Rep. Diana Harshbarger

Maddy summaryThe PBM Reform Act of 2025 aims to increase transparency and fairness in pharmacy benefit manager (PBM) operations within Medicare Part D and Medicaid programs. The bill requires Medicare Part D plans to allow any pharmacy meeting standard terms to join their networks, establishes "essential retail pharmacies" in underserved areas (with limited pharmacy access), and mandates detailed reporting on drug pricing, rebates, and reimbursement rates. It creates a process for pharmacies to report PBM violations of reasonable contract terms and prohibits "spread pricing" in Medicaid, where PBMs retain the difference between what they pay pharmacies and what they charge plans. These provisions aim to improve pharmacy access for Medicare beneficiaries and ensure fairer reimbursement practices for pharmacies.

Maddy summaryHRES 557 is a ceremonial resolution honoring Frederick W. Smith, founder of FedEx, for his life and contributions. It recognizes his military service (including medals from Vietnam), founding FedEx which revolutionized package delivery, and his dedication to Memphis, Tennessee. The resolution formally "honors" his legacy as an entrepreneur and community leader and requests that a copy be sent to his family. This is a symbolic tribute with no policy changes or funding impacts.

Maddy summaryHR 4194 would shield manufacturers of critical infrastructure equipment from lawsuits related to wildfires caused by their products, unless they intentionally caused harm through willful misconduct. This law applies to companies defined as critical infrastructure manufacturers under existing federal law (per the Cyber Incident Reporting Act of 2022). It creates legal immunity for these manufacturers against both federal and state lawsuits regarding wildfire-related losses, but requires proof of intentional wrongdoing to override the protection. The bill directly affects companies producing essential infrastructure equipment like power grid components and communication systems.

Maddy summaryHR 4132, the Prescription Information Modernization Act of 2025, allows drug manufacturers to provide FDA-approved prescribing information for prescription drugs exclusively through electronic means, while requiring them to offer paper copies at no additional cost upon request by prescribers or dispensers. The bill directly affects drug manufacturers, doctors, pharmacists, and other healthcare professionals who rely on prescribing information. Key provisions include mandating that manufacturers give prescribers/dispensers the choice to continue receiving paper copies or request them as needed, and requiring the HHS Secretary to issue implementing regulations within one year to support this transition. The law takes effect two years after enactment or when final regulations are issued, whichever comes first.

Maddy summaryThis bill makes technical corrections to the Camp Lejeune Justice Act of 2022 to streamline claims for individuals harmed by water contamination at Camp Lejeune. It clarifies the evidence required (30+ days at the base plus a link between contaminants and health harm), specifies that cases must be handled in North Carolina courts (with limited transfer options), and sets attorney fee caps (20% before suit, 25% after). These changes directly affect veterans and civilians who lived at Camp Lejeune and filed claims under the 2022 law. The bill does not create new eligibility but aims to improve the legal process for existing cases.

Maddy summaryThe LEDGER Act (HR 4091) requires the Treasury Department to create a system tracking every government payment within 180 days of enactment. It mandates that all federal departments, agencies, and branches (executive, legislative, judicial) must report disbursements from every funding source, including how long funds remain available for spending. This system will detail each payment's origin, recipient, and timing across all government accounts. The bill directly affects all federal spending entities by standardizing expenditure tracking previously handled inconsistently.

Maddy summaryHR 4092, the Protect RAIL Act, amends U.S. immigration law to make certain crimes involving stolen goods transported by carriers (like trains, trucks, or ships) grounds for denying entry or deporting non-citizens. It adds new inadmissibility and deportability provisions for anyone convicted of theft from interstate or foreign shipments under Title 18, Section 659 of the U.S. Code. The bill directly affects non-citizens who commit these specific theft offenses, making them ineligible to enter the U.S. or subject to removal. This changes immigration consequences for existing criminal offenses, not the crimes themselves.

Maddy summaryThis bill prohibits transplant centers and healthcare providers from denying organ transplants or related services solely based on a patient's disability. It requires covered entities to make reasonable modifications to policies (like considering a patient's support network or using communication aids) and to avoid denying care due to lack of auxiliary aids. The law applies to all transplant stages - including evaluation, listing, and post-transplant care - and explicitly states it complements, rather than replaces, existing disability rights laws like the ADA. It allows medical considerations only if a physician determines a disability is medically significant to the transplant, after individual evaluation.

Maddy summaryHR 4011, the Community Paramedicine Act of 2025, creates a federal grant program to fund community paramedicine programs in rural areas. It provides grants to eligible entities - such as emergency medical services agencies, local governments, or Tribal organizations - to hire personnel, purchase equipment, cover training costs, and conduct outreach. The bill specifically reserves 15% of annual funding for programs serving Tribal communities and limits grants to $750,000 per entity (or $1.5 million for joint applications) over a maximum 5-year period. These programs aim to reduce unnecessary emergency room visits by using specially trained paramedics to address health issues and improve access to primary care for underserved populations.

Maddy summaryH.J.Res. 88 disapproves an Environmental Protection Agency (EPA) rule that would have allowed California to enforce its "Advanced Clean Cars II" vehicle emission standards. This rule, submitted by the EPA on January 6, 2025, sought to grant California a waiver to override federal preemption for its stricter vehicle pollution controls. The resolution, passed by Congress and signed into law on June 12, 2025, formally nullifies the EPA rule, preventing California from implementing its Advanced Clean Cars II program under this specific waiver. The bill directly affects California's ability to set its own vehicle emission standards for passenger cars and light trucks.