Rep. Kathy E. Manning

Maddy summaryThis bill amends the Affordable Care Act to increase cost-sharing reductions for lower-income individuals buying health insurance through marketplaces. For plan years beginning before January 1, 2026, it maintains current silver-level coverage cost-sharing (e.g., 73% government coverage for incomes 200-250% of poverty). Starting in 2026, it shifts to gold-level coverage, raising government cost-sharing to 85% for incomes 300-400% of poverty (up from 70% under current rules). It also updates premium tax credits to use gold-level benchmark plans instead of silver-level plans for 2026 and later, directly benefiting moderate-income households purchasing marketplace plans.

Maddy summaryThe PROVE IT Act of 2024 directs the U.S. Energy Secretary to study and publicly report on the greenhouse gas emissions intensity of key U.S. manufactured products (like steel, aluminum, lithium batteries, and critical minerals) compared to those produced in "covered countries" (including the EU, China, and major trading partners). It requires a transparent methodology for calculating emissions data, identifies gaps in existing data, and establishes a public online database showing U.S. emissions advantages for these products. The bill also mandates an annual report on foreign countries using forced labor or human rights abuses in the production of critical minerals or rare earths. Importantly, it clarifies the study does not create new taxes, fees, or mandatory reporting requirements.

Maddy summaryThe Essential Caregivers Act of 2024 requires nursing homes and similar facilities to allow residents to designate essential caregivers who provide emotional support or assistance with daily activities. During emergencies when regular visitation is restricted, facilities must permit at least one essential caregiver access to residents daily and cannot deny access without following specific procedures. Facilities may deny access for a maximum of 7 days during emergencies (or 14 days with state approval), and must provide a written explanation and appeal process if access is denied. The bill establishes a 48-hour appeal process for residents and caregivers to challenge denials, with facilities required to prove violations during appeals. This law applies to Medicare skilled nursing facilities, Medicaid nursing facilities, intermediate care facilities, and certain inpatient rehabilitation facilities.

Maddy summaryHR 6283, the DRUG Act, regulates pharmacy benefit managers (PBMs) to prevent practices that may increase prescription drug costs for consumers. The bill prohibits PBMs from earning revenue based on drug prices or discounts, requiring them to charge flat dollar service fees instead of fees tied to drug costs. It bans PBMs from steering patients to pharmacies they own or control, mandates equal reimbursement for affiliated and non-affiliated pharmacies, and prohibits charging different fees for the same drug. These provisions apply to group health plans, health insurance issuers, and PBMs, with enforcement beginning for plan years starting January 1, 2026. Violations would result in $10,000 daily penalties and require disgorgement of improperly received payments.

Maddy summaryThe CARE for Moms Act aims to reduce maternal mortality in the United States by improving healthcare access and quality for pregnant and postpartum women, with specific attention to racial disparities. Key provisions include requiring 12-month continuous Medicaid coverage for postpartum individuals (up from 60 days), expanding oral health coverage during pregnancy, and funding State-Based Perinatal Quality Collaboratives through $35 million annual grants. The bill specifically targets the higher maternal mortality rates faced by Black women, who are about 3 times more likely to die from pregnancy-related causes than White women. It also includes provisions for doula services, rural mobile health units, and improved data collection on maternal health outcomes.

Maddy summaryThis bill allows employees to directly transfer funds from a health flexible spending account (FSA) or health reimbursement arrangement (HRA) to a health savings account (HSA) when switching to a high-deductible health plan after a gap in coverage. It sets a dollar limit on these transfers based on annual HSA contribution rules and requires the transfer to occur after a significant period without coverage. Employers must report these transfers on employees' W-2 forms. The changes apply to distributions made after December 31, 2023.

Maddy summaryThis bill creates an exemption for Medicare Advantage plan physicians who had at least 90% of their prior authorization requests approved for specific services in the previous year. These doctors would be exempt from needing pre-approval for those same services in subsequent plan years, reducing administrative delays for patients. The exemption continues until revoked (based on updated approval rates) or the physician opts out. It also requires plans to allow providers to discuss treatment plans with a qualifying physician during the authorization process.

Maddy summaryThe Auto Reenroll Act of 2023 modifies retirement plan rules to make it easier for employees who previously opted out of automatic contributions to be automatically re-enrolled. It allows employers to automatically re-enroll workers in 401(k) plans after 1-3 years (unless the employee actively chooses to stay out), ending the need for employees to re-opt-in each time. This applies to both "qualified automatic contribution arrangements" (like 401(k) plans) and "eligible automatic contribution arrangements." The bill directly affects employees who had previously elected not to contribute to workplace retirement plans, streamlining their return to savings without requiring new action. The changes apply to plan years starting after the bill's enactment date.

Maddy summaryThe Lowering Drug Costs for American Families Act expands Medicare's drug price negotiation program from 20 to 50 drugs, allowing the government to negotiate lower prices for these medications. It requires private health insurance plans and group health coverage to apply these negotiated prices to their members' cost-sharing for covered drugs, with plans able to opt out while publicly disclosing their decision. The bill also extends these negotiated prices to drugs covered by commercial insurance markets, not just Medicare. This would directly affect Medicare beneficiaries and people with private health insurance who take the negotiated drugs.

Maddy summaryHR 4712, the Patient Right to Shop Act, prohibits group health plans and health insurance issuers from including contract terms that block third-party tools helping patients compare prescription drug costs. The bill specifically targets contracts with pharmacy benefit managers (PBMs), requiring that plans cannot restrict access to information needed for tools showing all patient costs - like copays, coinsurance, cash prices, or mail-order options. It directly affects patients (who gain clearer cost comparisons), health plans, insurers, and PBMs. The law does not create new tools but ensures existing cost-comparison tools can function by preventing contractual barriers, while clarifying it doesn’t override existing privacy rules like HIPAA.