Rep. Josh Brecheen

Maddy summaryHR 4864 would amend U.S. immigration law to redefine automatic birthright citizenship under the 14th Amendment. It specifies that children born in the U.S. automatically gain citizenship only if born to a parent who is a U.S. citizen, a refugee, a lawful permanent resident, or an active-duty military member. This would deny automatic citizenship to children born to parents who are undocumented immigrants, temporary visitors, or otherwise not meeting these specific categories. The change would apply only to births occurring on or after the bill's enactment date.

Maddy summaryThe Midnight Rules Relief Act (HR 115) streamlines Congress's process for disapproving federal regulations issued near the end of a presidential term ("midnight rules"). It allows a single congressional resolution to reject multiple such rules at once, rather than requiring separate votes for each rule, provided the rules were submitted during the final year of a president's term. This directly affects federal agencies that issue these late-issuing regulations and Congress, which gains a more efficient mechanism to block them. The resolution would list each rule by agency and topic, stating they "shall have no force or effect."

Maddy summaryThis bill modifies Social Security Number (SSN) requirements for claiming the Child Tax Credit and Earned Income Tax Credit. It specifies that qualifying SSNs must be issued to U.S. citizens (or under specific Social Security Act provisions) and issued before the tax return due date. The changes apply to tax years beginning after December 31, 2024, and update related tax code references to use "social security number" instead of "taxpayer identification number." These are technical adjustments to eligibility criteria, not new benefits or funding.

Maddy summaryThe Patient’s Choice Act of 2024 prohibits federal agencies from implementing or enforcing a 2023 proposed rule that would have shortened the maximum duration of short-term health insurance plans. It blocks efforts to reduce the current allowable term for these plans below the existing standard, ensuring they can still be offered with an initial term under 12 months and a total duration of up to 3 years (including renewals). This bill directly affects health insurance issuers and consumers who rely on short-term plans as a temporary coverage option. The legislation maintains the current regulatory framework without altering plan requirements or creating new benefits.

Maddy summaryHR 6177 prohibits federal funding from the Department of Health and Human Services (HHS) for researchers involved in studies or experiments involving minors that: (1) affirm a minor's gender identity differing from their sex assigned at birth, (2) provide medical/surgical services to help minors disassociate from their biological sex, or (3) use social interventions for the same purpose. The bill directly affects researchers seeking HHS grants for such studies, requiring them to certify they have never led such projects. It defines "sex" biologically at birth (based on reproductive biology and genetics) and "minor" as anyone under 18. The law bans funding for any federally-supported research meeting these criteria, regardless of the study's focus.

Maddy summaryThis bill prohibits the Department of Health and Human Services from finalizing, implementing, or enforcing the proposed "Safe and Appropriate Foster Care Placement Requirements for Titles IV-E and IV-B" rule (published September 28, 2023). It directly affects federal foster care programs by blocking a specific rule that would have required states to consider religious beliefs when placing children in foster care. The key mechanism is a clear statutory ban on the rule's implementation, preventing it from taking effect. The bill does not create new requirements but stops the enforcement of this particular federal regulation.

Maddy summaryThis bill amends the Affordable Care Act and Medicaid/CHIP programs to deny health insurance subsidies, coverage, and related benefits to individuals with Deferred Action for Childhood Arrivals (DACA) status. Specifically, it excludes people lawfully present only due to the 2012 DHS memo granting deferred action from eligibility for ACA subsidies, Medicaid, and the State Children's Health Insurance Program (CHIP). The bill requires states to remove DACA recipients from enrollment in health plans and rescind any existing waivers that allowed such coverage. It directly affects approximately 800,000 DACA recipients who currently qualify for ACA subsidies and Medicaid/CHIP under existing rules.

Maddy summaryThis bill prohibits federal funding for gender transition procedures - including hormone therapy, puberty blockers, and surgeries like genital reassignment - across all federal programs and health plans. It exempts procedures for medical conditions (such as disorders of sex development) and treatment of complications arising from such procedures. The bill also blocks Affordable Care Act premium tax credits and cost-sharing reductions for health plans covering these services, though individuals may purchase separate non-federal-funded coverage. State and private insurers can still offer such coverage using their own funds, but federal subsidies cannot be applied to it.

Maddy summaryHR 2863, the Preventing Hospital Overbilling of Medicare Act, requires hospitals with off-campus outpatient departments (clinics not on the main hospital campus) to bill Medicare using a separate unique identifier for those locations starting January 1, 2024. It eliminates exceptions that previously allowed hospitals to bill higher rates for services provided at these off-campus sites, mandating that all claims for such services use specific billing formats (HIPAA 837P or CMS 1500) with the new identifier. This directly affects hospitals operating off-campus clinics that serve Medicare patients, ensuring they cannot overbill Medicare by misclassifying these locations as on-campus services. The bill standardizes billing practices to prevent inaccurate charges and aligns with existing Medicare payment rules for off-campus care.

Maddy summaryHR 2860, the "Restoring Rights of Physicians to Own Hospitals Act," removes restrictions preventing physicians from owning hospitals under specific circumstances. It amends Section 1877 of the Social Security Act to repeal requirements that barred physician ownership in rural healthcare settings and hospital exception programs. This change directly affects physicians seeking to own hospitals, particularly in rural areas where ownership was previously restricted. The bill’s key mechanism is the deletion of specific subsections (d)(2)(C), (d)(3)(D), and (i) that created these prohibitions. The policy change simplifies ownership rules for physicians without altering broader Medicare payment structures.