Rep. Gregory F. Murphy

Maddy summaryThe PBM Reform Act of 2025 aims to increase transparency and fairness in pharmacy benefit manager (PBM) operations within Medicare Part D and Medicaid programs. The bill requires Medicare Part D plans to allow any pharmacy meeting standard terms to join their networks, establishes "essential retail pharmacies" in underserved areas (with limited pharmacy access), and mandates detailed reporting on drug pricing, rebates, and reimbursement rates. It creates a process for pharmacies to report PBM violations of reasonable contract terms and prohibits "spread pricing" in Medicaid, where PBMs retain the difference between what they pay pharmacies and what they charge plans. These provisions aim to improve pharmacy access for Medicare beneficiaries and ensure fairer reimbursement practices for pharmacies.

Maddy summaryThis bill requires drug manufacturers to pay rebates to Medicare when their "selected drugs" (cancer and complex therapies subject to negotiated maximum fair prices) are used. Manufacturers must calculate rebates based on the difference between current Medicare payment rates (ASP+6) and new negotiated rates (MFP+6), covering the gap for beneficiaries. This lowers patient coinsurance from the current 20% of ASP+6 to 20% of MFP+6 for these specific drugs during the negotiated price period. The rebates are paid to the Medicare trust fund and apply to Medicare Part B beneficiaries using these drugs, directly affecting drug manufacturers and patients covered under Medicare Part B.

Maddy summaryThis bill (HR 4286) requires the U.S. State Department to develop a comprehensive strategy within 90 days to address Haiti's security crisis, focusing on strengthening Haitian security forces, countering gang violence, and expanding economic opportunities through programs like Haiti HOPE/HELP. The strategy must assess international coordination, arms trafficking, sanctions impacts on aid, and gang reintegration, while prioritizing Haitian-led solutions. It mandates annual reports to Congress for five years tracking progress on security, governance, and humanitarian efforts, with specific metrics for evaluating U.S. support. The bill directly affects U.S. foreign policy implementation in Haiti and Haitian civil society, security forces, and international partners.

Maddy summaryThis bill makes technical corrections to the Camp Lejeune Justice Act of 2022 to streamline claims for individuals harmed by water contamination at Camp Lejeune. It clarifies the evidence required (30+ days at the base plus a link between contaminants and health harm), specifies that cases must be handled in North Carolina courts (with limited transfer options), and sets attorney fee caps (20% before suit, 25% after). These changes directly affect veterans and civilians who lived at Camp Lejeune and filed claims under the 2022 law. The bill does not create new eligibility but aims to improve the legal process for existing cases.

Maddy summaryHR 3886, the Veterans PTSD Screening Act, requires the Department of Veterans Affairs (VA) to study whether RNA sequencing can help diagnose PTSD-related symptoms like inflammation or cellular stress in veterans. The VA must conduct this research at five VA medical facilities within its Veterans Integrated Service Networks, starting within 120 days of the bill's enactment. The study will conclude on September 30, 2027, with a final report to Congress due by September 30, 2028, detailing the findings. This bill does not change current screening practices but mandates a specific research effort to evaluate a potential diagnostic tool.

Maddy summaryThe Patriots Over Politics Act (HR 3619) allows veterans discharged between August 2021 and January 2023 solely for refusing a COVID-19 vaccine to transfer their earned educational benefits to eligible dependents. Veterans must initiate the transfer within 90 days of the bill’s enactment. Dependents can use the transferred benefits only after the veteran completed at least six years of military service - a requirement already met by these veterans prior to separation. This provision directly affects veterans separated for vaccine refusal during the specified period, providing a pathway to pass on unused education benefits.

Maddy summaryHRES 447 is a non-binding House resolution condemning antisemitism and honoring Yaron Lischinsky and Sarah Milgrim, two Israeli Embassy employees killed during a peace-focused panel discussion in 2023. The resolution specifically condemns all forms of antisemitism - including violence, vandalism, and online harassment - and remembers the victims, who were killed by a far-left activist affiliated with the Party for Socialism and Liberation. It calls for enforcing existing hate crime laws and protecting religious freedom, without creating new legislation. This resolution symbolically supports Jewish communities and victims of antisemitic violence but does not alter legal requirements.

Maddy summaryHR 3583 requires funeral honors details presenting a folded U.S. flag to military members or veterans at funerals to recite the 13 specific "Folds of Honor" with their symbolic meanings (e.g., "The 1st fold is a symbol of life"). This applies to flag presentations under federal law for deceased service members or veterans, directly affecting military funeral honors teams. Families may opt out of the recitation if they choose, per the bill's exception clause. The bill adds this requirement to U.S. Code without changing existing funeral procedures.

Maddy summaryHR 3512, the Tackling Predatory Litigation Funding Act, imposes a new annual tax on funds received by third-party investors who finance lawsuits through litigation financing agreements. It directly affects investors (including foreign entities) who provide funding to plaintiffs or law firms in exchange for a share of settlement or judgment proceeds, excluding small agreements under $10,000 or standard loans. The tax equals the top individual income tax rate plus 3.8 percentage points, with 50% withheld from settlement payments by parties involved in the lawsuit. The law also clarifies that such funds cannot offset losses and excludes certain typical legal fee reimbursements from taxation. The provisions take effect for taxable years beginning after December 31, 2025.

Maddy summaryHR 3518 would deny federal funding to graduate medical schools that require certain diversity, equity, and inclusion (DEI) policies. Specifically, schools must certify they do not compel students or staff to affirm specific beliefs about race, gender, or systemic racism; require "diversity statements" for admission or employment; establish DEI offices; or discriminate based on race in programs. This affects graduate medical schools at institutions of higher education seeking federal financial aid, including student loan programs. The bill permits schools to teach about medical conditions related to race or collect demographic data, but prohibits policies mandating DEI-related pledges or offices.