Rep. David Kustoff

Maddy summaryThe CONNECT for Health Act of 2025 expands Medicare telehealth coverage by removing geographic restrictions that limited where patients could receive care, expanding the types of health care providers who can offer telehealth services, and eliminating the requirement for an in-person visit before receiving telemental health services. The bill includes specific provisions to support telehealth use for Native American health facilities, rural health clinics, and Federally Qualified Health Centers. It requires the Centers for Medicare & Medicaid Services to collect and publish data on telehealth usage and impacts, and to develop resources to improve accessibility for people with disabilities and limited English proficiency. Program integrity measures are added to monitor telehealth billing practices and prevent fraud while maintaining coverage for telehealth services during public health emergencies.

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 summaryThe Apples to Apples Comparison Act of 2025 requires the Centers for Medicare & Medicaid Services (CMS) to publish detailed Medicare spending data starting in 2025. It mandates that CMS release machine-readable, county- and Metropolitan Statistical Area-level expenditure information for over 30 distinct beneficiary categories (e.g., Part A-only enrollees, Medicare Advantage members, and those with supplemental coverage) on its public website. The law also requires the Medicare Payment Advisory Commission (MedPAC) to analyze Medicare Advantage vs. traditional Medicare spending patterns beginning in 2026, with public methodology and data transparency. Additionally, the Medicare Trustees must include disaggregated expenditure data in their annual reports starting in 2026. This bill directly affects how CMS and federal agencies collect and share Medicare spending data, not beneficiaries' coverage or costs.

Maddy summaryThe NCAA Accountability Act of 2025 establishes clear due process requirements for the NCAA (referred to as a "covered athletic association") when investigating member colleges or student athletes for rule violations. It requires the NCAA to provide detailed written notices to schools within 60 days of starting an investigation, including specific allegations and potential penalties, and to hold hearings within one year. The bill mandates fair enforcement, prohibits using confidential sources in evidence, and allows schools to seek binding arbitration if they dispute penalties. It also empowers the Attorney General to impose civil penalties up to $15 million for NCAA violations of these rules, affecting all NCAA member institutions and their athletic programs.

Maddy summaryThis bill prohibits male students from participating in athletic programs at the U.S. Military Academies (West Point, Annapolis, and Air Force Academy) designated exclusively for women or girls. It allows males to train with such teams only if no female athlete loses a roster spot, competition opportunity, scholarship, or other benefit. The bill defines "sex" as biological sex at birth and clarifies that "athletic programs" include all team-based activities requiring participation. It directly affects the women's sports teams at these three service academies and their eligibility rules.

Maddy summaryHR 3880, the Clear the ROADS Act, requires states to prohibit non-government individuals from recklessly blocking highways in ways that endanger public safety. If a state fails to meet this requirement, the federal government would withhold 10% of that state's annual highway funding starting October 1 each year. The bill directs the Transportation Secretary to issue rules within 180 days to define how states must comply. This affects all states receiving federal highway funds, directly targeting reckless road obstructions by private individuals.

Maddy summaryHRES 481 is a symbolic resolution condemning recent antisemitic attacks in the U.S., specifically referencing the June 1, 2025, Boulder, Colorado, assault on a Jewish community gathering and other incidents like the May 2025 Washington, D.C., embassy shooting. It formally recognizes a pattern of violence targeting Jewish individuals and institutions, including attacks during religious events. The resolution calls on law enforcement to thoroughly investigate and prosecute such incidents and urges elected officials to publicly oppose antisemitism and politically motivated violence. As a non-binding resolution, it does not create new laws or allocate funding but serves to affirm congressional stance against antisemitism.

Maddy summaryHR 3754, the "Don’t Miss Your Flight Act," creates a federal grant program to fund transportation infrastructure projects connecting to public airports. It authorizes $1 billion annually (2027-2031) from the Highway Trust Fund for projects like highways, bridges, transit systems, or rail improvements within 5 miles of airports, aimed at reducing congestion and improving access. Eligible applicants include states, tribes, and local governments managing airports, with 50% of funds reserved for large hub airports and 30% for medium hub airports. The program requires a 50% non-federal cost share, allowing entities to use passenger facility charges or TIFIA credit assistance toward this requirement. This bill directly affects airport-connected transportation infrastructure planning and funding at the state and local government level.

Maddy summaryHRES 472 is a symbolic House resolution condemning an antisemitic terrorist attack in Boulder, Colorado, on June 1, 2025, which targeted Jewish individuals. The resolution explicitly condemns the attack - where the perpetrator used Molotov cocktails against victims aged 52-88, including a Holocaust survivor - and calls for prosecuting the perpetrator. It also expresses concern about rising antisemitism on campuses and online, while urging Congress to secure borders and deport visa overstayers (though this is a symbolic call, not a new law). The resolution directly affects the Boulder Jewish community and victims of the attack, with no new policy changes enacted.

Maddy summaryThis bill creates an exception for certain small biotech companies from Medicare's drug price negotiation program starting in 2029. It applies to "research and development-intensive small biotech manufacturers" that invest a specific percentage (30%-70%) of their net revenue in R&D over the prior three years and have 5 or fewer qualifying single-source drugs. To qualify, companies must annually submit financial data to Medicare proving their R&D spending meets the threshold. This directly affects small U.S.-based biotech firms developing innovative drugs, allowing them to avoid price negotiations under Medicare for qualifying products.