Maddy summaryThis bill creates a new Medicare payment model (the "Comprehensive Alternative Response for Emergencies Model") that allows Medicare Part B to cover ground ambulance services provided in response to emergency medical calls *without* a full transport. It directly affects Medicare beneficiaries receiving emergency ambulance care and ambulance providers, ensuring they are paid for services like dispatch and initial response that don't include transport. The model requires payment rates to align with standard transport payments, mandates compliance with state protocols, and operates for a 5-year test period. A report by the Comptroller General will evaluate the model's impact on beneficiary access, outcomes, and regional differences after 4 years.
Rep. Mike Kelly
Sponsored bills
Maddy summaryThis bill makes Federal Pell Grants tax-free for students, removing the tax burden on these federal education awards. It also expands the American Opportunity Tax Credit to cover eligible child care costs (for students enrolled in school) and up to $1,000 for computer equipment or internet access used for education. These changes apply to tax returns filed for 2025 and later. The bill directly affects students receiving Pell Grants and those claiming the American Opportunity Credit for educational expenses.
Maddy summaryThis bill, titled "Secure Family Futures Act of 2025" but actually focused on tax code changes, primarily affects a specific subset of insurance companies. It amends the Internal Revenue Code to exclude certain debts (like bonds or notes) held by these companies from being counted as capital assets (Section 2), and extends their capital loss carryover period to 10 years for losses from foreign expropriation or losses incurred by these companies (Section 3). The changes apply to debts acquired and losses arising after December 31, 2025. The bill's title is misleading, as it does not relate to family policy but is a technical tax amendment targeting defined insurance industry entities.
Maddy summaryHR 2584, the Protect TANF Resources for Families Act, prohibits states from using federal Temporary Assistance for Needy Families (TANF) funds to replace state or local funding for TANF programs. It requires states to certify that federal TANF funds will only supplement, not supplant, existing state spending, with this rule taking effect October 1, 2025. The bill also extends the TANF program through September 30, 2026, maintaining current funding levels and operations as authorized for fiscal year 2023. This directly affects states administering TANF and the low-income families receiving these benefits, ensuring federal funds are used as intended to support, not replace, state contributions.
Maddy summaryHR 2410 creates a 20% federal tax credit for developers converting older non-residential buildings (at least 20 years old) into affordable housing. The credit applies to qualified conversion costs, requiring that 20% of units be rent-restricted for residents earning 80% or less of the area median income for 30 years. It establishes a $12 billion national credit limit, with $3 billion reserved for conversions in economically distressed areas, and mandates state-level allocation plans prioritizing projects near transit and employment. The bill directly affects developers seeking tax incentives for downtown revitalization, not tenants or local governments.
Maddy summaryHR 2423, the Unfair Tax Prevention Act, amends the U.S. tax code to modify how the base erosion tax applies to certain foreign-owned businesses. It directly affects foreign-controlled entities operating under specific foreign tax systems that impose taxes based on ownership chains, such as those linked to foreign corporations. Key provisions include treating these entities as "applicable taxpayers" for tax purposes, changing a deadline from December 31, 2025, to the bill's enactment date, and counting 50% of their cost of goods sold as a tax benefit while excluding certain other tax rules. The changes apply to taxable years beginning after the bill becomes law.
Maddy summaryThe Providing Veterans Essential Medications Act requires the Department of Veterans Affairs to reimburse State homes or provide medications directly for certain high-cost drugs used by veterans in State-run nursing homes. A medication is defined as high-cost if its price (including a 3% fee) exceeds 8.5% of the VA's monthly payment for the veteran's care at that home. This applies specifically to State homes that provide such medications to veterans under VA contracts. The bill ensures veterans receive essential medications without financial burden on the State homes, using clear cost thresholds to determine eligibility.
Maddy summaryThis bill amends the tax code to allow charitable organizations (501(c)(3) nonprofits) to provide grants for college student housing without losing their tax-exempt status. It specifically permits grants to improve or maintain "collegiate housing property" (where most residents are full-time students at a nearby college) but excludes grants for fitness facilities. The change affects charities seeking to fund student housing infrastructure, clarifying that such grants qualify as charitable under existing tax rules. The policy change applies to grants made after the bill's enactment date.
Maddy summaryHR 2359 sets new deadlines for states to use federal funds supporting child welfare programs under the Social Security Act. States must obligate (commit) funds by the end of the next fiscal year and fully spend them by the end of the second following year, unless they reserve up to 15% of the funds for future use. This reserve is capped at 50% of the previous year's total funds, and states must notify the federal government in advance if they plan to hold funds. The law directly affects states administering child welfare programs funded through Section 403(a)(1) and takes effect October 1, 2026.
Maddy summaryThe PHIT Act of 2025 allows taxpayers to deduct certain fitness-related expenses as medical costs on their federal tax returns. It directly affects individuals and families who pay for qualifying physical activity programs, such as gym memberships, fitness classes, or approved equipment. Key provisions include setting annual limits ($1,000 per person or $2,000 for joint returns), defining eligible fitness facilities (excluding golf courses or private clubs), and specifying that equipment must be used exclusively for physical activity. The bill amends the Internal Revenue Code to treat these expenses as deductible medical costs, effective for taxable years after its enactment.