Rep. Gregory F. Murphy

Maddy summaryThis bill adds Medicare coverage for multi-cancer early detection screening tests (blood or biological tests analyzing cell-free DNA) starting January 1, 2028. It directly affects Medicare beneficiaries aged 68 and older (starting in 2028, with the age limit increasing by 1 year annually), requiring tests to be FDA-cleared and deemed reasonable/necessary by the Secretary for early cancer detection across multiple organ sites. Payment will initially match current stool DNA test rates before 2031, then shift to a lower rate or new payment system after 2031, with limits preventing more than one test per year. The bill explicitly states it does not alter coverage for existing cancer screenings like breast, colorectal, or prostate cancer tests.

Maddy summaryThis bill would require all states to recognize valid concealed carry permits issued by other states, allowing permit holders to carry concealed handguns (excluding machine guns) in any state that either issues such permits or doesn't prohibit concealed carry. It directly affects law-abiding gun owners with valid permits from their home state, ensuring they can carry in states with similar permit systems or no prohibitions. Key provisions include treating valid permit documents as proof of legal carry (reducing officer stops), shifting the burden of proof to prosecutors if challenged, and allowing civil lawsuits for violations with attorney's fee awards. The bill does not override state laws restricting firearms on private property or government land, nor does it affect federal gun restrictions like those in section 922(q).

Maddy summaryThis bill withholds federal grant funding from states or local governments that implement specific policies. It prohibits funding for jurisdictions with laws that substantially limit cash bail for certain serious crimes (like violent offenses or public disorder) or allow felony convicts to be released without bail. It also blocks funding for cities classified as "urbanized areas" that reduced police budgets (unless due to a general budget shortfall). The policy directly affects local governments and states that adopt these specific approaches to criminal justice or law enforcement funding. The bill modifies two existing federal grant programs to enforce these eligibility rules.

Maddy summaryThe SAVES Act (HR 2605) creates a 5-year pilot program where the Department of Veterans Affairs (VA) awards competitive grants to nonprofit organizations to provide service dogs to veterans with specific disabilities. It directly affects veterans with covered conditions like blindness, mobility impairments, PTSD, traumatic brain injury, or other disabilities deemed appropriate for service dog assistance by the VA. Key provisions include: grants capped at $2 million per nonprofit (with $10 million annually authorized), no fees charged to veterans, VA-provided lifetime veterinary insurance for the dogs, and requirements for nonprofits to train veterans and maintain humane animal standards. The program aims to expand access to service dogs as a support tool for veterans managing qualifying disabilities.

Maddy summaryHR 5529, the Fair Housing for Disabled Veterans Act, changes how veteran disability payments are treated when determining eligibility for low-income housing programs. Specifically, it amends the tax code to exclude disability compensation or pension payments (under 38 U.S.C. chapters 11 or 15) from income calculations for low-income housing tax credits and residential rental project bonds. This means disabled veterans applying for these housing assistance programs will not have their disability benefits counted as income, potentially making them eligible for more housing options they otherwise might have been disqualified from. The bill directly affects disabled veterans seeking affordable housing through these federally supported programs.

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryThe Make America's Youth Healthy Again Act of 2025 establishes a new President’s Council on Sports, Fitness, and Nutrition to advise the President on youth health initiatives. The Council, appointed by the President with up to 30 members serving two-year terms, will recommend strategies to reinstate the Presidential Fitness Test, develop school-based physical education programs, expand community sports access, and address childhood obesity as a national security concern. Key provisions include advising on fitness goals for American youth, promoting partnerships with sports organizations, and emphasizing active lifestyles and nutrition. The Council will terminate two years after enactment unless extended by the President. This bill directly affects federal policy coordination for youth fitness programs but does not create new funding or mandate changes to existing laws.

Maddy summaryHR 5483, the Chloe Cole Act, prohibits health care professionals, hospitals, or clinics from providing certain gender-affirming treatments to minors under 18 that aim to alter their body to align with a gender identity different from their sex assigned at birth. This includes puberty blockers, sex hormones, and specific surgeries, unless the treatment falls under narrow exceptions like medically necessary care for disorders of sexual development, injuries, or detransition. The bill creates a private right for affected minors or their guardians to sue providers for damages in federal court, with strict liability for violations. It applies when interstate commerce is involved (e.g., payments, travel, communications) and sets a 25-year statute of limitations from the minor’s 18th birthday.

Maddy summaryThis bill ensures Medicare coverage for new medical devices designated as "breakthrough devices" during a 4-year period after FDA approval. To qualify, devices must meet specific criteria, including FDA priority review, clinical data from Medicare beneficiaries, and a safety review showing benefits outweigh risks. Medicare must finalize coverage decisions within 6 months of manufacturer applications and before the 4-year period ends. The law appropriates $10 million annually (2025-2030) for Medicare to administer this process.

Maddy summaryHRES 711 is a non-binding House resolution honoring victims of Hurricane Helene and expressing support for affected communities in western North Carolina, specifically North Carolina’s 11th Congressional District, one year after the hurricane struck on September 27, 2024. It formally recognizes the storm’s devastation - including loss of life, displaced families, and damaged infrastructure - while extending condolences to victims’ families and gratitude to first responders and recovery efforts. The resolution affirms the House’s commitment to supporting ongoing recovery and encourages federal agencies to collaborate with Congress on rebuilding. As a symbolic gesture with no new policy or funding, it focuses solely on commemoration and solidarity.