Rep. Carol D. Miller

Maddy summaryThis bill requires the Bureau of Land Management (BLM) to complete pending coal lease applications under the Mineral Leasing Act. It mandates the BLM to finalize environmental reviews, set fair market value, and approve qualified applications within a "reasonable timeframe," directly affecting coal companies with existing applications awaiting approval. The bill also overrides a 2016 Department of the Interior policy that paused coal leasing, ensuring current leasing processes proceed without further delay. Key provisions include streamlining administrative steps for existing applications and removing barriers to mining activity approvals. The law does not change environmental standards but accelerates the leasing process for applications already in review.

Maddy summaryHR 5031, the *Preserving Patient Access to Long-Term Care Pharmacies Act*, requires Medicare Part D plans and Medicare Advantage plans with drug coverage (MA-PD) to pay long-term care pharmacies an additional supply fee for each specified prescription dispensed to eligible beneficiaries during 2026 ($30) and 2027 (adjusted for inflation). This fee must be paid alongside existing reimbursements for drug costs and dispensing, with a $10,000 penalty for non-payment. The bill also directs the GAO to study long-term care pharmacy payment sustainability under Medicare, analyzing historical payments for brand/generic drugs and dispensing fees. It aims to ensure uninterrupted pharmacy access for Medicare beneficiaries in long-term care settings, particularly in rural areas.

Maddy summaryThis bill amends Medicare rules to improve payment for air ambulance services. It requires air ambulance providers to submit detailed cost and revenue data every three years (including fixed costs per base, utilization rates, and revenue) to the Medicare Secretary. The Secretary must then revise fee schedules based on this data and stakeholder input, aiming to better align payments with actual costs. A separate provision mandates the GAO to study average operating costs, payment adequacy, geographic variations, and make recommendations within one year of data collection starting. The bill directly affects Medicare beneficiaries using air ambulances and the providers operating those services.

Maddy summaryHR 4780 (USTRx Act) creates a new Chief Pharmaceutical Trade Negotiator within the U.S. Trade Representative's office to address foreign government drug pricing policies. The bill requires annual reports assessing whether high-income countries' pharmaceutical pricing practices are unfair, non-market-based, or deny U.S. market access. If such practices are found, the USTR must submit a response plan within 30 days to Congress. This bill directly affects U.S. pharmaceutical manufacturers and consumers by aiming to ensure foreign governments pay their "fair share" for drug innovation developed in the U.S.

Maddy summaryHR 4710, the No Surprises Act Enforcement Act, increases penalties for health insurance plans and issuers that violate balance billing protections, which prevent surprise medical bills. The bill raises fines from $100 to $10,000 per violation for specific balance billing rule violations and adds a new penalty of three times the difference between initial payment and out-of-network rates for late payments after Independent Dispute Resolution decisions. It requires health plans and nonparticipating providers to make timely payments within 30 days of a payment determination, with interest accruing on late payments. The bill also establishes new transparency reporting requirements for the Secretary to submit regular reports to Congress about audits, enforcement actions, and penalties. These provisions directly affect health insurance issuers, group health plans, and nonparticipating healthcare providers.

Maddy summaryThe SEEK HELP Act provides legal protections for individuals responding to opioid overdoses. It shields people who administer reversal drugs (like naloxone) in good faith from civil lawsuits, and protects those who call for help (e.g., 911) from drug possession charges related to the overdose. States can use federal funds to run public awareness campaigns about these protections and train law enforcement and healthcare workers. The bill also requires a federal report to assess how well these protections are working across states and their impact on overdose outcomes.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.

Maddy summaryHR 4484 (ADAPT Act) adds Medicare coverage for psychological services provided by supervised trainees - doctoral interns or postdoctoral residents in APA-accredited programs under licensed psychologists' supervision. It requires a new billing code (GC modifier) for these services and directs the Health Secretary to issue Medicaid/CHIP guidance to states on implementing similar coverage, including recommended billing codes and state examples. The bill directly affects trainees seeking licensure and their supervising psychologists by enabling federal billing for their services. States would use the guidance to adjust coverage policies for trainee services under Medicaid and CHIP programs.

Maddy summaryHR 4470, the *Removing Burdens From Organ Donation Act*, requires hospitals to electronically notify organ procurement agencies when a potential donor is deceased or near death, with remote access to updated electronic health records (EHRs). This applies to most hospitals starting two years after the law's enactment, but allows exemptions for rural hospitals lacking reliable internet, those hit by cyberattacks, or disaster-affected facilities. The bill mandates federal guidance for hospitals and EHR companies on implementation, plus annual reports on exemptions and a GAO study on costs, rural challenges, and transplant outcomes. It directly affects hospitals, organ procurement agencies, and EHR providers by streamlining donor notification processes.