Rep. Mark E. Amodei

Maddy summaryHR 2474, the "Strengthening Medicare for Patients and Providers Act," changes how Medicare pays physicians for services. It replaces the previous two-part payment system (used through 2025) with a single annual payment rate update starting in 2024. This update will be based on the Medicare Economic Index (MEI), which tracks costs for medical providers. The change directly affects Medicare-certified doctors and clinics who receive payments under the physician fee schedule.

Maddy summaryThis bill would require Medicare to cover FDA-approved blood tests that screen for multiple cancers simultaneously (like breast, lung, or colorectal cancer) for beneficiaries. It directly affects Medicare recipients aged 65+ who could access these new screenings once per year, without prior authorization. The key provision adds "multi-cancer early detection screening tests" to Medicare's covered services under Part B, defining them as blood tests analyzing cell-free DNA, while maintaining existing coverage for standard screenings like mammograms. The bill does not change current coverage for individual cancer screenings but ensures Medicare keeps pace with new medical technology.

Maddy summaryHR 1666 extends deadlines for ambulance service reimbursement rules under Medicare. It amends Section 1834(l) of the Social Security Act by changing dates from 2025 to 2028 in two specific provisions: paragraph (12)(A) and paragraph (13)(A). This delay gives ambulance providers additional time to adjust to existing Medicare payment rules. The bill directly affects Medicare-certified ambulance services and the patients relying on ground ambulance care covered by Medicare.

Maddy summaryThe Prevent Interruptions in Physical Therapy Act of 2023 amends Medicare rules to allow physical therapists to use temporary replacement providers (locum tenens) for outpatient physical therapy services, aligning with existing provisions for physicians. This directly affects Medicare beneficiaries receiving physical therapy and physical therapy practices needing temporary staffing solutions during provider shortages. The bill updates the Social Security Act to extend the current physician locum tenens rule to physical therapists, ensuring continuity of care without requiring separate approval for temporary coverage. It applies to services furnished after the bill's enactment date.

Maddy summaryHR 1610 would modernize Medicare coverage for chiropractic care by removing the current restriction that limited beneficiaries to one chiropractic service per visit. It expands coverage to include all services provided by licensed chiropractors within their state-authorized scope, aligning Medicare with VA, military, and private insurance practices. The bill requires chiropractors to complete a Secretary-approved educational webinar to cover non-spinal services, while still allowing payment for spinal manipulation treatments without this requirement. This directly affects Medicare beneficiaries seeking chiropractic care and chiropractors seeking Medicare reimbursement for their services.

Maddy summaryThis bill amends Medicare rules to allow nurse practitioners and physician assistants to document medical necessity for diabetic shoes, a requirement currently limited to physicians. It directly affects Medicare beneficiaries with diabetes who need these shoes and expands the pool of providers (nurse practitioners and physician assistants) who can fulfill the documentation requirement. The key change inserts "nurse practitioner, or physician assistant" into Medicare's documentation standards for diabetic shoe coverage. This simplifies access for patients by enabling more healthcare providers to support coverage approval without requiring a physician's signature. The bill does not change coverage eligibility or costs, only the documentation process.

Maddy summaryHR 1586, the Forest Protection and Wildland Firefighter Safety Act of 2023, exempts certain fire suppression activities from requiring permits under the Clean Water Act. It directly affects federal agencies like the Forest Service, National Park Service, and Bureau of Land Management, as well as state, local, and tribal governments conducting wildfire response. The bill's key provision removes the need for a Section 402 permit under the Clean Water Act when these covered entities discharge fire retardants, chemicals, or water for fire control or prevention. This change streamlines firefighting operations by eliminating a specific permitting step during active wildfire events.

Maddy summaryThe Mining Schools Act of 2024 establishes a federal grant program to strengthen domestic mining education by funding eligible schools. It defines eligible "mining schools" as accredited mining/engineering programs at higher education institutions or specific geology/engineering departments at 4-year public universities in states with significant mining-related economic activity. The Department of Energy will award up to 10 competitive annual grants for recruiting students and enhancing programs focused on critical minerals, environmental reclamation, sustainable extraction, and domestic mineral production. An advisory board of industry and academic experts will help select grantees and ensure funds are used as intended. The program is authorized to receive $10 million yearly from 2024 through 2031.

Maddy summaryThe Good Samaritan Remediation of Abandoned Hardrock Mines Act of 2024 establishes a limited pilot program allowing non-responsible parties (called "Good Samaritans") to remediate pollution at abandoned hardrock mine sites. The bill creates a permit process requiring applicants to demonstrate they're not liable for the pollution, can safely complete the remediation, and will protect the environment. The Environmental Protection Agency would issue up to 15 permits for these projects, providing liability protection for permitted activities while requiring public notice and environmental review. The pilot program would expire after 7 years, with the EPA required to report on its effectiveness to Congress.

Maddy summaryHR 7438 directs the U.S. Treasury to mint commemorative coins for the 2026 FIFA World Cup, including 100,000 $5 gold coins, 500,000 $1 silver coins, and 750,000 half-dollar coins. The coins will be sold to the public at face value plus surcharges ($35, $10, and $5 per coin, respectively), with all surcharge revenue paid to FWC2026 US, Inc. for U.S. soccer programs. These funds must support soccer initiatives, particularly in underserved communities and youth development, as specified in the bill. The coins are legal tender but will only be issued during 2026, with no net cost to the U.S. government.