Rep. Bob Good

Maddy summaryThis bill restricts health savings accounts (HSAs), Archer MSAs, health flexible spending accounts, health reimbursement arrangements, and retiree health accounts from covering most abortion expenses. It prohibits these accounts from reimbursing costs for abortions unless the pregnancy resulted from rape or incest, or the woman faces a life-endangering physical condition (as certified by a physician). The policy change directly affects individuals using these specific health accounts who seek abortion coverage, excluding all other abortion-related expenses from tax-advantaged reimbursement. The exceptions are narrowly defined to cover only cases involving rape/incest or severe health risks to the woman.

Maddy summaryThis bill modifies Social Security Number (SSN) requirements for claiming the Child Tax Credit and Earned Income Tax Credit. It specifies that qualifying SSNs must be issued to U.S. citizens (or under specific Social Security Act provisions) and issued before the tax return due date. The changes apply to tax years beginning after December 31, 2024, and update related tax code references to use "social security number" instead of "taxpayer identification number." These are technical adjustments to eligibility criteria, not new benefits or funding.

Maddy summaryThe Maximum Pressure Act (HR 6114) is a legislative proposal that would maintain and expand U.S. sanctions against Iran. The bill would codify existing sanctions, require Iran to meet 12 specific conditions before sanctions could be lifted (including ending support for terrorism, releasing hostages, and ending nuclear enrichment), and expand sanctions on Iran's Revolutionary Guard Corps and missile programs. It also establishes new reporting requirements for the U.S. government to monitor Iran's activities and the impact of sanctions. The legislation would require congressional review before any sanctions could be lifted or modified, preventing the executive branch from unilaterally easing restrictions.

Maddy summaryHR 5967, the Unemployment Integrity Act of 2023, requires unemployment claimants to participate in job-seeking activities to maintain benefits. Specifically, it mandates that claimants respond to work-related requests, attend reemployment interviews, and comply with reasonable requests like drug testing or skills assessments. The bill also requires states to conduct a study on increasing random audits of unemployment claims and mandates that states adopt these new requirements to receive federal funds for extended unemployment benefits. These changes apply to weeks beginning one year after the bill's enactment, with adjustments for states holding biennial legislative sessions. The law directly affects individuals claiming unemployment benefits by linking eligibility to active job-seeking participation.

Maddy summaryThis bill expands Health Savings Account (HSA) eligibility to cover more health plans and health care sharing ministries, allowing individuals with these plans to contribute to HSAs. It significantly increases annual HSA contribution limits to $10,800 for individuals and $29,500 for families (up from $3,850/$7,750), effective 2024. The bill also permits HSA funds to pay for periodic provider fees and health care sharing ministry costs (including administrative fees), and reduces penalties for non-qualified distributions to 10%. These changes directly affect HSA account holders who use non-traditional health coverage or share medical expenses through ministries.

Maddy summaryThis bill amends the Affordable Care Act and Medicaid/CHIP programs to deny health insurance subsidies, coverage, and related benefits to individuals with Deferred Action for Childhood Arrivals (DACA) status. Specifically, it excludes people lawfully present only due to the 2012 DHS memo granting deferred action from eligibility for ACA subsidies, Medicaid, and the State Children's Health Insurance Program (CHIP). The bill requires states to remove DACA recipients from enrollment in health plans and rescind any existing waivers that allowed such coverage. It directly affects approximately 800,000 DACA recipients who currently qualify for ACA subsidies and Medicaid/CHIP under existing rules.

Maddy summaryThis bill repeals the tax on Social Security benefits for seniors, making those benefits fully tax-free. It directly affects seniors who receive Social Security benefits and are currently subject to income tax on a portion of those payments. The key provision removes Section 86 of the tax code that previously included benefits in gross income, while a separate funding mechanism appropriates money to Social Security trust funds to replace the lost revenue. The bill ensures Social Security trust funds remain fully funded without requiring new tax increases.

Maddy summaryHR 2813, the Self-Insurance Protection Act, clarifies that stop-loss insurance purchased by employers with self-funded health plans is not considered "health insurance coverage" under federal law. This affects employers who self-fund employee health benefits, as it ensures stop-loss policies - which protect employers from unexpected high medical claims - remain exempt from state insurance regulations meant for traditional health insurance. The bill amends ERISA, the Public Health Service Act, and the Internal Revenue Code to explicitly exclude stop-loss coverage from definitions of health insurance, preventing states from restricting its availability. This change aims to maintain employer access to stop-loss insurance as a financial risk management tool for self-funded health plans.

Maddy summaryHR 1769, the Healthcare Freedom Act of 2023, amends the tax code to rename "health savings accounts" as "health freedom accounts" and expands their use. It allows individuals to use these accounts for direct primary care, health care sharing ministries, and medical cost sharing organizations, increases annual contribution limits to $12,000 (or $24,000 for joint returns), and permits rollovers between accounts within 60 days. Employers may contribute to these accounts for employees hired after a 5-year transition period, with those contributions excluded from taxable income. The bill directly affects individuals using these accounts, employers offering them, and the IRS in tax administration, without changing health insurance coverage requirements.

Maddy summaryHR 1610 would modernize Medicare coverage for chiropractic care by removing the current restriction that limited beneficiaries to one chiropractic service per visit. It expands coverage to include all services provided by licensed chiropractors within their state-authorized scope, aligning Medicare with VA, military, and private insurance practices. The bill requires chiropractors to complete a Secretary-approved educational webinar to cover non-spinal services, while still allowing payment for spinal manipulation treatments without this requirement. This directly affects Medicare beneficiaries seeking chiropractic care and chiropractors seeking Medicare reimbursement for their services.