Rep. Mike Carey

Maddy summaryThis bill creates a 4-year transitional coverage period for Medicare to automatically cover "breakthrough medical devices" - new FDA-prioritized devices approved after March 2021 - as "reasonable and necessary" for treatment. During this period, these devices qualify for additional payments under Medicare's hospital and outpatient payment systems without requiring separate approval. After the 4-year period, Medicare must develop regular coverage based on additional data, with automatic coverage for all approved uses if no action is taken within two years. The bill requires Medicare to assign unique codes for these devices within three months of FDA approval and to update payment systems regularly. It also includes special provisions for "specified breakthrough devices" that lack existing Medicare benefit categories, requiring reports on their impact and cost to Congress.

Maddy summaryThe Stop Campus Hazing Act requires colleges and universities to publicly report hazing incidents involving student organizations. It defines hazing as intentional acts causing physical or psychological harm during initiation or membership in student groups, including activities like forced substance consumption, sleep deprivation, or sexual acts. Institutions must include hazing statistics in annual security reports and publish a "Campus Hazing Transparency Report" on their websites by July 1, 2025, detailing findings about organizations violating hazing policies. The reports must include organization names, violation descriptions, and key dates while excluding personally identifiable student information. This applies to all colleges participating in federal student aid programs.

Maddy summaryThis bill, HR 1097 (Everett Alvarez, Jr. Congressional Gold Medal Act of 2023), authorizes the award of a Congressional Gold Medal to Everett Alvarez, Jr., in recognition of his service as a U.S. Navy pilot and Vietnam War prisoner of war. It directly honors Alvarez, who was the first U.S. pilot shot down in the Vietnam War, spent over 8.5 years in captivity, and later served in the Peace Corps and Veterans Administration. The bill’s key mechanism is directing the U.S. Mint to strike a gold medal bearing his name and image, with bronze duplicates available for sale to cover costs. It does not create new policies or affect any group beyond the honoree.

Maddy summaryHR 7513, the Protecting America’s Seniors’ Access to Care Act, prohibits the Department of Health and Human Services from implementing or enforcing a proposed rule that would have set minimum staffing requirements for nursing homes and other long-term care facilities receiving Medicare or Medicaid funding. The bill specifically blocks the September 2023 proposed rule (88 Fed. Reg. 61352-61429) and any substantially similar rule. This directly affects long-term care facilities that rely on federal healthcare program payments. The key mechanism is a clear statutory prohibition preventing the rule from taking effect, without altering existing staffing standards or requirements.

Maddy summaryThe MERIT Act amends Medicare's coverage rules to require individual drug reviews for research purposes. It changes how Medicare determines if a drug is "reasonable and necessary" under Section 1142 research programs, mandating separate evaluations for each drug instead of class-based decisions. This directly affects Medicare beneficiaries and drug manufacturers participating in research under Section 1142. The key provision specifies that coverage determinations must apply to each specific drug or biological involved in the research, not to groups of similar drugs. This policy change alters the Medicare national coverage determination process for research-related treatments.

Maddy summaryThe Grown in America Act of 2024 creates a new tax credit for businesses that use predominantly domestically produced agricultural inputs in food manufacturing. It reduces tax liability for eligible food processors and manufacturers whose domestic input costs (expenses for U.S.-grown farm products used in food production) meet a minimum threshold, starting at 50% in 2025 and rising to 85% by 2032. The credit is capped at $100 million annually per taxpayer and requires a 3-year average of domestic input costs relative to total input costs. Cooperative businesses may elect to distribute the credit to their patrons based on business volume. The credit applies to taxable years beginning after the bill's enactment date.

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 limits the Social Security Administration's ability to recover overpayments caused by its own errors. It prevents the agency from demanding repayment if an overpayment resulted from a Social Security mistake and occurred more than three years before the error was discovered. Exceptions apply if the recipient committed fraud or similar fault. The law affects Social Security and Supplemental Security Income (SSI) beneficiaries who received incorrect payments due to agency errors. It amends existing Social Security Act provisions to establish these recovery restrictions.

Maddy summaryThis bill creates a new Medicare payment model for emergency medical services (EMS) that allows coverage when ambulance providers deliver critical care on-site without transporting patients to a hospital. It directly affects Medicare beneficiaries receiving such on-site emergency care and ambulance providers who would previously not be reimbursed for non-transport services. The key provision requires Medicare to pay for these services at rates matching what would have been paid for transport, based on state protocols and emergency call responses, for a 5-year trial period. A report due 4 years after implementation will evaluate impacts on patient outcomes, system efficiency, and regional access.