Rep. Jennifer A. Kiggans

Maddy summaryThis bill ensures Medicare coverage for new medical devices designated as "breakthrough devices" during a 4-year period after FDA approval. To qualify, devices must meet specific criteria, including FDA priority review, clinical data from Medicare beneficiaries, and a safety review showing benefits outweigh risks. Medicare must finalize coverage decisions within 6 months of manufacturer applications and before the 4-year period ends. The law appropriates $10 million annually (2025-2030) for Medicare to administer this process.

Maddy summaryThis bill ensures continued pay for specific Department of Homeland Security (DHS) personnel and Coast Guard members during government shutdowns in fiscal years 2026-2027. It directly affects DHS law enforcement officers (including those in job series like 0083, 1801, and 1811), DHS administrative and payroll staff, and Coast Guard personnel. The bill authorizes emergency funding from the Treasury to cover their pay and allowances when regular appropriations are not in place. This funding expires on January 1, 2027, or earlier if Congress passes a new appropriations bill covering these costs.

Maddy summaryHR 5401, the Pay Our Troops Act of 2026, ensures military personnel, civilian Defense workers, and supporting contractors receive pay during government funding gaps in fiscal year 2026. It appropriates emergency funds for active-duty service members, reserves, and their supporting personnel (including Coast Guard staff under DHS) if regular appropriations aren't enacted by the end of the fiscal year. The bill provides necessary pay and allowances during any period when full-year funding is unavailable, covering both active service and support roles. Funding expires when regular appropriations are passed, a funding resolution is enacted, or January 1, 2027, whichever comes first. This is a procedural measure to prevent pay delays for military and support staff during fiscal year 2026 funding lapses.

Maddy summaryHR 3494 authorizes the Department of Veterans Affairs (VA) to purchase or develop a cloud-based inventory management system for medical supplies at VA hospitals. The bill requires a pilot program at one VA facility before full implementation and allocates $50 million in funding for this effort. It mandates that the VA complete the system's implementation across all VA hospitals within three years of the bill's enactment. This legislation directly affects VA medical facilities by changing how they track and manage medical supplies.

Maddy summaryThis bill creates a program to assign traveling physicians to provide healthcare services to veterans residing in U.S. territories, including Puerto Rico, Guam, American Samoa, and the U.S. Virgin Islands. It allows the Department of Veterans Affairs (VA) to assign physicians for up to one year at VA facilities in these territories, requiring coordination with local medical providers to ensure quality care. Physicians assigned under this program would receive a relocation or retention bonus similar to existing federal employee incentives. The bill directly affects veterans in U.S. territories and VA healthcare operations there.

Maddy summaryHR 1107, the *Protecting Veteran Access to Telemedicine Services Act of 2025*, allows Department of Veterans Affairs (VA) health professionals to prescribe and dispense medications regulated under federal law (like opioids or stimulants) via telemedicine without requiring an in-person medical exam first. This directly affects veterans receiving VA care and VA-employed health professionals who provide telemedicine services. The bill requires providers to hold a valid state license, act within their professional scope, and ensure prescriptions serve a legitimate medical purpose. It does not change existing federal drug laws but streamlines access to controlled medications for veterans through telehealth, particularly benefiting those in rural or remote areas.

Maddy summaryHRES 716 is a symbolic resolution designating September 15-19, 2025, as "National Clean Energy Week" to raise awareness about clean energy. It encourages voluntary actions like investing in clean energy technologies but does not create new laws, funding, or requirements. The resolution cites the clean energy sector's economic role (noting 8.5 million U.S. jobs in 2024 per the Department of Energy) and applauds national laboratories. As a non-binding gesture, it directly affects no individuals or entities but aims to promote existing clean energy initiatives.

Maddy summaryHR 5357, the College Students Continuation of Mental Health Care Act of 2025, allows college mental health providers to offer telehealth services to enrolled or recently attending students across state lines. It directly affects college mental health providers (employed by institutions of higher education) and students registered at or who attended the college within the past three months. Key provisions require providers to verify student identity, obtain consent for telehealth, maintain backup communication methods, and respect state prohibitions on specific services while operating under their home state’s licensing rules. The bill also clarifies that malpractice insurance covers these telehealth services as if provided in the provider’s home state and permits states to form compacts to facilitate cross-state telehealth.

Maddy summaryHR 3593, the Title VIII Nursing Workforce Reauthorization Act of 2025, reauthorizes and expands federal funding for nursing education programs to address workforce shortages. It directly affects nursing schools, nurse practitioner, nurse-midwifery, nurse anesthesia, and clinical nurse specialist programs by expanding grant eligibility to include these specific training pathways. Key provisions include increasing annual funding from $137 million to $184 million (2026-2030), requiring schools to use funds for simulation/technology resources and faculty/student expansion, and adding clinical partnerships with healthcare facilities. The bill also updates terminology and adds protections for survivors of domestic violence and sexual assault in nursing education settings.

Maddy summaryThis bill changes how the military calculates income for the Basic Needs Allowance. It excludes the Basic Allowance for Housing (BAH) from the gross household income calculation for eligible service members. As a result, service members' housing payments will no longer count toward their income when determining their Basic Needs Allowance eligibility or amount. This directly affects active-duty military members and their families who receive the Basic Needs Allowance. The change modifies the existing calculation method under Title 37, U.S. Code, to simplify the process.