Rep. Michael Guest

Maddy summaryThe MOMS Act establishes a federal resource website called pregnancy.gov that will help pregnant and postpartum women find local services through a ZIP code-based search system. It creates grant programs to support nonprofit organizations providing services like medical care, housing assistance, and parenting support to pregnant women, while prohibiting organizations that provide or support abortion from receiving these funds. The bill also amends child support laws to allow enforcement of child support obligations for unborn children, beginning from the month of conception with the mother's consent. These provisions aim to improve access to prenatal and postnatal resources while maintaining a focus on supporting women and their families.

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 summaryThis bill would impose increasing tariffs on Chinese-made drones (starting at 30% and rising to 45% over four years) to reduce reliance on Chinese drone manufacturers. It establishes a fund using tariff revenue to provide grants for first responders, farmers, ranchers, and critical infrastructure providers to purchase secure drones not made in China or by Chinese companies. The legislation also requires documentation for drones entering the US to verify they don't contain components made in China. The bill directly affects those who currently rely on Chinese-made drones for critical operations, as over 90% of drones used by first responders are made in China. Its goal is to strengthen national security by reducing dependence on Chinese drone technology for essential services.

Maddy summaryThe TRIPP Act requires the U.S. President to oppose any waiver of World Trade Organization (WTO) members' obligations under global intellectual property rules (the TRIPS Agreement) unless Congress passes a new law explicitly authorizing such a waiver. This bill directly affects U.S. trade policy decisions and WTO negotiations, particularly regarding access to medicines or other intellectual property during crises. The key mechanism is a binding presidential obligation to resist waivers without specific congressional approval, reinforcing existing intellectual property protections in international trade agreements.

Maddy summaryHR 7427 clarifies that states may use Temporary Assistance for Needy Families (TANF) funds to support pregnancy centers and other "alternatives to abortion" programs that provide life-affirming services like counseling, parenting resources, and material support to pregnant individuals. The bill explicitly defines these programs as those promoting childbirth over abortion through services such as prenatal care coordination, job training, infant supplies, and adoption referrals, while excluding entities that provide or facilitate abortions. It also prohibits federal discrimination against grantees or states that fund such programs, including preventing the government from imposing unfair requirements or cutting funding based on a provider's opposition to abortion. This bill directly affects pregnancy centers, adoption agencies, and maternity homes receiving TANF funding, ensuring their eligibility under existing federal law. The legislation responds to a 2023 federal proposal that threatened to restrict such funding.

Maddy summaryHR 7311, the *Combatting International Drug Trafficking and Human Smuggling Partnership Act of 2024*, amends the Homeland Security Act to expand U.S. Customs and Border Protection (CBP) authority for overseas operations. It allows CBP officers to conduct joint operations with foreign governments to monitor, locate, and deter the trafficking of illegal drugs, human smuggling, terrorist threats, and other security risks entering the U.S. The bill also authorizes CBP to pay claims arising from these operations in foreign countries, using existing funds. This directly affects CBP and foreign governments partnering with the U.S. on border security efforts.

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 summaryThe Preserving Seniors’ Access to Physicians Act of 2023 increases the Medicare payment adjustment rate for physicians from 1.25% to 4.62%, directly affecting doctors who treat Medicare patients (primarily seniors). It also reduces the funding for the Medicaid improvement fund from $5,796,117,810 to $3,973,117,810. These changes impact Medicare providers and Medicaid programs, with the Medicare adjustment aimed at supporting physicians adjusting to payment changes. The bill does not specify how the Medicaid funding reduction relates to its stated goal of preserving seniors' access to physicians.

Maddy summaryThe Maximum Pressure Act (HR 6114) is a legislative proposal that would maintain and expand U.S. sanctions against Iran. The bill would codify existing sanctions, require Iran to meet 12 specific conditions before sanctions could be lifted (including ending support for terrorism, releasing hostages, and ending nuclear enrichment), and expand sanctions on Iran's Revolutionary Guard Corps and missile programs. It also establishes new reporting requirements for the U.S. government to monitor Iran's activities and the impact of sanctions. The legislation would require congressional review before any sanctions could be lifted or modified, preventing the executive branch from unilaterally easing restrictions.

Maddy summaryHR 5840, the Transportation Security Screening Modernization Act of 2024, simplifies the process for transportation workers to obtain multiple TSA security credentials. It requires the TSA to allow individuals to apply for and renew programs like the TWIC (Transportation Worker Identification Credential) and HAZMAT Endorsement through a single enrollment at any TSA center, with a combined fee lower than separate applications. The bill mandates coordinated expiration dates for all credentials and ensures state-issued commercial driver's licenses reflect the correct HAZMAT endorsement validity. These changes aim to reduce duplication and costs for workers needing multiple security clearances. The TSA must implement these changes within two years and publish details online.