Rep. Gregory F. Murphy

Maddy summaryThe Medicare Access to Rural Anesthesiology Act changes how Medicare pays for anesthesia services at specific small rural hospitals and critical access hospitals. To qualify for these changes, a hospital must be located in a rural area, have fewer than 800 surgeries requiring anesthesia, and employ or contract with no more than one full-time anesthesiologist who agrees not to bill Medicare separately for those services. Once a hospital meets these criteria, anesthesia care provided by an anesthesiologist there will be paid based on the hospital's actual costs rather than a fixed fee, and it will be classified as part of the hospital's inpatient services instead of a separate billable service. The law also requires the Department of Health and Human Services to update its regulations to reflect these new payment rules.

Maddy summaryThis bill, known as the Voter ID Act, requires voters in federal elections to present a valid photo identification to cast a ballot in person or to mail in their vote. It allows individuals who cannot produce such ID to cast a provisional ballot, provided they later submit the ID or an affidavit explaining a religious objection to being photographed. The law defines acceptable forms of identification to include state-issued driver's licenses, state ID cards, passports, military IDs, and tribal government documents with photos and expiration dates. To assist those who need copies of their ID, the bill mandates that states provide free access to digital imaging devices at various government buildings and establishes a federal grant program to help states and tribes issue identification documents at no cost to eligible residents who cannot afford the fees.

Maddy summaryHR 7651, the Chloe Cole Act of 2026, prohibits healthcare providers from performing certain medical interventions on minors under 18 aimed at altering physical development to align with gender identity. These "covered interventions" include puberty blockers, hormone treatments, and specific surgeries, but exclude medically necessary care for conditions like disorders of sexual development or traumatic injuries. The bill creates a federal civil lawsuit right for affected minors or their parents against providers who perform such interventions, allowing claims for damages including emotional distress and punitive awards, with strict liability for providers after the law's enactment. It explicitly allows exceptions for legitimate medical treatments and requires providers to prove such exceptions apply if challenged.

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.

Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.

Maddy summaryThe Tax Exempt Hospital Transparency Act requires large and high-revenue nonprofit hospitals to submit detailed annual reports to the IRS regarding their financial assistance, community health initiatives, and operational spending. Specifically, these organizations must disclose how they address identified community health needs, the value of financial aid provided, and the numbers of applications granted or denied. The bill also mandates that larger hospitals break down their spending on quality improvement, nonclinical programs, and specific health service lines, while high-revenue facilities must report advertising costs and data related to the 340B drug discount program. These reporting requirements are designed to increase transparency for taxpayers and the public by providing concrete data on how tax-exempt hospitals use their resources and serve their communities.

Maddy summaryThis resolution formally congratulates the Carolina Hurricanes on winning the 2026 Stanley Cup, marking the franchise's first championship in two decades. The bill recognizes the team's historic playoff run, their economic impact on Raleigh, North Carolina, and their community contributions to veterans and disaster relief efforts. It also honors specific individuals, including Captain Jordan Staal and Head Coach Rod Brind'Amour, for their leadership and achievements during the season. Ultimately, the House directs the Clerk to send a copy of the resolution to the team's owner, general manager, and head coach while acknowledging North Carolina as a hockey state.

Maddy summaryThe VHA OPEN Policies Act of 2026 requires the Veterans Health Administration to publish all its national policies, such as directives and handbooks, on a public website within 90 days of enactment. This rule also mandates that any new or revised policies be added to the site within 30 days of their creation. The legislation directly affects the VA's health administration by making internal guidance accessible to the public and ensuring consistent, up-to-date information is available online.

Maddy summaryThe STRONG Act directs the Office of Management and Budget to create a separate occupational code for strength and conditioning coaches within the Standard Occupational Classification system. This change aims to formally recognize these professionals, who work with athletes, military personnel, and first responders, as having unique skills distinct from athletic trainers or physical therapists. The bill requires the OMB to establish this new category during its next revision of the classification system or submit a report to Congress explaining why it was not done. No new funding is authorized to implement this administrative update.

Maddy summaryThe GRACE for Military Survivors Act extends the deadline for contributing military death benefits to Roth IRAs and Coverdell education savings accounts from one year to three years. This change directly benefits families of service members who receive these death benefits, giving them more time to save for retirement or education. The law applies to benefits received after the bill is enacted and includes a special rule allowing contributions made within a specific window for benefits received between 2001 and the enactment date. By amending the Internal Revenue Code, the bill ensures that eligible funds can be deposited into these tax-advantaged accounts without losing their value due to time limits.