Rep. Carol D. Miller

Maddy summaryHR 1189, the National Plan for Epilepsy Act, creates a coordinated federal strategy to address epilepsy through a National Plan for Epilepsy. The plan requires the Secretary of Health and Human Services to establish an annual assessment, maintain a diverse Advisory Council (including people with epilepsy, caregivers, and experts), and coordinate research and care across federal agencies. Key provisions include annual progress reports to Congress, data sharing between agencies, and recommendations to improve diagnosis, treatment access, and reduce epilepsy-related disparities. The plan expires December 31, 2035, and directly affects the estimated 3.4 million people in the U.S. living with epilepsy and their caregivers.

Maddy summaryThis bill expands tax-advantaged health accounts to cover specific oral care products. It adds toothbrushes (manual or electric), water flossers, and over-the-counter antiplaque/anticaries drugs (like certain mouthwashes or gels) to the list of qualified medical expenses for Health Savings Accounts (HSAs), Archer MSAs, and health flexible spending accounts (FSAs). The change allows people to use pre-tax dollars from these accounts to pay for these common oral healthcare products, directly affecting individuals managing their dental care costs through such accounts. The bill amends existing tax code provisions to include these items under "qualified medical expenses" without creating new government programs.

Maddy summaryHR 1177, the "Improve and Enhance the Work Opportunity Tax Credit Act," increases tax credits for employers hiring from targeted groups. It raises the credit rate from 40% to 50% for qualified first-year wages up to $6,000, plus 50% for wages between $6,000 and $12,000. The bill also creates higher credit limits for veterans (up to $24,000/$48,000), removes an age cap for Supplemental Nutrition Assistance Program (SNAP) recipients, and adjusts rules for summer youth workers and long-term family assistance recipients. These changes apply to employees hired after December 31, 2024, directly benefiting employers who hire from these eligible groups.

Alpha-gal Allergen Inclusion Act This bill expands the definition of major food allergen to include galactose-alpha-1,3-galactose (commonly known as alpha-gal ). Under current law, food labels generally must identify each major food allergen found in labeled food products.  (Certain tick bites cause an allergic condition known as alpha-gal syndrome that can result in an allergy to the alpha-gal molecule, which is found in red meat and other products made from mammals.)

Maddy summaryThe SAFE Act requires Medicare to cover falls risk assessments and fall prevention services for seniors aged 65+ who have fallen in the previous year. These services, provided by physical or occupational therapists, will be included in Medicare's annual wellness visits and initial preventive physical exams starting January 1, 2026. The bill also mandates annual reports to Congress beginning in 2027 on falls among seniors aged 65+ that required treatment for fall-related injuries. This policy directly affects Medicare beneficiaries with a documented history of falls by adding targeted preventive care to their covered benefits.

Maddy summaryThe HALT Fentanyl Act (HR 27) creates a new category of Schedule I controlled substances for "fentanyl-related substances" defined by specific chemical modifications to fentanyl. This law directly affects researchers, medical professionals, and law enforcement by expanding the legal definition of fentanyl-related substances to include many structurally similar compounds. Key provisions include streamlined registration processes for research on these substances, allowing researchers to conduct studies with expedited procedures if related to FDA-approved drug development or government-funded research. The bill requires the Attorney General to issue implementing rules within six months and includes penalties for violations involving these substances.

Maddy summaryThis bill expands 529 college savings account flexibility by allowing funds to cover costs for industry-recognized postsecondary credentials, not just traditional degrees. It defines "qualified expenses" to include tuition/fees for recognized credential programs (like certifications or apprenticeships), required testing fees, and continuing education needed to maintain credentials. To qualify, programs must meet specific criteria, such as appearing on state lists under the Workforce Innovation and Opportunity Act or being listed in VA or Defense directories. The change applies to 529 distributions made after the law's enactment, giving families more options to use these accounts for job-focused training.

Maddy summaryHCONRES 8 is a non-binding congressional resolution urging the U.S. President to end the current "One China Policy" and recognize Taiwan as an independent country. It specifically calls for resuming normal diplomatic relations (including appointing ambassadors), negotiating a bilateral free trade agreement with Taiwan, and advocating for Taiwan's full membership in international organizations like the UN and WHO. The resolution argues that Taiwan has maintained democratic governance and independence for over 70 years, separate from the People's Republic of China. This resolution does not change U.S. law but expresses Congress's position on foreign policy toward Taiwan.

Maddy summaryHR 1046, the Marc Fischer Memorial Act, requires the Bureau of Prisons to implement digital mail scanning technology at all federal prisons to detect fentanyl and other synthetic drugs in inmate mail. It mandates a strategy within 90 days of an evaluation, including 100% scanning of all mail, digital copies of mail to inmates within 24 hours, and physical mail delivery within 30 days for non-contaminated items. The bill directly affects federal prison staff, inmates, and the Bureau of Prisons by aiming to reduce drug-related overdoses and alleviate staff workload tied to mail processing. Implementation must be completed within three years, with annual reports tracking detected drugs and strategy efficiency. The legislation focuses on concrete technological and procedural changes to enhance safety, referencing a successful pilot program at two facilities.

Maddy summaryThis bill permanently extends the New Markets Tax Credit (NMTC), a federal tax incentive that encourages private investment in low-income communities. It directly affects community development entities (CDEs) that channel capital into underserved neighborhoods for projects like housing, healthcare, and businesses. Key provisions include permanently extending the credit beyond 2025, adding annual inflation adjustments to the credit amount starting in 2026, and ensuring the credit isn't reduced by the alternative minimum tax for investments made after December 2024. The changes apply to taxable years beginning after December 2024, providing long-term stability for community development financing.