Rep. Brian K. Fitzpatrick

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 summaryThis bill requires the Secretary of Commerce to produce detailed reports on U.S. semiconductor manufacturing and research trends, including offshoring patterns since 1990, supply chain vulnerabilities, and national security implications. It mandates an initial report within 240 days of enactment, covering critical inputs (like photomasks and software), bottlenecks, and the role of foreign entities, with annual updates thereafter. The reports must assess impacts on the economy, security, and supply chains, while identifying strategies to disincentivize offshoring and boost domestic production. The bill does not create new funding or regulations but focuses solely on gathering data to inform future policy decisions.

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 It mandates that plans verify directory information every 90 days (or annually for hospitals), flag outdated entries, and remove providers no longer in-network within 5 business days.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 summaryThis bill directs the U.S. President to identify Pakistani officials responsible for undermining democracy and human rights within 180 days of enactment, then impose Global Magnitsky sanctions on them. It targets senior government, military, or security officials found to have committed gross human rights violations or interfered with democratic processes, such as during Pakistan’s 2024 elections or through constitutional changes. Sanctions would include asset freezes and travel bans, with exceptions for humanitarian aid, UN obligations, and national security activities. The bill expires on September 30, 2030, and aims to pressure Pakistan to uphold democratic norms, human rights, and judicial independence.

Maddy summaryHR 5288, the AI Sovereignty Act, requires the U.S. Commerce Secretary to produce reports assessing the offshore development and research of critical AI technologies. Within 240 days of enactment, the report must identify where AI development is moving overseas, foreign partnerships, workforce migration patterns, and geopolitical risks - without disclosing personal details of foreign nationals or officials. It also mandates annual updates to evaluate the effectiveness of strategies aimed at reducing offshore shifts and strengthening domestic AI development. The bill focuses on gathering data to inform policy decisions, targeting key AI hardware, software, and data models defined in the legislation.

Maddy summaryThis bill ensures U.S. Border Patrol Agents and Customs and Border Protection officers who continue working during a government shutdown receive their salaries. It authorizes funding from the Treasury for fiscal year 2026 to cover their salaries and expenses during any lapse in discretionary appropriations. The measure specifically applies to employees "excepted from furlough," meaning those required to work during shutdowns. It does not change eligibility for pay but guarantees funding for these personnel during funding gaps.

Maddy summaryHR 5274, the Western Balkans Democracy and Prosperity Act, aims to strengthen democratic institutions and economic development in the seven Western Balkans countries (Albania, Bosnia and Herzegovina, Croatia, Kosovo, Montenegro, North Macedonia, and Serbia). The bill authorizes a 5-year strategy for economic development and democratic resilience, including anti-corruption initiatives, cybersecurity support, and regional trade programs. It codifies existing sanctions related to the Western Balkans with an 8-year sunset provision and requires annual reports on Russian and Chinese malign influence operations. The legislation expands educational exchanges through the Peace Corps and establishes a Young Balkan Leaders Initiative to support youth and women entrepreneurs. It seeks to reduce dependence on Russian energy, promote U.S. trade and investment, and support the region's European integration efforts.

Maddy summaryHR 3593, the Title VIII Nursing Workforce Reauthorization Act of 2025, reauthorizes and expands federal funding for nursing education programs to address workforce shortages. It directly affects nursing schools, nurse practitioner, nurse-midwifery, nurse anesthesia, and clinical nurse specialist programs by expanding grant eligibility to include these specific training pathways. Key provisions include increasing annual funding from $137 million to $184 million (2026-2030), requiring schools to use funds for simulation/technology resources and faculty/student expansion, and adding clinical partnerships with healthcare facilities. The bill also updates terminology and adds protections for survivors of domestic violence and sexual assault in nursing education settings.

Maddy summaryThis resolution designates the week of September 8-12, 2025, as "Malnutrition Awareness Week" to highlight the issue of malnutrition in the United States. It does not create new laws or funding but serves as a symbolic gesture to raise public awareness about malnutrition's impact on vulnerable groups, including older adults, children in food-insecure households, and communities of color disproportionately affected by food insecurity. The resolution acknowledges existing programs like the Older Americans Act and Medicare nutrition services while emphasizing the need for improved access to nutrition care and prevention efforts.

Maddy summaryThe Critical Infrastructure Security Act expands the scope of foreign investment reviews by requiring the Committee on Foreign Investment in the United States to evaluate transactions involving critical infrastructure (including drinking water systems) and facilities of the intelligence community or National Laboratories. It mandates that federal agencies annually review and update a list of sensitive facilities for national security or critical infrastructure reasons, then submit these reports to Congress. The bill also requires the committee to publicly report on reviews of such transactions. This law directly affects how the government assesses foreign investments in key infrastructure and government facilities.