Rep. Marie Gluesenkamp Perez

Maddy summaryThis bill, HR 1097 (Everett Alvarez, Jr. Congressional Gold Medal Act of 2023), authorizes the award of a Congressional Gold Medal to Everett Alvarez, Jr., in recognition of his service as a U.S. Navy pilot and Vietnam War prisoner of war. It directly honors Alvarez, who was the first U.S. pilot shot down in the Vietnam War, spent over 8.5 years in captivity, and later served in the Peace Corps and Veterans Administration. The bill’s key mechanism is directing the U.S. Mint to strike a gold medal bearing his name and image, with bronze duplicates available for sale to cover costs. It does not create new policies or affect any group beyond the honoree.

Maddy summaryThis bill extends funding for the National Landslide Preparedness Act through 2028, replacing the previous 2021-2024 authorization period. It directly affects existing federal landslide preparedness programs by continuing their current funding structure without new requirements. The key change is simply updating the program's authorization period in two specific sections of the law (sections 3(h) and 5(e)). The bill does not create new policies or alter how landslide preparedness activities are conducted.

Maddy summaryThe MAPWaters Act requires federal agencies managing public waters (like the National Park Service, Bureau of Land Management, and Forest Service) to create standardized, digital maps and databases about water access rules. It mandates publishing online details on seasonal closures, equipment restrictions (e.g., motorized boats), fishing zones, boat ramp locations, and navigation data within 4 years. This directly helps recreational users - such as boaters, anglers, and hikers - by making complex access rules easier to find and understand. The bill does not change existing fishing or waterway regulations but requires agencies to update data regularly and allow public feedback on the information.

Maddy summaryHR 3269, the Law Enforcement Innovate to De-Escalate Act, exempts specific less-than-lethal projectile devices from federal firearm taxes and National Firearms Act restrictions. The bill defines these devices as those firing projectiles at under 500 feet per second and designed not to cause death or serious injury. This directly affects law enforcement agencies using such devices and manufacturers producing them, by removing tax burdens and registration requirements. The key change is creating a clear legal exemption for these devices under federal law, streamlining their use for de-escalation purposes.

Maddy summaryThis bill extends Medicare payment adjustments for physicians and other practitioners through 2025 instead of ending in 2024. It specifically adds a 4.73% payment increase for services provided between January 1, 2025, and January 1, 2026. The legislation modifies existing Medicare payment rules to stabilize practice revenues during transition periods. It directly affects doctors and healthcare providers who bill Medicare for patient services. The key change is the extended timeframe and the defined 4.73% rate for the 2025-2026 period.

Maddy summaryThis bill creates a new Medicare payment model for emergency medical services (EMS) that allows coverage when ambulance providers deliver critical care on-site without transporting patients to a hospital. It directly affects Medicare beneficiaries receiving such on-site emergency care and ambulance providers who would previously not be reimbursed for non-transport services. The key provision requires Medicare to pay for these services at rates matching what would have been paid for transport, based on state protocols and emergency call responses, for a 5-year trial period. A report due 4 years after implementation will evaluate impacts on patient outcomes, system efficiency, and regional access.

Maddy summaryHR 8796, the "Stop Comstock Act," removes outdated restrictions from federal law that previously banned the distribution of materials related to contraception and abortion as "obscene" or "indecent." The bill amends Title 18 and the Tariff Act by deleting references to "indecent," "immoral," "unlawful abortion," and "procuring abortion" from provisions governing obscene materials. It clarifies that the law only prohibits "obscene materials" in commerce, eliminating broad restrictions on reproductive health information. This directly affects internet platforms, healthcare providers, and individuals sharing reproductive health resources by removing legal barriers to their distribution.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2027 and publish detailed data on their approval and denial rates for medical services by 2026. It directly affects Medicare Advantage plans (private insurers offering Medicare coverage) and their enrollees (seniors 65+), mandating transparency about prior authorization decisions, processing times, and appeal outcomes. Key provisions include requiring plans to report annual statistics on request approvals/denials, average processing times, and use of technology, with this data published publicly by the Centers for Medicare & Medicaid Services. The bill also sets timelines for plan responses to prior authorization requests and mandates reports to Congress on implementation and impacts.

Maddy summaryThe ROCR Value Based Program Act establishes a new Medicare payment system for radiation oncology services, replacing the current fee-for-service model with a per-episode payment structure. This program affects radiation therapy providers (hospital outpatient departments) and suppliers (physician practices or freestanding centers) treating Medicare beneficiaries with specific cancer types (including breast, prostate, lung, and brain metastases). Key provisions include 80% of the payment being paid upfront within 30 days of treatment start, with the remaining 20% paid later; a health equity add-on payment of $500 per patient for transportation services to patients reporting transportation insecurity (using ICD-10 code Z59.82); and quality incentives for accredited providers through a 0.5% payment increase for meeting accreditation requirements. The program aims to stabilize payments, improve access to radiation therapy, enhance quality, leverage technology, and contain costs while maintaining Medicare savings.

Maddy summaryThe Essential Caregivers Act of 2024 requires nursing homes and similar facilities to allow residents to designate essential caregivers who provide emotional support or assistance with daily activities. During emergencies when regular visitation is restricted, facilities must permit at least one essential caregiver access to residents daily and cannot deny access without following specific procedures. Facilities may deny access for a maximum of 7 days during emergencies (or 14 days with state approval), and must provide a written explanation and appeal process if access is denied. The bill establishes a 48-hour appeal process for residents and caregivers to challenge denials, with facilities required to prove violations during appeals. This law applies to Medicare skilled nursing facilities, Medicaid nursing facilities, intermediate care facilities, and certain inpatient rehabilitation facilities.