Rep. Ryan Mackenzie

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs. Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any). The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.

Maddy summaryHR 1269, the Honoring Our Fallen Heroes Act of 2025, expands benefits for public safety officers (like police and firefighters) who develop certain cancers linked to their work. It adds 22 specific cancers - including lung, mesothelioma, and breast cancer - to the list of conditions presumed to be "exposure-related" and sustained in the line of duty. This presumption applies if the officer served at least 5 years, was diagnosed with the cancer within 15 years after last active duty, and the cancer directly caused death or permanent disability. The bill also establishes a process for adding new cancers every 3 years based on medical evidence from agencies like NIOSH, and allows claims to be filed within 3 years of the law's enactment.

Security And Fairness Enhancement for America Act of 2025 or SAFE for America Act of 2025 This bill eliminates the diversity visa program. This program provides up to 55,000 visas annually to individuals from countries with low rates of immigration to the United States.

Maddy summaryHR 1189, the National Plan for Epilepsy Act, creates a coordinated federal strategy to address epilepsy through a National Plan for Epilepsy. The plan requires the Secretary of Health and Human Services to establish an annual assessment, maintain a diverse Advisory Council (including people with epilepsy, caregivers, and experts), and coordinate research and care across federal agencies. Key provisions include annual progress reports to Congress, data sharing between agencies, and recommendations to improve diagnosis, treatment access, and reduce epilepsy-related disparities. The plan expires December 31, 2035, and directly affects the estimated 3.4 million people in the U.S. living with epilepsy and their caregivers.

Maddy summaryThe PREEMIE Reauthorization Act of 2025 extends federal research funding for preterm birth prevention and care through fiscal years 2025-2029, replacing the prior 2019-2023 period. It requires the HHS Secretary to establish an interagency working group within 18 months and mandates a National Academies study on preterm birth costs, risk factors, and prevention strategies. The study must assess neonatal intensive care costs, long-term family expenses, and opportunities for early detection and support. It also analyzes targeted research for at-risk pregnancies, state program best practices, and precision medicine approaches starting in pregnancy. This bill directly affects preterm infants, their families, and federal health agencies through these research and coordination mechanisms.

Maddy summaryThe CARGO Act of 2025 prohibits the National Institutes of Health (NIH) from funding any research involving live animals conducted outside the United States. It directly affects foreign organizations and researchers who previously received NIH grants for animal research abroad, including projects funded under the $2.2 billion in grants from 2011-2021. The key provision amends the Public Health Service Act to ban NIH support for such overseas research, requiring all animal research funded by the NIH to occur within the U.S. (including territories and the District of Columbia). This change aims to address concerns about inadequate oversight of animal welfare in foreign labs where self-reported data may be inaccurate.

Protect Our Letter Carriers Act of 2025 This bill requires or authorizes certain actions related to the U.S. Postal Service (USPS). The bill requires the Department of Justice to appoint an assistant U.S. attorney in each judicial district to coordinate and supervise the investigation and prosecution of various crimes related to postal services (for example, assault on a postal service employee, breaking into a post office, or obstruction of mails). The bill also requires the U.S. Sentencing Commission to amend sentencing guidelines to provide that the assault or robbery of a postal employee shall be treated the same as the assault of a law enforcement officer. Additionally, the bill authorizes appropriations for the USPS to install high security collection boxes and replace older versions of the universal mailbox key with electronic versions.

Maddy summaryHR 1046, the Marc Fischer Memorial Act, requires the Bureau of Prisons to implement digital mail scanning technology at all federal prisons to detect fentanyl and other synthetic drugs in inmate mail. It mandates a strategy within 90 days of an evaluation, including 100% scanning of all mail, digital copies of mail to inmates within 24 hours, and physical mail delivery within 30 days for non-contaminated items. The bill directly affects federal prison staff, inmates, and the Bureau of Prisons by aiming to reduce drug-related overdoses and alleviate staff workload tied to mail processing. Implementation must be completed within three years, with annual reports tracking detected drugs and strategy efficiency. The legislation focuses on concrete technological and procedural changes to enhance safety, referencing a successful pilot program at two facilities.

Maddy summaryHR 1102 establishes a commission to study the feasibility of creating a National Museum of Italian American History and Culture in Washington, D.C. The commission, composed of 8 members appointed by congressional leaders, will examine factors like location options, costs, fundraising potential, and impacts on existing museums, and must report back within 18 months. It will not create the museum itself but will develop recommendations for Congress on whether to proceed, with all funding coming from private sources - no federal funds may be used for the commission’s work. The bill focuses solely on the study process, not on building or operating the museum.

Maddy summaryThis bill reauthorizes the Dr. Lorna Breen Health Care Provider Protection Act, extending mental health support programs for healthcare professionals through 2030 (previously ending in 2024). It requires funded programs to specifically address reducing administrative burdens on healthcare workers while continuing to promote access to mental health and substance use disorder services. The legislation directly affects healthcare providers across the U.S. who may access these federally supported resources. Key provisions include extending funding periods and mandating that grant recipients focus on easing workplace administrative tasks, alongside maintaining existing awareness initiatives. The bill does not create new programs but continues and refines existing mental health support for the healthcare workforce.