Rep. Beth Van Duyne

Access to Prescription Digital Therapeutics Act of 2025 This bill provides for Medicare and Medicaid coverage of prescription digital therapeutics (i.e., software applications that are used to prevent, manage, or treat medical conditions). The Centers for Medicare & Medicaid Services must establish a Medicare payment methodology for payments to manufacturers that takes into account certain factors (e.g., ongoing use); manufacturers must report specified information about private payors, subject to civil penalties.

Maddy summaryHR 3277, the Ensuring Lasting Smiles Act, requires group health plans and health insurance issuers to cover medically necessary outpatient and inpatient treatments for congenital anomalies or birth defects primarily affecting the eyes, ears, teeth, mouth, or jaw. This includes reconstructive procedures, dental/orthodontic support during treatment, and follow-up care, but excludes purely cosmetic surgery not tied to a medical diagnosis. Cost-sharing (like copays) for these services must not be stricter than for other medical benefits. The law takes effect for plan years beginning January 1, 2026, and mandates insurers to provide notice about this coverage to beneficiaries.

Maddy summaryThis bill clarifies liability for payroll tax errors when third-party payroll services (like professional employer organizations) rely on employer certifications. It allows these services to depend on employer-provided information unless they knew or should have known of an error. If an error is discovered, the employer bears full liability unless the third party had "constructive knowledge" of the error, in which case liability is shared based on the portion of the error the third party knew about. The bill also prevents the IRS from delaying payroll tax credits or auditing employers solely because a third party relied on an erroneous certification from that employer. It directly affects third-party payroll services and the businesses that use their services for tax filings.

Maddy summaryHR 976, the "1071 Repeal to Protect Small Business Lending Act," would repeal data collection and reporting requirements for small business loans under Section 704B of the Equal Credit Opportunity Act. This specifically removes the mandate for financial institutions - especially community banks and credit unions - to track and submit loan data by business characteristics like race or gender. The bill aims to reduce compliance costs for lenders, which its findings argue limit small business access to credit. The repeal would eliminate these reporting obligations and remove references to the requirement from related federal laws.

Maddy summaryThe ACES Act (HR 530) mandates a study by the National Academies to examine cancer rates and deaths among veterans who served as aircrew members (e.g., pilots, navigators) in fixed-wing military aircraft. The study will identify potential exposure risks (like chemicals) linked to 12 specific cancers (including brain, lung, prostate, and melanoma) and use VA, DoD, and CDC data to analyze prevalence and mortality. It does not change benefits or laws but requires a final report to the VA and congressional committees. The study directly affects veterans with the defined aircrew service history.

Maddy summaryHR 3134, the Emergency Care Improvement Act, allows Medicare and Medicaid to reimburse freestanding emergency centers (FECs) for specific emergency services. The bill defines FECs as 24/7 facilities meeting state emergency care standards, with physician staffing, hospital referral agreements, and quality programs - currently operating in over 118 locations, primarily in Texas. It amends coverage rules to include FECs under Medicare Part B and Medicaid for "specified emergency services" (excluding certain evaluation codes), sets payment rates based on outpatient department standards, and extends EMTALA emergency care laws to cover these centers. This policy change directly affects FECs and Medicare/Medicaid beneficiaries by enabling reimbursement for emergency care previously excluded from coverage.

Maddy summaryHR 2968 prohibits the Small Business Administration (SBA) from using its programs or funds to assist with voter registration. It requires all SBA contracts to include terms banning recipients from using assistance for voter registration and prevents state or local governments receiving SBA funds from doing so. The bill directly affects SBA operations and its grant recipients, including state agencies, by restricting how federal funds can be utilized. It does not create new programs but limits the SBA’s existing authority to avoid involvement in voter registration activities.

Maddy summaryThis bill requires most private health insurance plans to cover diagnostic and supplemental breast exams with no out-of-pocket costs (like deductibles or copays) for enrolled patients. It specifically covers exams used to evaluate abnormalities found in screenings (diagnostic) or for high-risk screening without abnormalities (supplemental), based on medical guidelines. Plans can still require prior authorization for these exams, and state laws offering stronger protections remain in effect. The rule takes effect for plan years starting January 1, 2026.

Maddy summaryHR 3033, the "Protecting the Mailing of Firearms Act," repeals a federal law (18 U.S.C. §1715) that previously prohibited mailing firearms and related items. This bill directly affects firearm sellers, buyers, and the U.S. Postal Service by removing the ban on mailing firearms, ammunition, and components. It also prohibits the Postmaster General from creating rules that would block firearm mailings or require disclosure of sales receipts, transaction records, or firearm serial numbers. The law takes effect immediately for pending cases and prevents new restrictions on firearm shipping through the postal system.

Maddy summaryHR 3028, the Duty Drawback Clarification Act, clarifies tariff classifications for whisky imports by updating the Harmonized Tariff Schedule. It replaces a general whisky tariff code with specific subheadings based on whisky type (Irish/Scotch, Bourbon, Rye, or "other") and container size (under or over 4 liters), adding 8 new statistical suffixes. This change directly affects whisky importers and U.S. Customs officials by standardizing how these products are classified for duty-free entry (as indicated by "Free" in the tariff). The new classifications take effect 15 days after the bill's enactment.