical services by 2026. It directly affects Medicare Advantage plans (private insurers offering Medicare coverage) and their enrollees (seniors 65+), mandating transparency about prior authorization decisions, processing times, and appeal outcomes. Key provisions include requiring plans to report annual statistics on request approvals/denials, average processing times, and use of technology, with this data published publicly by the Centers for Medicare & Medicaid Services. The bill also sets timelines for plan responses to prior authorization requests and mandates reports to Congress on implementation and impacts.

Maddy summaryThe End Polluter Welfare Act of 2024 eliminates numerous subsidies and tax benefits for fossil fuel companies by repealing provisions that provide royalty relief, reducing royalty rates, and ending tax incentives for oil, natural gas, and coal production. The bill prohibits federal funding for fossil fuel projects by restricting international financial institutions, the Export-Import Bank, and the Department of Transportation from supporting fossil fuel infrastructure. It also repeals recent legislation that provided fossil fuel subsidies, including parts of the Fiscal Responsibility Act and Inflation Reduction Act. This comprehensive approach directly affects oil, gas, and coal producers by removing financial benefits that have historically supported the fossil fuel industry, while directing studies to identify and eliminate additional fossil fuel subsidies.

Maddy summaryHR 8390, the Mental Health and MAMA Act of 2024, eliminates cost-sharing (like copays or deductibles) for mental health and substance use disorder services during pregnancy and for one year after birth. It applies to people enrolled in group health plans, individual insurance, or federal employee health plans, covering services provided by in-network providers. The bill requires insurers to waive these costs starting two years after enactment, explicitly including telehealth services. It specifically targets care for pregnant and postpartum individuals, ensuring coverage from pregnancy diagnosis through the 12 months following birth.

Maddy summaryThe HEAR Act of 2024 would require Medicare to cover hearing rehabilitation services and hearing aids for eligible beneficiaries. It defines hearing rehabilitation to include assessments, counseling, and fitting of hearing aids, while defining hearing aids as FDA-approved devices (excluding over-the-counter options). Coverage applies to Medicare beneficiaries with hearing loss who have not received hearing aids in the past three years and whose hearing has deteriorated, as confirmed by a comprehensive assessment. The bill amends Medicare to include these services as standard benefits, removing prior exclusions that previously limited coverage. This policy change directly affects older adults and people with disabilities who rely on Medicare for hearing care.

Maddy summaryThe State Public Option Act creates a new Medicaid buy-in program allowing individuals without other health insurance to purchase coverage starting January 1, 2025. This program limits premiums to 8.5% of household income and requires states to cover comprehensive sexual and reproductive health services, including abortion, beginning in 2025. The bill also establishes how Affordable Care Act premium tax credits apply to this coverage and includes provisions for quality measures and payment rates for primary care services under Medicaid.

Maddy summaryThis bill clarifies that Medicare must cover fully implanted active middle ear hearing devices as prosthetics, not as hearing aids. It requires the Centers for Medicare & Medicaid Services (CMS) to update its rules within 60 days of the bill's enactment to remove these devices from Medicare's hearing aid coverage exclusion. This directly affects Medicare beneficiaries who rely on these specific implanted devices for hearing. The change means these devices will now be covered under Medicare's prosthetic benefits, not excluded under hearing aid rules, without altering existing coverage for other hearing aids.