Rep. Don Bacon

Maddy summaryThe SPARC Act (HR 4681) creates a federal loan repayment program for specialty physicians and non-physician health care providers (like nurse practitioners) who commit to working in rural areas with shortages of these specialists. It covers up to $250,000 in repayment for eligible education loans (including federal student loans) over a 6-year service commitment in designated rural communities. Providers must work full-time without gaps exceeding one year, and non-physician providers are limited to 15% of annual funding. The program requires annual reports to Congress on provider locations and impact, while preventing double benefits with other federal loan forgiveness programs.

Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Maddy summaryThe Urban Indian Health Parity Act (HR 4722) would amend the Social Security Act to extend full federal medical assistance to urban Indian health organizations. Currently, only tribal organizations receive this full federal funding level under Medicaid, but urban Indian organizations are excluded. The bill adds urban Indian organizations - defined under the Indian Health Care Improvement Act - to the list of entities eligible for full federal medical assistance when operating under a grant or contract with the Indian Health Service. This change would ensure urban Indian health organizations receive the same federal funding as tribal organizations for Medicaid services.

Maddy summaryHR 4704, the ROTOR Act, requires the Defense Health Agency to study cancer rates among military helicopter pilots and aviation support personnel. It directly affects service members who served as rotary-wing aircrew (pilots or support staff) since 1961 and receive VA healthcare. The bill mandates a two-phase study: first, comparing cancer prevalence/mortality for 12 specific cancers (like lung, prostate, and breast cancer) between these service members and the general population; second, if increased rates are found, investigating potential causes like aircraft toxins, radiation exposure, or other service-related hazards. The study will use existing VA and cancer registry data, with findings reported to Congress within two years.

Maddy summaryThis bill establishes a federal right for livestock producers to sell meat and dairy products across state lines without facing conflicting state regulations. It prevents states from imposing production standards (like animal welfare rules) on products not raised within that state, ensuring a uniform national market for covered livestock products. The law specifically covers animals raised for meat or dairy (including milk products), but excludes egg production. This aims to eliminate barriers to interstate commerce for these products while aligning with U.S. trade obligations.

Maddy summaryThis bill modernizes the process for seasonal agricultural workers who need commercial driver's licenses (CDLs). It requires the Transportation Secretary to create online systems for easy license renewal (Section 2(a)) and clarifies that farm equipment like tractors and harvesters ("implements of husbandry") are not subject to commercial vehicle weight calculations (Section 2(b)). It directly affects farm-related service industries and their seasonal employees who operate restricted CDL vehicles. The changes simplify administrative processes and remove regulatory barriers for agricultural operations.

Maddy summaryThe SEEK HELP Act provides legal protections for individuals responding to opioid overdoses. It shields people who administer reversal drugs (like naloxone) in good faith from civil lawsuits, and protects those who call for help (e.g., 911) from drug possession charges related to the overdose. States can use federal funds to run public awareness campaigns about these protections and train law enforcement and healthcare workers. The bill also requires a federal report to assess how well these protections are working across states and their impact on overdose outcomes.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill establishes state-level judicial threat intelligence centers to improve safety for judges and court staff. It defines "eligible organizations" (nonprofits with judicial security expertise) and requires the State Justice Institute to fund these centers to provide security training, threat monitoring, coordinate with law enforcement, and develop standardized reporting systems. The centers will create resources for judicial officer safety, conduct security assessments, and track threats through a national database. State Justice Institute must submit annual reports detailing threat types and severity to congressional committees. The bill directly affects state and local judges, court staff, and the nonprofit organizations operating these centers.

Maddy summaryHR 4623, the Plain Prescription Prices Act, requires drug companies to include the current list price for a typical 30-day supply or treatment course in all direct-to-consumer television ads for prescription drugs covered by Medicare (Part D) or Medicaid. This applies to ads aired on broadcast, cable, streaming, or satellite TV. The bill mandates that the displayed price must be truthful and reflect the list price as of the first day of the quarter the ad runs. The goal is to provide consumers with clear, upfront pricing information when viewing drug advertisements.