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.
Rep. Kim Schrier
Sponsored bills
Maddy summaryHR 345, the Fire Department Repayment Act of 2025, requires federal agencies (Agriculture, Interior, Homeland Security, and Defense) to establish clear procedures for reimbursing local fire departments under existing fire suppression cost share agreements. The bill mandates that agencies review and update current agreements within one year to align with cooperative fire protection agreements and set specific payment timelines. It requires federal agencies to reimburse fire departments promptly after a fire when they submit proper invoices, with Congress urging repayment within one year of the fire suppression event. This directly affects local fire departments that participate in federal reimbursement programs for firefighting costs.
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 summaryThe Jobs in the Woods Act establishes a federal grant program to fund career training in forestry operations and products industries. It provides competitive grants (ranging from $500,000 to $2 million over up to 4 years) to eligible entities like nonprofits, states, tribes, or community colleges in targeted rural areas. These areas must be nonmetropolitan low-income communities, have broadband access, or have populations under 50,000. Grants require applicants to demonstrate regional need, plan for program sustainability, partner with schools, and address aging workforces or youth migration. The program is funded at $10 million annually from 2026 through 2030.
Maddy summaryHR 4482, the Stop NOAA Closures Act, imposes a temporary moratorium on closing, suspending, or limiting access to National Oceanic and Atmospheric Administration (NOAA) facilities, effective until a report is submitted to Congress by January 21, 2029. The bill requires NOAA and the General Services Administration to submit detailed reports to specific congressional committees before any future facility closure, suspension, lease termination, or consolidation - outlining cost-benefit analyses, service impacts, and justification. Exceptions apply only for emergencies posing immediate threats to personnel safety. This bill directly affects NOAA's facility management decisions and mandates congressional oversight for future closures.
Maddy summaryThis bill requires electronic communication service providers (like social media platforms) and remote computing services (like cloud storage) to report certain controlled substances violations to the Attorney General. Providers must submit reports within 60 days of discovering fentanyl, methamphetamine, or counterfeit prescription drug sales, including account information and details about the violation. The bill includes penalties for failure to report ($380,000 for repeat violations) and for submitting false reports ($100,000), while exempting broadband and text messaging providers from these requirements. It also mandates annual reports from the Attorney General on the number of reports received, investigations conducted, and how violations were discovered.