Rep. Neal P. Dunn

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryHR 3062 creates a new federal approval process for cross-border energy infrastructure projects, such as oil/gas pipelines and electricity transmission lines between the U.S. and Canada or Mexico. It requires the Federal Energy Regulatory Commission (for oil/gas pipelines) or the Secretary of Energy (for electricity lines) to issue a "certificate of crossing" within 120 days, unless the project is deemed not in the U.S. public interest. The bill also speeds up natural gas import/export approvals to 30 days for Canada/Mexico and removes the need for Presidential permits for most new projects, while protecting existing permits from revocation. This directly affects energy companies planning or operating cross-border infrastructure, streamlining approvals but maintaining environmental and reliability standards.

Maddy summaryThe GRID Power Act requires the Federal Energy Regulatory Commission (FERC) to create new rules within 180 days that streamline the process for connecting new "dispatchable power" projects - like natural gas plants or battery storage - to the electricity grid. It allows transmission providers (such as utilities and grid operators) to propose prioritizing these projects in the interconnection queue if they demonstrate how the projects improve grid reliability or resilience, with public input required before submission. FERC must review such proposals within 60 days and approve or deny them, while also mandating regular reports on grid conditions and periodic rule updates every five years to address evolving challenges. This bill directly affects transmission providers and new power project developers by accelerating connections for reliable energy sources that help prevent blackouts.

Maddy summaryThis bill allocates $5 million annually (2026-2030) to states for collecting de-identified stillbirth data through existing health systems, including risk factor analysis. It also provides $1 million yearly to develop standardized guidelines for healthcare providers and public educational materials about stillbirths, requiring consultation with medical professionals, bereavement organizations, and affected families. The bill mandates that all data collection complies with privacy laws and requires the Department of Health and Human Services to publish a public report on stillbirth guidelines within five years. It directly affects state health departments, healthcare providers, and families experiencing stillbirth by improving data quality and access to resources.

Maddy summaryThis bill ensures Medicare coverage for new medical devices designated as "breakthrough devices" during a 4-year period after FDA approval. To qualify, devices must meet specific criteria, including FDA priority review, clinical data from Medicare beneficiaries, and a safety review showing benefits outweigh risks. Medicare must finalize coverage decisions within 6 months of manufacturer applications and before the 4-year period ends. The law appropriates $10 million annually (2025-2030) for Medicare to administer this process.

Maddy summaryHR 5401, the Pay Our Troops Act of 2026, ensures military personnel, civilian Defense workers, and supporting contractors receive pay during government funding gaps in fiscal year 2026. It appropriates emergency funds for active-duty service members, reserves, and their supporting personnel (including Coast Guard staff under DHS) if regular appropriations aren't enacted by the end of the fiscal year. The bill provides necessary pay and allowances during any period when full-year funding is unavailable, covering both active service and support roles. Funding expires when regular appropriations are passed, a funding resolution is enacted, or January 1, 2027, whichever comes first. This is a procedural measure to prevent pay delays for military and support staff during fiscal year 2026 funding lapses.

Maddy summaryThe RESULTS Act (HR 5269) changes how Medicare calculates payment rates for clinical diagnostic laboratory tests. It requires Medicare to collect data on private payor rates for widely available non-Advanced Diagnostic Laboratory Tests (non-ADLTs) from a qualifying independent claims data entity (a national nonprofit organization meeting specific criteria) rather than relying on data reported directly by laboratories. For tests where data is unavailable, the bill establishes default payment rates based on previous years' rates adjusted for inflation. The law also requires Medicare to publicly explain payment rates with supporting data, affecting Medicare beneficiaries, clinical laboratories, and private payors that provide services covered by Medicare.

Sickle Cell Disease Comprehensive Care Act This bill allows state Medicaid programs to establish health homes to provide coordinated care for individuals with sickle-cell disease. (Under current law, state Medicaid programs may establish health homes to provide coordinated care for individuals with specified chronic conditions.) States must ensure that such care includes dental and vision services. The Centers for Medicare & Medicaid Services must issue best practices for states on how to design and implement such health homes.

Maddy summaryHR 5156, the COUNT Act, requires federal agencies to share specific immigration and demographic data with the Department of Commerce to improve national citizenship statistics. It mandates agencies like DHS, SSA, and HHS to provide access to records including immigration files, passport applications, and Medicaid data, while directing the Census Bureau to add a citizenship question to the 2030 census and American Community Survey. The bill also directs the Commerce Department to seek state administrative records for citizenship data and requires annual reports to Congress on state cooperation. This directly affects federal and state agencies by altering data-sharing protocols for immigration and citizenship tracking.

Maddy summaryHRES 675 is a symbolic resolution expressing the U.S. House of Representatives' support for designating September 2025 as "National Prostate Cancer Awareness Month." It directly affects all Americans, particularly men at risk of prostate cancer - including those with family history, African-American men (who face higher incidence and mortality rates), and men under 65 (40% of new cases). The resolution calls for raising public awareness about screening methods, encouraging research into prevention and treatment, and promoting community actions to combat prostate cancer. It does not create new laws or allocate funding, but urges public and private efforts to improve early detection and outcomes.