Maddy summaryThis bill requires Medicare Advantage (MA) plan advertisements to disclose specific data about prior authorization denials. Starting one year after enactment, ads must include the number of denied prior authorization requests, how many were later approved after reconsideration, and the average time between denial and approval. These disclosures must cover the most recent plan year before the ad is published, using both verbal and visual methods where possible. The policy directly affects MA plan marketers and beneficiaries who view these advertisements, aiming to provide clearer information about plan coverage experiences.
Rep. Greg Casar
Sponsored bills
Maddy summaryHR 6108 requires the federal government to automatically exclude from all federal health care programs anyone convicted of specific fraud-related crimes after a one-year implementation period. It targets convictions for health care fraud, theft, or financial misconduct in health care delivery or government programs (including non-health care programs funded by government). The bill mandates this exclusion without requiring additional administrative action by the Secretary. This directly affects health care providers and organizations found guilty of such offenses, barring them from participating in programs like Medicare or Medicaid.
Maddy summaryThis bill (HR 6110) requires Medicare Advantage plans to automatically reconsider coverage denials without needing an enrollee to request it. It directly affects Medicare Advantage beneficiaries whose initial coverage requests are denied. The key change amends existing law to eliminate the requirement for patients to submit a separate request for reconsideration, instead mandating that plans proactively review these denials. This streamlines the process for enrollees facing coverage rejections under their Medicare Advantage plan.
Maddy summaryHR 6114 prohibits using federal funds from previous appropriations to the Department of Health and Human Services for any activity that automatically enrolls Medicare beneficiaries in Medicare Advantage (MA) plans without their active choice. Specifically, it blocks the use of these funds to implement a system where individuals who fail to select a plan are deemed enrolled in MA by default. This directly affects Medicare beneficiaries who might otherwise be automatically enrolled in MA plans without actively choosing them. The bill’s key mechanism is a funding restriction that prevents HHS from using appropriated money to operate this default enrollment process under Medicare Part C. The policy change ensures beneficiaries must actively elect an MA plan to enroll, rather than being enrolled automatically.
Maddy summaryThis bill requires Medicare Advantage plans to have average monthly payments from the government that don't exceed the average cost of original Medicare (Parts A and B) for the same year. If a plan's payments exceed this cost, the government cannot allow new enrollments or re-enrollments in that plan for the following year. It directly affects Medicare Advantage plans and their enrollees, creating a financial check on plan pricing. An exception applies to specialized Medicare Advantage plans designed for individuals with specific health needs. The provision takes effect one year after the bill's enactment.
Maddy summaryThis bill (HR 6115) requires the U.S. Department of Health and Human Services to create and maintain a website for Medicare beneficiaries. The website would allow current and prospective Medicare users to search for healthcare providers participating in either Medicare Advantage (MA) plans or traditional Medicare (Parts A and B). Key features include searching for providers by name or location and identifying which providers are in each plan's network. The website must be operational within one year of the bill's enactment. This directly affects millions of Medicare beneficiaries seeking clear information about provider availability.
Maddy summaryHRES 876 is a non-binding House resolution calling on the U.S. government to formally recognize Israel's actions in Gaza as genocide under the Genocide Convention. It directs the U.S. to cease arms transfers to Israel where genocide is suspected, ensure Israel complies with International Court of Justice orders, investigate potential genocide-related crimes, and support UNRWA funding. The resolution specifically cites findings from the UN Commission of Inquiry, the International Association of Genocide Scholars, and major human rights organizations regarding Israel's conduct. It affects U.S. foreign policy and military aid decisions toward Israel, requiring the administration to take concrete steps to fulfill U.S. legal obligations under the Genocide Convention. The resolution does not alter U.S. law but sets a policy stance for congressional action.
Maddy summaryHRES 863 is a symbolic House resolution honoring veterans from Texas, recognizing the state's status as home to nearly 1.6 million veterans - the highest in the U.S. - including over 203,000 women veterans and 11 House members who are veterans. The resolution does not create new laws or alter policies but expresses the House's commitment to supporting veterans through existing VA programs, particularly addressing challenges like mental health care, homelessness, and job transitions. It emphasizes Texas's significant military legacy, including over 22,000 Texan lives lost in World War II and 102 Medal of Honor recipients. As a commemorative resolution, it has no binding effect but serves as a formal acknowledgment of Texas veterans' service.
Maddy summaryHouse Resolution 838 recognizes Día de los Muertos (Day of the Dead) as an annual celebration honoring deceased loved ones, particularly within Mexican-American, Latino, and Indigenous communities. The resolution acknowledges the holiday's cultural significance, including its historical roots and role in fostering family bonds, and expresses solidarity with families who have lost loved ones, especially those who died in immigration custody. It urges federal agencies to ensure humane treatment of individuals in immigration custody during cultural observances but does not create new legal requirements or policy changes. As a commemorative resolution, it serves only to symbolically affirm the holiday's importance without altering laws or funding.
Maddy summaryHRES 825 is a procedural resolution requesting the President to provide specific unredacted documents to the House of Representatives within 14 days. It seeks all communications related to government agencies' public messaging during the October 2025 funding lapse, including OMB directives to agencies, HUD's website statement about the shutdown, modified email messages from the Department of Education for furloughed staff, and internal reviews of whether such communications violated federal laws. This resolution focuses solely on transparency regarding government communications during the funding lapse, not on policy changes. As a procedural request for information, it does not alter laws or affect any specific group.