Rep. Nicole Malliotakis

Maddy summaryThis bill allows Medicaid programs to enter into value-based purchasing (VBP) arrangements with drug manufacturers for innovative treatments like gene therapies. It codifies these arrangements by requiring states to report pricing structures based on patient outcomes and best prices for drugs sold under these agreements. The bill enables payments to be tied to treatment effectiveness, potentially reducing long-term healthcare costs by decreasing hospitalizations and other medical expenses. It also creates a requirement for a GAO study to evaluate how these arrangements impact patient access, outcomes, and healthcare system costs. The bill will sunset after 5 years, though existing VBP arrangements will continue beyond that date.

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 10485, the RADAR Act, authorizes $25 million in fiscal year 2025 funding for COPS Tech projects. These projects, defined under the 2024 Consolidated Appropriations Act, support law enforcement technologies and interoperable communications systems. The bill directly affects local and state law enforcement agencies that receive COPS Tech funding to upgrade equipment and communication capabilities. This is a funding authorization, not a policy change, with no specific provisions for drone-related technology despite the bill's title.

Maddy summaryHR 5401, the 9/11 Memorial and Museum Act, provides a one-time federal grant of $5 million to $10 million to the National September 11 Memorial & Museum (operated by the World Trade Center Foundation). The grant funds the museum's operations, security, and maintenance, with specific requirements including free admission for veterans, first responders, and victims' families, dedicated weekly free public hours, and annual financial audits. The museum must also report annually to Congress on how the funds were used. This bill directly affects the museum's financial operations and access policies, not broader legislative changes.

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 extends Medicare payment adjustments for physicians and other practitioners through 2025 instead of ending in 2024. It specifically adds a 4.73% payment increase for services provided between January 1, 2025, and January 1, 2026. The legislation modifies existing Medicare payment rules to stabilize practice revenues during transition periods. It directly affects doctors and healthcare providers who bill Medicare for patient services. The key change is the extended timeframe and the defined 4.73% rate for the 2025-2026 period.

Maddy summaryThis bill creates a $10,000 annual tax credit for individuals who make non-directed living kidney donations (where donors don’t know the recipient’s identity) for five years (the donation year plus four subsequent years). It directly affects living kidney donors who qualify under these specific conditions, covering costs related to the donation process. The credit applies to kidneys removed after December 31, 2024, and expires December 31, 2034. The bill does not alter organ transplant recipient eligibility or medical procedures, focusing solely on financial incentives for donors.

Maddy summaryThis bill extends medical care coverage for family caregivers of veterans for 180 days after they stop serving as primary providers (unless dismissed for fraud), addressing a gap in support during transition. It provides employment assistance including up to $1,000 in reimbursement for certification fees, free training modules, and access to military/veterans workforce programs during that 180-day period. The bill also adds bereavement counseling if a veteran dies and requires two studies: one on re-entry workforce programs for caregivers, and another on hiring former caregivers at VA facilities. Key direct beneficiaries are family caregivers designated under VA’s program who are transitioning out of caregiving roles.

Maddy summaryThe University Accountability Act imposes penalties on tax-exempt universities found in federal court to have violated Title VI of the Civil Rights Act of 1964, requiring them to pay $100,000 or 5% of their administrative compensation per violation. It mandates the IRS to review the tax-exempt status of institutions with more than two such violations and requires these institutions to report civil rights violations on their tax returns. If a violation determination is overturned, the penalty must be refunded. The bill applies to most public and private universities that are tax-exempt under federal law, directly affecting their financial obligations and reporting requirements.

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.