Maddy summaryThe PBM Reform Act of 2025 aims to increase transparency and fairness in pharmacy benefit manager (PBM) operations within Medicare Part D and Medicaid programs. The bill requires Medicare Part D plans to allow any pharmacy meeting standard terms to join their networks, establishes "essential retail pharmacies" in underserved areas (with limited pharmacy access), and mandates detailed reporting on drug pricing, rebates, and reimbursement rates. It creates a process for pharmacies to report PBM violations of reasonable contract terms and prohibits "spread pricing" in Medicaid, where PBMs retain the difference between what they pay pharmacies and what they charge plans. These provisions aim to improve pharmacy access for Medicare beneficiaries and ensure fairer reimbursement practices for pharmacies.
Rep. Robert P. Bresnahan, Jr.
Sponsored bills
Maddy summaryHR 4254 establishes the "Iranian Campaign Medal" to recognize military personnel who served during specific operations in the Iran-Israel War, including "Operation Midnight Hammer" on June 22, 2025. It authorizes the Secretary of Defense to award the medal to active-duty service members deployed in designated areas of operation or performing prescribed service related to the conflict. The medal may also be issued to the next-of-kin of deceased eligible service members. The bill specifies the medal’s design, limits awards to one per person, and requires uniform regulations for issuance.
Maddy summaryThe CONNECT for Health Act of 2025 expands Medicare telehealth coverage by removing geographic restrictions that limited where patients could receive care, expanding the types of health care providers who can offer telehealth services, and eliminating the requirement for an in-person visit before receiving telemental health services. The bill includes specific provisions to support telehealth use for Native American health facilities, rural health clinics, and Federally Qualified Health Centers. It requires the Centers for Medicare & Medicaid Services to collect and publish data on telehealth usage and impacts, and to develop resources to improve accessibility for people with disabilities and limited English proficiency. Program integrity measures are added to monitor telehealth billing practices and prevent fraud while maintaining coverage for telehealth services during public health emergencies.
Maddy summaryThis bill makes technical corrections to the Camp Lejeune Justice Act of 2022 to streamline claims for individuals harmed by water contamination at Camp Lejeune. It clarifies the evidence required (30+ days at the base plus a link between contaminants and health harm), specifies that cases must be handled in North Carolina courts (with limited transfer options), and sets attorney fee caps (20% before suit, 25% after). These changes directly affect veterans and civilians who lived at Camp Lejeune and filed claims under the 2022 law. The bill does not create new eligibility but aims to improve the legal process for existing cases.
Maddy summaryHR 4101, the Cancer Drug Parity Act of 2025, requires group health plans and insurance plans to provide equal cost-sharing (like deductibles and copays) for oral anticancer drugs as for intravenous or injected cancer drugs. This directly affects insured cancer patients prescribed oral medications, ensuring they face no higher out-of-pocket costs than for IV treatments when medically necessary. The law prohibits plans from changing benefits to increase costs for oral drugs or applying stricter limits on them compared to IV drugs. It takes effect for plan years starting January 1, 2026, and mandates a GAO study to assess the law’s impact on patient costs within two years of enactment.
Maddy summaryHR 4110, the Organic Dairy Data Collection Act, requires the U.S. Department of Agriculture (USDA) to establish new data collection systems for organic dairy producers. Specifically, it mandates the Secretary of Agriculture to support programs gathering cost-of-production data for organic milk (including feed costs like corn and soybeans), create a monthly Organic All Milk Prices Survey analogous to existing conventional milk surveys, and publish periodic reports with organic-specific data such as state-level costs, regional production volumes, mailbox prices for top dairy regions, and organic feed prices. These reports must be published using existing USDA data services (National Agricultural Statistics Service, Economic Research Service, Agricultural Marketing Service) and include the top 6 organic dairy-producing regions. The bill directly affects organic dairy farmers by creating standardized, publicly available data on their production costs and market prices, which was previously not systematically reported.
Maddy summaryHR 3886, the Veterans PTSD Screening Act, requires the Department of Veterans Affairs (VA) to study whether RNA sequencing can help diagnose PTSD-related symptoms like inflammation or cellular stress in veterans. The VA must conduct this research at five VA medical facilities within its Veterans Integrated Service Networks, starting within 120 days of the bill's enactment. The study will conclude on September 30, 2027, with a final report to Congress due by September 30, 2028, detailing the findings. This bill does not change current screening practices but mandates a specific research effort to evaluate a potential diagnostic tool.
Maddy summaryHRES 527 is a symbolic resolution designating June 2025 as "National Dairy Month" to honor dairy's role in nutrition and the agricultural economy. It recognizes dairy as a key source of calcium and vitamin D (per Dietary Guidelines), supports over 3.2 million jobs, and highlights the industry's $793 billion economic impact. The resolution encourages public support for dairy farmers while condemning unfair regulatory burdens on the sector. As a non-binding expression of support, it does not create new laws or funding.
Maddy summaryThe Occupational Therapy Mental Health Parity Act requires the U.S. Department of Health and Human Services to provide education and outreach about Medicare coverage for occupational therapy services treating mental health and substance use disorders. Specifically, it directs the Secretary to clarify how these services are covered under the Medicare Benefit Policy Manual using standard medical billing codes (HCPCS). This education must be completed within one year of the bill's enactment. The goal is to improve understanding of existing Medicare coverage for occupational therapy in mental health and substance use treatment, without changing current benefit rules.
Maddy summaryHR 3946, the FIGHT Act of 2025, amends the Animal Welfare Act to specifically prohibit gambling on animal fighting events and restrict the interstate transport of roosters used in such ventures. It defines "rooster" as male chickens over six months old and makes it unlawful to sponsor, exhibit, attend (for those under 16), or gamble on animal fighting events - whether in-person or broadcast. The bill creates a civil enforcement mechanism allowing any person to file a lawsuit to stop violations after providing 60 days' notice to authorities, with potential fines up to $5,000 per violation. It also establishes seizure of property used to facilitate violations and clarifies that state laws on animal fighting remain in effect unless directly conflicting with federal provisions.