Rep. Kevin Hern

Maddy summaryThis bill would require Medicare to cover early detection screening tests for Alzheimer's disease and related dementias starting January 1, 2028. It defines eligible tests as FDA-cleared genomic blood tests, blood product analyses, or equivalent medical imaging methods (like protein expression or whole genome sequencing) that detect pre-symptomatic or early-stage conditions. Medicare beneficiaries would receive this coverage without cost-sharing for these specific screenings. The bill amends Medicare coverage rules to explicitly include these tests under Section 1861(nnn) of the Social Security Act.

Maddy summaryThe Apples to Apples Comparison Act of 2025 requires the Centers for Medicare & Medicaid Services (CMS) to publish detailed Medicare spending data starting in 2025. It mandates that CMS release machine-readable, county- and Metropolitan Statistical Area-level expenditure information for over 30 distinct beneficiary categories (e.g., Part A-only enrollees, Medicare Advantage members, and those with supplemental coverage) on its public website. The law also requires the Medicare Payment Advisory Commission (MedPAC) to analyze Medicare Advantage vs. traditional Medicare spending patterns beginning in 2026, with public methodology and data transparency. Additionally, the Medicare Trustees must include disaggregated expenditure data in their annual reports starting in 2026. This bill directly affects how CMS and federal agencies collect and share Medicare spending data, not beneficiaries' coverage or costs.

Maddy summaryHR 5267, the American Franchise Act, clarifies when franchisors can be considered joint employers of franchisee employees under federal labor laws. It defines "substantial direct and immediate control" over essential employment terms like wages, benefits, hours, hiring, and discipline - requiring franchisors to actively set these terms to be deemed joint employers. The bill explicitly excludes routine brand standards, training, or minimal safety requirements from constituting such control. This directly affects franchisors and franchisees by limiting joint employer liability to cases where franchisors exert significant, ongoing influence over core employment decisions. The law applies prospectively to new cases after enactment, not past disputes.

Maddy summaryThis bill designates the Route 66 National Historic Trail, covering approximately 2,400 miles from Chicago, Illinois, to Santa Monica, California, along all historical alignments of U.S. Highway 66 (1926-1985). It directs the National Park Service to administer the trail while respecting its unique character, requiring tribal consultation for significant impacts on Native American tribes, and explicitly prohibiting land acquisition beyond 1/4 mile on either side of the trail. The bill clarifies it does not create buffer zones, disrupt energy infrastructure (including pipelines or renewable projects), or designate the trail as part of the National Park System, while affirming existing authority for easements and rights-of-way.

Maddy summaryThe Saving Today's Acute-Care Resources Act modifies how Medicare calculates payment rates for long-term care hospitals to ensure they receive appropriate funding for treating complex patients. Starting in fiscal year 2027, the bill expands the criteria for avoiding payment reductions by adding a "high acuity" standard that considers patients transferred from acute care or critical access hospitals with severe diagnoses. It also updates existing rules to include discharges from long-term care hospitals that have undergone significant construction projects or hold state certificates of need. These changes aim to adjust reimbursement levels based on the severity of patient conditions and the specific history of the hospital treating them.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.

Maddy summaryHR 5498 requires the Small Business Administration (SBA) to share information about health insurance reimbursement plans (specifically "individual coverage health reimbursement arrangements" or ICHRAs) with small businesses. The SBA must distribute this information through its local offices, small business development centers, and online channels like social media and its website. This bill directly affects small business owners by helping them understand a coverage option where employers reimburse employees for individual health insurance premiums. It focuses on increasing awareness of existing federal health coverage tools, not changing the rules themselves.

Repealing Big Brother Overreach Act This bill repeals the Corporate Transparency Act. The act requires existing companies and newly created companies to report beneficial ownership information to the Department of the Treasury’s Financial Crimes Enforcement Network for purposes of addressing the financing of terrorism and money laundering.

Maddy summaryThis bill, known as the Stopping Harmful and Outrageous Torts Act, expands legal protections for firearm manufacturers and sellers by strengthening their immunity from civil lawsuits. It requires courts to immediately dismiss any pending cases against these companies that are based on the criminal or unlawful misuse of a gun by a third party, while also clarifying that sellers are not liable for negligence in entrusting products to others. The legislation further restricts who can file such suits by prohibiting foreign governments from bringing these claims and adding a specific exception for victims under the age of 17, though it maintains immunity for cases involving design or manufacturing defects. Additionally, the bill allows companies to move these cases to federal court and grants them the right to appeal dismissal orders immediately, along with the ability to recover legal fees if they win. Finally, it preempts state and local laws that attempt to impose liability on these entities for the same types of misuse-related harms.