Rep. Carol D. Miller

Maddy summaryThe PEAKS Act (HR 3778) modifies rules for critical access hospitals (CAHs) in mountainous or remote areas with limited road access. It changes ambulance service fee schedules to use a 15-mile drive limit (instead of 35 miles) in such locations, aligning with terrain challenges. The bill also allows CAHs that met the 15-mile distance requirement at their last certification to be deemed compliant through 2025, provided they have a new facility 10-15 miles away. These changes, effective January 1, 2026, aim to help CAHs maintain their status and funding eligibility. Regulations must be issued within one year of enactment.

Maddy summaryHRES 444 is a symbolic House resolution calling on all Americans to observe Memorial Day 2025 by honoring military personnel who died in service. It does not create new laws or affect specific groups, as it is a non-binding expression of national remembrance. The resolution states that Americans should commemorate the sacrifices of over one million service members who died pursuing freedom and peace, framing Memorial Day as a day to express respect for their ultimate sacrifice. This is a routine ceremonial resolution with no policy changes or concrete mechanisms beyond urging public observance.

Maddy summaryThis bill extends existing federal reentry programs under the Second Chance Act through 2030, continuing funding for services supporting people returning to communities after incarceration. It specifically maintains grants for state/local reentry projects (including substance use treatment, housing, and peer recovery services), family-based substance abuse treatment, prison/jail educational programs, career training, and community mentoring by nonprofits. The bill updates program timelines from their previous 2019-2023 authorization period to 2026-2030 without altering the core services provided. It directly affects state/local agencies, prisons, and nonprofit organizations administering these reentry programs. The legislation focuses solely on extending current funding mechanisms, not changing program requirements or creating new initiatives.

Maddy summaryHR 3512, the Tackling Predatory Litigation Funding Act, imposes a new annual tax on funds received by third-party investors who finance lawsuits through litigation financing agreements. It directly affects investors (including foreign entities) who provide funding to plaintiffs or law firms in exchange for a share of settlement or judgment proceeds, excluding small agreements under $10,000 or standard loans. The tax equals the top individual income tax rate plus 3.8 percentage points, with 50% withheld from settlement payments by parties involved in the lawsuit. The law also clarifies that such funds cannot offset losses and excludes certain typical legal fee reimbursements from taxation. The provisions take effect for taxable years beginning after December 31, 2025.

Maddy summaryHR 3518 would deny federal funding to graduate medical schools that require certain diversity, equity, and inclusion (DEI) policies. Specifically, schools must certify they do not compel students or staff to affirm specific beliefs about race, gender, or systemic racism; require "diversity statements" for admission or employment; establish DEI offices; or discriminate based on race in programs. This affects graduate medical schools at institutions of higher education seeking federal financial aid, including student loan programs. The bill permits schools to teach about medical conditions related to race or collect demographic data, but prohibits policies mandating DEI-related pledges or offices.

Maddy summaryHR 513, the Offshore Lands Authorities Act of 2025, reverses multiple existing presidential protections that blocked oil and gas leasing on offshore federal lands. It nullifies 8 specific presidential withdrawals (including areas in the Arctic, Atlantic, Gulf of Mexico, and Pacific) and restricts future presidential actions by limiting withdrawals to 150,000 acres per action, capping them at 20 years, and requiring Congressional approval for cumulative withdrawals exceeding 500,000 acres. The bill mandates that before any withdrawal, the Secretary must complete four assessments covering mineral resources, economic/energy value, revenue impacts, and national security. It also establishes a fast-track process for Congress to disapprove withdrawals within 20 days, with limited debate (10 hours) on the resolution.

Maddy summaryHR 3501 would require Medicare providers to screen beneficiaries aged 65 and older for cognitive impairment during annual wellness visits and initial preventive physical exams, using tools approved by the National Institute on Aging. The screening must be documented in the patient’s medical record. This change applies to visits starting January 1, 2026, and aims to support early detection of conditions like Alzheimer’s through standard preventive care. The bill directly affects Medicare beneficiaries, providers, and caregivers by integrating cognitive screening into routine preventive services.

More Opportunities for Moms to Succeed Act or the MOMS Act This bill establishes requirements to enable the collection of certain child support during pregnancy, establishes grants for supportive services for women that promote alternatives to abortions, and requires the Department of Health and Human Services (HHS) to establish a website with pregnancy resources other than those about abortions. Specifically, the bill requires states to apply child support obligations to the time period during pregnancy under the Child Support Enforcement program. (The program enables states to receive federal matching funds for expenses related to child support enforcement activities and related services.) Such child support applies at the request of the mother and may be applied retroactively. Also, HHS must award grants to nonprofits to provide pregnant and postpartum women, and women parenting young children, with services or information on topics including health care (excluding abortions), child care, and employment assistance. It also requires HHS to provide grants to health care providers in rural or medically underserved areas, as well as tribal areas, to purchase equipment enabling telehealth visits for prenatal and postnatal care (e.g., monitoring devices). Additionally, the bill requires HHS to establish a public website to inform pregnant and postpartum women, and women parenting young children, of nearby services and resources on topics including health care, material or legal support, and alternatives to abortion. States must, as a condition of receiving certain federal funds, provide lists of nonprofit child placement agencies for potential inclusion on the site.

Maddy summaryHR 3193 requires the U.S. Trade Representative to report to Congress within 30 days if South Korea enacts digital regulations that unfairly restrict U.S. digital companies. The bill mandates an assessment of whether such policies violate U.S. trade agreements or create unjustifiable barriers to U.S. commerce. If the report finds violations, the U.S. can initiate enforcement actions like World Trade Organization disputes or Section 301 investigations. This bill directly affects U.S. digital companies operating in South Korea and empowers U.S. trade officials to address discriminatory digital regulations. It focuses on enforcing existing trade obligations rather than creating new regulations.

Maddy summaryHR 3134, the Emergency Care Improvement Act, allows Medicare and Medicaid to reimburse freestanding emergency centers (FECs) for specific emergency services. The bill defines FECs as 24/7 facilities meeting state emergency care standards, with physician staffing, hospital referral agreements, and quality programs - currently operating in over 118 locations, primarily in Texas. It amends coverage rules to include FECs under Medicare Part B and Medicaid for "specified emergency services" (excluding certain evaluation codes), sets payment rates based on outpatient department standards, and extends EMTALA emergency care laws to cover these centers. This policy change directly affects FECs and Medicare/Medicaid beneficiaries by enabling reimbursement for emergency care previously excluded from coverage.