Rep. April McClain Delaney

Maddy summaryHR 4796, the Restoring Essential Healthcare Act, repeals a provision that blocked Medicaid payments to certain healthcare providers during a specific period. It directly affects Medicaid beneficiaries who received care from these providers between the enactment of the prior law (Public Law 119-21) and this bill's enactment. The key provision retroactively restores Medicaid payments for services already provided during that blocked period, treating the payment restriction as if it never existed. This change ensures eligible individuals and providers receive reimbursement for covered care delivered during the prohibited timeframe.

Maddy summaryHR 4767 establishes two key programs to expand international educational exchanges. It creates a scholarship program allowing international students, scholars, and experts to study at U.S. community colleges and vocational institutions for up to one academic year in priority sectors like agriculture, engineering, health, and environmental resilience. The bill also funds a capacity-building program to help these U.S. institutions develop stronger study abroad offerings through grants, training, and resources for faculty and underrepresented students. These provisions directly affect eligible U.S. junior colleges and vocational schools by increasing their opportunities to partner with international participants and expand global education programs.

Maddy summaryHR 4717 creates a refundable tax credit of up to 10% of a home's purchase price (capped at $15,000) for first-time homebuyers purchasing a principal residence in the United States. The credit is subject to limitations based on modified adjusted gross income (phased out if income exceeds 150% of the area median income) and home price relative to area median purchase prices in the buyer's location. Homebuyers must meet age requirements (at least 18 years old), not have owned a home in the past three years, and purchase with a federally backed mortgage. The credit is subject to a four-year recapture period if the home is sold within that timeframe, and taxpayers may transfer the credit to their mortgage lender as a down payment or closing cost assistance.

Maddy summaryHR 4752, the Reducing Hereditary Cancer Act, requires Medicare to cover genetic testing for germline mutations in individuals with a family history of hereditary cancer or suspicious personal/family history. It mandates coverage for risk-reducing surgeries (like mastectomies or hysterectomies) when guided by evidence-based clinical guidelines, and increases the frequency of cancer screenings (such as mammograms, colonoscopies, and breast MRI) for Medicare beneficiaries confirmed to have hereditary cancer gene mutations - ensuring screenings occur at least annually. The bill applies to Medicare beneficiaries with specific high-risk profiles, aligning coverage with guidelines from recognized oncology organizations like the National Comprehensive Cancer Network. It does not change eligibility but modifies Medicare’s existing coverage rules to expand access to these preventive services.

Maddy summaryThis bill prohibits companies from using automated systems to set prices or wages based on surveillance data about consumers or workers. It bans "surveillance-based price setting" (personalized pricing based on consumer tracking) and "surveillance-based wage setting" (using personal data to determine worker pay), with limited exceptions for standard discounts like student or senior citizen rates when properly disclosed. Companies must publish clear procedures about how their automated systems work, including how data is used and how consumers/workers can challenge inaccuracies. The Federal Trade Commission and Equal Employment Opportunity Commission will enforce the law, and individuals can file lawsuits to challenge violations. The bill also prohibits pre-dispute arbitration agreements that would prevent class action lawsuits.

Maddy summaryHR 4702, the National Fire Academy Reporting Act, requires the National Fire Academy Administrator to submit an annual report to Congress by November 30 each year. The report must detail specific data about courses, programs, and funding from the previous fiscal year, including the number of fire departments and personnel (categorized as career or volunteer) that attended, the total courses offered and cancelled, and how funds were distributed to state/local training programs and student participants. This bill does not change funding levels or program requirements but mandates standardized reporting to Congress. The requirement begins after the bill's enactment, with the first report due November 30 of the first full year following enactment.

Maddy summaryThis bill establishes a new federal program to improve rural roads critical for agriculture. It provides funding for projects that replace weight-limited bridges, enhance access to farms and agricultural facilities, and upgrade safety on high-risk rural roads. The program targets local roads and rural minor collectors, with the federal government covering up to 90% of eligible project costs. It directly affects rural communities and agricultural businesses by addressing infrastructure barriers to farm operations and local economic activity. The funding is allocated through existing highway apportionment formulas under Title 23, U.S. Code.

Maddy summaryH.J. Res. 108 proposes a constitutional amendment to remove legal immunity for federal officials, including the President, from criminal prosecution for actions taken while performing official duties. It would prohibit the President from granting pardons to themselves and eliminate the defense that "official authority" excuses violations of federal or state law (with limited exceptions for certain congressional actions). If ratified, this amendment would require Congress to pass implementing laws to enforce these changes. The proposal is currently in the House Judiciary Committee and requires approval by three-fourths of state legislatures to become part of the Constitution.

Maddy summaryHR 4606, the Ally’s Act, requires private health insurance plans (including employer-sponsored plans and individual coverage) to cover hearing implants and related services. It directly affects people with hearing loss who need cochlear implants, bone conduction devices, or external sound processors, as determined by a physician or audiologist. The bill mandates coverage for devices, maintenance, repairs, upgrades every 5 years, hearing assessments, surgery, and rehabilitation - without separate cost-sharing or stricter limits than other medical services. Insurers cannot deny coverage if a provider deems the service medically necessary. The law applies to all applicable health plans and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.