Rep. Michael Lawler

Maddy summaryHR 8265, the Social Security Overpayment Fairness Act, requires the Social Security Administration (SSA) to provide beneficiaries with at least 120 days' notice before recovering overpayments of benefits under Titles II (disability/old-age) and XVI (supplemental security income). This directly affects individuals who receive more benefits than they are entitled to, giving them time to address the overpayment before recovery begins. The bill also mandates that the SSA submit a detailed report to Congress within 180 days, outlining strategies to improve overpayment prevention, beneficiary communication, and fair recovery practices - including avoiding undue financial strain through reasonable withholding amounts. These changes apply to overpayments existing on or after the bill's enactment date.

Maddy summaryThe HEAR Act of 2024 would require Medicare to cover hearing rehabilitation services and hearing aids for eligible beneficiaries. It defines hearing rehabilitation to include assessments, counseling, and fitting of hearing aids, while defining hearing aids as FDA-approved devices (excluding over-the-counter options). Coverage applies to Medicare beneficiaries with hearing loss who have not received hearing aids in the past three years and whose hearing has deteriorated, as confirmed by a comprehensive assessment. The bill amends Medicare to include these services as standard benefits, removing prior exclusions that previously limited coverage. This policy change directly affects older adults and people with disabilities who rely on Medicare for hearing care.

Maddy summaryHR 8018, the ABC Act, requires Medicare, Medicaid, CHIP, and Social Security Administration to review their eligibility processes, forms, and communications to simplify interactions for family caregivers. It targets reducing duplicate paperwork, improving website accessibility (including ADA compliance), and enhancing staff communication - such as shorter call waits and multilingual support - to better serve caregivers supporting individuals enrolled in these programs. The review must include input from caregivers and organizations, with results reported to Congress within one year. This procedural bill does not change program benefits but mandates systemic improvements to reduce administrative burdens.

Maddy summaryThe SOAR Act of 2024 removes supplemental oxygen and related equipment, supplies, and services from Medicare's competitive bidding program, ensuring direct Medicare payment for these items starting in 2025. It establishes new payment rates for oxygen services, including specific rates for rural areas and liquid oxygen with annual inflation adjustments, and requires oxygen suppliers to provide specific services like initial evaluations, safety education, and 24-hour coverage. The bill also adds respiratory therapist services to Medicare coverage with a new payment add-on, requires electronic templates for documenting medical necessity for oxygen services, and establishes new beneficiary rights including the right to choose suppliers and receive timely equipment repairs. This legislation directly affects Medicare beneficiaries requiring oxygen therapy, oxygen suppliers, and respiratory therapists by changing how these services are paid for and delivered.

Maddy summaryThe Telehealth Modernization Act of 2024 extends Medicare's temporary telehealth coverage rules permanently, removing the previous 2024 expiration date. It expands who can provide telehealth services by allowing more healthcare professionals (like certain nurse practitioners) to bill Medicare for these services, and ensures Federally Qualified Health Centers and Rural Health Clinics can continue billing for telehealth under existing payment rules after 2024. The bill also explicitly permits audio-only telehealth calls for Medicare coverage and allows telehealth for hospice face-to-face visits and home dialysis assessments as clinically appropriate, without time limits. These changes directly affect Medicare beneficiaries, healthcare providers, and community health centers offering telehealth services.

Maddy summaryThis bill expands eligibility for certain tax-advantaged health accounts to cover medical expenses for parents. It amends the tax code to allow individuals to use funds from Health Savings Accounts (HSAs), Flexible Spending Accounts (FSAs), and Health Reimbursement Arrangements (HRAs) for qualified medical care of their parents or their spouse's parents - previously limited to immediate family members. The changes apply to expenses incurred after December 31, 2023, directly benefiting adult caregivers (like children supporting elderly parents) who use these accounts for parental healthcare costs. The bill makes no new funding commitments but adjusts existing account rules to reduce out-of-pocket costs for caregivers.

Maddy summaryThis bill removes a requirement for ambulatory surgical centers participating in Medicare to report the COVID-19 vaccination status of their healthcare workers. Specifically, it directs the Secretary of Health and Human Services to revise Medicare regulations (42 CFR §§ 416.300-416.330) within 45 days of enactment to eliminate this reporting mandate. The change directly affects ambulatory surgical centers that receive Medicare funding, removing a specific administrative burden related to employee vaccination data. The bill focuses solely on modifying existing reporting rules, with no new funding or program requirements.

Maddy summaryThis bill adds 1,000 new medical residency positions (500 in 2024 and 500 across 2025-2028) specifically for training in addiction medicine, addiction psychiatry, or pain medicine. It directly affects hospitals that have or will establish approved residency programs in these fields. Hospitals receiving these positions must use them for addiction-related training for five years, with unused positions redistributed if requirements aren't met. The goal is to expand the healthcare workforce addressing the substance use disorder crisis by increasing specialized training opportunities.

Maddy summaryThis bill, the EMPSA Act (Eliminating the Marriage Penalty in SSI Act), changes Social Security Income (SSI) rules for married adults with intellectual or developmental disabilities. It directly affects married individuals aged 18+ who have these disabilities and meet income and resource limits. The key change removes the "marriage penalty" by ensuring their spouse’s income and resources no longer count against their SSI eligibility or benefit amount, allowing them to receive the full individual benefit rate. This update modifies specific sections of the Social Security Act to eliminate the previous disadvantage faced by married couples under these disability conditions.

Maddy summaryThis bill requires heads of Executive agencies who serve on the National Security Council (like the Secretary of Defense or Homeland Security) to notify key government officials within 24 hours if they become unable to perform their duties due to illness. If they fail to meet this deadline, they must submit a detailed report within 30 days explaining the delay, listing acting officials and resources used, and documenting the incapacity period. It directly affects top national security agency leaders and ensures transparency during leadership gaps. The law aims to prevent confusion about who is temporarily in charge during medical emergencies involving critical national security roles.