Rep. Greg Landsman

Maddy summaryHRES 694 is a non-binding House resolution calling on the Centers for Medicare & Medicaid Services (CMS) to halt a pilot program using artificial intelligence to decide Medicare coverage for medical services. It directly affects seniors who rely on Medicare, as the resolution argues AI-driven coverage decisions could jeopardize their access to critical healthcare. The resolution expresses the House's "sense" that CMS should not proceed with this AI evaluation method, referencing CMS's June 2025 announcement of the pilot. As a resolution, it does not create new law but urges CMS to pause the program.

Maddy summaryHRES 697 is a symbolic House resolution recognizing suicide as a preventable public health issue and supporting the designation of September as "National Suicide Prevention Month" and September 10, 2025, as "World Suicide Prevention Day." It does not create new laws or allocate funds but formally expresses congressional support for these designations to raise awareness. The resolution cites statistics showing suicide as a leading cause of death across age groups, including among veterans and adolescents, and emphasizes mental health as equally important as physical health. It acknowledges the need for diverse prevention strategies without specifying new policies or programs. This resolution is purely declarative, aiming to bolster public awareness rather than enact concrete changes.

Maddy summaryThe RESULTS Act (HR 5269) changes how Medicare calculates payment rates for clinical diagnostic laboratory tests. It requires Medicare to collect data on private payor rates for widely available non-Advanced Diagnostic Laboratory Tests (non-ADLTs) from a qualifying independent claims data entity (a national nonprofit organization meeting specific criteria) rather than relying on data reported directly by laboratories. For tests where data is unavailable, the bill establishes default payment rates based on previous years' rates adjusted for inflation. The law also requires Medicare to publicly explain payment rates with supporting data, affecting Medicare beneficiaries, clinical laboratories, and private payors that provide services covered by Medicare.

Maddy summaryHR 5281, the REAL Health Providers Act, requires Medicare Advantage (MA) plans to maintain accurate, publicly accessible provider directories starting in 2028. It mandates that plans verify directory information every 90 days (or annually for hospitals), flag outdated entries, and remove providers no longer in-network within 5 business days. The bill also ensures Medicare beneficiaries are not charged extra for services from providers listed in directories but not actually in-network, covering the difference between in-network and out-of-network cost-sharing. MA plans must report annual accuracy scores to Medicare, which will be published online starting in 2029, with $4 million allocated for implementation. This directly affects MA organizations and beneficiaries by improving access to reliable provider information and reducing unexpected costs.

Maddy summaryHRES 685 is a non-binding resolution expressing support for adding antiphospholipid syndrome (APS) testing to standard prenatal screening. APS is an immune condition causing blood clots that can lead to miscarriages and stillbirths, currently not tested for routinely despite causing about 15% of recurrent pregnancy losses. The resolution urges medical associations to update guidelines to recommend APS testing as standard during prenatal care, rather than only for women with specific histories of pregnancy loss. It does not change current medical practice but advocates for updated recommendations to potentially prevent pregnancy complications.

Maddy summaryThis resolution (HRES 680) recognizes suicide as a serious public health issue and designates September 8, 2025, as "988 Day" to highlight the national three-digit crisis hotline (988 Suicide and Crisis Lifeline). It does not create new laws or funding but formally supports existing efforts to raise awareness about the 988 hotline, which connects people in mental health crisis to 24/7 support services. The resolution emphasizes the hotline's role in suicide prevention, citing data showing it handled nearly 18 million contacts since 2022 and was reported as helpful by 98% of users. It urges continued public education about the hotline, particularly for high-risk groups like LGBTQI+ youth, and encourages broader access to mental health services.

Maddy summaryThis bill prohibits Members of Congress, their spouses, and dependent children from owning or trading certain investments, including stocks, commodities, and derivatives (referred to as "covered investments"). It requires affected individuals to divest these investments within 90-180 days, with specific exemptions for Treasury bonds, diversified mutual funds, small business interests, and family trusts meeting strict conditions. Violations incur penalties of 10% of the investment's value plus disgorgement of profits, paid directly to the U.S. Treasury. The law applies to all covered individuals during federal service, with exceptions for investments acquired through inheritance or occupational trading (e.g., a spouse’s finance job).

Maddy summaryHR 5031, the *Preserving Patient Access to Long-Term Care Pharmacies Act*, requires Medicare Part D plans and Medicare Advantage plans with drug coverage (MA-PD) to pay long-term care pharmacies an additional supply fee for each specified prescription dispensed to eligible beneficiaries during 2026 ($30) and 2027 (adjusted for inflation). This fee must be paid alongside existing reimbursements for drug costs and dispensing, with a $10,000 penalty for non-payment. The bill also directs the GAO to study long-term care pharmacy payment sustainability under Medicare, analyzing historical payments for brand/generic drugs and dispensing fees. It aims to ensure uninterrupted pharmacy access for Medicare beneficiaries in long-term care settings, particularly in rural areas.

Maddy summaryThis bill permanently establishes the Coordinator for Afghan Relocation Efforts (CARE) within the State Department, expanding their role to prioritize family reunification for U.S. military personnel and veterans with Afghan allies. It mandates the Coordinator to collect detailed data on Afghan applicants (including special immigrant visa seekers, refugees, and parolees), vetting timelines, and pending family reunification cases into a centralized database. The Coordinator must report this data to Congress every 90 days to ensure transparency and inform policy decisions. The law directly affects Afghan allies and their families seeking U.S. relocation, particularly those connected to U.S. military service.

Maddy summaryThis resolution (HRES 659) is a symbolic congressional expression of support for designating August 15, 2025, as "Indian Independence Day: A National Day of Celebration of the World’s Two Largest Democracies." It does not create new law but formally recognizes India’s independence from British rule on August 15, 1947, and celebrates the shared democratic values between the U.S. and India. The resolution specifically acknowledges India’s 78th independence anniversary, honors Americans of Indian descent for their contributions to U.S. society, and reaffirms the U.S.-India partnership based on democracy and mutual respect. It has no binding effect but aims to foster goodwill through ceremonial recognition.