Rep. Ashley Hinson

Improving Care and Access to Nurses Act or the I CAN Act This bill allows other health care providers besides physicians (e.g., nurses) to provide certain services under Medicare and Medicaid. Among other changes, the bill (1) allows a nurse practitioner or physician assistant to fulfill documentation requirements for Medicare coverage of special shoes for diabetic individuals; (2) expedites the ability of physician assistants, nurse practitioners, and clinical nurse specialists to supervise Medicare cardiac, intensive cardiac, and pulmonary rehabilitation programs; and (3) allows nurse practitioners to certify the need for inpatient hospital services under Medicare and Medicaid.

Maddy summaryHR 1313, the "One Flag for All Act," prohibits displaying any flag other than the U.S. flag on the exterior or in publicly accessible areas (like lobbies or hallways) of covered public buildings, including government offices, military bases, and embassies. The bill allows specific exceptions, such as POW/MIA flags, state flags for congressional offices, historical U.S. flags (like the Betsy Ross flag), and flags representing military units or tribal governments. This law directly affects how flags are displayed in federal and public spaces, requiring exclusive use of the U.S. flag in those designated areas while preserving established exceptions.

Fighting Trade Cheats Act of 2025 This bill increases penalties for, and establishes additional enforcement mechanisms related to, fraudulent and grossly negligent violations of U.S. customs laws. Specifically, the bill increases the maximum civil penalty for a fraudulent violation to three times the domestic value of the merchandise. (Currently, the maximum penalty is the domestic value of the merchandise.) It prohibits a person who commits a fraudulent violation from importing merchandise into the United States for a five-year period. Additionally, the bill increases the maximum civil penalty for a grossly negligent violation to the lesser of (1) 3 times the domestic value of the merchandise; or (2) 10 times the lawful duties, taxes, and fees. (Currently, the maximum penalty is the lesser of the domestic value of the merchandise or four times the lawful duties, taxes, and fees.) It prohibits a person who commits a grossly negligent violation from importing merchandise into the United States for a two-year period. Further, the bill applies these importation bans to an affiliated person (e.g., a family member or employee) of the person who committed the fraudulent or grossly negligent violation. The bill establishes a private right of action for an interested party (e.g., a manufacturer) affected by customs fraud or grossly negligent violations. The bill prohibits any person (or an affiliated person) who commits a fraudulent or grossly negligent violation from participating in the U.S. Customs and Border Protection's Importer of Record program, and further requires revocation of their importer of record numbers.

United States-Israel Defense Partnership Act of 2025 This bill requires or authorizes certain actions to increase defense-related cooperation between the United States and Israel. Specifically, the bill requires the Department of Defense (DOD) to establish a cooperative program, with the concurrence of Israel's Ministry of Defense (MOD), to develop and deploy advanced technologies for countering unmanned systems that threaten the United States and Israel; establish in Israel an office of the Defense Innovation Unit (an organization that focuses on rapidly fielding and scaling commercial technology across the U.S. military); and seek to engage Israel's MOD on the ascension of Israel into the national technology and industrial base (currently defined in law as the persons and organizations engaged in research, development, production, integration, services, or information technology activities conducted within the United States, the United Kingdom, Australia, New Zealand, and Canada). The bill authorizes DOD, upon request of Israel's MOD, to jointly conduct research, development, test, and evaluation (RDT&E) of emerging technologies such as artificial intelligence and robotics to meet defense challenges. Additionally, the bill extends the authority for DOD to (1) carry out RDT&E on a joint basis with Israel to establish anti-tunnel and counter unmanned aerial systems capabilities through 2028, and (2) transfer defense articles intended for use as reserve stocks for Israel through January 1, 2029.

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs. Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any). The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.

Maddy summaryHR 1232, the National Right-to-Work Act, would make union membership voluntary for workers in most private-sector jobs by removing legal requirements for employees to join a union or pay dues as a condition of employment. It directly affects workers in unionized workplaces covered by the National Labor Relations Act (including most private employers) and railroad workers covered by the Railway Labor Act. The key change eliminates provisions that allowed "union security agreements" (requiring dues or membership), meaning workers could no longer be forced to pay union fees to keep their jobs. This bill does not change other labor rights or create new programs - it only modifies existing laws to allow workers to opt out of union membership and financial obligations.

Maddy summaryHR 1268 updates the legal definition of U.S. customs waters in two key laws (the Tariff Act of 1930 and the Anti-Smuggling Act) to align with current international maritime standards. It replaces the outdated "four leagues from the coast" language with specific references to the U.S. territorial sea (per Presidential Proclamation 5928, 1988) and contiguous zone (per Presidential Proclamation 7219, 1999). This change directly affects U.S. Customs and Border Protection enforcement activities in coastal waters. The bill makes no new policy or tax changes - it only clarifies existing legal boundaries for customs jurisdiction. The update takes effect upon the bill's enactment.

Doctors in our Borders Act This bill increases the number of Conrad 30 waivers available each year from 30 to 100. Typically, a J-1 visa holder (nonimmigrant exchange visitor) must leave the United States for two years after finishing the exchange visitor program, including J-1 visa holders who entered the United States to receive graduate medical training. The Conrad 30 waiver program waives this requirement for eligible foreign medical graduates who agree to practice medicine in an underserved area or for an underserved population in the United States.

Maddy summaryThis bill creates a 10% tax credit for businesses that modernize or replace freight railcars, directly affecting railcar owners and manufacturers. To qualify, railcars must meet an 8% improvement standard in capacity or fuel efficiency, be built or modernized after enactment, and replace two scrapped railcars. The credit is limited to 1,000 qualified railcars per business annually, with reporting requirements for the Treasury to track claimed credits, scrapped railcars, and new railcar production. The credit applies to railcars placed in service after December 2024, ending three years after enactment.

Maddy summaryThe Laken Riley Act expands mandatory detention for immigrants convicted of certain property crimes like burglary, theft, or shoplifting by adding these offenses to existing immigration detention criteria. It requires the federal government to issue detainers for such individuals and take custody if not detained by local authorities. The bill also grants state attorneys general standing to sue federal officials in federal court if they believe immigration enforcement actions (like releasing detained immigrants) cause the state financial harm exceeding $100. This creates new legal pathways for states to challenge federal immigration decisions through expedited lawsuits.