Maddy summaryHR 483 delays the requirement for Accountable Care Organizations (ACOs) to switch from CMS Web Interface reporting to electronic Clinical Quality Metrics (eCQMs) until January 1, 2030. It creates a pilot program starting in 2026 to test digital reporting methods with participating ACOs, exempting them from eCQM rules during the pilot while preserving their eligibility for incentive payments. ACOs may continue using existing reporting methods (like CMS Web Interface or MIPS CQMs) until 2030, with no penalties for non-compliance during the transition period. The bill also mandates the development of standardized digital reporting standards by 2030, requiring collaboration with healthcare stakeholders. This directly affects ACOs and their participants who report quality measures under Medicare programs.
Sponsored bills
Maddy summaryThis bill updates Medicaid rules to clarify how states handle payments when other insurance providers (like employer plans) are responsible for covering medical costs. It requires states to verify if Medicaid patients have other insurance coverage before paying for services, and mandates that state contracts with health insurers (including managed care plans) specify whether the insurer handles third-party billing or transfers that responsibility to the state. These changes apply to new contracts after January 1, 2026, and states must document insurance status to maintain federal funding for those cases. The bill does not change Medicaid eligibility but adjusts administrative processes for billing and recovery.
Maddy summaryHR 506, the "Security First Act," allocates $110 million annually (2025-2028) for border security grants to state/local law enforcement through the Operation Stonegarden program, funded by a new trust fund using seized monetary instruments at the border. It requires the State Department to assess whether major Mexican cartels (like Sinaloa and Jalisco New Generation) and gangs (like Tren de Aragua) meet criteria for foreign terrorist organization designation. The bill mandates a detailed technology needs analysis by DHS within one year, evaluating border security tech gaps, new surveillance systems, and infrastructure to address threats like drug trafficking and human smuggling. This analysis must be updated biannually and includes assessing privacy impacts, staffing needs, and coordination with Mexican law enforcement.
This joint resolution recognizes the sacrifice of veterans of the Vietnam War and commends them for their sacrifice to the United States. The joint resolution also urges the President to formally acknowledge the widespread mistreatment of such veterans as part of the ongoing Vietnam War Commemoration and issue a formal apology to the veterans and their families. Additionally, the joint resolution expresses urgent support for increased education to better reflect the sacrifice and treatment of Vietnam veterans.
Maddy summaryHR 418 requires federal agencies to have rules created under standard rulemaking procedures signed by a Senate-confirmed appointee or initiated by a senior agency official. This affects all agencies developing regulations, mandating that such rules follow specific leadership approval steps unless the agency head certifies public safety or security concerns require an exception. Agencies seeking to bypass this requirement must submit written justification to OIRA (Office of Information and Regulatory Affairs) and publish it in the Federal Register. OIRA will monitor compliance with these procedural requirements, which change the process for rulemaking without altering the substance of regulations.
Maddy summaryHR 404, the "Hearing Protection Act," reclassifies firearm silencers (devices that reduce gunfire noise) as firearms for federal tax and regulatory purposes. It imposes a 10% federal tax on silencers, requires the destruction of all existing federal silencer registration records within one year, and preempts state laws that tax or regulate silencers. The bill clarifies that silencers are treated as firearms under federal law, including for licensing and marking requirements, and defines "firearm silencer" to include specific components. Note: The bill’s title is misleading - it addresses firearm silencer regulation, not hearing protection for people.
Maddy summaryHR 450, the FORCE Act, prevents the U.S. government from removing Cuba from the State Sponsors of Terrorism list. It requires the President to make a specific determination under the 1996 LIBERTAD Act before Cuba can be removed. The bill directly affects Cuba's international designation status and U.S. foreign policy actions toward the country. It does not change existing law but blocks any removal until the specified determination is made. The provision applies to both the President and the Secretary of State.
Maddy summaryHR 424, the State Border Security Reimbursement Act of 2025, requires the federal government to reimburse states that spent over $2.5 billion on border security since 2014. It directly affects states like Texas, which has allocated over $3.2 billion for border security since 2008-2009 due to federal inaction. States meeting the spending threshold must submit expense reports within 180 days of the bill's enactment, and the federal government must reimburse these costs within one year of submission. The bill aims to address the financial burden on states that have funded border security efforts primarily the federal government's responsibility.
Maddy summaryHR 28, the *Protection of Women and Girls in Sports Act of 2025*, amends Title IX to prohibit federally funded schools from allowing male-identified individuals (based on biological sex at birth) to compete on women’s or girls’ sports teams. It explicitly states that such participation would violate federal civil rights law, with exceptions only for training/practice that doesn’t displace female athletes from roster spots, competitions, scholarships, or other benefits. The bill mandates a Comptroller General study to define "other benefits" lost by girls when males compete in single-sex sports, including impacts on psychological well-being, scholarship access, and safe participation environments. This bill directly affects all athletic programs receiving federal funding, requiring compliance with its biological-sex-based eligibility rules.
Maddy summaryHR 377, the Regulation Reduction Act of 2025, requires federal agencies to repeal three existing rules before issuing new ones that impose costs or responsibilities on businesses, state/local governments, or individuals. For major new rules, agencies must also certify that the new rule’s cost does not exceed the cost of the repealed rules. Agencies must publish all repealed rules in the Federal Register and submit a 90-day review to Congress identifying costly, ineffective, duplicative, or outdated regulations. This bill directly affects how federal agencies develop new rules, aiming to reduce regulatory burden by mandating rule removal before new rule creation.