Rep. Emily Randall

Maddy summaryThe Daycare Not Detentions Act of 2026 provides additional funding to the Department of Health and Human Services to support child care programs, including the Child Care and Development Block Grant, Head Start, and preschool development grants. These funds are intended to help states and organizations cover necessary expenses for these programs through fiscal year 2029. The bill also rescinds $70 billion in previously allocated money for U.S. Customs and Border Protection and U.S. Immigration and Customs Enforcement that has not yet been spent. Overall, the legislation redirects federal resources toward early childhood education and care rather than immigration enforcement activities.

Maddy summaryThis bill, titled the Ensuring Kids Have Access to Medically Necessary Dental Care Act, modifies the Children's Health Insurance Program to expand dental coverage for low-income children and pregnant women. It mandates that states remove any lifetime or annual dollar limits on dental benefits for eligible participants and requires states to offer dental-only supplemental coverage instead of allowing them to opt out. The changes take effect six months after the law is enacted, ensuring that these specific groups receive consistent access to necessary dental services without financial caps.

Maddy summaryThis bill amends Medicare to cover dental and oral health services for the first time, affecting all current and future Medicare beneficiaries. It defines covered services to include routine cleanings, fillings, extractions, root canals, crowns, dentures, and emergency care. For most individuals, federal payment for these services will gradually increase from 0% to 80% over an eight-year period, while low-income individuals eligible for prescription drug subsidies will receive 80% coverage immediately. The legislation also establishes frequency limits, such as two cleanings and exams per year and a five-year limit on full dentures, and requires the U.S. Preventive Services Task Force to include at least one oral health professional.

Maddy summaryThe Medicaid Dental Benefit Act of 2026 mandates that Medicaid programs cover a range of dental and oral health services for adults starting in 2027, including dentures, implants, and treatments for pain and emergencies. To help states afford this expansion, the bill provides 100 percent federal funding for these specific services for a 12-quarter period beginning in 2027, while allowing states the option to add extra dental benefits if they choose. In addition to expanding coverage, the legislation requires the federal government to develop standardized quality measures to track adult oral health outcomes and report on disparities based on race, ethnicity, and other demographics. The bill also directs the creation of an outreach program to help eligible adults find care and establishes a timeline for a comprehensive report on access barriers and reimbursement issues.

Maddy summaryThe Wildfire Reduction Market Expansion Act of 2026 updates the Clean Air Act to broaden the definition of renewable biomass eligible for carbon credits. It specifically allows materials from forest management, such as slash, storm debris, and wood residuals, to be counted as renewable fuel if they come from sustainably managed lands or public forests designated for fuel reduction. The bill also includes vegetation cleared from defensible space around buildings and from wildfire risk reduction projects in the wildland-urban interface. By clarifying these categories and establishing certification requirements, the legislation aims to increase the supply of biomass available for generating renewable energy credits.

Maddy summaryThe Save MEDICARE Act of 2026 aims to improve the Medicare Advantage program by starting in 2028 with several changes to how health plans are paid and monitored. It requires the government to exclude diagnoses from chart reviews when calculating payments to prevent plans from inflating costs based on questionable data. The bill also speeds up audits and appeals to ensure faster resolution of coding disputes and introduces a new penalty system to recover overpayments from plans. Additionally, the law allows states to enforce Medicare rules within their borders and bans financial incentives for doctors based on how they code patient records. Finally, it establishes a mechanism for the Department of Veterans Affairs to recover costs when Medicare Advantage plans cover care that should have been paid for by the VA.

Maddy summaryThe Family Grocery and Farmer Relief Act aims to break up the highly concentrated meatpacking industry by forcing major companies to divest assets and stop operating in multiple meat categories simultaneously. The Federal Trade Commission is authorized to order these divestitures if market concentration remains too high or if a single firm controls a large share of beef processing, with a specific goal of transferring assets to farmers' cooperatives and small businesses. Additionally, the bill mandates that foreign-owned meatpacking firms divest their U.S. operations and prohibits companies from acquiring new assets in lines of protein they do not already process. To support these changes, the legislation provides funding for new competitors and requires the FTC to actively enforce these rules against firms that fail to comply.

Maddy summaryThe Stop CHEATERS Act directs the Internal Revenue Service to increase its enforcement efforts against high-income individuals and large corporations by allocating billions of dollars in additional funding for tax audits, criminal investigations, and taxpayer services through fiscal year 2031. A significant portion of this funding is designated for modernizing the IRS's technology and business systems to improve its ability to detect fraud and noncompliance. The legislation also requires the IRS Commissioner to submit regular reports to Congress detailing plans to shift auditing resources toward wealthy taxpayers and analyzing how much unpaid tax is owed by different income groups.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.