Rep. Suzan K. DelBene

Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Maddy summaryHR 4710, the No Surprises Act Enforcement Act, increases penalties for health insurance plans and issuers that violate balance billing protections, which prevent surprise medical bills. The bill raises fines from $100 to $10,000 per violation for specific balance billing rule violations and adds a new penalty of three times the difference between initial payment and out-of-network rates for late payments after Independent Dispute Resolution decisions. It requires health plans and nonparticipating providers to make timely payments within 30 days of a payment determination, with interest accruing on late payments. The bill also establishes new transparency reporting requirements for the Secretary to submit regular reports to Congress about audits, enforcement actions, and penalties. These provisions directly affect health insurance issuers, group health plans, and nonparticipating healthcare providers.

Maddy summaryH.J. Res. 108 proposes a constitutional amendment to remove legal immunity for federal officials, including the President, from criminal prosecution for actions taken while performing official duties. It would prohibit the President from granting pardons to themselves and eliminate the defense that "official authority" excuses violations of federal or state law (with limited exceptions for certain congressional actions). If ratified, this amendment would require Congress to pass implementing laws to enforce these changes. The proposal is currently in the House Judiciary Committee and requires approval by three-fourths of state legislatures to become part of the Constitution.

Maddy summaryHR 4606, the Ally’s Act, requires private health insurance plans (including employer-sponsored plans and individual coverage) to cover hearing implants and related services. It directly affects people with hearing loss who need cochlear implants, bone conduction devices, or external sound processors, as determined by a physician or audiologist. The bill mandates coverage for devices, maintenance, repairs, upgrades every 5 years, hearing assessments, surgery, and rehabilitation - without separate cost-sharing or stricter limits than other medical services. Insurers cannot deny coverage if a provider deems the service medically necessary. The law applies to all applicable health plans and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.

Maddy summaryHR 1522, the Federal Retirement Fairness Act, changes federal retirement rules to include temporary employees' service after January 1, 1988, in retirement benefit calculations. It directly affects temporary federal employees (including U.S. Postal Service workers) and Members of Congress who served after that date. The bill removes a previous cutoff date in retirement law, allowing their temporary service to count toward retirement eligibility. This means eligible temporary workers can now have their full service period considered when calculating retirement benefits.

Maddy summaryHR 4516, the Saving Lives and Taxpayer Dollars Act, prohibits the U.S. government or its aid partners from destroying food, medicine, vaccines, or other foreign assistance commodities before they expire, requiring these items to be redirected to intended beneficiaries instead. The bill mandates that agencies like USAID, State, and Agriculture must make every effort to donate or sell expired aid items to those in need before disposal. It also requires annual reports to Congress detailing any expired, spoiled, or destroyed aid items, including reasons for not redirecting them and associated costs. This directly affects U.S. foreign aid agencies and their global partners, ensuring aid reaches people facing hunger, disease, or health crises rather than being wasted.

Maddy summaryHR 4484 (ADAPT Act) adds Medicare coverage for psychological services provided by supervised trainees - doctoral interns or postdoctoral residents in APA-accredited programs under licensed psychologists' supervision. It requires a new billing code (GC modifier) for these services and directs the Health Secretary to issue Medicaid/CHIP guidance to states on implementing similar coverage, including recommended billing codes and state examples. The bill directly affects trainees seeking licensure and their supervising psychologists by enabling federal billing for their services. States would use the guidance to adjust coverage policies for trainee services under Medicaid and CHIP programs.

Maddy summaryThis bill prohibits federal and state governments from restricting access to FDA-approved medicines. It guarantees individuals the right to obtain these medicines without coercion and allows healthcare providers (like doctors and pharmacists) to prescribe or refer for them. The law blocks governments from implementing rules that single out or hinder the sale, provision, or use of FDA-approved drugs, such as bans on specific medicines or barriers to patient access. It does not affect the FDA's drug approval process or existing health insurance coverage requirements.