Rep. Steve Womack

Maddy summaryHR 7142 (Alternatives to PAIN Act) requires Medicare Part D plans to cover non-opioid pain management drugs with no deductible and at the lowest copay level starting in 2025. It defines "qualifying non-opioid drugs" as FDA-approved medications that don’t act on opioid receptors (like certain NSAIDs or nerve pain treatments), excluding opioids and schedule I-III drugs. The bill prohibits Medicare plans from forcing patients to try opioids first (step therapy) or requiring prior approval for these non-opioid options. It directly affects Medicare beneficiaries needing pain management, especially those seeking alternatives to opioids for post-surgical or acute pain. The policy change aims to improve access to non-addictive pain treatments while preserving doctors' authority to prescribe medically appropriate care.

Maddy summaryHR 4073, the Duty Drawback Clarification Act, clarifies U.S. tariff classifications for imported whiskies by creating specific subheadings in the Harmonized Tariff Schedule. It replaces a single tariff line with eight new subheadings that categorize whiskies by type (Irish/Scotch, Bourbon, Rye, or "Other") and container size (under or over 4 liters), each with a uniform duty rate of $2.04 per liter. This change directly affects whiskey importers and manufacturers who must now classify products using these new codes when entering goods into U.S. commerce. The bill streamlines duty calculation and drawback claims (refunds of duties on imported goods later exported) by standardizing the tariff structure for whiskey categories.

Maddy summaryThis bill would require Medicare to cover FDA-approved blood tests that screen for multiple cancers simultaneously (like breast, lung, or colorectal cancer) for beneficiaries. It directly affects Medicare recipients aged 65+ who could access these new screenings once per year, without prior authorization. The key provision adds "multi-cancer early detection screening tests" to Medicare's covered services under Part B, defining them as blood tests analyzing cell-free DNA, while maintaining existing coverage for standard screenings like mammograms. The bill does not change current coverage for individual cancer screenings but ensures Medicare keeps pace with new medical technology.

Maddy summaryThis bill expands Medicare Part B coverage to include specific pharmacist services, directly affecting Medicare beneficiaries and pharmacists who provide these services. It adds new coverage for pharmacist evaluations and treatments related to certain illnesses (like COVID-19, flu, or strep throat) and public health emergencies, requiring payment at 80% of the lesser of actual charge or 85% of physician payment rates (100% during emergencies). The bill also prohibits balance billing for these services, ensuring beneficiaries pay only the standard Medicare copayment. These changes aim to improve access to pharmacist care during health crises while aligning payment with existing physician service frameworks.

Maddy summaryHR 1610 would modernize Medicare coverage for chiropractic care by removing the current restriction that limited beneficiaries to one chiropractic service per visit. It expands coverage to include all services provided by licensed chiropractors within their state-authorized scope, aligning Medicare with VA, military, and private insurance practices. The bill requires chiropractors to complete a Secretary-approved educational webinar to cover non-spinal services, while still allowing payment for spinal manipulation treatments without this requirement. This directly affects Medicare beneficiaries seeking chiropractic care and chiropractors seeking Medicare reimbursement for their services.

Maddy summaryHR 1571, the Compact Impact Fairness Act of 2023, removes barriers to federal benefits for citizens of the Federated States of Micronesia (FSM), the Republic of the Marshall Islands (RMI), and Palau who legally reside in the U.S. under the Compacts of Free Association. The bill amends the 1996 welfare law to add an exception, making these citizens eligible for most federal benefit programs (like Medicaid and food assistance) that previously excluded them due to their immigration status. It eliminates a 5-year waiting period for benefits and removes specific references to Medicaid, applying the change broadly across all federal programs. This directly affects over 30,000 citizens of these nations living in the U.S. under the compacts, who currently face restrictions on accessing critical support. The bill aims to align federal benefit eligibility with the unique status granted by the Compacts of Free Association.

Maddy summaryHR 319, the Legal Workforce Act, establishes a new government-run system for verifying employment eligibility in the United States. The bill requires employers to verify the identity and work authorization of new hires using specific documents (such as passports, driver's licenses, or employment authorization cards) through a new verification system, with implementation timelines varying by employer size (6-24 months after enactment). It replaces the previous E-Verify system, includes special provisions for agricultural workers with 30-month implementation timelines, and establishes penalties for non-compliance ranging from $2,500 to $25,000 per violation. The law also creates new procedures for reverifying employees with limited work authorization and includes provisions to prevent identity fraud in the verification process.

Maddy summaryThis bill bans federal funding for abortions in most cases, prohibiting the use of taxpayer money for abortion services or health insurance plans covering abortion. Exceptions allow funding for abortions resulting from rape, incest, or when a pregnancy endangers a woman's life. It requires health insurance plans sold through the Affordable Care Act (ACA) marketplaces to clearly disclose any separate costs for abortion coverage and prohibits ACA subsidies from being used for plans that cover abortion (except in the specified exceptions). The law directly affects federal programs like Medicaid, ACA marketplace plans, and insurers offering health coverage to individuals using federal subsidies.

Maddy summaryHR 152, titled the "Hearing Protection Act," actually addresses firearm silencers (suppressors), not hearing protection. The bill removes federal registration requirements for silencers by directing the Attorney General to destroy all existing silencer records within 365 days. It also preempts state laws that tax, register, or impose recordkeeping requirements on silencers, making such state rules unenforceable. Additionally, the bill updates tax codes to include silencers as taxable items and clarifies their definition in firearm laws.

Maddy summaryHR 10427, the *Continuing Opportunities for People with Disabilities to Excel Act*, directs the Secretary of Labor to withdraw a proposed rule about section 14(c) certificates under the Fair Labor Standards Act. This proposed rule (published December 4, 2024) would have affected how employers use special certificates allowing payments below minimum wage to workers with disabilities. The bill halts the rule’s progression but does not change current law or impact existing workplace arrangements. It directly addresses a regulatory proposal, not a new policy affecting workers or employers.