Rep. Mariannette Miller-Meeks

Maddy summaryHR 4382 authorizes the U.S. Mint to produce commemorative coins for the 2028 Los Angeles Olympics/Paralympics and 2034 Salt Lake City Winter Olympics/Paralympics. It specifies gold, silver, and half-dollar coin designs with defined mintage limits (e.g., up to 100,000 $5 gold coins for each event), all bearing inscriptions like "2028" or "2034" and standard coin features. A surcharge ($5-$50 per coin) is added to sales, with all funds directed to the respective Olympic committees to support event hosting and legacy programs like youth sports. The bill ensures no net cost to the government by requiring surcharge revenues to cover all design, production, and marketing expenses before funds are disbursed.

Maddy summaryHCONRES 43 is a non-binding congressional resolution expressing that public performances of "The Star-Spangled Banner" should use the original English lyrics written by Francis Scott Key. It encourages performers and event organizers to preserve the anthem's historical integrity by using its original English text, rather than translated or adapted versions, as a way to honor its 1814 origins and 1931 designation as the national anthem. The resolution does not create new law or impose legal requirements but formally states Congress's preference for maintaining the anthem's traditional English lyrics in public settings. It directly affects public events where the anthem is performed, such as sports games, ceremonies, and official gatherings.

Maddy summaryThe PBM Reform Act of 2025 aims to increase transparency and fairness in pharmacy benefit manager (PBM) operations within Medicare Part D and Medicaid programs. The bill requires Medicare Part D plans to allow any pharmacy meeting standard terms to join their networks, establishes "essential retail pharmacies" in underserved areas (with limited pharmacy access), and mandates detailed reporting on drug pricing, rebates, and reimbursement rates. It creates a process for pharmacies to report PBM violations of reasonable contract terms and prohibits "spread pricing" in Medicaid, where PBMs retain the difference between what they pay pharmacies and what they charge plans. These provisions aim to improve pharmacy access for Medicare beneficiaries and ensure fairer reimbursement practices for pharmacies.

Maddy summaryThis bill requires drug manufacturers to pay rebates to Medicare when their "selected drugs" (cancer and complex therapies subject to negotiated maximum fair prices) are used. Manufacturers must calculate rebates based on the difference between current Medicare payment rates (ASP+6) and new negotiated rates (MFP+6), covering the gap for beneficiaries. This lowers patient coinsurance from the current 20% of ASP+6 to 20% of MFP+6 for these specific drugs during the negotiated price period. The rebates are paid to the Medicare trust fund and apply to Medicare Part B beneficiaries using these drugs, directly affecting drug manufacturers and patients covered under Medicare Part B.

Treat and Reduce Obesity Act of 2025 This bill expands Medicare coverage of intensive behavioral therapy for obesity. Specifically, the bill allows coverage for therapy that is provided by (1) a physician who is not a primary care physician; or (2) other health care providers (e.g., physician assistants and nurse practitioners) and approved counseling programs, if provided upon a referral from, and in coordination with, a physician or primary care practitioner. Currently, such therapy is covered only if provided by a primary care practitioner. The bill also allows coverage under Medicare's prescription drug benefit of drugs used for the treatment of obesity or for weight loss management for individuals who are overweight.

Maddy summaryHR 4194 would shield manufacturers of critical infrastructure equipment from lawsuits related to wildfires caused by their products, unless they intentionally caused harm through willful misconduct. This law applies to companies defined as critical infrastructure manufacturers under existing federal law (per the Cyber Incident Reporting Act of 2022). It creates legal immunity for these manufacturers against both federal and state lawsuits regarding wildfire-related losses, but requires proof of intentional wrongdoing to override the protection. The bill directly affects companies producing essential infrastructure equipment like power grid components and communication systems.

Maddy summaryThe GOLDEN DOME Act of 2025 establishes a comprehensive homeland missile defense system designed to protect U.S. citizens and critical infrastructure from ballistic, hypersonic, cruise, and unmanned system threats. The bill creates a new Golden Dome Direct Report Program Manager with significant authority to accelerate development, testing, and deployment of integrated missile defense capabilities across all domains (land, sea, air, space, and cyberspace). It requires a holistic strategy with all-domain awareness, mandates accelerated testing schedules including live-fire exercises, and allocates specific funding for components like space-based sensors, interceptors, and command and control systems. The legislation also includes provisions to protect the space industrial base and secure critical supply chains for missile defense systems.

Maddy summaryThis bill prohibits transplant centers and healthcare providers from denying organ transplants or related services solely based on a patient's disability. It requires covered entities to make reasonable modifications to policies (like considering a patient's support network or using communication aids) and to avoid denying care due to lack of auxiliary aids. The law applies to all transplant stages - including evaluation, listing, and post-transplant care - and explicitly states it complements, rather than replaces, existing disability rights laws like the ADA. It allows medical considerations only if a physician determines a disability is medically significant to the transplant, after individual evaluation.

Maddy summaryThis bill requires major internet companies (including social media, streaming services, and app stores) and broadband providers to contribute to the Universal Service Fund, which subsidizes affordable broadband in rural and high-cost areas. It exempts smaller companies that transmit less than 3% of U.S. broadband data or earn under $5 billion annually. The Federal Communications Commission must create a new support mechanism to help rural broadband providers cover costs, while ensuring contributions remain fair and predictable. The bill explicitly states it does not grant the FCC new authority over these companies.

Patient Access to Higher Quality Health Care Act of 2025 This bill repeals provisions under the Stark law (i.e., the Physician Self-Referral Law) that limit, for purposes of Medicare participation, self-referrals by newly constructed or expanded physician-owned hospitals.