Rep. Jennifer A. Kiggans

Maddy summaryThis bill expands Medicare Part B coverage to include specific pharmacist services, directly affecting Medicare beneficiaries and pharmacists who provide these services. It adds new coverage for pharmacist evaluations and treatments related to certain illnesses (like COVID-19, flu, or strep throat) and public health emergencies, requiring payment at 80% of the lesser of actual charge or 85% of physician payment rates (100% during emergencies). The bill also prohibits balance billing for these services, ensuring beneficiaries pay only the standard Medicare copayment. These changes aim to improve access to pharmacist care during health crises while aligning payment with existing physician service frameworks.

Maddy summaryThe HELLPP Act (HR 1634) amends Medicaid to recognize doctors of podiatric medicine (podiatrists) as physicians, enabling them to be reimbursed for services under Medicaid starting January 1, 2024. It also clarifies Medicare’s documentation requirements for therapeutic shoes for people with diabetes, mandating specific written certifications from a managing physician and a podiatrist to confirm medical necessity. These changes directly affect patients with foot conditions, especially those with diabetes, by improving access to podiatrist-provided care and coverage for therapeutic shoes. The bill includes a separate provision strengthening Medicaid program integrity through continuous levies on provider payments, but this does not alter patient coverage. All key provisions take effect on January 1, 2024.

Maddy summaryHR 1610 would modernize Medicare coverage for chiropractic care by removing the current restriction that limited beneficiaries to one chiropractic service per visit. It expands coverage to include all services provided by licensed chiropractors within their state-authorized scope, aligning Medicare with VA, military, and private insurance practices. The bill requires chiropractors to complete a Secretary-approved educational webinar to cover non-spinal services, while still allowing payment for spinal manipulation treatments without this requirement. This directly affects Medicare beneficiaries seeking chiropractic care and chiropractors seeking Medicare reimbursement for their services.

Maddy summaryThis bill amends Medicare rules to allow nurse practitioners and physician assistants to document medical necessity for diabetic shoes, a requirement currently limited to physicians. It directly affects Medicare beneficiaries with diabetes who need these shoes and expands the pool of providers (nurse practitioners and physician assistants) who can fulfill the documentation requirement. The key change inserts "nurse practitioner, or physician assistant" into Medicare's documentation standards for diabetic shoe coverage. This simplifies access for patients by enabling more healthcare providers to support coverage approval without requiring a physician's signature. The bill does not change coverage eligibility or costs, only the documentation process.

Maddy summaryHR 549, the Metastatic Breast Cancer Access to Care Act, removes waiting periods for disability and Medicare coverage for people diagnosed with metastatic breast cancer. Specifically, it amends Social Security Act sections to allow immediate eligibility for disability insurance benefits (eliminating the standard waiting period) and immediate Medicare coverage (waiving the 24-month waiting period) for these patients. The bill directly affects individuals with metastatic breast cancer who would otherwise face delays in accessing critical benefits. These changes apply to applications filed or benefits beginning after the bill's enactment date. The law makes no other policy changes beyond these specific eligibility adjustments.

Maddy summaryHR 7438 directs the U.S. Treasury to mint commemorative coins for the 2026 FIFA World Cup, including 100,000 $5 gold coins, 500,000 $1 silver coins, and 750,000 half-dollar coins. The coins will be sold to the public at face value plus surcharges ($35, $10, and $5 per coin, respectively), with all surcharge revenue paid to FWC2026 US, Inc. for U.S. soccer programs. These funds must support soccer initiatives, particularly in underserved communities and youth development, as specified in the bill. The coins are legal tender but will only be issued during 2026, with no net cost to the U.S. government.

Maddy summaryHR 8704 establishes a $10 million grant program administered by the National Fish and Wildlife Foundation to reduce harmful interactions between ocean users (like fishermen, tourism operators, and shipping companies) and North Atlantic right whales and other large cetaceans. The program funds research on avoidance technologies, awareness campaigns about existing whale protections, and infrastructure to share management information. Eligible recipients include states, nonprofits, businesses in maritime sectors, and tribal governments, with priority given to projects that reduce whale harm, involve collaboration among ocean users, and support U.S. small businesses. The bill also freezes existing vessel strike reduction rules until 2030 and requires biennial reports on grant effectiveness.

Maddy summaryHR 10273 directs the Secretary of Defense to study the health effects of indoor mold in military housing, specifically focusing on risks to service members, their families, and children living in covered housing (including unaccompanied and family housing). The study must examine harmful mold types, detection methods, health impacts like respiratory illnesses, and the effect on military readiness. Based on the study, the Department of Defense must develop model standards for preventing, detecting, and remediating mold, including new construction requirements to control moisture and ventilation. The bill also requires training military health professionals on mold-related illnesses and mandates public review of proposed standards.

Maddy summaryThe Bolstering Ecosystems Against Coastal Harm Act (HR 5490) expands the John H. Chafee Coastal Barrier Resources System by updating its map boundaries to include new coastal areas across 16 states, including Massachusetts, Rhode Island, New York, New Jersey, Delaware, Maryland, Virginia, and others. The bill requires property owners to disclose when a property is within the System to prospective buyers, creates exceptions for certain aquaculture operations and emergency actions, and mandates a report evaluating coastal ecosystem dynamics. It improves federal agency compliance with the Act and authorizes $1.962 million annually for fiscal years 2025-2031. This legislation directly affects coastal property owners, developers, and federal agencies involved in coastal management and funding decisions.

Maddy summaryThe Working Dog Commemorative Coin Act (HR 807) directs the U.S. Treasury to mint three types of commemorative coins honoring working dogs' service: $5 gold coins, $1 silver coins, and half-dollar coins with specific weight and composition requirements. Each coin will carry a surcharge ($35 for $5 coins, $10 for $1 coins, $5 for half-dollars) that will be paid directly to America's VetDogs to support their programs providing service dogs for veterans, the disabled, and others. The coins will be issued in 2027 with designs reflecting working dogs' roles in military, detection, therapy, and assistance work. The legislation specifies that all surcharge revenue must fund America's VetDogs' operations without creating new government programs. This is a commemorative measure focused on honoring working dogs' contributions through coin sales, with all surcharge funds going to a specific nonprofit organization.