Rep. Brandon Williams

Maddy summaryThis bill amends Medicare rules to improve access to home infusion therapy, which delivers IV medications at home for conditions like chronic diseases. It adds pharmacy services (including drug preparation and compounding) to covered Medicare benefits and creates a payment rule: if a supplier isn't physically present during therapy, Medicare pays 50% of the full rate instead of denying payment. It also allows nurse practitioners and physician assistants to establish and review home infusion care plans, previously limited to physicians. These changes, effective January 2024, directly affect Medicare beneficiaries requiring home infusion therapy and providers delivering these services.

Maddy summaryHR 3745, the Unemployment Trust Fund Accountability Act, requires states with outstanding federal unemployment advances exceeding $1 billion as of January 1, 2023, to submit detailed repayment plans within 90 days of the bill's enactment. These states must report to Congress and the Secretary of Labor on how they intend to repay their debts to the federal Unemployment Trust Fund. The bill targets specific states with significant existing obligations under Section 1201 of the Social Security Act. It establishes a reporting mandate focused on transparency and accountability for large outstanding balances, without altering existing repayment terms.

Maddy summaryThe International Nuclear Energy Act of 2023 establishes a White House office to coordinate U.S. international nuclear energy policy and creates a Nuclear Exports Working Group to develop a 10-year strategy for promoting U.S. nuclear exports. It provides $50 million annually for five years to assist "embarking civil nuclear nations" (countries developing nuclear programs) with technical capacity building, financing, and regulatory framework development for civil nuclear energy projects. The bill also requires a biennial conference on nuclear safety, security, and sustainability, and includes provisions to support the development and export of U.S. small modular reactor technology. It aims to strengthen U.S. competitiveness in the global nuclear energy market while promoting nuclear safety standards and nonproliferation. The legislation requires coordination across multiple federal agencies to support U.S. nuclear energy exports to partner nations.

Maddy summaryHR 2474, the "Strengthening Medicare for Patients and Providers Act," changes how Medicare pays physicians for services. It replaces the previous two-part payment system (used through 2025) with a single annual payment rate update starting in 2024. This update will be based on the Medicare Economic Index (MEI), which tracks costs for medical providers. The change directly affects Medicare-certified doctors and clinics who receive payments under the physician fee schedule.

Maddy summaryThis bill would require Medicare to cover FDA-approved blood tests that screen for multiple cancers simultaneously (like breast, lung, or colorectal cancer) for beneficiaries. It directly affects Medicare recipients aged 65+ who could access these new screenings once per year, without prior authorization. The key provision adds "multi-cancer early detection screening tests" to Medicare's covered services under Part B, defining them as blood tests analyzing cell-free DNA, while maintaining existing coverage for standard screenings like mammograms. The bill does not change current coverage for individual cancer screenings but ensures Medicare keeps pace with new medical technology.

Maddy summaryThis bill would require employer-sponsored health plans and group health insurance to treat telehealth services as "excepted benefits," meaning they would no longer need to comply with certain federal rules that apply to most health coverage (like pre-authorization requirements). It directly affects employers offering group health plans and insurers providing group coverage, making telehealth services subject to fewer regulatory standards. The key change is adding "Benefits for telehealth services" to the list of exceptions under the Public Health Service Act, ERISA, and tax code. This would take effect for plan years beginning after the bill's enactment.

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 summaryThis bill bans federal funding for abortions in most cases, prohibiting the use of taxpayer money for abortion services or health insurance plans covering abortion. Exceptions allow funding for abortions resulting from rape, incest, or when a pregnancy endangers a woman's life. It requires health insurance plans sold through the Affordable Care Act (ACA) marketplaces to clearly disclose any separate costs for abortion coverage and prohibits ACA subsidies from being used for plans that cover abortion (except in the specified exceptions). The law directly affects federal programs like Medicaid, ACA marketplace plans, and insurers offering health coverage to individuals using federal subsidies.

Maddy summaryThe FAFSA Deadline Act changes the deadline for processing the Free Application for Federal Student Aid (FAFSA) from January 1 to October 1 prior to a student's planned college enrollment year. This requires students and families to submit their FAFSA applications earlier each year, potentially allowing for faster financial aid decisions. The bill also mandates that the Secretary of Education certify by September 1 whether the October 1 deadline will be met, and if not, testify by September 30 about the reasons and financial impact on students and families. These changes apply directly to all students and families seeking federal financial aid for higher education.

Maddy summaryHR 7438 directs the U.S. Treasury to mint commemorative coins for the 2026 FIFA World Cup, including 100,000 $5 gold coins, 500,000 $1 silver coins, and 750,000 half-dollar coins. The coins will be sold to the public at face value plus surcharges ($35, $10, and $5 per coin, respectively), with all surcharge revenue paid to FWC2026 US, Inc. for U.S. soccer programs. These funds must support soccer initiatives, particularly in underserved communities and youth development, as specified in the bill. The coins are legal tender but will only be issued during 2026, with no net cost to the U.S. government.