Maddy summaryHR 5031, the *Preserving Patient Access to Long-Term Care Pharmacies Act*, requires Medicare Part D plans and Medicare Advantage plans with drug coverage (MA-PD) to pay long-term care pharmacies an additional supply fee for each specified prescription dispensed to eligible beneficiaries during 2026 ($30) and 2027 (adjusted for inflation). This fee must be paid alongside existing reimbursements for drug costs and dispensing, with a $10,000 penalty for non-payment. The bill also directs the GAO to study long-term care pharmacy payment sustainability under Medicare, analyzing historical payments for brand/generic drugs and dispensing fees. It aims to ensure uninterrupted pharmacy access for Medicare beneficiaries in long-term care settings, particularly in rural areas.
Sponsored bills
Maddy summaryHR 4900, the Safe Transit Accountability Act, requires transit agencies receiving federal funds to designate a single "accountable executive" responsible for final decisions on safety recommendations. This executive, defined as the top official overseeing safety and asset management plans, must approve or reject safety committee proposals and resolve disputes within the committee. The bill directly affects large public transit systems (like bus or rail agencies) by shifting authority from committee consensus to one individual. It creates a clear accountability structure for implementing safety measures under existing federal safety planning requirements.
Maddy summaryHR 4752, the Reducing Hereditary Cancer Act, requires Medicare to cover genetic testing for germline mutations in individuals with a family history of hereditary cancer or suspicious personal/family history. It mandates coverage for risk-reducing surgeries (like mastectomies or hysterectomies) when guided by evidence-based clinical guidelines, and increases the frequency of cancer screenings (such as mammograms, colonoscopies, and breast MRI) for Medicare beneficiaries confirmed to have hereditary cancer gene mutations - ensuring screenings occur at least annually. The bill applies to Medicare beneficiaries with specific high-risk profiles, aligning coverage with guidelines from recognized oncology organizations like the National Comprehensive Cancer Network. It does not change eligibility but modifies Medicare’s existing coverage rules to expand access to these preventive services.
Maddy summaryThe PRIME Act exempts custom slaughter facilities from federal meat inspection requirements when they follow state laws and sell meat exclusively within the same state. It specifically allows facilities to slaughter animals and prepare meat without federal oversight if the products go only to household consumers or local businesses (like restaurants, hotels, or grocery stores) serving consumers directly in that state. The bill clarifies that this exemption does not override stricter state regulations governing custom slaughter or meat sales. This primarily affects small-scale slaughter operations and local food businesses operating within a single state's borders.
Maddy summaryThis bill establishes a federal right for livestock producers to sell meat and dairy products across state lines without facing conflicting state regulations. It prevents states from imposing production standards (like animal welfare rules) on products not raised within that state, ensuring a uniform national market for covered livestock products. The law specifically covers animals raised for meat or dairy (including milk products), but excludes egg production. This aims to eliminate barriers to interstate commerce for these products while aligning with U.S. trade obligations.
Maddy summaryHR 4500, the HELP Act, exempts certain commercial vehicles transporting livestock, insects, or aquatic animals from federal hours-of-service rules and electronic logging device (ELD) requirements. This directly affects livestock haulers who operate covered vehicles, including when driving empty to pick up or return from deliveries. The bill removes two specific regulatory burdens: the mandatory rest periods under 49 U.S.C. § 311 and ELD tracking under 49 U.S.C. § 31137. It applies only to vehicles defined as "covered livestock hauling vehicles" under the law, which includes all commercial livestock transport for commercial purposes. The exemption aims to provide operational flexibility for this specific segment of the transportation industry.
Maddy summaryHR 1919, the "Anti-CBDC Surveillance State Act," prohibits the Federal Reserve from developing, testing, or issuing any central bank digital currency (CBDC) or similar digital assets. It specifically bans the Fed from offering direct financial products to individuals, maintaining individual accounts, or issuing CBDCs directly or indirectly through intermediaries like banks. The bill also blocks the Fed from using any digital asset for monetary policy and clarifies that physical currency's privacy protections remain intact. This policy directly affects the Federal Reserve System's ability to create or manage digital monetary tools.
Maddy summaryHR 4382 authorizes the U.S. Mint to produce commemorative coins for the 2028 Los Angeles Olympics/Paralympics and 2034 Salt Lake City Winter Olympics/Paralympics. It specifies gold, silver, and half-dollar coin designs with defined mintage limits (e.g., up to 100,000 $5 gold coins for each event), all bearing inscriptions like "2028" or "2034" and standard coin features. A surcharge ($5-$50 per coin) is added to sales, with all funds directed to the respective Olympic committees to support event hosting and legacy programs like youth sports. The bill ensures no net cost to the government by requiring surcharge revenues to cover all design, production, and marketing expenses before funds are disbursed.
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 535 is a non-binding resolution designating June 24th as "Public Safety Awareness Day" to highlight community-focused approaches to safety. It does not create new laws or allocate funds, but instead makes five supportive statements: promoting citizen empowerment, strengthening law enforcement, encouraging community-based crime prevention, advocating for evidence-based policies, and affirming support for officers. The resolution emphasizes collaboration between residents, law enforcement, and local leaders to address safety challenges, referencing high-crime cities like Chicago as context for its goals. It focuses on symbolic recognition rather than concrete legislative action.