Rep. Carol D. Miller

Maddy summaryThe Rural Hospital Flexibility Act of 2025 creates new federal grant programs to support rural healthcare providers in improving services and adapting to community needs. It provides funding for quality improvement, behavioral health services, and technical assistance for critical access hospitals, rural health clinics, and rural emergency hospitals. The bill also establishes 5-year grants to help rural providers transition to new care models - including telehealth, integrated behavioral health, and extended emergency services - and offers specialized technical support for hospitals seeking rural emergency hospital status. These grants aim to strengthen rural healthcare systems by enhancing operational capacity and sustainability.

Maddy summaryHR 6792, the Foreign-Trade Zone Export Enhancement Act of 2025, modifies U.S. tariff rules to make it easier for businesses using foreign-trade zones (FTZs) to export goods to U.S. trade partners under the USMCA (or future agreements). It allows certain merchandise manufactured or altered within FTZs - specifically items classified under HTS 9801.00.95 - to enter the U.S. duty-free when exported directly to Canada or Mexico. This change aims to support U.S. manufacturing competitiveness and job retention by reducing costs for companies processing goods in FTZs for export to USMCA countries. The bill requires U.S. Customs and Border Protection to implement these tariff changes within 90 days of enactment.

Maddy summaryHR 6785, the CLEAR Act of 2025, provides $100 million annually (2025-2030) in federal grants to states, territories, and tribes to establish or support resilience offices. These offices must develop five-year plans addressing climate and disaster risks across environmental hazards, economy, infrastructure, health, and housing, while prioritizing disadvantaged communities. Grantees must implement programs like technical assistance for local governments and integrate resilience into existing grant programs, with 10% of funds reserved for Indian tribes. States must report annually on how funds were used and the effectiveness of their resilience efforts. The bill directly affects state/local governments and tribal entities by requiring new planning structures to prepare for climate impacts.

Maddy summaryHR 3632, the Power Plant Reliability Act of 2025, requires electric utilities to provide at least 5 years' advance notice to federal and state regulators before permanently retiring any generating unit with a capacity of 5 megawatts or more. The bill mandates that the Federal Energy Regulatory Commission (FERC) can order utilities to continue operating specific plants or develop long-term transmission plans if it finds interstate service inadequate, while prohibiting FERC from forcing new plant construction or energy sales that would harm service. Utilities must also cover costs for these changes through adjusted rates, and the bill includes a provision exempting compliance actions from environmental law penalties. This directly affects large power generators, state energy commissions, and transmission operators by creating new notice requirements and FERC oversight for plant retirements.

Essential Caregivers Act of 2025   This bill prohibits certain health care facilities from limiting the access of essential caregivers to residents of those facilities, including during designated emergency periods.   Specifically, the bill generally prohibits Medicare skilled nursing facilities, Medicaid nursing facilities, Medicaid intermediate care facilities, and associated inpatient rehabilitation facilities from restricting the access of essential caregivers to residents of the facilities, including during emergency periods in which visitation rights are otherwise restricted. During emergency periods, facilities may restrict access for an initial period of up to seven days and for one additional maximum seven-day period (if the additional period is approved by the state health department). Facilities may restrict access for a total of 7 days (or 14 days with the approval of the state health department) during an emergency period. Essential caregivers must agree to comply with any safety protocols set by the facility, which may be no more stringent for caregivers compared to those for staff. Caregivers who fail to comply with these requirements may be denied access, subject to an appeals process.

Maddy summaryHRES 923 is a formal resolution honoring U.S. Army Specialist Sarah Beckstrom (who died from her injuries) and U.S. Air Force Staff Sergeant Andrew Wolfe (who remains hospitalized) after they were shot in a targeted assault on U.S. service members in Washington, D.C., on November 26, 2025. Both were members of the West Virginia National Guard serving in the capital as part of the D.C. Safe and Beautiful Task Force. The resolution expresses condolences to their families, condemns the attack, and recognizes their dedication to protecting the nation's capital. As a commemorative resolution, it has no legal effect but serves as a symbolic tribute to their service.

Maddy summaryHR 6707, the CFIUSMCA Act, directs the U.S. Trade Representative to advocate during USMCA joint reviews for Mexico and Canada to adopt foreign investment review frameworks similar to the U.S. Committee on Foreign Investment (CFIUS) process. It aims to create a coordination mechanism among the U.S., Mexico, and Canada for sharing information and managing national security risks in strategically important sectors like semiconductors, artificial intelligence, critical infrastructure, and cybersecurity. The bill requires U.S. agencies to provide technical assistance to Mexico and Canada to help them establish these aligned frameworks and mandates regular communication to address shared threats from foreign investments. This legislation directly affects U.S. trade and security officials, as well as the foreign investment review processes of Mexico and Canada under the USMCA agreement.

Miracle on Ice Congressional Gold Medal Act This act provides for the award of Congressional Gold Medals to the members of the 1980 U.S. Olympic men's ice hockey team in recognition of the team's achievement at the 1980 Winter Olympic Games.

Maddy summaryHR 1623 (the SCREEN Act) requires online platforms that profit from hosting pornographic content to implement age verification technology, preventing minors from accessing such material. Covered platforms must publicly disclose their verification process and securely handle age data collected through these systems. The law applies specifically to platforms where pornographic content is a regular business activity, not all websites. It mandates that only adults can access pornographic content on these platforms, without banning the content itself.

Maddy summaryHR 6509, the SAFE Drugs Act of 2025, limits how often pharmacies and healthcare providers can create custom drug formulations that copy standard medications. It restricts compounding any drug essentially identical to a commercially available product to no more than 20 times per month for individual patients. The bill also requires pharmacies compounding such drugs for out-of-state patients more than 20 times monthly to report details to the FDA, while exempting hospital pharmacies. These changes aim to improve safety oversight of non-standard drug compounding by setting clear limits and reporting rules.