Rep. Earl L. "Buddy" Carter

Maddy summaryThis bill, HR 1097 (Everett Alvarez, Jr. Congressional Gold Medal Act of 2023), authorizes the award of a Congressional Gold Medal to Everett Alvarez, Jr., in recognition of his service as a U.S. Navy pilot and Vietnam War prisoner of war. It directly honors Alvarez, who was the first U.S. pilot shot down in the Vietnam War, spent over 8.5 years in captivity, and later served in the Peace Corps and Veterans Administration. The bill’s key mechanism is directing the U.S. Mint to strike a gold medal bearing his name and image, with bronze duplicates available for sale to cover costs. It does not create new policies or affect any group beyond the honoree.

Maddy summaryHR 7513, the Protecting America’s Seniors’ Access to Care Act, prohibits the Department of Health and Human Services from implementing or enforcing a proposed rule that would have set minimum staffing requirements for nursing homes and other long-term care facilities receiving Medicare or Medicaid funding. The bill specifically blocks the September 2023 proposed rule (88 Fed. Reg. 61352-61429) and any substantially similar rule. This directly affects long-term care facilities that rely on federal healthcare program payments. The key mechanism is a clear statutory prohibition preventing the rule from taking effect, without altering existing staffing standards or requirements.

Maddy summaryThis bill allows Medicaid programs to enter into value-based purchasing (VBP) arrangements with drug manufacturers for innovative treatments like gene therapies. It codifies these arrangements by requiring states to report pricing structures based on patient outcomes and best prices for drugs sold under these agreements. The bill enables payments to be tied to treatment effectiveness, potentially reducing long-term healthcare costs by decreasing hospitalizations and other medical expenses. It also creates a requirement for a GAO study to evaluate how these arrangements impact patient access, outcomes, and healthcare system costs. The bill will sunset after 5 years, though existing VBP arrangements will continue beyond that date.

Maddy summaryThe America's Wildlife Habitat Conservation Act creates new funding mechanisms to support wildlife habitat conservation across the United States. It establishes a $300 million annual subaccount for states, territories, and the District of Columbia to restore habitat for species listed as threatened or endangered under federal or state law, and to prevent species from needing such listings, with at least 15% of funds dedicated to endangered species recovery. The bill also creates a $20 million annual account specifically for tribal wildlife conservation programs. Funds must be used for habitat restoration, species conservation, invasive species management, and must be tracked through annual reporting requirements to demonstrate effectiveness.

Maddy summaryThe FOCA Act of 2023 requires federal agencies to stop mandating or banning contractor agreements with labor organizations (like union contracts) in construction project bids and contracts. It directly affects federal contractors, subcontractors, and agencies managing construction projects funded by the government. The bill prohibits favoring or penalizing contractors based on their labor affiliation status, aiming to promote fair competition and reduce costs. It also mandates updates to federal contracting rules within 60 days of enactment to implement these changes.

Maddy summaryThe Pharmacists Fight Back Act (HR 9096) sets new rules for Pharmacy Benefits Managers (PBMs) working with federal health care programs like Medicare Part D and Medicaid. It requires PBMs to reimburse in-network pharmacies at a rate covering the drug's actual cost plus a small fee (capped at $25), and to reduce patient cost-sharing by at least 80% of rebates received from drug manufacturers. The bill bans PBMs from steering patients to specific pharmacies, charging patients more than pharmacies are paid, or using rebates to lower pharmacy payments after claims are processed. It also mandates public reporting of drug pricing data to improve transparency, ensuring patients and pharmacies receive fairer treatment under federal health programs.

Maddy summaryThis bill creates an exemption from certain physician self-referral rules for specific rural hospitals. It defines a "covered rural hospital" as one located more than 35 miles (or 15 miles in mountainous terrain) from another hospital or critical access hospital, primarily affecting rural facilities in remote areas. The bill also removes restrictions preventing physician-owned hospitals from expanding their services. These changes directly impact rural hospitals meeting the new distance criteria and physicians owning hospitals in those areas, while leaving most existing Medicare self-referral rules unchanged.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2027 and publish detailed data on their approval and denial rates for medical services by 2026. It directly affects Medicare Advantage plans (private insurers offering Medicare coverage) and their enrollees (seniors 65+), mandating transparency about prior authorization decisions, processing times, and appeal outcomes. Key provisions include requiring plans to report annual statistics on request approvals/denials, average processing times, and use of technology, with this data published publicly by the Centers for Medicare & Medicaid Services. The bill also sets timelines for plan responses to prior authorization requests and mandates reports to Congress on implementation and impacts.

Maddy summaryThe 340B ACCESS Act amends the 340B Drug Pricing Program to strengthen oversight and ensure discounts reach vulnerable populations. It establishes new patient affordability requirements that limit out-of-pocket costs for eligible patients (e.g., $0 for those below the Federal poverty line, up to $35 for those between poverty line and 200% of poverty). The bill adds requirements for hospital child sites, contract pharmacies, and covered entities to prevent duplicate discounts, improve transparency, and creates a claims data clearinghouse to monitor program compliance. It imposes civil penalties for noncompliance, including fines up to $13,946 per violation for contract pharmacies that violate program requirements.

Maddy summaryHR 8411, the Defending American Property Abroad Act, blocks U.S. government funding for activities involving foreign ports or terminals where a U.S. entity owns the land needed for access, and a foreign government has taken actions like nationalizing that land or nullifying a related contract. It requires the Homeland Security Secretary to designate such "prohibited property" within 60 days, then prohibits funding for vessels using these locations to import goods, dock, or receive maintenance. The bill mandates annual reports to Congress tracking designated properties, affected vessels, and the foreign actions triggering designations, along with assessments of economic and national security impacts. This directly affects U.S. businesses with foreign port access and U.S. agencies managing maritime activities.