Rep. Burgess Owens

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryThis bill prohibits U.S. courts from enforcing judgments based on Shari'a or any foreign law if they conflict with constitutional rights, particularly in family law cases like divorce, child custody, or inheritance. It requires courts to apply only U.S. law when foreign legal systems would violate fundamental rights such as due process, equal protection, or freedom from coercion. Contracts may still reference foreign law, but enforcement is blocked if it infringes constitutional protections. The law aims to ensure all court decisions comply with U.S. constitutional standards nationwide.

Maddy summaryHR 5455, the Aviation Funding Stability Act of 2025, ensures continued operation of the Federal Aviation Administration (FAA) during government funding gaps. If Congress fails to pass regular appropriations or a continuing resolution before the new fiscal year begins, the bill allows the FAA to use existing funds from the Airport and Airway Trust Fund to maintain essential programs and airport infrastructure at the previous year’s funding level. This prevents shutdowns for FAA operations like air traffic control, airport grants, and safety programs for up to 30 days or until regular funding is enacted. The bill directly affects all FAA programs funded through the trust fund, including airport improvements and aviation safety initiatives, without creating new policies or altering funding levels.

Maddy summaryThis bill reauthorizes federal funding for diabetes programs targeting Type 1 diabetes. It extends annual funding of $160 million for fiscal years 2026 through 2030, continuing existing support for research, treatment, and prevention initiatives. The funds remain available until expended, directly supporting programs serving people with Type 1 diabetes and the organizations delivering these services. The bill makes no changes to program eligibility or structure, only extending current funding levels.

Maddy summaryThis bill ensures Medicare coverage for new medical devices designated as "breakthrough devices" during a 4-year period after FDA approval. To qualify, devices must meet specific criteria, including FDA priority review, clinical data from Medicare beneficiaries, and a safety review showing benefits outweigh risks. Medicare must finalize coverage decisions within 6 months of manufacturer applications and before the 4-year period ends. The law appropriates $10 million annually (2025-2030) for Medicare to administer this process.

Maddy summaryHR 5401, the Pay Our Troops Act of 2026, ensures military personnel, civilian Defense workers, and supporting contractors receive pay during government funding gaps in fiscal year 2026. It appropriates emergency funds for active-duty service members, reserves, and their supporting personnel (including Coast Guard staff under DHS) if regular appropriations aren't enacted by the end of the fiscal year. The bill provides necessary pay and allowances during any period when full-year funding is unavailable, covering both active service and support roles. Funding expires when regular appropriations are passed, a funding resolution is enacted, or January 1, 2027, whichever comes first. This is a procedural measure to prevent pay delays for military and support staff during fiscal year 2026 funding lapses.

Maddy summaryThis symbolic resolution (HRES 700) condemns the assassination of Charlie Kirk, a conservative campus advocate and founder of Turning Point USA, who was killed on September 10, 2025, at Utah Valley University. It expresses the House's deepest condolences to Kirk’s family, including his wife and children, and honors his work promoting civil discourse among college students. The resolution does not create new laws or policies but serves as a formal expression of the House’s stance on the incident. It directly affects no individuals or groups through legislative action, as it is purely a ceremonial statement.

Maddy summaryHR 5316 allows pharmacists and physicians to compound drugs for urgent hospital use during shortages when commercially available alternatives are unavailable. It requires the drug to have appeared on the FDA’s shortage list within 60 days, prescriber certification of failed attempts to obtain alternatives, and specific labeling stating the drug is not FDA-approved. Hospitals must track patient administration records within 7 days and report adverse events to the FDA within 15 days. The bill also expands drug shortage reporting to include sudden demand spikes, not just manufacturing interruptions.

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 summaryThe Mental Health in Aviation Act of 2025 requires the Federal Aviation Administration (FAA) to update regulations within two years to encourage pilots and air traffic controllers to seek mental health care and disclose conditions without fear of losing medical clearance. It mandates annual reviews to improve the medical clearance process for mental health conditions - such as approving additional safe medications, enhancing examiner training, and reducing backlogs - and allocates $13.74 million yearly (2026-2029) to hire more aviation medical examiners. The bill also directs the FAA to implement recommendations from a mental health rulemaking committee and fund a public campaign to reduce stigma around mental health care in aviation. These provisions aim to support aviation workers' well-being while streamlining safety-related medical evaluations.