Rep. Carol D. Miller

Maddy summaryHR 2381, the SCREENS for Cancer Act of 2025, reauthorizes and updates the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). It directly affects low-income, uninsured, or underinsured women across all 50 states, territories, and tribal communities by expanding access to breast and cervical cancer screenings, diagnostic services, and patient navigation support. Key provisions include updating program language to emphasize prevention alongside detection and control, adding specific strategies to reduce disparities, and appropriating $235 million annually for fiscal years 2026-2030. The bill also requires a GAO study by 2027 to assess program eligibility, service trends, and barriers to screening access.

Maddy summaryThis bill adds Medicare coverage for home-based treatment of Alpha-1 Antitrypsin Deficiency Disorder (a rare genetic condition causing lung and liver damage). It specifically covers "augmentation therapy" (replacement protein therapy) delivered at home by qualified suppliers to Medicare Part A and B enrollees with this diagnosis who aren't in Medicare Advantage plans. The bill establishes payment for intravenous kits and up to 2 hours of nursing services per session, set at 80% of the lesser of actual cost or a defined rate. It amends Medicare rules to include this treatment under coverage, effective January 2027.

Maddy summaryHR 2314, the FAIR Act, requires hospitals participating in Medicare-funded residency programs to annually report data on applicants and acceptances from both osteopathic (DO) and allopathic (MD) medical schools. Hospitals must publicly affirm they consider applicants from both pathways equally and accept scores from either the COMLEX (for DOs) or USMLE (for MDs) exams. Non-compliant hospitals face a 2% reduction in Medicare payments starting in 2026 for each prior year of non-reporting. The bill directly affects hospitals receiving Medicare residency funding, aiming to increase transparency in admissions without mandating specific acceptance rates or federal oversight of medical education.

Maddy summaryHR 2282, the Respect Parents' Childcare Choices Act, would require states to provide child care certificates (not grants or contracts) to parents receiving federal child care assistance, allowing these certificates to be used for relative caregivers (such as grandparents, aunts, uncles) and in-home child care providers. The bill modifies income eligibility requirements, setting different thresholds for unmarried parents versus married parents, and adds protections for religious child care providers to ensure they aren't subject to additional requirements compared to non-religious providers. It also includes provisions to prevent fraud in the child care assistance program and to identify and remove unnecessary barriers to relative caregiving. This legislation would directly affect low-income parents seeking child care assistance and child care providers, particularly those operating as religious organizations or in-home care.

Maddy summaryThis bill creates a tax credit for cable, satellite, and internet-based video distributors (like streaming services) that carry content from independent video producers. Distributors can claim a credit equal to the lesser of their actual license fees paid for carrying independent programming or $0.10 per average monthly subscriber, with a maximum of $0.30 per subscriber. It also requires the Federal Communications Commission to submit biennial reports to Congress on how many independent programmers are being carried and for how long, to help assess the program's effectiveness. The credit applies to agreements where distributors carry independent content to at least 40% of their subscribers, targeting small, non-corporate video producers who aren't owned by major networks or distributors.

Maddy summaryThis bill delays two Medicare billing deadlines for ground ambulance services from 2025 to 2028. It amends the Social Security Act to extend the timeline for implementing specific billing rules under Section 1834(l). The change directly affects Medicare ambulance providers by postponing compliance deadlines for billing requirements. No new services or funding are created - only a technical extension of existing timelines.

Maddy summaryThis bill amends the tax code to permanently establish a 7-year depreciation period for motorsports entertainment complexes, replacing a temporary provision. It directly affects businesses operating these facilities by allowing them to deduct the cost of qualifying assets over seven years instead of a shorter period. The key change is removing a temporary rule (subparagraph D) from the tax code, making the longer recovery period permanent for these specific properties. The bill focuses solely on clarifying and extending this tax treatment without additional policy changes.

Preserving Patient Access to Home Infusion Act  This bill specifically includes pharmacy services and home infusion drugs that are administered without a pump as part of covered home infusion therapy under Medicare. The bill also allows nurses and physician assistants to establish and review the plan of care for home infusion therapy, and it specifies that payment may be made regardless of whether a practitioner is physically present in the home at the time the drug is administered.

Maddy summaryThe Medical Supply Chain Resiliency Act (HR 2213) establishes a framework for the U.S. to form agreements with foreign countries that commit to reliable medical supply chains during emergencies. It allows the President to negotiate "trusted trade partner agreements" that reduce trade barriers (like duties and quotas) for medical goods with countries meeting specific criteria, such as maintaining open trade during health crises and protecting intellectual property. These agreements require Congressional review and approval, with ongoing monitoring to ensure partners uphold commitments. The bill directly affects U.S. trade policy, foreign governments seeking partnerships, and the medical supply industry by aiming to diversify sources and secure critical products like pharmaceuticals and medical devices.

Maddy summaryHR 2143, the Small Business Transportation Investment Act of 2025, creates a 3-year pilot program allowing small businesses that provide paid ground transportation (such as taxis, shuttles, or non-emergency medical transport) to purchase vehicles through the General Services Administration's (GSA) existing procurement system at cost. This directly affects eligible small businesses meeting the Small Business Act definition, enabling them to access GSA's vehicle selection pool for fleet modernization. Key provisions require businesses to use purchased vehicles for at least two years, reimburse GSA if sold early, and donate one out of every five vehicles to nonprofits after use. The program includes annual reporting on cost savings, operational improvements, and environmental impacts, with a final report assessing whether to make it permanent.