Rep. Darin LaHood

Maddy summaryThis bill designates the Route 66 National Historic Trail, covering approximately 2,400 miles from Chicago, Illinois, to Santa Monica, California, along all historical alignments of U.S. Highway 66 (1926-1985). It directs the National Park Service to administer the trail while respecting its unique character, requiring tribal consultation for significant impacts on Native American tribes, and explicitly prohibiting land acquisition beyond 1/4 mile on either side of the trail. The bill clarifies it does not create buffer zones, disrupt energy infrastructure (including pipelines or renewable projects), or designate the trail as part of the National Park System, while affirming existing authority for easements and rights-of-way.

Maddy summaryThe First-Time Homebuyer Affordability Act amends the Internal Revenue Code to exempt qualified mortgage bonds from the federal government's annual volume cap on tax-exempt securities. By removing this limit, the bill allows for a greater issuance of these specific bonds, which are typically used to finance home loans for first-time buyers. This change directly affects financial markets and lenders by enabling them to issue more tax-advantaged debt without being constrained by existing statutory limits. The provision applies to all obligations issued after the date of the Act's enactment.

Maddy summaryHR 7008, the Stop Insider Trading Act, restricts Members of Congress, their spouses, and dependent children from purchasing certain investments like stocks in publicly traded companies. It requires 7-14 days' advance public notice before selling any such investment, including the sale date, description, and number of shares. Exceptions apply for work-related transactions (e.g., employer compensation) and reinvesting dividends. Violations trigger a fee of $2,000 or 10% of the investment’s value (whichever is greater), plus any net gain, paid from personal funds - not congressional allowances or campaign donations. The bill aims to prevent conflicts of interest by increasing transparency around congressional financial dealings.

Maddy summaryThis bill reauthorizes and expands the Accelerating Access to Critical Therapies for ALS Act through 2031, extending funding for research into treatments for amyotrophic lateral sclerosis. It requires drug manufacturers to share interim clinical trial data with the FDA to better assess the progress of investigational drugs and clarifies that phase 3 clinical trial definitions include combined phase 2/3 trials and planned trials not yet enrolling participants. The legislation also mandates the FDA to publish an updated five-year action plan for ALS and other rare neurodegenerative diseases, including resource needs and coordination strategies with broader disease communities. Additionally, the bill requires the Government Accountability Office to submit a report on the program's implementation four years after enactment.

Maddy summaryThe AADAPT Act reauthorizes and expands Project ECHO grants to improve Alzheimer’s and dementia care through technology-enabled training. It specifically funds grants for healthcare providers in rural, frontier, or medically underserved areas to enhance early diagnosis, quality care, and provider retention for dementia patients. The bill authorizes $1 million annually (2027-2032) for these dementia-focused training programs, requiring funds to supplement - not replace - existing resources. This directly supports primary care providers licensed to serve underserved communities, using collaborative online learning to address care gaps.

Maddy summaryThe Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.

Maddy summaryThe Essential Caregivers Act of 2026 requires nursing homes, long-term care hospitals, rehabilitation facilities, and intermediate care facilities to allow two chosen family members or friends to visit residents during times when regular visitation is suspended. These essential caregivers must agree to follow the facility's existing safety and infection control rules, which are no more restrictive than those applied to staff. While facilities can limit access for the first seven days of a suspension or deny entry if a caregiver shows symptoms of a serious infectious disease, they cannot block visits for end-of-life care. Additionally, the bill mandates that complaints about denied access to essential caregivers be investigated and resolved within three days.

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.

Maddy summaryThis bill requires the Medicare program to ensure specific electronic reporting methods (like digital clinical quality measures) are available for Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program from 2025 through 2029. It clarifies that ACOs won’t be penalized for missing data from certain participants if they meet other reporting rules and demonstrate the participant couldn’t collect data via the required digital method. Additionally, it creates a voluntary pilot program (2028-2032) where selected ACOs report only two quality measures digitally instead of all required measures, with special rules about how this data affects performance scoring. The bill directly affects MSSP ACOs and changes their quality reporting requirements and flexibility.

Maddy summaryThe Residential Recovery for Seniors Act expands Medicare coverage to include three specific levels of residential treatment for substance use disorders: clinically managed low-intensity, clinically managed high-intensity, and medically managed services. To qualify for this coverage, facilities must meet strict standards regarding staffing, clinical assessments, and adherence to evidence-based criteria developed by recognized medical associations. The bill also establishes a new payment system that reimburses these facilities on a per-day basis, starting in fiscal year 2027, with rates initially set to cover 100% of their estimated costs.