Rep. Ryan Mackenzie

Maddy summaryThis bill expands eligibility for workers' compensation medical care under the Federal Employees' Compensation Act by adding nurse practitioners and physician assistants as covered providers. It directly affects injured federal workers who can now receive care from these professionals within their state-authorized scope of practice. Key provisions redefine "other eligible provider" in the law and update related sections to replace "physician" with "physician or other eligible provider" throughout the statute. The bill requires the Secretary of Labor to issue final regulations within six months of enactment to implement these changes.

Maddy summaryHR 1049 requires public schools receiving federal education funds to disclose information about foreign-funded activities to parents. Schools must provide parents with access to classroom materials or teacher training paid for by foreign governments or entities, and disclose details about foreign donations, contracts, or staff paid with foreign funds upon written request. Parents can request this information within 30 days, and schools must post annual summaries online. The bill aims to increase transparency about foreign influence in K-12 education, directly affecting parents of students in participating schools.

Maddy summaryThis bill establishes a new interagency Task Force to dismantle foreign scam operations targeting Americans, particularly through "pig butchering" scams in Southeast Asia. The Task Force, chaired by the Secretary of State, will coordinate efforts across multiple agencies to shut down scam centers, impose sanctions on perpetrators, and support victims of trafficking. It requires a detailed strategy within 180 days and annual reports to Congress on progress, including sanctions imposed and funds recovered. The bill authorizes $30 million for these efforts in fiscal years 2026-2027, focusing on countries like Cambodia, Laos, and Burma where scam centers operate with forced labor.

Maddy summaryHRES 920 is a ceremonial resolution celebrating the 50th anniversary of the Individuals with Disabilities Education Act (IDEA) on November 29, 2025. It recognizes IDEA’s historical impact - establishing the right to free, appropriate public education in the least restrictive environment for children with disabilities - and notes how it transformed access to education after over 1 million children were previously excluded from schools. The resolution does not create new policy or funding; it solely commemorates IDEA’s legacy, honors the students and families it has served, and acknowledges educators and advocates who advanced its implementation. This is a symbolic gesture with no direct effect on current law or services.

Give Kids a Chance Act of 2025 This bill expands the Food and Drug Administration’s (FDA’s) authority with respect to research on rare pediatric diseases, including by permitting the FDA to take enforcement action against drug sponsors that fail to satisfy pediatric study requirements and by reauthorizing programs that support pediatric research.  Specifically, the bill modifies requirements relating to molecularly targeted pediatric cancer investigations to permit research on new drugs in combination with active ingredients that have already been approved, provided certain conditions are met; permits the FDA to take enforcement action against drug sponsors that fail to comply with pediatric study requirements, if such sponsors demonstrated a lack of due diligence in satisfying the requirement; renews the FDA’s authority to award priority review vouchers to sponsors of new products intended to treat rare pediatric diseases through September 30, 2029; and reauthorizes through FY2027 certain funding for the National Institutes of Health to support priority pediatric research.  The bill also provides statutory authority for the FDA’s interpretation of the orphan drug exclusivity period. The bill specifies, consistent with FDA regulations, that the seven-year market exclusivity period for drugs for rare diseases or conditions (i.e., orphan drugs) prohibits the approval of the same drug for the same approved use or indication with respect to the disease or condition. (In Catalyst Pharmaceuticals, Inc. v. Becerra , a court rejected the FDA’s interpretation and held that orphan drug exclusivity extends to all uses or indications for the disease or condition.)

Maddy summaryThis bill allows workers aged 50 or older to directly roll over employer retirement contributions (from 401(k) plans) into an individual retirement annuity without triggering immediate taxes or penalties. It requires retirement plan administrators to provide clear, plain-language written explanations about rollover rules, including a 30-day review period, tax implications (like the 10% early withdrawal penalty), and what types of distributions cannot be rolled over (such as required minimum distributions). The rules apply to taxable years starting after December 31, 2025, and aim to simplify the process for older workers changing jobs or managing retirement funds. It directly affects workers aged 50+ and retirement plan administrators who must comply with the new disclosure standards.

Maddy summaryThe Improving Veteran Access to Care Act (HR 6038) requires the Department of Veterans Affairs (VA) to create and implement a plan to modernize health care appointment scheduling for veterans. The plan must include a new scheduling system allowing veterans to view and book appointments online (for primary, mental health, and specialty care), a self-service platform for booking or requesting referrals, and phone-based scheduling assistance. The VA must submit the plan to Congress within one year of enactment, fully implement it within two years, and provide annual progress reports detailing costs, metrics, and challenges. This bill directly affects veterans seeking VA health care and VA staff managing scheduling operations, focusing on concrete improvements to access and efficiency.

Maddy summaryHR 4070, the Tren de Aragua Border Security Threat Assessment Act, requires the Secretary of Homeland Security to conduct a detailed assessment of the criminal threats posed by the Venezuelan gang Tren de Aragua to U.S. borders within 180 days of the bill's enactment. The assessment must cover the group's origins, methods, funding, and specific threats to the southwest, northern, and maritime borders, followed by a strategic plan within one year outlining how federal, state, and local agencies will counter these threats through information sharing, interdiction, and preventing the group's expansion in the U.S. The bill directly affects DHS, intelligence agencies, and border law enforcement partners by mandating these reports and planning processes.

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 summaryHR 6137 would create a new separate job code for "direct support professionals" (DSPs) within the federal Standard Occupational Classification system. This change aims to better recognize DSPs - who provide daily support for people with intellectual and developmental disabilities (like helping with daily living, community participation, and goal-setting) - as distinct from other roles like home health aides. The bill requires the Office of Management and Budget to consider this revision during the next system update, without authorizing new funding. It addresses data gaps caused by high turnover rates (39% nationally) in DSP hiring and retention.