Rep. Troy Balderson

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 summaryHR 1548, the "Leveling the Playing Field 2.0 Act," amends U.S. trade laws to strengthen enforcement of antidumping and countervailing duty regulations. The bill creates new rules for handling multiple investigations on the same merchandise (successive investigations), addresses market distortions in foreign countries that affect production costs, and improves mechanisms to prevent companies from circumventing existing duties. It also establishes procedures for investigating currency undervaluation as a form of subsidy and strengthens requirements for importers to certify compliance with trade laws. These changes primarily affect U.S. importers of foreign goods, foreign exporters, and the Department of Commerce, which administers these trade enforcement mechanisms.

Maddy summaryHR 1502 authorizes the creation of a Congressional Gold Medal to honor the volunteers and communities (primarily from Nebraska, Colorado, and Kansas) who supported the North Platte Canteen during World War II. The bill directs the Treasury Secretary to design and strike the medal, which will be presented to the individuals who contributed to the canteen’s operations and then permanently displayed at the Lincoln County Historical Museum in North Platte, Nebraska. It also permits the sale of bronze duplicates to cover production costs, with proceeds going to the U.S. Mint. This is a commemorative measure recognizing historical service, not a policy change affecting current laws or programs.

Maddy summaryHR 1492 amends the Social Security Act to extend the negotiation period for standard drug manufacturers under the federal drug pricing program. Specifically, it changes the timeframe from 7 years to 11 years for small-molecule drugs (like traditional pills) to negotiate prices with the government, aligning it with the existing 12-year period for complex biologic drugs (like insulin or monoclonal antibodies). This adjustment directly affects pharmaceutical companies that produce small-molecule drugs, giving them a longer window to negotiate pricing terms. The bill makes this change effective as if it had been part of the 2022 law that established the program.

Maddy summaryThis bill would require states to create a simplified process for out-of-state healthcare providers to join Medicaid and CHIP programs. Qualified providers (those already enrolled in Medicare or another state's program with low fraud risk) could enroll without excessive screening and would be approved for five years. It directly affects children under 21 enrolled in Medicaid or CHIP by expanding access to providers outside their state, particularly in underserved areas. The change applies to all states' Medicaid programs but takes effect three years after enactment.

Increasing Access to Dental Insurance Act This bill permits individuals to enroll in a dental benefits plan on a health insurance exchange without also enrolling in a qualified health plan.

Maddy summaryThe No IRIS Act of 2025 (HR 1415) prohibits the Environmental Protection Agency (EPA) from using scientific assessments generated by its Integrated Risk Information System (IRIS) program to develop environmental regulations, enforce laws, issue permits, or inform air toxics mapping tools. This bill directly restricts the EPA’s regulatory process by banning IRIS data from key decision-making steps in environmental rulemaking. The law requires the EPA to rely on alternative scientific data for these purposes, without altering the IRIS program itself. It does not change existing EPA authority but limits how specific assessments may be applied in regulatory actions.

Maddy summaryHR 1421, the "Make American Flags in America Act of 2025," requires all flags of the United States displayed on federal property or procured by federal agencies to be 100% manufactured in the United States. This directly affects federal agencies (including executive departments, military branches, and legislative/judicial offices) by banning the use of foreign-made flags for official displays or purchases. The bill sets a 90-day deadline for procurement changes and a two-year timeline for display requirements, while excluding private entities from these rules. It also mandates a Federal Trade Commission study on enforcing country-of-origin labeling for flags, with a report due within one year of enactment.

Maddy summaryThis bill defines "natural cheese" in federal law to clarify labeling standards for consumers. It specifies that natural cheese must be made primarily from coagulated milk proteins through traditional methods, while explicitly excluding processed cheeses like American cheese, cheese spreads, and pasteurized blends. The law requires products labeled as "natural cheese" to meet this definition, ensuring consistent labeling nationwide and preventing misleading claims. It directly affects cheese manufacturers, retailers, and consumers by standardizing what can be marketed as natural cheese. The bill aims to increase transparency without changing existing food safety regulations.

This concurrent resolution declares that Congress should not impose any new performance fee, tax, royalty, or other charge relating to the public performance of sound recordings on a local radio station for broadcasting sound recordings over the air, or on any business for such public performance of sound recordings.