Radiation Oncology Case Rate Value Based Program Act of 2025 or the ROCR Value Based Program Act This bill establishes a specialized payment program under Medicare for providers and suppliers of radiation oncology services. Specifically, the Centers for Medicare & Medicaid Services (CMS) must establish a program under which radiation therapy providers (i.e., hospital outpatient departments) and suppliers (i.e., physician group practices and freestanding radiation therapy centers) receive payments for each episode of care provided to individuals with specified types of cancer. An episode of care means the period beginning on the day radiation therapy planning is furnished to the individual and ending (1) for individuals with bone or brain metastases, 30 days later; and (2) for individuals with other cancer types, 90 days later. Participation in the program is mandatory for providers and suppliers that participate in Medicare, unless the provider or supplier is part of a state-based Center for Medicare & Medicaid Innovation model or qualifies for a significant hardship exemption. The CMS must set payment rates for the program based on national payment rates with specified adjustments (e.g., geographic adjustments). Providers and suppliers who provide certain transportation services for individuals under their care may receive an additional payment. Providers and suppliers must be accredited in accordance with certain standards, subject to payment reductions. The Government Accountability Office must report on (1) implementation of the program, and (2) underserved areas that are in need of more or newer radiation therapy resources.
Sponsored bills
Maddy summaryThis bill, the Major Richard Star Act (S 1032), allows veterans with combat-related disabilities to receive both their military retired pay and Veterans Affairs disability compensation simultaneously. It amends U.S. Code sections to remove the automatic reduction in retired pay that previously forced these veterans to choose between the two payments. The key change ensures veterans with combat-related disabilities qualify for full retired pay without offset against their VA disability benefits, effective for payments starting after the bill's enactment date. This directly affects veterans receiving military retired pay under Chapter 61 who also qualify for VA disability compensation for combat-related injuries.
Maddy summaryThis bill amends federal law to clarify the legal definition of "firearm silencer" and "firearm muffler" under Title 18. It defines these devices as any component designed to reduce firearm noise that attaches to a firearm, including the outer tube or primary housing of such devices. The law directly affects manufacturers, dealers, and owners of silencers by establishing a specific regulatory definition for these products. This definition change, rather than creating new restrictions, ensures consistent application of existing firearm laws to silencer components.
This joint resolution nullifies the rule titled Gross Proceeds Reporting by Brokers That Regularly Provide Services Effectuating Digital Asset Sales and issued by the Internal Revenue Service (IRS) on December 30, 2024. The rule generally requires persons effectuating decentralized financial (DeFi) transactions to report certain information regarding digital asset sales to the IRS.
Maddy summaryThis bill prohibits federal agencies from funding, supporting, or conducting research using human fetal tissue obtained from induced abortions. It allows federal research on tissue from miscarriages or stillbirths (defined as loss before 20 weeks or at 20+ weeks, respectively) and permits development of new cell lines not derived from abortion tissue. The bill amends the Public Health Service Act to restrict permissible tissue sources to miscarriage/stillbirth and revises definitions accordingly. It also repeals a prior provision allowing research on abortion-derived tissue and adds new restrictions on soliciting or accepting such tissue.
Maddy summaryS 990, the Freedom to Haul Act of 2025, prohibits the Environmental Protection Agency (EPA) from implementing or enforcing Phase 3 greenhouse gas emissions standards for heavy-duty vehicles (finalized in April 2024). It amends the Clean Air Act to require that future emissions rules for vehicles cannot mandate specific technologies or limit the availability of new trucks based on engine type. This directly affects EPA regulatory authority and vehicle manufacturers, ensuring a broader range of new truck options remains available. The bill focuses on preventing regulatory restrictions on vehicle choice, not on emissions outcomes.
Maddy summaryThis bill repeals the EPA's 2024 emissions standards for light- and medium-duty vehicles and amends the Clean Air Act to prevent future regulations from mandating specific technologies or limiting new vehicle availability based on engine type. It directly affects the EPA's regulatory authority and vehicle manufacturers by blocking technology mandates and restrictions on engine types in new vehicles. Key provisions require the EPA to revise regulations within 24 months to align with these changes, ensuring no federal rules limit vehicle choices based on engine technology. The bill's title is misleading, as it does not address automobile retail sales or consumer choice at dealerships.
Maddy summaryThis bill amends the Clean Air Act to prevent states from imposing standards that limit the sale or use of new internal combustion engine vehicles. It adds a new requirement that state standards must not directly or indirectly restrict such vehicles, and it prohibits the EPA from considering pre-2025 state standards as valid under existing waivers. The bill also requires the EPA to revoke certain existing waivers granted between January 2022 and the bill's enactment date if those waivers don't comply with the new standard. This directly affects states with their own vehicle emission rules (like California's ZEV program), limiting their ability to regulate internal combustion engine vehicles through EPA-approved standards.
Veterans 2nd Amendment Protection Act of 2025 This bill prohibits the Department of Veterans Affairs (VA) from transmitting certain information to the National Instant Criminal Background Check System (NICS) utilized by licensed importers or dealers of firearms. Specifically, the bill prohibits the VA from transmitting personally identifying information of a veteran or a beneficiary to the NICS solely on the basis that such veteran or beneficiary has an appointed fiduciary to manage their benefits, unless there is an order or finding of a judicial authority that such veteran or beneficiary is a danger to themselves or others.
Maddy summaryThis bill (S 884) requires the Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) to provide firearm buyers with denial reasons and appeal rights if a background check (NICS) blocks a transfer. It mandates that ATF must make a decision on transfer applications within 3 business days, automatically approving the transfer if they miss the deadline. Buyers who successfully appeal a denial can receive reimbursement for reasonable attorney fees. The bill also requires reports on unresolved background checks and a formal agreement between ATF and the FBI to improve NICS processing. (Based on Sections 2, 3, and 4 of the bill text.)