Maddy summaryThis bill creates a 4-year transitional coverage period for Medicare to automatically cover "breakthrough medical devices" - new FDA-prioritized devices approved after March 2021 - as "reasonable and necessary" for treatment. During this period, these devices qualify for additional payments under Medicare's hospital and outpatient payment systems without requiring separate approval. After the 4-year period, Medicare must develop regular coverage based on additional data, with automatic coverage for all approved uses if no action is taken within two years. The bill requires Medicare to assign unique codes for these devices within three months of FDA approval and to update payment systems regularly. It also includes special provisions for "specified breakthrough devices" that lack existing Medicare benefit categories, requiring reports on their impact and cost to Congress.
Sponsored bills
Maddy summaryThis bill allows Members of Congress to use Department of Veterans Affairs (VA) facilities for meetings with veterans who are their constituents. It requires the VA Secretary to create regulations within 90 days, ensuring spaces are visible, accessible during business hours, and rented at rates similar to standard office space in the area. The regulations prohibit campaigning, political discussions, photographing patients without consent, and meetings during the 60 days before federal elections. It directly affects veterans seeking congressional assistance and Members of Congress who can now hold constituent meetings at VA locations. The bill does not change VA benefits or services but streamlines access to representatives for veterans.
Maddy summaryThe Autism CARES Act of 2024 reauthorizes and enhances federal programs supporting individuals with autism spectrum disorder. It requires the National Institutes of Health to expand research to include more fields like gerontology and psychiatry, and to ensure research reflects the full range of needs of people with autism, including those with co-occurring conditions. The bill mandates regular reports to Congress on progress, mental health needs, and transition services for young adults with autism, while increasing funding for autism-related programs from fiscal year 2025 through 2029. This legislation directly affects individuals with autism, their families, caregivers, and healthcare providers by improving access to evidence-based services and research.
Maddy summaryThis bill, HR 1097 (Everett Alvarez, Jr. Congressional Gold Medal Act of 2023), authorizes the award of a Congressional Gold Medal to Everett Alvarez, Jr., in recognition of his service as a U.S. Navy pilot and Vietnam War prisoner of war. It directly honors Alvarez, who was the first U.S. pilot shot down in the Vietnam War, spent over 8.5 years in captivity, and later served in the Peace Corps and Veterans Administration. The bill’s key mechanism is directing the U.S. Mint to strike a gold medal bearing his name and image, with bronze duplicates available for sale to cover costs. It does not create new policies or affect any group beyond the honoree.
Maddy summaryThis bill amends the Defense Production Act to require the Secretary of Agriculture to review specific transactions in the agricultural sector. It directly affects businesses and individuals involved in purchasing agricultural land, agricultural biotechnology, or other defined agriculture industry transactions within the U.S. The key mechanism adds a new review requirement under the Secretary's authority for these transactions, as determined by the Secretary. This is a procedural change to existing law, not a new funding or regulatory program.
Maddy summaryThis bill (HR 1753) ensures 310+ female service members who served in specialized cultural support teams (2010-2021, identified by skill codes R2J/5DK) receive proper military records and veterans benefits. It requires the military to include this service in personnel records and count it as combat service for disability claims. Veterans denied benefits for injuries from this service can now file supplemental claims within three years of enactment, with claims treated as if filed on their original claim date. The bill also mandates VA outreach to inform affected veterans and families about this new process.
Maddy summaryHR 5401, the 9/11 Memorial and Museum Act, provides a one-time federal grant of $5 million to $10 million to the National September 11 Memorial & Museum (operated by the World Trade Center Foundation). The grant funds the museum's operations, security, and maintenance, with specific requirements including free admission for veterans, first responders, and victims' families, dedicated weekly free public hours, and annual financial audits. The museum must also report annually to Congress on how the funds were used. This bill directly affects the museum's financial operations and access policies, not broader legislative changes.
Maddy summaryThis bill establishes a 7-year demonstration program testing preferential treatment for U.S.-manufactured drugs in Medicare, Medicaid, and CHIP programs. It directs the Secretary to implement the program in at least 8 states, using tools like formulary preference or lower patient cost-sharing for drugs made by qualifying U.S. pharmaceutical companies. To qualify, drugs must be manufactured in the U.S. by companies meeting specific transparency, supply chain diversity, and inventory standards, including critical drugs identified in executive orders or deemed high-risk for shortages. The program aims to assess how U.S. manufacturing preferences affect drug access and costs within federal health programs. The Secretary must submit annual reports to Congress on program results and recommendations.
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 Essential Caregivers Act of 2024 requires nursing homes and similar facilities to allow residents to designate essential caregivers who provide emotional support or assistance with daily activities. During emergencies when regular visitation is restricted, facilities must permit at least one essential caregiver access to residents daily and cannot deny access without following specific procedures. Facilities may deny access for a maximum of 7 days during emergencies (or 14 days with state approval), and must provide a written explanation and appeal process if access is denied. The bill establishes a 48-hour appeal process for residents and caregivers to challenge denials, with facilities required to prove violations during appeals. This law applies to Medicare skilled nursing facilities, Medicaid nursing facilities, intermediate care facilities, and certain inpatient rehabilitation facilities.