Maddy summaryThis bill amends the Social Security Act to exclude wages earned and self-employment income derived from unauthorized employment in the United States from being counted toward Social Security credits. It directly affects undocumented immigrants who work without authorization, preventing those earnings from contributing to their future Social Security benefits. The law changes existing Social Security rules by adding specific exclusions for "service performed by an alien while employed... not authorized to be so employed" and similar self-employment activities. These changes apply to all wages and income earned before, during, or after the bill's enactment, with Social Security recompiling existing benefit calculations to reflect the new rules.
Rep. Matthew M. Rosendale, Sr.
Sponsored bills
Maddy summaryThis bill permanently expands Medicare telehealth coverage for specific mental health services. It adds 20 new HCPCS codes (like 90875 for therapy and 96125 for counseling) to Medicare's telehealth list, allowing audio-only sessions for certain services starting April 2023. The key change waives the requirement for video technology in telehealth, permitting audio-only visits when clinically appropriate and no in-person visit is needed first. This directly affects Medicare beneficiaries seeking mental health care, particularly in rural or underserved areas with limited video access, and the providers serving them. The policy change makes accessing behavioral health services via telehealth more flexible and accessible under Medicare.
Maddy summaryHR 497, the Freedom for Health Care Workers Act, eliminates a federal requirement for healthcare workers in Medicare and Medicaid programs to be vaccinated against COVID-19. The bill directly affects healthcare providers who treat patients under these federally funded programs by preventing the enforcement of the November 2021 HHS rule mandating staff vaccinations. Its key provision prohibits the Department of Health and Human Services from implementing, enforcing, or creating a similar rule regarding vaccination for these workers. This bill changes the policy by removing a specific vaccine mandate for providers in Medicare and Medicaid programs.
Maddy summaryHR 407, the "Protect the UNBORN Act," prohibits federal agencies from implementing or enforcing two specific executive orders issued by President Biden in 2022 (Executive Orders 14076 and 14079), which aimed to protect access to reproductive healthcare services. The bill bans the use of federal funds, including those from the 2022 Consolidated Appropriations Act, to carry out, administer, or enforce these executive orders. It directly affects federal agencies and programs that would otherwise comply with the Biden administration's policies on reproductive healthcare access. The bill does not create new healthcare rules but blocks the implementation of existing executive actions.
Maddy summaryHR 114, the "Fund and Complete the Border Wall Act," establishes a Secure the Southern Border Fund to finance border barrier construction and maintenance along the U.S.-Mexico border. The bill creates a 5% fee on remittance transfers to foreign countries and increases Form I-94 processing fees, with portions of these fees directed to the fund. It requires the Department of Homeland Security to report annually on illegal border crossings and sets a December 31, 2023, deadline for completing border barriers. The legislation also includes provisions for border patrol agent compensation and allows the Secretary of Homeland Security to waive legal requirements to expedite border wall construction.
Maddy summaryHR 119, the Freedom from Mandates Act, removes federal requirements for COVID-19 vaccination or testing in several key areas. It specifically nullifies Executive Orders 14042 (for federal contractors' safety protocols) and 14043 (for federal employee vaccinations), and prohibits the Secretary of Labor from requiring private employers to mandate vaccines or testing for employees. Additionally, it bars the Secretary of Health and Human Services from making vaccination or testing a condition for healthcare providers to participate in Medicare or Medicaid programs. The bill directly affects federal contractors, federal employees, private employers, and healthcare providers participating in federal health programs by eliminating these specific mandates.
Maddy summaryThis bill creates a 2-year moratorium on new hospital registrations for the 340B drug discount program, which provides discounted prescription drugs to certain hospitals serving low-income patients. It establishes strict eligibility criteria for hospitals to participate in the program, including requirements for outpatient services, Medicare cost report documentation, and adherence to charity care policies. The bill mandates detailed annual reporting of financial information about 340B drug purchases, including revenue, acquisition costs, patient payment sources, and charity care costs, with this data made publicly available. It also requires the use of a specific "340B modifier" (JG) on claims for reimbursement of 340B drugs across Medicare, Medicaid, and other programs. These provisions aim to increase transparency and accountability in how hospitals use the 340B program.
Maddy summaryThe Rural Telehealth Expansion Act (HR 197) removes a restriction in Medicare law that previously limited coverage for store-and-forward telehealth services to demonstration programs in Alaska and Hawaii. This amendment allows Medicare to cover store-and-forward telehealth services nationwide, expanding access for beneficiaries. The bill directly affects rural Medicare beneficiaries by enabling broader use of this telehealth method for non-real-time medical consultations. The key provision modifies Section 1834(m)(1) of the Social Security Act to eliminate the geographic limitation.
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 152, titled the "Hearing Protection Act," actually addresses firearm silencers (suppressors), not hearing protection. The bill removes federal registration requirements for silencers by directing the Attorney General to destroy all existing silencer records within 365 days. It also preempts state laws that tax, register, or impose recordkeeping requirements on silencers, making such state rules unenforceable. Additionally, the bill updates tax codes to include silencers as taxable items and clarifies their definition in firearm laws.