Rep. Ryan Mackenzie

Maddy summaryHR 5032, the Nitazene Control Act, permanently classifies all nitazenes and their chemical analogs as Schedule I controlled substances under the Controlled Substances Act. This means these synthetic opioids, which are significantly more potent than fentanyl and linked to overdose deaths, are now federally banned for all non-medical use. The bill creates a broad chemical definition covering substances with specific structural features (a benzimidazole core and mu-opioid receptor activity), preventing new analogs from evading regulation. It includes a temporary 18-month exemption for researchers already studying these substances under active FDA-approved protocols, requiring them to notify the DEA and apply for proper registration within that period. The law directly affects the illicit drug market and ongoing research involving nitazenes, aiming to streamline enforcement and prevent new analogs from entering the supply chain.

Maddy summaryHR 5031, the *Preserving Patient Access to Long-Term Care Pharmacies Act*, requires Medicare Part D plans and Medicare Advantage plans with drug coverage (MA-PD) to pay long-term care pharmacies an additional supply fee for each specified prescription dispensed to eligible beneficiaries during 2026 ($30) and 2027 (adjusted for inflation). This fee must be paid alongside existing reimbursements for drug costs and dispensing, with a $10,000 penalty for non-payment. The bill also directs the GAO to study long-term care pharmacy payment sustainability under Medicare, analyzing historical payments for brand/generic drugs and dispensing fees. It aims to ensure uninterrupted pharmacy access for Medicare beneficiaries in long-term care settings, particularly in rural areas.

Maddy summaryThe BITE Act establishes a national system to prevent diseases spread by ticks, mosquitoes, and fleas. It requires the Health Secretary to create a system with six key parts: a public vector identification service, an AI-powered early warning system using weather and habitat data, insurance claims monitoring for early outbreak detection, emergency room symptom tracking, targeted public education campaigns, and a goal to reduce Lyme disease by 25% by 2035. This system integrates human, animal, and environmental data (One Health approach) and serves both civilians and military medical facilities. The bill directly affects public health agencies, healthcare providers, and communities in areas with vector-borne diseases. Its key mechanism is using real-time data from multiple sources to predict and prevent disease outbreaks before they spread widely.

Maddy summaryThis bill creates a special postage stamp that allows the public to voluntarily contribute to Lyme disease research. All money from stamp sales will go directly to the National Institute of Allergy and Infectious Diseases (NIAID) at the NIH, with proceeds specifically designated for Lyme disease and tick-borne illness research. The funds cannot be used to offset other NIH research funding, and the stamp would be available for at least six years after the law takes effect. It directly affects the public (through voluntary purchases) and NIAID (as the recipient of dedicated research funding).

Maddy summaryThis bill creates a new pathway for coal ash storage facilities to transition from waste storage to beneficial use. Owners of coal ash units (like landfills or impoundments) can apply to be designated as "beneficial use staging units" if they meet environmental standards, submit a removal plan, and commit to removing at least 25% of stored ash for reuse (e.g., in construction materials) within 5-12 years, depending on facility size. Once designated, facilities cannot accept new ash and must comply with groundwater monitoring, but cannot be forced to close by states for failing to meet removal deadlines. The EPA will track progress through annual reports, and states cannot override these federal provisions. It directly affects coal ash facility operators seeking to repurpose stored ash instead of maintaining long-term storage.

Maddy summaryThe College Transparency Act requires the federal government to create a new student data system that collects and shares information about college enrollment, costs, completion rates, and post-graduation outcomes. This system will directly affect colleges and universities (which must submit data), students (whose information is collected with privacy protections), and families (who will access the data to make informed education decisions). The bill mandates the development of a public website providing customizable, aggregate data on student demographics, costs, and outcomes, while prohibiting the collection of sensitive information like health records or political affiliation. The system aims to reduce reporting burdens on institutions by consolidating data collection and making information more transparent for prospective students. It includes strong privacy and security requirements to protect student information, with the data system to be developed within four years of the bill's enactment.

Maddy summaryThis bill adds "spotted lanternfly control" as a priority research area under federal agricultural funding, authorizing grants to develop and share tools for combating the invasive spotted lanternfly pest (Lycorma delicatula). It directly affects farmers, agricultural communities, and state departments of agriculture in states like Pennsylvania where the pest causes significant crop damage. The key provision amends existing law to allow research grants focused on creating effective treatments and management strategies for the pest. The bill also extends the funding period for all high-priority research initiatives through 2030.

Veterans' Assuring Critical Care Expansions to Support Servicemembers Act of 2025 or the Veterans' ACCESS Act of 2025 This bill addresses the administration of the Veterans Community Care Program (VCCP) and other Department of Veterans Affairs (VA) health care matters. Among other provisions regarding the VCCP, the bill establishes in statute access standards that determine when a veteran is eligible to receive non-VA care through the VCCP, requires the VA to notify veterans regarding their eligibility for care within two business days after the VA is aware the veteran is seeking care, and extends the deadline for the submittal of claims under the VCCP by health care entities and providers. The VA must address its mental health treatment programs by establishing a standardized screening process to determine whether a veteran satisfies criteria for priority or routine admission to a mental health residential rehabilitation treatment program or a program for residential care for mental health and substance abuse disorders, tracking the performance of medical facilities and Veterans Integrated Service Networks in meeting the requirements for mental health treatment screenings and timely admission to treatment programs under such screenings, and establishing an appeal process for when a veteran is denied admission to a covered treatment program or is accepted into a program but not offered bed placement in a timely manner. Additionally, the VA must establish an online self-service module for veterans to request and manage appointments, track referrals, and appeal and track decisions related to requests for care.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.