Rep. Thomas H. Kean, Jr.

Maddy summaryThis bill adds Medicare coverage for home-based treatment of Alpha-1 Antitrypsin Deficiency Disorder (a rare genetic condition causing lung and liver damage). It specifically covers "augmentation therapy" (replacement protein therapy) delivered at home by qualified suppliers to Medicare Part A and B enrollees with this diagnosis who aren't in Medicare Advantage plans. The bill establishes payment for intravenous kits and up to 2 hours of nursing services per session, set at 80% of the lesser of actual cost or a defined rate. It amends Medicare rules to include this treatment under coverage, effective January 2027.

Maddy summaryHR 2257 authorizes the U.S. Mint to produce three commemorative coins (a $5 gold coin, a $1 silver coin, and a half-dollar) to honor fallen firefighters, with specific quantity limits and specifications. The bill requires a surcharge ($35 for gold, $10 for silver, $5 for half-dollar) on each coin sold, which is directed entirely to the National Fallen Firefighters Foundation to support its programs. The coins must be issued in 2026, will be legal tender, and the government must recover all costs through sales before distributing funds to the Foundation. This is a commemorative coin program, not a direct legislative policy change affecting broader public programs.

Maddy summaryThis bill (HR 2199) prevents private health insurance plans from discriminating against patients with end-stage kidney disease (ESRD) who require dialysis. It amends the Social Security Act to prohibit plans from treating dialysis coverage differently than other medical services or applying network restrictions that disproportionately harm ESRD patients. The law clarifies that plans cannot deny or limit benefits for dialysis based on a patient’s diagnosis, while preserving a plan’s right to choose which dialysis providers are in their network. It directly affects ESRD patients and their private health insurance coverage, ensuring dialysis is treated equally with other covered medical services. The bill does not require plans to include specific dialysis providers but stops them from unfairly restricting access to necessary care.

Maddy summaryThis bill allows employees in trades requiring specialized tools (like construction) to deduct work-related expenses directly from their gross income, rather than as itemized deductions. Specifically, it creates an above-the-line deduction for construction tools, personal protective gear, and other necessary work expenses. This change exempts these costs from the usual 2% floor on miscellaneous itemized deductions. The policy affects blue-collar workers who must purchase or maintain essential equipment to perform their jobs, making these costs fully deductible starting in 2026.

Maddy summaryThis bill amends the PACT Act to correct an oversight affecting veterans who served in Guam. It specifically adds the period from August 15, 1958, to July 31, 1980, to the eligibility window for veterans who served in Guam (or its territorial waters) and developed diseases linked to herbicide exposure. The change ensures veterans who served in Guam during that specific timeframe are included in the presumption of service connection for such conditions. This directly impacts veterans who served in Guam between 1958 and 1980, who were previously excluded from the PACT Act's benefits due to the original language. The provision updates the legal text to accurately reflect Guam's historical status during that period.

Maddy summaryHR 2131 requires the Secretary of Homeland Security to reimburse state and local governments for providing security services, personnel, equipment, and facilities used in presidential protection efforts. This applies to resources utilized for functions under specific sections of federal law, directly affecting state and local agencies that support presidential security. The bill authorizes reimbursement on a reimbursable basis and allows retroactive payments for eligible costs incurred from July 12, 2024, through the bill's effective date. It creates a formal process for compensating jurisdictions that contribute to security operations without altering existing security protocols. The measure focuses solely on financial reimbursement for resource use, not on changing security standards or responsibilities.

Homes for Every Local Protector, Educator, and Responder Act of 2025 or the HELPER Act of 2025 This bill establishes a program administered by the Department of Housing and Urban Development to provide mortgage assistance to law enforcement officers, elementary and secondary school teachers, firefighters, or other first responders. Specifically, these individuals may be eligible for a first-time mortgage on a primary family residence with no down payment. Instead, the mortgage is subject to a one-time, up-front mortgage insurance premium.

Maddy summaryThe Credit for Caring Act of 2025 creates a federal tax credit for family caregivers of elderly or disabled relatives. It allows eligible caregivers (with over $7,500 in earned income) to claim a credit equal to 30% of qualified caregiving expenses exceeding $2,000, capped at $5,000 per year. Qualified expenses include human assistance, home modifications, respite care, counseling, lost wages for unpaid time off, and transportation, all requiring certification from a licensed healthcare provider that the care recipient has long-term needs. The credit phases out for higher earners (over $75,000 single/$150,000 joint) and requires documentation of expenses and care recipient certification.

Metastatic Breast Cancer Access to Care Act This bill expedites payment of Social Security Disability Insurance (SSDI) benefits and eligibility for Medicare coverage for those with metastatic breast cancer (i.e., breast cancer that has spread to other sites in the body). Specifically, the bill eliminates the 5-month waiting period for SSDI benefits and the subsequent 24-month waiting period for Medicare coverage for individuals with metastatic breast cancer. Under current law, individuals generally must wait 5 months after the onset of disability to begin receiving SSDI benefits and an additional 24 months to become eligible for Medicare.

Maddy summaryHR 2012, the Iran Sanctions Relief Review Act of 2025, requires the President to submit a detailed report to Congress before terminating, waiving, or significantly altering U.S. sanctions on Iran. The bill directly affects the President and Congress, mandating a 30-day (or 60-day during specific summer months) congressional review period for such actions. During this period, relevant committees must review the proposal, and Congress can block the action via a joint resolution of disapproval. The bill does not change sanctions policy itself but establishes a formal process for congressional oversight of any major sanctions-related decisions. It applies to sanctions under multiple existing laws, including the Iran Sanctions Act of 1996 and the 2010 Comprehensive Iran Sanctions Act.