Rep. Brian K. Fitzpatrick

Maddy summaryThe Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.

Maddy summaryThe Essential Caregivers Act of 2026 requires nursing homes, long-term care hospitals, rehabilitation facilities, and intermediate care facilities to allow two chosen family members or friends to visit residents during times when regular visitation is suspended. These essential caregivers must agree to follow the facility's existing safety and infection control rules, which are no more restrictive than those applied to staff. While facilities can limit access for the first seven days of a suspension or deny entry if a caregiver shows symptoms of a serious infectious disease, they cannot block visits for end-of-life care. Additionally, the bill mandates that complaints about denied access to essential caregivers be investigated and resolved within three days.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Maddy summaryThe Sunshine Protection Act of 2025 would make daylight saving time permanent across the United States, ending the current practice of changing clocks twice yearly. It repeals the 1966 law requiring seasonal time changes and adjusts time zone offsets to reflect permanent daylight saving time (e.g., shifting from "4 hours" to "3 hours" in historical references). States that currently opt out of daylight saving time (like Arizona and Hawaii) would retain their existing arrangements, while all other states would adopt permanent daylight saving time unless they choose to stay on standard time. This change would directly affect all U.S. residents by eliminating the need to reset clocks in spring and fall.

Maddy summaryThe Pre-Apprenticeships To Hardhats Act authorizes $20 million annually to fund grants that help build and construction trade pre-apprenticeship programs. These programs are designed to prepare individuals from underrepresented groups, such as women, racial minorities, and veterans, for entry into registered apprenticeships by providing industry-aligned training and curriculum. Funding is awarded to nonprofit partnerships that include employers, labor organizations, and educational institutions, with a requirement that the training leads directly to available apprenticeship positions. The Department of Labor must evaluate the effectiveness of these projects based on participant success rates, and grants may be extended only if satisfactory performance is demonstrated.

Maddy summaryThis bill directs the U.S. Secretary of State to create and execute a plan to end the operations of the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) across the Middle East. The legislation requires a detailed strategy that assesses current programs like education and healthcare, identifies new organizations to take over these services, and outlines how to fund and oversee the transition without interrupting aid. Once the plan is submitted to Congress, the State Department must begin implementing it within a year while coordinating with host countries and international partners. The bill emphasizes maintaining service continuity and ensuring that any successor groups meet strict standards for transparency and accountability.

Maddy summaryThe Good Jobs for Good Airports Act establishes federal minimum wage and fringe benefit standards for workers at small, medium, and large hub airports, including those employed by private contractors. It defines covered service workers as individuals performing tasks such as passenger assistance, security, ground handling, and concessions, ensuring they receive pay and benefits at least equal to the higher of the federal Service Contract Act rates or applicable state and local laws. Employers must submit monthly certifications confirming compliance with these standards, while the Department of Labor and Department of Transportation are granted enforcement powers to investigate violations and impose penalties. The legislation also requires the Secretary of Transportation to publish complaint data and submit annual reports to Congress regarding implementation efforts.

Maddy summaryThe STOP Senior Fraud Act empowers financial institutions to temporarily delay or refuse transactions for accounts held by older adults, vulnerable individuals, or those with a history of financial exploitation if there is a reasonable suspicion of fraud. Under this bill, these delays can last up to 55 days, with a possible extension to 85 days if an internal review confirms the risk, and must be accompanied by notifications to trusted contacts and relevant authorities. Financial institutions are also required to provide staff training on identifying and handling potential exploitation cases, while the law includes protections to shield banks from liability when acting in good faith. The legislation defines specific terms such as "older adult" as anyone 62 or older and "financial exploitation" as the unauthorized taking or control of assets through deception or undue influence.

Maddy summaryThe Stop Foreign Funds in Elections Act (HR 3535) prohibits foreign nationals from contributing to or donating in state and local ballot initiatives, referendums, or recall elections. It amends the Federal Election Campaign Act to extend existing restrictions on foreign contributions - previously limited to federal elections - to cover these specific state and local election types. The prohibition applies to contributions made on or after the bill's enactment date. This change aims to prevent foreign influence in local democratic processes by closing a gap in current election finance rules.

Maddy summaryThis resolution expresses support for designating July 10th as Journeyman Lineworkers Recognition Day to honor the workers who maintain the nation's electrical grid. The bill specifically recognizes the dangerous conditions these employees face, such as working at heights near live power lines and responding to disasters like hurricanes and wildfires. It also commemorates Henry Miller, the first president of the International Brotherhood of Electrical Workers, who died on July 10, 1896, while performing his duties. Ultimately, the measure encourages the public to observe this day with reflection on the contributions of lineworkers.