Rep. Nicole Malliotakis

Maddy summaryHR 5840, the Transportation Security Screening Modernization Act of 2024, simplifies the process for transportation workers to obtain multiple TSA security credentials. It requires the TSA to allow individuals to apply for and renew programs like the TWIC (Transportation Worker Identification Credential) and HAZMAT Endorsement through a single enrollment at any TSA center, with a combined fee lower than separate applications. The bill mandates coordinated expiration dates for all credentials and ensures state-issued commercial driver's licenses reflect the correct HAZMAT endorsement validity. These changes aim to reduce duplication and costs for workers needing multiple security clearances. The TSA must implement these changes within two years and publish details online.

Maddy summaryHR 5819, the COMPLETE Care Act, incentivizes Medicare primary care providers to integrate behavioral health services by increasing payments for specific services (like mental health and substance use disorder support) during 2025-2027. Providers using designated HCPCS codes for integrated care would receive 125-175% of standard payment rates, with the percentage declining annually. The bill also requires these providers to report on integration quality measures and mandates technical assistance for practices adopting integrated models, funded through new appropriations for 2024-2027. It directly affects Medicare-participating primary care practices serving beneficiaries needing mental health or substance use services.

Maddy summaryThe Veterans HSA Access Act of 2023 changes IRS rules to allow veterans who receive certain veterans benefits (like disability compensation) but do not have a service-connected disability to contribute to health savings accounts (HSAs). This removes a current barrier preventing these veterans from using HSAs to pay for qualified medical expenses. The policy change applies to tax years starting after December 31, 2025, meaning it will take effect in 2026. It directly affects veterans with non-service-connected health issues who currently cannot use HSAs despite qualifying for other veterans' benefits.

Maddy summaryHR 5709 would amend the tax code to allow individuals who qualify for Medicare Part A due to age (typically 65+) to contribute to Health Savings Accounts (HSAs). Currently, Medicare beneficiaries are ineligible to contribute to HSAs, but this bill removes that restriction by updating the Internal Revenue Code. The key change adds a new eligibility category for Medicare Part A beneficiaries to the tax code provisions governing HSAs. This policy change directly affects seniors enrolled in Medicare Part A, enabling them to use HSAs for qualified medical expenses as part of their healthcare savings strategy. The amendment applies to contributions made after December 31, 2023.

Maddy summaryThe Maintaining Investments in New Innovation Act (HR 5547) extends the exclusivity period for certain advanced drugs from 7 to 11 years. It defines an "advanced drug product" as a drug using genetically targeted technology to change how genes work, such as drugs that suppress or activate gene function. The bill amends the Social Security Act to update the definition of "qualifying single source drug" to include these advanced therapies with the longer exclusivity period. This change directly affects drug manufacturers developing such advanced therapies and influences Medicare's drug coverage rules by delaying generic competition for these specific treatments.

Maddy summaryHR 5518, the Right to Medicare Act, prevents employers from forcing seniors to switch from traditional Medicare to Medicare Advantage plans. It requires employers to get explicit opt-in consent before enrolling seniors in Medicare Advantage and mandates that non-response to such requests be treated as an opt-out, keeping seniors in traditional Medicare. The bill amends the Social Security Act to enforce this opt-in requirement for employer-sponsored Medicare Advantage plans starting after the law's enactment. This directly affects seniors covered by employer group health plans and their employers.

Maddy summaryHR 5408, the SSI Savings Penalty Elimination Act, increases the resource limits for Supplemental Security Income (SSI) program eligibility. It raises the individual resource limit from $2,250 to $20,000 (and the couple limit from $1,500 to $10,000) for 2023, with future annual increases tied to inflation using the Consumer Price Index. This change directly affects low-income SSI recipients who currently lose benefits if their savings exceed the current thresholds. The key mechanism is raising these savings limits to reduce the "penalty" for saving modest amounts, while maintaining program integrity through automatic inflation adjustments.

Maddy summaryThe Preserving Access to Home Health Act of 2023 repeals a 2018 payment adjustment for Medicare home health agencies, restoring prior payment rates for 2024 and subsequent years. It requires the Medicare Payment Advisory Commission (MedPAC) to analyze how home health agencies' financial performance affects access to care, including reviewing spending and utilization data across Medicare, Medicaid, and other payers. Starting in 2025, the bill mandates home health agencies to report detailed data on visit volumes and payments by payer source (Medicare, Medicaid, private insurers) through updated cost reports. This data will help MedPAC assess payment policy impacts on access to home health services for Medicare beneficiaries.

Maddy summaryThis bill prevents Medicare from imposing stricter supervision requirements for outpatient physical therapy and occupational therapy than those established by state law, requiring Medicare to follow existing state regulations instead. It takes effect January 1, 2024, directly affecting Medicare-covered therapy services in all states. Additionally, it mandates a Government Accountability Office study by December 2024 to analyze how Medicare’s 15% payment differential for therapy assistants impacts access to care in rural and underserved areas. The study will examine this payment policy across all Medicare Part B settings.

Maddy summaryThis bill limits out-of-pocket costs for Medicare Part D prescription drugs. Starting in 2027, it caps the amount seniors pay per month for covered drugs at the "net price" - the average actual price paid after rebates (or the pharmacy's standard cash price, whichever is lower). It directly affects Medicare Part D beneficiaries by reducing their out-of-pocket expenses before reaching the plan's annual out-of-pocket limit. The key provision replaces current cost-sharing rules with this net price cap, aiming to lower drug costs for seniors.