Rep. Gabe Vasquez

Maddy summaryThis bill amends Medicare rules to allow nurse practitioners and physician assistants to certify diabetic shoe coverage for Medicare beneficiaries with diabetes, expanding the current requirement that only physicians could provide this documentation. It directly affects Medicare patients needing specialized footwear due to diabetes and healthcare providers like NPs and PAs who would now be authorized to meet the certification requirement. The key change modifies Section 1861(s)(12) of the Social Security Act to insert "nurse practitioner, or physician assistant" in all relevant sections of the documentation rules. This update simplifies access to covered diabetic shoes by broadening which healthcare professionals can issue the necessary certification.

Maddy summaryThis bill increases monthly compensation for surviving spouses of veterans by changing how the amount is calculated. Instead of a fixed rate, it sets the payment at 55% of the monthly compensation rate under Section 1114(j) of the U.S. Code. It also includes a special rule ensuring survivors whose veterans died before January 1, 1993, receive the higher of their current benefit or the new calculation. Additionally, it modifies eligibility for survivors of veterans who were totally disabled at death by reducing the required continuous disability rating period from 10 to 5 years.

World Language Education Assistance Program Act or the World LEAP Act This bill requires the Department of Education to award competitive grants to local educational agencies to establish and carry out new, or improve existing, world language or dual language programs.

Maddy summaryThis bill requires the U.S. Department of Agriculture (USDA) to join the Committee on Foreign Investment in the United States (CFIUS) for reviews of certain transactions involving foreign adversaries. It specifically targets acquisitions of U.S. agricultural land, biotechnology, or agriculture-related infrastructure (like transportation, storage, or processing) by entities from China, North Korea, Russia, or Iran. The USDA must notify CFIUS about reportable transactions, prompting the committee to determine if a full review is needed. The provisions expire for any country removed from the official list of foreign adversaries in federal regulations.

Maddy summaryEthan's Law requires gun owners to store firearms securely in homes where minors live or where residents are legally prohibited from owning guns. It makes it unlawful to leave firearms unsecured if a minor or ineligible person could access them, with fines of $500 per violation and harsher penalties if injury or death occurs. The bill creates a federal grant program to help states implement similar secure storage laws and treats unsafe storage as negligence in legal cases. It directly affects households with children or residents who cannot legally possess firearms, aiming to reduce accidental shootings and unauthorized access.

Maddy summaryThe Conrad State 30 and Physician Access Reauthorization Act extends and reauthorizes a program that allows foreign medical graduates to work in underserved U.S. communities after completing their training. It extends the program through 2021 (with retroactive effect), adds protections for physicians who have completed service requirements, and makes changes to visa requirements to better support physicians working in underserved areas. The bill requires states to maintain a 90% utilization rate of waivers to keep receiving the full allocation, and adds reporting requirements for the program. This bill directly affects foreign physicians seeking to work in underserved areas and the health care facilities that employ them.

New Era of Preventing End-Stage Kidney Disease Act This bill establishes regional centers of excellence, postgraduate fellowships, and training for health professionals relating to the diagnosis and treatment of rare kidney disease. It also requires the Department of Health and Human Services (HHS) to conduct various studies on rare kidney disease. Specifically, it authorizes the National Institute of Diabetes and Digestive and Kidney Diseases to award funding to public and private nonprofit entities for establishing regional centers of excellence that will increase public awareness, conduct research, and develop resources for diagnosing and treating rare kidney diseases. A center may receive such funding for up to five years, unless extended by the institute.  The bill also requires health professions schools receiving a grant from the Health Resources and Services Administration (HRSA) Centers of Excellence program to award fellowships for training on preventing, diagnosing, and treating rare kidney disease in disproportionately impacted populations. Also, the bill expands the priorities of HRSA’s Primary Care Training and Enhancement program to include training for health care workers to care for individuals with kidney disease. Additionally, HHS must conduct several studies and report to Congress on topics such as treating rare kidney disease in disproportionately affected populations, eliminating the need for dialysis or kidney transplants, and increasing public awareness of rare kidney disease.

Maddy summaryThis bill allows physical therapists to use temporary replacement staff (locum tenens) under Medicare, similar to how physicians currently can. It directly affects physical therapists providing outpatient services and Medicare beneficiaries relying on those services. The key change modifies Medicare rules to apply the same provisions for physical therapy services as are already used for physician services. This means physical therapists can more easily fill temporary staffing gaps without disrupting patient care. The amendment applies to services provided after the bill's enactment date.

Dentist and Optometric Care Access Act of 2025 or the DOC Access Act of 20 25 This bill prohibits private health insurance plans from setting rates for items and services, except for dental cleanings, provided by a doctor of optometry, of dental surgery, or of dental medicine (or an employer of such a doctor) for which the plan does not pay a substantial amount. Additionally, an agreement between a plan and such a doctor for limited scope dental or vision benefits may last longer than two years only with the prior acceptance of the doctor for each term extension. Plans also may not restrict such a doctor's choice of laboratories or suppliers. Such doctors may elect to waive the application of the payment amount and choice of laboratories provisions of this bill. The bill does not supersede state laws regarding health insurers and dental or vision benefit plans.

Maddy summaryHR 1494, the Sporting Goods Excise Tax Modernization Act, requires online marketplaces (like Amazon or eBay) to collect the federal excise tax on sporting goods sold through their platforms, rather than leaving this responsibility to individual sellers. It specifically targets platforms that host third-party seller listings and facilitate transactions for goods imported from outside the U.S. The bill treats these marketplaces as the "importer" for tax purposes, making them liable for the tax on qualifying sporting goods sales. This change applies to sales after a 60-day grace period following the bill's enactment, with no impact on taxes already owed by other parties.