Rep. Carol D. Miller

Maddy summaryThis bill requires the U.S. Trade Representative to monitor South Korean digital regulations that may disadvantage U.S. digital companies. Within 30 days of South Korea enacting such regulations, the Trade Representative must report to Congress on whether the rules violate trade agreements, impose unfair burdens on U.S. businesses, or discriminate against U.S. digital platforms. If findings confirm discrimination, the bill mandates potential enforcement actions, including World Trade Organization disputes, Section 301 investigations, or negotiations under the U.S.-Korea Free Trade Agreement. It directly affects U.S. digital companies operating in South Korea and South Korean government entities creating digital trade policies.

Maddy summaryHR 9138, the ADAPT Act, expands Medicare coverage to include services provided by psychology trainees (doctoral interns or postdoctoral residents in APA-accredited programs) under the general supervision of a licensed psychologist. It requires the creation of a new billing code (GC modifier) for these services and directs the HHS Secretary to issue guidance to states on covering similar services through Medicaid and CHIP programs. The bill affects psychology trainees seeking licensure and healthcare systems billing Medicare/Medicaid, enabling reimbursement for supervised trainee services. Key provisions include defining "advanced psychology trainee," establishing billing protocols, and providing states with strategies to implement coverage. The changes take effect one year after enactment.

Maddy summaryHR 9125, the Patient Access to LTCH Care Act, adjusts Medicare payments for long-term care hospitals (LTCHs) treating patients with complex medical conditions. It increases payment rates by 5% or 10% for LTCHs based on the number of major complications or comorbidities a patient has, with specific thresholds tied to Medicare coding. The bill also sets annual caps on payment increases ($50,000 for 2025-2026, 110% of prior year for later years) and creates exceptions to ensure patients with severe wounds, specific diagnoses (like septicemia or pulmonary issues), or post-COVID care receive appropriate coverage. This directly affects LTCHs and Medicare beneficiaries with high-acuity conditions requiring specialized care.

Maddy summaryThis bill creates a new Medicare payment model for emergency medical services (EMS) that allows coverage when ambulance providers deliver critical care on-site without transporting patients to a hospital. It directly affects Medicare beneficiaries receiving such on-site emergency care and ambulance providers who would previously not be reimbursed for non-transport services. The key provision requires Medicare to pay for these services at rates matching what would have been paid for transport, based on state protocols and emergency call responses, for a 5-year trial period. A report due 4 years after implementation will evaluate impacts on patient outcomes, system efficiency, and regional access.

Maddy summaryThe University Accountability Act imposes penalties on tax-exempt universities found in federal court to have violated Title VI of the Civil Rights Act of 1964, requiring them to pay $100,000 or 5% of their administrative compensation per violation. It mandates the IRS to review the tax-exempt status of institutions with more than two such violations and requires these institutions to report civil rights violations on their tax returns. If a violation determination is overturned, the penalty must be refunded. The bill applies to most public and private universities that are tax-exempt under federal law, directly affecting their financial obligations and reporting requirements.

Maddy summaryThe Securing America’s Titanium Manufacturing Act of 2024 temporarily eliminates import duties on titanium sponge (used in defense and aerospace) for most countries starting 30 days after enactment, lasting until December 31, 2031, or earlier if the President terminates the policy. Imports from Belarus, Cuba, North Korea, and Russia remain subject to pre-enactment duties during this period. The President must review U.S. titanium production every three years to determine if domestic supply meets national security needs, with duty-free treatment ending one year after a positive determination. Additionally, the President may adjust duties (within World Trade Organization limits) based on factors like domestic production trends, imports from specific countries, and national security impacts.

Maddy summaryThe MOMS Act establishes a federal resource website called pregnancy.gov that will help pregnant and postpartum women find local services through a ZIP code-based search system. It creates grant programs to support nonprofit organizations providing services like medical care, housing assistance, and parenting support to pregnant women, while prohibiting organizations that provide or support abortion from receiving these funds. The bill also amends child support laws to allow enforcement of child support obligations for unborn children, beginning from the month of conception with the mother's consent. These provisions aim to improve access to prenatal and postnatal resources while maintaining a focus on supporting women and their families.

Maddy summaryThis bill amends the Social Security Act to clarify and expand support for family resource centers within existing family service programs. It defines "family resource center" as community or school-based hubs offering multi-generational, strengths-based, low-cost support to reduce family isolation, and allows states to count spending at these centers toward funding for family preservation, reunification, or adoption services. The changes apply to Title IV programs (like child welfare funding) and take effect for payments starting October 1, 2026, with a potential state implementation delay if state legislation is needed. The bill directly affects states administering these federal programs by altering how they categorize and fund community-based family support services.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2027 and publish detailed data on their approval and denial rates for medical services by 2026. It directly affects Medicare Advantage plans (private insurers offering Medicare coverage) and their enrollees (seniors 65+), mandating transparency about prior authorization decisions, processing times, and appeal outcomes. Key provisions include requiring plans to report annual statistics on request approvals/denials, average processing times, and use of technology, with this data published publicly by the Centers for Medicare & Medicaid Services. The bill also sets timelines for plan responses to prior authorization requests and mandates reports to Congress on implementation and impacts.

Maddy summaryThe Court Improvement Program Enhancement Act of 2024 expands federal funding for state court systems to support technological improvements that prevent disruptions (such as natural disasters, cyber-attacks, or public health crises) and enable remote court proceedings. It specifically requires states to assess and implement best practices for remote hearings in foster care and adoption cases, prioritizing participant engagement and privacy during emergencies. The bill mandates that the federal government issue updated guidelines every five years on conducting remote proceedings, with the first guidelines due by January 2025, including consultation with Indian tribes for cases involving Native children under the Indian Child Welfare Act. Additionally, it increases the annual funding reservation for the Court Improvement Program from $30 million to $40 million.