Rep. Kevin Hern

Maddy summaryThis bill would require Medicare to cover early detection screening tests for Alzheimer's disease and related dementias starting January 1, 2028. It defines eligible tests as FDA-cleared genomic blood tests, blood product analyses, or equivalent medical imaging methods (like protein expression or whole genome sequencing) that detect pre-symptomatic or early-stage conditions. Medicare beneficiaries would receive this coverage without cost-sharing for these specific screenings. The bill amends Medicare coverage rules to explicitly include these tests under Section 1861(nnn) of the Social Security Act.

Maddy summaryThe Black Vulture Relief Act authorizes livestock producers and their employees to remove or kill black vultures (Coragyps atratus) that are causing or likely to cause harm to livestock, bypassing standard protections under the Migratory Bird Treaty Act. It prohibits using poison for this purpose and requires annual reports to the U.S. Fish and Wildlife Service about such actions, using a simplified form. The law specifically targets vultures threatening livestock as defined in existing federal agriculture law, with reporting deadlines starting after a form is developed by the Fish and Wildlife Service.

Maddy summaryThis bill adds Medicare coverage for multi-cancer early detection screening tests (blood or biological tests analyzing cell-free DNA) starting January 1, 2028. It directly affects Medicare beneficiaries aged 68 and older (starting in 2028, with the age limit increasing by 1 year annually), requiring tests to be FDA-cleared and deemed reasonable/necessary by the Secretary for early cancer detection across multiple organ sites. Payment will initially match current stool DNA test rates before 2031, then shift to a lower rate or new payment system after 2031, with limits preventing more than one test per year. The bill explicitly states it does not alter coverage for existing cancer screenings like breast, colorectal, or prostate cancer tests.

Maddy summaryThis bill would require all states to recognize valid concealed carry permits issued by other states, allowing permit holders to carry concealed handguns (excluding machine guns) in any state that either issues such permits or doesn't prohibit concealed carry. It directly affects law-abiding gun owners with valid permits from their home state, ensuring they can carry in states with similar permit systems or no prohibitions. Key provisions include treating valid permit documents as proof of legal carry (reducing officer stops), shifting the burden of proof to prosecutors if challenged, and allowing civil lawsuits for violations with attorney's fee awards. The bill does not override state laws restricting firearms on private property or government land, nor does it affect federal gun restrictions like those in section 922(q).

Maddy summaryHR 5636, the *Protect Consumers from Reallocation Costs Act of 2025*, prevents the Environmental Protection Agency from shifting renewable fuel obligations from small refineries with extended exemptions to other companies. It directly affects small refineries that have received extended exemptions under the Clean Air Act. The bill requires the EPA to include gasoline or diesel refined by these exempt refineries in the total fuel volume calculations for the year, rather than excluding it or reallocating the obligation. This change ensures small refineries’ production is counted toward overall fuel volume, preventing other entities from bearing their renewable fuel requirements. The law modifies Section 211(o)(9) of the Clean Air Act (42 U.S.C. 7545(o)(9)).

Maddy summaryHRES 719 is a House resolution honoring Charles "Charlie" James Kirk, the founder of Turning Point USA who was assassinated on September 10, 2025. The resolution condemns his assassination and all political violence, extends condolences to his family, and calls on Americans to reject violence while promoting civil discourse. It specifically recognizes Kirk's legacy as a defender of constitutional principles and his role in inspiring youth through free speech and faith-based civic engagement. As a commemorative resolution, it does not enact policy changes but formally expresses the House's stance on honoring his life and legacy.

Maddy summaryThis bill prohibits U.S. courts from enforcing judgments based on Shari'a or any foreign law if they conflict with constitutional rights, particularly in family law cases like divorce, child custody, or inheritance. It requires courts to apply only U.S. law when foreign legal systems would violate fundamental rights such as due process, equal protection, or freedom from coercion. Contracts may still reference foreign law, but enforcement is blocked if it infringes constitutional protections. The law aims to ensure all court decisions comply with U.S. constitutional standards nationwide.

Maddy summaryThe Choice Arrangement Act creates a new type of employer-provided health benefit called a "CHOICE arrangement" that allows employees to use employer funds to pay for health care expenses. These arrangements must meet specific requirements including nondiscrimination rules, enrollment verification, and proper notice to employees. Employers offering CHOICE arrangements can claim a tax credit of $100 per month for the first year and $50 per month for the second year for each employee enrolled. Employees in CHOICE arrangements remain eligible to purchase health insurance through the marketplace. The changes apply to plan years beginning after December 31, 2025.

Maddy summaryThis bill ensures Medicare coverage for new medical devices designated as "breakthrough devices" during a 4-year period after FDA approval. To qualify, devices must meet specific criteria, including FDA priority review, clinical data from Medicare beneficiaries, and a safety review showing benefits outweigh risks. Medicare must finalize coverage decisions within 6 months of manufacturer applications and before the 4-year period ends. The law appropriates $10 million annually (2025-2030) for Medicare to administer this process.

Maddy summaryThis bill amends Medicare regulations to include "blood culture contamination" as a hospital-acquired condition starting in fiscal year 2026. It directly affects Medicare-participating hospitals, requiring them to maintain blood culture contamination rates below 1% to avoid penalties. The key provision establishes a specific 1% threshold for contamination rates that hospitals must meet under Medicare's quality reporting system. This change aims to improve diagnostic accuracy by holding hospitals accountable for preventing contamination in sepsis testing.