Maddy summaryThe Pay PCPs Act of 2026 authorizes the Secretary of Health and Human Services to implement a hybrid payment model for Medicare primary care providers, combining predictable monthly payments with traditional fee-for-service reimbursements. This new structure aims to fund activities that are currently difficult to bill individually, such as patient communications and team-based care coordination, while allowing providers to opt into the program voluntarily. Additionally, the bill reduces beneficiary out-of-pocket costs by 50% for covered primary care services when patients designate a specific provider as their usual source of care. To support these changes, the legislation appropriates $10 billion over five years and establishes a temporary technical advisory committee to review and improve how Medicare values physician services.
Sponsored bills
Maddy summaryThe PREFERRED Screening Act directs the Secretary of Health and Human Services to implement a seven-year payment model that reimburses healthcare providers for conducting comprehensive breast cancer risk assessments and creating personalized screening plans for Medicare beneficiaries aged 40 to 75. These assessments combine genetic testing, family history, and lifestyle factors to categorize patients by risk level, which then guides specific recommendations for screening frequency, imaging types, and preventive medications. The model prioritizes participation from providers in rural areas, medically underserved communities, and states with high breast cancer mortality rates, while allowing services to be delivered through both in-person visits and remote methods such as mailed genetic testing kits. Throughout the program, the government will evaluate whether this approach changes patient behavior, affects healthcare costs, and improves early detection of breast cancer before deciding if the model should be expanded or made permanent.
Maddy summaryThe RISE Act amends the Higher Education Act to improve support for college students with disabilities. It requires institutions to accept multiple forms of documentation (like high school IEPs or 504 plans) to verify disability status and mandates transparent, accessible processes for determining accommodation eligibility. Colleges must also report specific disability-related data to federal databases, including the number of students receiving accommodations and degree completions. Additionally, the bill authorizes $10 million annually (2027-2031) for a national center providing technical support to students with disabilities, without altering existing ADA definitions or rights.
Maddy summaryThis bill increases the annual contribution limit for certain retirement accounts from $2,500 to $5,000 under the Internal Revenue Code. It applies directly to individuals participating in defined contribution retirement plans (like 401(k)s) who meet basic eligibility requirements, including those not yet enrolled. The key change modifies tax rules to allow higher contributions toward emergency savings within these plans. The amendments take effect for tax years beginning after December 31, 2026. The bill does not create new programs but adjusts existing contribution limits and definitions.
Maddy summaryThis bill amends the Individuals with Disabilities Education Act (IDEA) to formally define dyslexia as a specific learning disability. It adds a clear definition stating dyslexia involves unexpected reading difficulties due to phonological processing challenges, affecting students diagnosed with dyslexia. The bill also requires schools to provide equal access to accommodations and services for all eligible students, specifically including those from low-income families, low socioeconomic backgrounds, and limited English proficiency. These changes ensure dyslexia is explicitly recognized in federal education law and mandate equitable access to support for affected students.
Maddy summaryThe Kids Online Safety Act (S 1748) requires major social media platforms, online video games, and other "covered platforms" to implement specific safety features for minors (under 17). These features include default privacy settings that limit harmful design features like infinite scrolling and auto-play, parental controls for managing minors' accounts, and restrictions on advertising illegal products to minors. The bill also mandates annual transparency reports about how platforms are used by minors and requires platforms to provide clear notices about their content algorithms. It creates a Kids Online Safety Council to advise Congress on online safety issues for children. The law applies to platforms with more than 10 million monthly users in the U.S. and takes effect 18 months after enactment.
Maddy summaryThe Improving CARE for Youth Act amends the Social Security Act to prevent state Medicaid plans from denying payment for mental health or primary care services provided on the same day as a qualifying service. This legislation directly affects individuals receiving Medicaid coverage, particularly those who visit outpatient facilities for both physical and mental health treatments during a single visit. By establishing that states cannot prohibit reimbursement for these concurrent services, the bill ensures that patients are not financially penalized for combining different types of care in one appointment. The measure defines "same-day qualifying services" as primary or mental health visits occurring at the same facility on the same day, regardless of whether the providers are identical.
Maddy summaryThis bill creates a new administrative account for the Railroad Retirement Board to manage funds specifically for its operations and technology upgrades. It establishes strict limits on how much money can be moved into this account between 2027 and 2031, based on a percentage of benefits paid or investment trust amounts, while also setting aside millions of dollars annually for modernizing outdated computer systems. Additionally, the bill requires the Government Accountability Office to produce reports reviewing the Board's efforts to update its legacy IT systems and consult with various stakeholders, including railroads and unions.
Maddy summaryThis bill, known as the State-Based Education Loan Awareness Act, clarifies that state-run student loan programs are not subject to certain federal rules about preferred lender arrangements. It directly affects state agencies, nonprofit organizations, and other entities that offer private student loans without federal government backing. The legislation defines these state programs by requiring that they offer interest rates and fees at least as favorable as federal Direct PLUS loans and that borrowers are informed about federal loan options before taking out private loans. By making this exclusion explicit, the bill ensures state programs operate under different regulatory requirements than federally backed lending arrangements.
Maddy summaryS 3097, the Health Information Privacy Reform Act, updates privacy rules for health data by requiring new federal regulations that harmonize with existing HIPAA and HITECH standards. It directly affects healthcare providers, insurers, and technology companies handling health information by mandating clearer privacy rules, stricter breach notifications, and new requirements for patient access to records. Key provisions include requiring written consent for selling health data, banning HIPAA protections for wellness app data (like step counts), and clarifying when health data can be shared without patient permission. The bill also establishes standardized rules for de-identifying health data and requires companies to notify patients if their health data is no longer protected under HIPAA. These changes aim to strengthen patient control over health information while aligning with modern data practices.