Rep. Nicole Malliotakis

Maddy summaryThis bill would streamline the process for making certain oral contraceptives available over-the-counter for adults aged 18 and older. It requires the Health and Human Services Secretary to prioritize review of applications for these contraceptives (excluding emergency contraceptives or drugs also approved for abortion), waive associated fees, and ensure they remain available without a prescription after approval. Minors under 18 would still require a prescription for these contraceptives. Additionally, the bill mandates a GAO report within one year detailing federal funding for contraception across programs like Medicaid, Medicare, and the Affordable Care Act health exchanges over the prior 15 years.

Maddy summaryHR 8599, the Oral Health Products Inclusion Act, expands tax-advantaged health account coverage by allowing expenses for specific oral care products to be treated as qualified medical expenses. The bill adds toothbrushes (manual or electric), water flossers, and FDA-approved over-the-counter anticaries or antiplaque products (like certain toothpastes or rinses) to the list of eligible expenses under Health Savings Accounts (HSAs), Archer MSAs, and health flexible spending accounts (FSAs)/health reimbursement arrangements (HRAs). This directly affects individuals who use these tax-advantaged accounts to pay for routine oral health products out-of-pocket. The policy change requires these products to be FDA-recognized as safe and effective for topical use on teeth or gums, without altering the products themselves or their medical use.

Maddy summaryThe Increasing Mental Health Options Act of 2024 would expand access to mental health care in rural and underserved areas by providing a 10% financial incentive to clinical psychologists who serve Medicare patients in designated health professional shortage areas starting in 2025. It also removes requirements for clinical psychologists to have physician supervision in specific Medicare-covered settings - such as outpatient rehabilitation centers, skilled nursing facilities, and home health services - when state law permits. These changes aim to encourage more clinical psychologists to work in areas with mental health provider shortages. The bill directly affects clinical psychologists and Medicare beneficiaries in underserved communities by streamlining access to mental health services.

Maddy summaryThe Essential Caregivers Act of 2024 requires nursing homes and similar facilities to allow residents to designate essential caregivers who provide emotional support or assistance with daily activities. During emergencies when regular visitation is restricted, facilities must permit at least one essential caregiver access to residents daily and cannot deny access without following specific procedures. Facilities may deny access for a maximum of 7 days during emergencies (or 14 days with state approval), and must provide a written explanation and appeal process if access is denied. The bill establishes a 48-hour appeal process for residents and caregivers to challenge denials, with facilities required to prove violations during appeals. This law applies to Medicare skilled nursing facilities, Medicaid nursing facilities, intermediate care facilities, and certain inpatient rehabilitation facilities.

Maddy summaryHR 8227 removes Medicare's requirement for an initial in-person visit before covering mental health services delivered via telehealth. It directly affects Medicare beneficiaries seeking mental health care, allowing them to receive these services remotely without first needing an in-person appointment. The bill amends Medicare rules to eliminate geographic restrictions for telehealth mental health visits, effective July 1, 2019, or after the end of the public health emergency period. This change applies to services provided through rural health clinics and federally qualified health centers as well, streamlining access to mental health care via technology.

Maddy summaryHR 8018, the ABC Act, requires Medicare, Medicaid, CHIP, and Social Security Administration to review their eligibility processes, forms, and communications to simplify interactions for family caregivers. It targets reducing duplicate paperwork, improving website accessibility (including ADA compliance), and enhancing staff communication - such as shorter call waits and multilingual support - to better serve caregivers supporting individuals enrolled in these programs. The review must include input from caregivers and organizations, with results reported to Congress within one year. This procedural bill does not change program benefits but mandates systemic improvements to reduce administrative burdens.

Maddy summaryThis bill requires Medicare to cover falls risk assessments and fall prevention services during annual wellness visits and initial preventive physical exams for seniors aged 65+ who have fallen in the previous year. It directly affects Medicare beneficiaries with recent falls and healthcare providers delivering these services under Medicare. The key mechanism expands existing Medicare benefits to include these specific fall prevention services, effective January 1, 2025. Additionally, it mandates annual reports starting in 2026 tracking falls data for seniors over 65 who received fall-related treatment.

Maddy summary# Summary of the Americas Act This comprehensive legislation establishes a multi-faceted approach to strengthen U.S. economic, energy, and cultural ties with partner countries in the Western Hemisphere. ## Key Provisions: ### Economic Development & Trade - Creates a **$500 million Re-shoring and Near-shoring Account** to support manufacturing relocation to the U.S. and partner countries - **Modifies de minimis import thresholds** (reducing the $800 threshold for small shipments) with: - Prohibition of de minimis entries from China and Russia - Requirement for detailed shipment data (country of origin, value, etc.) - Transfer of revenue from de minimis entries to the Re-shoring Account - Establishes the **BUILD Americas Unit** to provide financial support for economic development ### Energy Development - Creates a **Chief Energy Officer** position within the U.S. International Development Finance Corporation - Defines **"Transformational Energy Technology"** including: - Renewable energy systems - Hydrogen fuel cell technology - Carbon capture technologies - Advanced nuclear energy - Sets a goal that **at least 30% of support** provided by the Corporation must be for transformational energy technology - Establishes a **Joint Energy Export, Development, and Trade Database** to coordinate energy finance across agencies ### People-to-People Activities - Creates the **"Americas Partnership Accelerator Program"** ($15 million) to support small businesses - Establishes the **"Americas Partnership Fund for Nature"** ($10 million) for conservation efforts - **Doubles Peace Corps presence** in partner countries - Creates the **"American University of the Americas"** (in 3 Latin American countries) focused on STEM education - Establishes the **"CARE visa"** program for foreign caregivers (nursing assistants, home health aides, etc.) to address U.S. elder care needs - Creates **Radio Free Americas** as a new broadcasting service for the Western Hemisphere ### Additional Key Elements - Requires **annual reports** on program implementation to Congress - Establishes **new visa categories** for low-skill workers (TN visa program discussion) - Includes provisions for **cultural exchange programs** (Fulbright, English language training) - Requires **reporting on the effectiveness** of all programs, including job creation metrics This legislation represents a significant strategic investment in U.S. economic competitiveness, energy leadership, and cultural diplomacy in the Western Hemisphere, with particular focus on countering Chinese and Russian influence while addressing domestic challenges like elder care and STEM education.

Maddy summaryHR 7292, the Health ACCESS Act, amends the Social Security Act to establish new rules for healthcare information platforms (like online provider directories). It prohibits these platforms from steering patients toward specific providers based on payment, making medical claims, sharing patient contact details without consent, arranging transportation, or sending unsolicited marketing. The bill requires platforms to disclose financial arrangements with providers, base provider information on objective criteria, and set compensation terms in advance that don't exceed fair market value or tie to services paid by federal health programs. This directly affects healthcare information service providers and the providers/suppliers using their platforms.

Maddy summaryThis bill changes the negotiation period for small-molecule drugs under the federal Drug Price Negotiation Program from 7 years to 11 years, matching the existing 11-year period for biologic drugs. It directly affects drug manufacturers participating in the program by extending the timeframe for price negotiations with the government. The amendment applies to all small-molecule drugs covered under the program, creating a uniform negotiation timeline for both drug types. The change takes effect as if included in the Inflation Reduction Act of 2022.