Rep. Nicole Malliotakis

Maddy summaryThis bill requires states to verify that Medicaid providers and suppliers are not deceased during enrollment and at least quarterly while enrolled. Starting January 1, 2027, states must check the federal Death Master File (a government database of deceased individuals) as part of provider onboarding and revalidation. The law directly affects all entities billing Medicaid for services, aiming to prevent fraud where deceased individuals' identities might be used. It creates a concrete, ongoing screening mechanism to ensure only active providers participate in the program.

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 summaryHR 2265, the "No Foreign Election Interference Act," targets tax-exempt organizations (like nonprofits) with significant assets or revenue ($500,000+ assets or $200,000+ annual income) that accept contributions from foreign nationals and then fund political committees. It imposes a penalty of twice the contribution amount for any such "disqualified" political contribution and revokes tax-exempt status after a third violation. The bill applies to organizations receiving foreign funds during an 8-year window before making political contributions, effective January 1, 2026. This directly affects larger nonprofits that might receive foreign funding and channel it toward U.S. political activities.

Maddy summaryThis bill raises the income threshold at which Social Security benefits become taxable for retirees. It increases the base amount from $32,000 to $34,000 for single filers (and $68,000 for joint filers), with annual inflation adjustments starting in 2026. Retirees with combined income below these new thresholds will no longer have 85% of their Social Security benefits included in taxable income. The bill funds this tax relief by reallocating non-security discretionary spending, excluding security-related appropriations, and requires annual reports on these reallocations. The changes apply to taxable years beginning after December 31, 2025.

Maddy summaryThis bill creates a tax credit for cable, satellite, and internet-based video distributors (like streaming services) that carry content from independent video producers. Distributors can claim a credit equal to the lesser of their actual license fees paid for carrying independent programming or $0.10 per average monthly subscriber, with a maximum of $0.30 per subscriber. It also requires the Federal Communications Commission to submit biennial reports to Congress on how many independent programmers are being carried and for how long, to help assess the program's effectiveness. The credit applies to agreements where distributors carry independent content to at least 40% of their subscribers, targeting small, non-corporate video producers who aren't owned by major networks or distributors.

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 delays two Medicare billing deadlines for ground ambulance services from 2025 to 2028. It amends the Social Security Act to extend the timeline for implementing specific billing rules under Section 1834(l). The change directly affects Medicare ambulance providers by postponing compliance deadlines for billing requirements. No new services or funding are created - only a technical extension of existing timelines.

Maddy summaryThis bill changes a tax rule for Real Estate Investment Trusts (REITs) that use taxable subsidiaries. It increases the percentage limit for assets held in these subsidiaries from 20% to 25% of a REIT's total assets, directly affecting REIT companies that operate through such subsidiaries. The key provision amends the Internal Revenue Code to restore this higher asset threshold, which had been reduced earlier. The change applies to taxable years starting after December 31, 2025.

Maddy summaryThis bill prohibits pharmacy benefit managers (PBMs) from receiving payments tied to prescription drug prices or rebates starting January 1, 2027. Instead, PBMs may only charge flat, itemized fees for actual services performed (e.g., claim processing), not based on drug costs or discounts. It directly affects PBMs and health insurance plans by requiring compensation to be decoupled from drug pricing, while allowing rebates to be passed through to lower net drug costs. The law aims to reduce conflicts of interest in PBM operations without changing drug pricing itself.

Maddy summaryThe Medical Supply Chain Resiliency Act (HR 2213) establishes a framework for the U.S. to form agreements with foreign countries that commit to reliable medical supply chains during emergencies. It allows the President to negotiate "trusted trade partner agreements" that reduce trade barriers (like duties and quotas) for medical goods with countries meeting specific criteria, such as maintaining open trade during health crises and protecting intellectual property. These agreements require Congressional review and approval, with ongoing monitoring to ensure partners uphold commitments. The bill directly affects U.S. trade policy, foreign governments seeking partnerships, and the medical supply industry by aiming to diversify sources and secure critical products like pharmaceuticals and medical devices.