Rep. Earl L. "Buddy" Carter

Maddy summaryThe TRUTH in Coverage Act of 2026 requires group health plans and health insurance issuers that cover gender-affirming procedures to also cover medical services intended to treat physical and psychological complications resulting from those procedures. This mandate applies regardless of whether the original gender-affirming treatment was covered by the plan and ensures that any required follow-up care faces the same cost-sharing rules and limitations as standard medical benefits. The bill defines "sex-rejecting procedures" broadly to include hormone therapy, surgeries, and puberty blockers, while explicitly excluding treatments for intersex conditions, life-threatening emergencies, and standard puberty suppression for early puberty. These provisions would take effect for plan years beginning on or after January 1, 2027, affecting individuals with access to employer-sponsored or individual health insurance.

Maddy summaryThe Federal Lands Lawful Carry Act modifies federal law to allow individuals who are legally permitted to carry firearms under state laws to do so on specific federal lands open to the public. This change directly affects visitors to areas managed by agencies such as the National Park Service, Bureau of Land Management, and National Forest System. Under the new provisions, carrying a firearm in these exempted areas is considered having a lawful purpose if the individual follows applicable state regulations and is not otherwise prohibited from possessing a weapon. The bill does not authorize carrying firearms in areas where state laws forbid it or in locations that remain closed to visitors.

Maddy summaryThe Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.

Maddy summaryHR 7651, the Chloe Cole Act of 2026, prohibits healthcare providers from performing certain medical interventions on minors under 18 aimed at altering physical development to align with gender identity. These "covered interventions" include puberty blockers, hormone treatments, and specific surgeries, but exclude medically necessary care for conditions like disorders of sexual development or traumatic injuries. The bill creates a federal civil lawsuit right for affected minors or their parents against providers who perform such interventions, allowing claims for damages including emotional distress and punitive awards, with strict liability for providers after the law's enactment. It explicitly allows exceptions for legitimate medical treatments and requires providers to prove such exceptions apply if challenged.

Maddy summaryHR 6251 would amend the Marine Mammal Protection Act to allow U.S. importation of polar bear trophies (excluding internal organs) from sport hunts in Canada that occurred before specific dates: February 18, 1997, or May 15, 2008. The bill requires hunters to provide proof of legal harvest before those dates and directs the Secretary of the Interior to issue permits without considering current population status or other restrictions under the Act. It directly affects hunters who took polar bears in Canada before these dates and wish to import trophies, bypassing standard MMPA import limitations. The policy change only applies to trophies from past hunts, not future hunting activities.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.

Maddy summaryThe Sunshine Protection Act of 2025 would make daylight saving time permanent across the United States, ending the current practice of changing clocks twice yearly. It repeals the 1966 law requiring seasonal time changes and adjusts time zone offsets to reflect permanent daylight saving time (e.g., shifting from "4 hours" to "3 hours" in historical references). States that currently opt out of daylight saving time (like Arizona and Hawaii) would retain their existing arrangements, while all other states would adopt permanent daylight saving time unless they choose to stay on standard time. This change would directly affect all U.S. residents by eliminating the need to reset clocks in spring and fall.

Maddy summaryThe SHIELD Citizens Act aims to restrict access to federal welfare programs, such as food assistance, Medicaid, and housing aid, exclusively to United States citizens. By amending existing laws, the bill removes eligibility for noncitizens, including lawfully domiciled residents, while preserving access to emergency medical care, disaster relief, and services like soup kitchens. The legislation includes a transition period allowing current recipients to keep their benefits for up to 180 days after the law takes effect, which is set to begin 180 days after enactment. This change directly impacts noncitizen families who currently rely on these safety net programs, narrowing the pool of eligible individuals to citizens only.

Maddy summaryHR 5549, the Efficient Nuclear Licensing Hearings Act, streamlines the licensing process for nuclear facilities by reducing mandatory hearings. It allows the Nuclear Regulatory Commission (NRC) to issue construction permits, operating licenses, or amendments without a hearing if it provides 30 days' notice and Federal Register publication, skipping the hearing requirement only when an amendment involves "no significant hazards." This change applies to all pending NRC applications after enactment, shifting from current rules requiring hearings unless waived. The bill directly affects nuclear facility developers, the NRC, and communities potentially impacted by licensing decisions through its revised notice and hearing procedures.