Rep. Mike Flood

Maddy summaryThis bill would require Medicare to cover FDA-approved blood tests that screen for multiple cancers simultaneously (like breast, lung, or colorectal cancer) for beneficiaries. It directly affects Medicare recipients aged 65+ who could access these new screenings once per year, without prior authorization. The key provision adds "multi-cancer early detection screening tests" to Medicare's covered services under Part B, defining them as blood tests analyzing cell-free DNA, while maintaining existing coverage for standard screenings like mammograms. The bill does not change current coverage for individual cancer screenings but ensures Medicare keeps pace with new medical technology.

Maddy summaryHR 1795, the Homecare for Seniors Act, allows seniors to use funds from their Health Savings Accounts (HSAs) to cover qualified home care services. It amends tax law to define "qualified home care" as contracts providing three or more specific personal assistance services (like help with eating, bathing, toileting, or medication) from a licensed provider. The bill directly affects seniors with HSAs who need in-home care, expanding their tax-free distribution options beyond traditional medical care. It also requires the federal government to run a public awareness campaign about these new eligible home care expenses. The changes apply to expenses paid after the bill's enactment date.

Maddy summaryThis bill expands Medicare Part B coverage to include specific pharmacist services, directly affecting Medicare beneficiaries and pharmacists who provide these services. It adds new coverage for pharmacist evaluations and treatments related to certain illnesses (like COVID-19, flu, or strep throat) and public health emergencies, requiring payment at 80% of the lesser of actual charge or 85% of physician payment rates (100% during emergencies). The bill also prohibits balance billing for these services, ensuring beneficiaries pay only the standard Medicare copayment. These changes aim to improve access to pharmacist care during health crises while aligning payment with existing physician service frameworks.

Maddy summaryThe HELLPP Act (HR 1634) amends Medicaid to recognize doctors of podiatric medicine (podiatrists) as physicians, enabling them to be reimbursed for services under Medicaid starting January 1, 2024. It also clarifies Medicare’s documentation requirements for therapeutic shoes for people with diabetes, mandating specific written certifications from a managing physician and a podiatrist to confirm medical necessity. These changes directly affect patients with foot conditions, especially those with diabetes, by improving access to podiatrist-provided care and coverage for therapeutic shoes. The bill includes a separate provision strengthening Medicaid program integrity through continuous levies on provider payments, but this does not alter patient coverage. All key provisions take effect on January 1, 2024.

Maddy summaryHR 1610 would modernize Medicare coverage for chiropractic care by removing the current restriction that limited beneficiaries to one chiropractic service per visit. It expands coverage to include all services provided by licensed chiropractors within their state-authorized scope, aligning Medicare with VA, military, and private insurance practices. The bill requires chiropractors to complete a Secretary-approved educational webinar to cover non-spinal services, while still allowing payment for spinal manipulation treatments without this requirement. This directly affects Medicare beneficiaries seeking chiropractic care and chiropractors seeking Medicare reimbursement for their services.

Maddy summaryHR 549, the Metastatic Breast Cancer Access to Care Act, removes waiting periods for disability and Medicare coverage for people diagnosed with metastatic breast cancer. Specifically, it amends Social Security Act sections to allow immediate eligibility for disability insurance benefits (eliminating the standard waiting period) and immediate Medicare coverage (waiving the 24-month waiting period) for these patients. The bill directly affects individuals with metastatic breast cancer who would otherwise face delays in accessing critical benefits. These changes apply to applications filed or benefits beginning after the bill's enactment date. The law makes no other policy changes beyond these specific eligibility adjustments.

Maddy summaryHR 407, the "Protect the UNBORN Act," prohibits federal agencies from implementing or enforcing two specific executive orders issued by President Biden in 2022 (Executive Orders 14076 and 14079), which aimed to protect access to reproductive healthcare services. The bill bans the use of federal funds, including those from the 2022 Consolidated Appropriations Act, to carry out, administer, or enforce these executive orders. It directly affects federal agencies and programs that would otherwise comply with the Biden administration's policies on reproductive healthcare access. The bill does not create new healthcare rules but blocks the implementation of existing executive actions.

Maddy summaryThis bill bans federal funding for abortions in most cases, prohibiting the use of taxpayer money for abortion services or health insurance plans covering abortion. Exceptions allow funding for abortions resulting from rape, incest, or when a pregnancy endangers a woman's life. It requires health insurance plans sold through the Affordable Care Act (ACA) marketplaces to clearly disclose any separate costs for abortion coverage and prohibits ACA subsidies from being used for plans that cover abortion (except in the specified exceptions). The law directly affects federal programs like Medicaid, ACA marketplace plans, and insurers offering health coverage to individuals using federal subsidies.

Maddy summaryHJRES 142 is a congressional disapproval resolution targeting a Department of Labor rule issued on April 25, 2024. It seeks to block the "Retirement Security Rule: Definition of an Investment Advice Fiduciary" (89 Fed. Reg. 32122), which defined standards for financial advisors handling retirement accounts. If passed, this resolution would make the Labor Department's rule ineffective, directly affecting retirement plan advisors and financial institutions subject to the regulation. The bill uses a specific procedural mechanism under Title 5, U.S. Code, to nullify the rule without creating new law.

Maddy summaryHR 10391, the "No More D.C. Waste Act," requires that any unobligated federal funds for District of Columbia resident tuition support programs must lapse at the end of each fiscal year (starting in 2026), eliminating carryover of unused funds. It directly affects D.C. residents enrolled in the District of Columbia College Access program by removing provisions allowing funds to remain available until expended. Key mechanisms include prohibiting unobligated funds from rolling over and mandating annual reports to Congress detailing the number of students served, average financial assistance per student, and any unobligated balances carried forward. These reports must be submitted within 60 days after each fiscal year ends, beginning in 2025.