Rep. Ann M. Kuster

Maddy summaryThis bill amends Medicare rules to allow nurse practitioners and physician assistants to document medical necessity for diabetic shoes, a requirement currently limited to physicians. It directly affects Medicare beneficiaries with diabetes who need these shoes and expands the pool of providers (nurse practitioners and physician assistants) who can fulfill the documentation requirement. The key change inserts "nurse practitioner, or physician assistant" into Medicare's documentation standards for diabetic shoe coverage. This simplifies access for patients by enabling more healthcare providers to support coverage approval without requiring a physician's signature. The bill does not change coverage eligibility or costs, only the documentation process.

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 summaryThe EACH Act of 2023 would require federal health programs - including Medicaid, Medicare, the Indian Health Service, and TRICARE - to cover abortion services without restrictions. It repeals a provision in the Affordable Care Act that allowed states to limit abortion coverage in health insurance plans sold through state marketplaces. The bill also prohibits the federal government from restricting abortion coverage in private health insurance plans. This would directly affect millions of people, particularly low-income individuals and people of color, who are disproportionately enrolled in Medicaid and currently face barriers to abortion care due to coverage restrictions.

Maddy summaryThis bill extends a temporary COVID-19 emergency waiver that allows nurse aides in training to count hours worked during the pandemic toward their certification requirements at nursing facilities. It specifically permits these hours to satisfy the 75-hour minimum training requirement and allows facilities to conduct competency evaluations on-site if states don’t offer them weekly. The waiver remains in effect for at least 24 months after enactment, with a requirement for the Secretary to study its continued appropriateness within one year. The policy directly affects nurse aides working in skilled nursing facilities and nursing facilities under federal Medicare/Medicaid rules. It does not create new training programs but maintains pandemic-era flexibility for staffing.

Maddy summaryHR 177 requires nursing facilities to report specific information about their medical directors to the federal government. This affects all nursing facilities participating in Medicare and Medicaid, as they must include this data in required reports starting 90 days after updated regulations are published. The bill mandates that the Secretary of Health and Human Services issue these updated regulations within two years, making the reported medical director information publicly available on the Nursing Home Compare website six months after the regulations publish. This creates a new data point for the public to review regarding nursing facility leadership.

Maddy summaryHR 6751 authorizes the U.S. Mint to produce commemorative coins honoring Roberto Clemente, a Hall of Fame baseball player and humanitarian, including 50,000 $5 gold coins, 400,000 $1 silver coins, and 750,000 half-dollar coins. The coins must feature Clemente's image and inscriptions like "Roberto Clemente" and "2027," with all sales including a surcharge ($5-$35 per coin) paid to the Roberto Clemente Foundation. The foundation, which supports youth sports, education, and disaster relief programs, will use these funds for its mission, while the U.S. Treasury must recover all production costs. The coins will be sold exclusively in 2027, with no net cost to the government.

Maddy summaryThis bill amends the Robert T. Stafford Disaster Relief Act to explicitly include substance use disorder and alcohol use disorder treatment in federal disaster relief funding. It expands access to addiction services for disaster survivors by requiring that mental health and counseling assistance programs funded under the Act cover these specific needs. Key provisions revise existing language to add "substance use disorder" and "alcohol use disorder" throughout the law, ensuring these services are directly eligible for disaster-related funding. The bill also mandates a federal report within 180 days to update application forms and guidance documents to reflect these changes, ensuring implementation aligns with the new provisions.

Maddy summaryThis bill (HR 1098) is a ceremonial resolution renaming a specific U.S. Postal Service facility. It designates the post office at 50 East Derry Road in East Derry, New Hampshire, as the "Chief Edward B. Garone Post Office." The bill updates all official references (laws, maps, documents) to this location to reflect the new name. It does not change postal services, policies, or affect any residents or operations - only the building's official designation.

Maddy summaryThe Working Dog Commemorative Coin Act (HR 807) directs the U.S. Treasury to mint three types of commemorative coins honoring working dogs' service: $5 gold coins, $1 silver coins, and half-dollar coins with specific weight and composition requirements. Each coin will carry a surcharge ($35 for $5 coins, $10 for $1 coins, $5 for half-dollars) that will be paid directly to America's VetDogs to support their programs providing service dogs for veterans, the disabled, and others. The coins will be issued in 2027 with designs reflecting working dogs' roles in military, detection, therapy, and assistance work. The legislation specifies that all surcharge revenue must fund America's VetDogs' operations without creating new government programs. This is a commemorative measure focused on honoring working dogs' contributions through coin sales, with all surcharge funds going to a specific nonprofit organization.

Maddy summaryHRES 1594 is a symbolic House resolution supporting the designation of "National Rural Health Day," observed annually on the third Thursday of November. It recognizes rural health care providers and the communities they serve, highlighting challenges like hospital closures, workforce shortages, and access barriers in rural areas. The resolution expresses the House's commitment to improving rural health care accessibility and affordability but does not create new laws or allocate funding. It is a non-binding gesture aligning with an existing observance since 2011, organized by the National Rural Health Association.