Rep. Harriet M. Hageman

Maddy summaryThis bill directs the U.S. Fish and Wildlife Service to remove the Northern Continental Divide Ecosystem grizzly bear population from the federal endangered species list within 180 days of the bill's enactment. It directly affects grizzly bears in Montana and Idaho by ending their federal protected status. The key provision mandates the removal without regard to other legal requirements and explicitly prohibits judicial review of the decision. This would shift management authority to state agencies while ending federal protections for this specific bear population.

Maddy summaryThe FOCA Act of 2023 requires federal agencies to stop mandating or banning contractor agreements with labor organizations (like union contracts) in construction project bids and contracts. It directly affects federal contractors, subcontractors, and agencies managing construction projects funded by the government. The bill prohibits favoring or penalizing contractors based on their labor affiliation status, aiming to promote fair competition and reduce costs. It also mandates updates to federal contracting rules within 60 days of enactment to implement these changes.

Maddy summaryThe Midnight Rules Relief Act (HR 115) streamlines Congress's process for disapproving federal regulations issued near the end of a presidential term ("midnight rules"). It allows a single congressional resolution to reject multiple such rules at once, rather than requiring separate votes for each rule, provided the rules were submitted during the final year of a president's term. This directly affects federal agencies that issue these late-issuing regulations and Congress, which gains a more efficient mechanism to block them. The resolution would list each rule by agency and topic, stating they "shall have no force or effect."

Maddy summaryThis bill cancels Executive Order 14072, which aimed to protect old-growth forests, and prohibits the Agriculture and Interior Secretaries from implementing, enforcing, or developing rules related to that order or similar policies. It specifically blocks the finalization of a planned environmental review for managing old-growth forests across national forests, as outlined in a June 2024 Forest Service notice. The bill directly affects federal forest management decisions by halting actions tied to the canceled executive order. It focuses on reversing specific administrative steps rather than creating new environmental standards.

Maddy summaryThis bill removes a requirement for ambulatory surgical centers participating in Medicare to report the COVID-19 vaccination status of their healthcare workers. Specifically, it directs the Secretary of Health and Human Services to revise Medicare regulations (42 CFR §§ 416.300-416.330) within 45 days of enactment to eliminate this reporting mandate. The change directly affects ambulatory surgical centers that receive Medicare funding, removing a specific administrative burden related to employee vaccination data. The bill focuses solely on modifying existing reporting rules, with no new funding or program requirements.

Maddy summaryThis bill, HR 5796, prohibits the Department of Health and Human Services from implementing a proposed rule requiring minimum staffing levels in nursing homes. It creates an advisory panel of 15 members - including rural nursing home staff and experts - to study workforce shortages and report on access barriers for seniors, especially in rural areas. The panel must submit an initial report within 60 days, analyzing staffing challenges and recommending solutions to strengthen the nursing home workforce. These provisions directly aim to prevent nursing home closures (like the 129 that occurred in 2022) that threaten rural seniors’ access to care.

Maddy summaryThis bill changes Medicare payment rules for anesthesiologist services in specific rural hospitals. It requires Medicare to pay for anesthesiologist services in qualifying rural hospitals using the same "reasonable cost, pass-through" reimbursement method currently used for certified registered nurse anesthetists (CRNAs), rather than the standard physician payment rate. The bill directly affects rural hospitals and anesthesiologists working in those facilities, ensuring they receive comparable reimbursement to CRNAs under existing rules. The change applies to services provided during cost reporting periods starting after the bill's enactment date. This is a technical adjustment to payment methodology, not a new coverage benefit.

Maddy summaryHR 5107, the Pandemic Unemployment Fraud Recoupment Act, extends the statute of limitations for enforcing fraud related to pandemic unemployment benefits from 3 years to 10 years across multiple programs, including Pandemic Unemployment Assistance, Federal Pandemic Unemployment Compensation, and Lost Wages Assistance. It requires states to recover overpayments from individuals who knowingly received benefits they weren’t entitled to, through deductions from future unemployment benefits, while maintaining existing due process protections like hearings before repayment. States may waive repayment if the overpayment wasn’t the individual’s fault or if repayment would be unfair. The bill applies directly to individuals who received pandemic-era unemployment benefits through fraudulent means, ensuring states have a longer timeframe to address these cases under established fraud procedures.

Maddy summaryThis bill expands Health Savings Account (HSA) eligibility to cover more health plans and health care sharing ministries, allowing individuals with these plans to contribute to HSAs. It significantly increases annual HSA contribution limits to $10,800 for individuals and $29,500 for families (up from $3,850/$7,750), effective 2024. The bill also permits HSA funds to pay for periodic provider fees and health care sharing ministry costs (including administrative fees), and reduces penalties for non-qualified distributions to 10%. These changes directly affect HSA account holders who use non-traditional health coverage or share medical expenses through ministries.

Maddy summaryThis bill simplifies regulations for rural health clinics (RHCs) by reducing administrative burdens. It allows RHCs to contract with physician assistants and nurse practitioners (instead of requiring direct employment), updates the definition of "rural" to exclude areas with 50,000+ residents, and removes outdated lab service requirements by requiring only "prompt access" to clinical labs. These changes directly affect RHCs, enabling them to more flexibly staff and operate while complying with state practice laws. The amendments take effect January 1, 2024, applying to services provided on or after that date.