Rep. Blaine Luetkemeyer

Maddy summaryHR 3875, the Expanded Telehealth Access Act, expands Medicare coverage for telehealth services by adding new healthcare professionals to the list of providers eligible for payment. It specifically includes licensed audiologists, occupational therapists (and their assistants under supervision), physical therapists (and their assistants under supervision), and speech-language pathologists. The bill ensures these providers are paid the same rate for telehealth services as they would be for in-person care under Medicare. This change directly affects Medicare beneficiaries seeking remote therapy services and the new provider types who can now offer these services via telehealth.

Maddy summaryHR 2474, the "Strengthening Medicare for Patients and Providers Act," changes how Medicare pays physicians for services. It replaces the previous two-part payment system (used through 2025) with a single annual payment rate update starting in 2024. This update will be based on the Medicare Economic Index (MEI), which tracks costs for medical providers. The change directly affects Medicare-certified doctors and clinics who receive payments under the physician fee schedule.

Maddy summaryHR 1610 would modernize Medicare coverage for chiropractic care by removing the current restriction that limited beneficiaries to one chiropractic service per visit. It expands coverage to include all services provided by licensed chiropractors within their state-authorized scope, aligning Medicare with VA, military, and private insurance practices. The bill requires chiropractors to complete a Secretary-approved educational webinar to cover non-spinal services, while still allowing payment for spinal manipulation treatments without this requirement. This directly affects Medicare beneficiaries seeking chiropractic care and chiropractors seeking Medicare reimbursement for their services.

Maddy summaryHR 549, the Metastatic Breast Cancer Access to Care Act, removes waiting periods for disability and Medicare coverage for people diagnosed with metastatic breast cancer. Specifically, it amends Social Security Act sections to allow immediate eligibility for disability insurance benefits (eliminating the standard waiting period) and immediate Medicare coverage (waiving the 24-month waiting period) for these patients. The bill directly affects individuals with metastatic breast cancer who would otherwise face delays in accessing critical benefits. These changes apply to applications filed or benefits beginning after the bill's enactment date. The law makes no other policy changes beyond these specific eligibility adjustments.

Maddy summaryThis bill bans federal funding for abortions in most cases, prohibiting the use of taxpayer money for abortion services or health insurance plans covering abortion. Exceptions allow funding for abortions resulting from rape, incest, or when a pregnancy endangers a woman's life. It requires health insurance plans sold through the Affordable Care Act (ACA) marketplaces to clearly disclose any separate costs for abortion coverage and prohibits ACA subsidies from being used for plans that cover abortion (except in the specified exceptions). The law directly affects federal programs like Medicaid, ACA marketplace plans, and insurers offering health coverage to individuals using federal subsidies.

Maddy summaryHR 7438 directs the U.S. Treasury to mint commemorative coins for the 2026 FIFA World Cup, including 100,000 $5 gold coins, 500,000 $1 silver coins, and 750,000 half-dollar coins. The coins will be sold to the public at face value plus surcharges ($35, $10, and $5 per coin, respectively), with all surcharge revenue paid to FWC2026 US, Inc. for U.S. soccer programs. These funds must support soccer initiatives, particularly in underserved communities and youth development, as specified in the bill. The coins are legal tender but will only be issued during 2026, with no net cost to the U.S. government.

Maddy summaryThis bill requires federal agencies to provide specific details when certifying that a new regulation won't significantly impact small businesses. Agencies must now include the number of affected small businesses (with industry codes), an estimate of compliance costs (as a percentage of revenue or similar measure), and a determination of whether the costs constitute a significant economic impact. It directly affects small businesses subject to federal regulations and the agencies creating those rules. The key change is adding mandatory transparency requirements to agency certifications under existing law.

Maddy summaryHR 760, the Chinese Military and Surveillance Company Sanctions Act of 2023, expands U.S. sanctions to block all transactions (including debt and equity financing) with Chinese military-affiliated and surveillance technology companies, moving beyond previous restrictions that only targeted public stock transactions. It requires the President to impose full asset-blocking sanctions via the Treasury’s Specially Designated Nationals (SDN) list on companies designated under updated Treasury lists or determined to support China’s military/surveillance sectors. This directly affects U.S. individuals and businesses, prohibiting them from engaging in any financial, commercial, or technological dealings with these designated entities. Exceptions include U.S. intelligence activities and the importation of physical goods, with the sanctions set to expire 7 years after enactment.

Maddy summaryHJRES 120 is a joint resolution that would disapprove a rule issued by the Financial Stability Oversight Council (FSOC) regarding how the council identifies nonbank financial companies that could pose risks to the broader financial system. The rule, published in November 2023, provided guidance for designating such companies, which could affect their regulatory oversight. This resolution uses a congressional disapproval process under federal law to declare the rule ineffective, meaning it would have no legal force. If passed, it would prevent the FSOC from implementing this specific guidance in its regulatory work.

Maddy summaryHR 7428, the Earned Wage Access Consumer Protection Act, regulates services that let workers access early payments of earned but unpaid wages (e.g., via apps or employer partnerships). It directly affects workers using these services ("consumers") and the companies providing them ("providers"), prohibiting practices like forcing repayment through lawsuits, hiding fees, or charging late fees. Key provisions require clear upfront fee disclosures, ensure tips/gratuities are truly voluntary (with no link to service eligibility), and ban providers from using debt collectors to recover unpaid advances. The bill also clarifies that these advances aren’t considered "consumer credit" under federal law, preventing providers from being treated as lenders.