Maddy summaryHR 485, the Protecting Health Care for All Patients Act of 2023, prohibits federal health programs from using quality-adjusted life years (QALYs) or similar measures to decide coverage, payment, or incentives. It directly affects Medicare, Medicaid, CHIP, and other federal health programs by banning the use of QALYs - metrics that weigh health outcomes against cost - when determining patient coverage or reimbursement. The bill amends key sections of the Social Security Act to require states and federal agencies to comply with this prohibition in all program rules and administration. This policy change aims to prevent decisions based on metrics that might limit access to care for certain patients, particularly those with chronic conditions or disabilities.
Sponsored bills
Maddy summaryThis bill bans federal funding for abortions in most cases, prohibiting the use of taxpayer money for abortion services or health insurance plans covering abortion. Exceptions allow funding for abortions resulting from rape, incest, or when a pregnancy endangers a woman's life. It requires health insurance plans sold through the Affordable Care Act (ACA) marketplaces to clearly disclose any separate costs for abortion coverage and prohibits ACA subsidies from being used for plans that cover abortion (except in the specified exceptions). The law directly affects federal programs like Medicaid, ACA marketplace plans, and insurers offering health coverage to individuals using federal subsidies.
Maddy summaryHR 152, titled the "Hearing Protection Act," actually addresses firearm silencers (suppressors), not hearing protection. The bill removes federal registration requirements for silencers by directing the Attorney General to destroy all existing silencer records within 365 days. It also preempts state laws that tax, register, or impose recordkeeping requirements on silencers, making such state rules unenforceable. Additionally, the bill updates tax codes to include silencers as taxable items and clarifies their definition in firearm laws.
Maddy summaryHJRES 142 is a congressional disapproval resolution targeting a Department of Labor rule issued on April 25, 2024. It seeks to block the "Retirement Security Rule: Definition of an Investment Advice Fiduciary" (89 Fed. Reg. 32122), which defined standards for financial advisors handling retirement accounts. If passed, this resolution would make the Labor Department's rule ineffective, directly affecting retirement plan advisors and financial institutions subject to the regulation. The bill uses a specific procedural mechanism under Title 5, U.S. Code, to nullify the rule without creating new law.
Maddy summaryThis bill allows livestock producers and their employees to take black vultures (Coragyps atratus) that are harming or threatening livestock, bypassing the usual protections under the Migratory Bird Treaty Act. It directly affects ranchers and farm workers in areas where black vultures cause livestock deaths or injuries. The key provision requires annual reporting to the U.S. Fish and Wildlife Service about any vultures taken, using a simplified form similar to existing reporting for permitted bird take. This creates a specific, limited exception to federal bird protections for livestock protection, with no new restrictions on vulture populations.
Maddy summaryThis bill reinstates a pre-American Rescue Plan Act (ARP) tax reporting rule for gig economy platforms. It requires third-party payment platforms (like Uber or DoorDash) to report transactions to the IRS only if a gig worker earns over $20,000 in total or completes more than 200 transactions in a year. This directly affects gig workers whose income falls below these thresholds, exempting them from the reporting requirement. The provision effectively reverses a change made by the ARP, reducing administrative burden for both platforms and lower-earning gig workers. The bill amends IRS Code Section 6050W to restore these specific de minimis payment thresholds.
Maddy summaryThis bill designates the new Veterans Affairs Medical Center under construction at 440 South Houston Avenue, Tulsa, Oklahoma, as the James Mountain Inhofe VA Medical Center. It updates all official references in U.S. laws, regulations, maps, and documents to reflect this new name. The bill directly affects the facility's administrative and operational records but does not alter healthcare policies or services for veterans. It is a ceremonial designation honoring James Mountain Inhofe, with no substantive policy changes.
Maddy summary# Summary of Proposed Higher Education Act Amendments This document outlines significant proposed amendments to the Higher Education Act of 1965, primarily as part of the "College Cost Reduction Act." The key elements include: ## Accreditation Reform - Major overhaul of accreditation standards, requiring accrediting agencies to demonstrate independence from trade associations - New requirements for accrediting agencies to assess student achievement outcomes, including median value-added earnings relative to median total price charged - Introduction of an "Alternative Quality Assurance Experimental Site Initiative" to test non-accredited institutions - Protections for religious institutions, including a new process for appealing accreditation decisions related to religious mission - Removal of "litmus tests" that would require institutions to support specific political viewpoints ## Student Success Initiatives - Establishment of "Postsecondary Student Success Grants" to increase participation, retention, and completion rates for high-need students - Focus on evidence-based practices, with tiered requirements (tier 1, 2, and 3 reforms) - Mandatory inclusion of high-need student populations (low-income, first-generation, military-connected, etc.) - Requirements for institutions to report on completion rates, retention rates, and student demographics ## Regulatory Changes - Repeal of numerous existing regulations including: * Closed school discharges * Borrower defense to repayment * Pre-dispute arbitration * False certification requirements * Ability-to-benefit rules * Financial responsibility regulations - New restrictions on incentive compensation for recruiters - Changes to third-party servicer definitions and regulations ## Transfer and Credit Policies - New requirement that institutions cannot deny transfer credit based solely on the source of accreditation - Requirements for transparent transfer policies - Changes to reverse transfer policies ## Other Key Provisions - Modifications to the National Advisory Committee on Institutional Quality and Integrity (NACIQI) - New definitions for "total price" and "value-added earnings" - Changes to the process for institutions to change accrediting agencies - New requirements for institutions to report on student outcomes The overall focus of these proposed amendments is to reduce regulatory burden on institutions, promote transparency, improve student outcomes (particularly for high-need students), modernize accreditation processes, and protect religious institutions' rights in accreditation decisions.
Maddy summaryHR 10120 nullifies federal banking regulators' 2023 guidance requiring large financial institutions to manage climate-related financial risks. The bill makes this specific guidance invalid and prohibits the Federal Reserve, Comptroller of the Currency, and FDIC from issuing similar rules in the future. It directly affects large banks and financial firms that would have been subject to the climate risk management requirements. The law removes a regulatory framework without creating new obligations or funding.
Maddy summaryThis bill would change how Social Security benefits are calculated for public servants who worked in jobs not covered by Social Security (such as many state and local government positions). It replaces the current Windfall Elimination Provision with a new formula that accounts for both covered and noncovered earnings when calculating benefits, rather than reducing benefits based on noncovered employment. The bill would provide additional monthly payments of $100 for some affected individuals and $50 for others, starting 270 days after enactment. It also requires Social Security account statements to show noncovered earnings and directs the Social Security Administration to study ways to improve information sharing with state pension systems about noncovered pensions. The changes would apply to benefits payable starting January 1, 2025.