Rep. Mariannette Miller-Meeks

Maddy summaryHR 661, the MIRACLE Medical Technology Act of 2025, establishes a formal US-Israel program to coordinate collaboration on developing and delivering healthcare products and services. It directs the Secretary of Health and Human Services to create joint initiatives - including shared research on medical devices and pharmaceuticals, regulatory alignment (like FDA-Israel regulatory data sharing), innovation hubs for startups, and telemedicine infrastructure - leveraging $8 million annually from 2026-2030. The bill directly affects US health agencies (HHS, FDA), Israeli health authorities, and medical technology companies in both countries. Key mechanisms include creating a US-Israel Health Care Collaboration Center, promoting joint manufacturing facilities for biological products, and standardizing data sharing for research. This focuses on concrete policy changes to enhance bilateral medical innovation and healthcare delivery.

Maddy summaryHR 703, the Main Street Tax Certainty Act, makes a key tax deduction permanent for small business owners. It removes the temporary sunset provision (subsection (i)) from Section 199A of the tax code, ensuring the qualified business income deduction remains available for eligible small businesses. This change directly affects pass-through business owners (like S-corps, partnerships, and sole proprietorships) who currently qualify for this deduction. The permanent change takes effect for tax years starting after December 31, 2025.

Maddy summaryHJRES 27 is a procedural resolution seeking to block an Environmental Protection Agency (EPA) rule regulating Trichloroethylene (TCE), a chemical used in industrial cleaning. It asks Congress to disapprove the EPA's final rule (published December 17, 2024, in Federal Register 89 Fed. Reg. 102568) under the Toxic Substances Control Act (TSCA), which would have restricted TCE use. If passed, this resolution would prevent the EPA rule from taking effect, directly affecting industries and facilities that use TCE. The bill does not create new rules but aims to halt an existing EPA regulation through congressional disapproval.

Maddy summaryHJRES 28 proposes a constitutional amendment to permanently fix the number of justices on the U.S. Supreme Court at nine. This would require ratification by 38 state legislatures (three-fourths of states) within seven years to become part of the Constitution. The amendment directly affects the structure of the Supreme Court, which has had nine justices since 1869 but could otherwise be altered by future congressional action. It does not change current court operations or create new laws, but instead seeks to make the nine-justice composition a permanent constitutional requirement.

Maddy summaryThe ALIGN Act (HR 574) allows businesses to immediately deduct the full cost of certain qualifying equipment and property (like machinery or tools) instead of spreading the deduction over several years. This permanent tax change directly affects businesses that invest in eligible property placed in service after September 2017. The key provision eliminates the previous depreciation rules for these assets, providing an immediate tax benefit to encourage capital investment. It does not change tax rates or apply to all business expenses, only specific types of equipment meeting the defined criteria.

Maddy summaryHR 578, "Sarah’s Law," requires mandatory detention for certain non-citizens (aliens) charged with crimes resulting in death or serious bodily injury. It directly affects non-citizens facing such charges and their victims' families. Key provisions mandate that the Department of Homeland Security detain these individuals immediately and notify victims or their closest living relatives (like parents or spouses) about the alien’s identity, immigration status, custody details, and removal efforts. The bill adds specific categories of non-citizens to the mandatory detention list, including those whose visas were revoked or who are deportable for prior immigration violations. This creates a formal process for victim notification while expanding detention requirements under immigration law.

Chiropractic Medicare Coverage Modernization Act of 2025 This bill expands Medicare coverage of chiropractic services to include all services provided by chiropractors, rather than only subluxation corrections through manual manipulation of the spine.

This bill increases the annual limit on the tax credit for qualified railroad track maintenance expenses (also referred to as the short line railroad tax credit) and expands eligibility for claiming the credit. Under current law, the tax credit is limited each tax year to $3,500 multiplied by the sum of the number of miles of railroad track owned or leased by the taxpayer (miles owned or leased) and the number of railroad track miles assigned to the taxpayer by a Class II or III railroad (miles assigned). This bill increases the annual limit to $6,100 multiplied by the sum of miles owned or leased and miles assigned. The $6,100 amount used in the calculation of the tax credit limit is adjusted for inflation for tax years beginning after 2025. The bill also expands eligibility for the tax credit to include gross expenses for maintaining railroad tracks owned or leased as of January 1, 2024. Under current law, the tax credit is limited to gross expenses for maintaining railroad tracks owned or leased as of January 1, 2015.

Maddy summaryHR 520 allows law enforcement agencies to use Byrne JAG funds for programs specifically targeting the demand behind sex trafficking, such as initiatives aimed at reducing the market for commercial sex acts involving trafficked individuals. This bill amends existing federal funding rules to explicitly authorize these funds for "programs to combat human trafficking (including programs to reduce the demand for trafficked persons)." It directly affects state and local law enforcement agencies that receive Byrne JAG grants by expanding how they can allocate those resources. The key change is creating a dedicated funding category for demand reduction efforts, moving beyond solely supporting victim services or investigations.

Maddy summaryHR 330, the Organ Donation Referral Improvement Act, mandates a study by the Secretary of Health and Human Services on using electronic automated referral systems to improve organ donation processes. The study will examine how systems that automatically identify potential deceased donors through hospital electronic health records and refer them to organ procurement organizations could save staff time, improve eligibility determination speed, and increase donation volumes. It will also assess benefits of using standardized clinical criteria, secure data transmission, and best practices for implementation. The study, due within one year of enactment, will produce recommendations for nationwide adoption and be reported to relevant congressional committees. This bill directly affects hospitals and organ procurement organizations by studying a potential process change for organ donor referrals.