Maddy summaryThis bill amends Medicare eligibility rules to clarify that beneficiaries needing occupational therapy *or* speech therapy qualify for home health services. It updates two sections of the Social Security Act (Parts A and B) to replace "need occupational therapy or speech therapy" with "need occupational, or speech therapy," ensuring both therapies are explicitly covered. The change directly affects Medicare beneficiaries requiring either therapy for home-based care, removing potential confusion about eligibility. The updated rules will take effect for services provided on or after January 1, 2026.
Rep. John Joyce
Sponsored bills
Maddy summaryThis bill creates a process for establishing Medicare payment rates for pediatric-specific medical devices. It requires the Medicare program (via the Secretary of Health and Human Services) to set national payment rates (called "relative value units") for qualifying pediatric technologies upon manufacturer request, starting in 2026. A "qualifying pediatric technology" is defined as a covered medical device that is FDA-approved/cleared, has a temporary HCPCS code, and is either predominantly used for pediatric procedures or specifically designed for children. Manufacturers must submit detailed data with their requests, and the timeline for setting rates depends on when the request is received (by May 1 for same-year implementation). The bill does not mandate coverage but ensures payment mechanisms exist for these devices once approved.
Maddy summaryThis bill amends Medicare payment rules for long-term care hospitals to ensure they receive full payments for treating seniors in critical condition. It adds a new "high acuity criterion" requiring discharges to be assigned to a specific Medicare payment category (MS-LTC-DRG) with a relative weight of at least 0.8, effective October 1, 2026. Hospitals meeting this criterion for eligible discharges will avoid reduced payments ("site-neutral payments") that would otherwise apply. The change directly affects long-term care hospitals treating Medicare patients with high-acuity conditions and ensures these facilities receive full reimbursement for critical care services.
Maddy summaryHR 471, the Fix Our Forests Act, establishes a new system for identifying and managing high-risk wildfire areas called "firesheds" and creates a centralized Fireshed Center to coordinate wildfire risk management across federal agencies. The bill streamlines environmental reviews for wildfire risk reduction projects, allowing for faster implementation of hazardous fuels management activities in designated areas. It includes provisions for community wildfire risk reduction programs, water source protection, and specific initiatives for restoring white oak forests. The legislation also includes litigation reforms to expedite forest management projects and reduce delays from legal challenges. These provisions aim to reduce wildfire risk and improve forest health through more coordinated, data-driven management approaches.
Maddy summaryThe SPEED for BEAD Act (HR 1870) amends the federal broadband deployment program (BEAD) to accelerate network expansion. It defines "gigabit-level broadband" as 1,000 Mbps download speeds, requires unused funds to be returned to the Treasury instead of reallocated, and allows states to remove high-cost locations from project areas. The bill prohibits grant conditions related to labor practices (e.g., union requirements), diversity initiatives, climate policies, or network management rules, while ensuring all broadband technologies meeting speed standards are eligible. It also explicitly bans government regulation of broadband pricing, directly affecting states administering BEAD funds and the internet providers they fund.
Maddy summaryHR 1881, the Methane Reduction and Economic Growth Act, creates a new tax credit for businesses that capture methane emissions from mining operations. It directly affects mining facilities (including underground, abandoned, or surface mines) that install methane capture equipment and capture at least 2,500 metric tons of methane annually. The bill provides a tax credit by modifying existing carbon capture tax rules to apply specifically to methane, requiring captured methane to be used for energy (e.g., in pipelines meeting safety standards or for industrial heat) with minimal atmospheric release. The credit applies to methane captured after December 2024, aiming to incentivize reducing methane emissions from mining sources.
Maddy summaryThis bill extends the exclusivity period for certain advanced drugs from 7 to 11 years. It defines "advanced drug product" as a drug using genetically targeted technology to modulate gene function (e.g., suppress or activate genes). This change directly affects pharmaceutical companies developing these specific advanced therapies by granting them longer market exclusivity. The policy change modifies the Social Security Act to provide extended protection for these innovative drugs, allowing companies more time to recoup research and development costs.
Maddy summaryThis bill designates the U.S. Postal Service facility at 28 East Airy Street in Norristown, Pennsylvania, as the "Charles L. Blockson Post Office Building." It updates all official federal references - such as laws, maps, and documents - to use this new name for the facility. The bill directly affects the postal service location and federal records referencing it. This is a ceremonial naming bill with no substantive policy changes.
Maddy summaryThis bill amends federal mental health law to allow states to use up to 5% of their existing mental health funding for early intervention programs targeting children and adolescents. It requires states to include evidence-based prevention strategies in their plans - such as school-based support or community programs - to delay or reduce the severity of mental health issues before they become serious. States must report biennially to Congress on program details, demographics served (including age), and outcomes like reduced wait times for care. The law directly affects states receiving federal mental health funds and focuses on preventing escalation of mental health challenges in young people.
Maddy summaryHR 1651 would nullify a specific Environmental Protection Agency (EPA) rule finalized on May 9, 2024. This rule established emissions standards for greenhouse gases from new, modified, and reconstructed fossil fuel power plants, set guidelines for existing plants, and repealed the previous "Affordable Clean Energy Rule." The bill would make this EPA rule unenforceable, directly affecting fossil fuel power plants by removing these federal emissions requirements. It does not create new regulations but cancels an existing EPA rule.