Rep. William R. Keating

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 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 resolution expresses support for designating July 10th as Journeyman Lineworkers Recognition Day to honor the workers who maintain the nation's electrical grid. The bill specifically recognizes the dangerous conditions these employees face, such as working at heights near live power lines and responding to disasters like hurricanes and wildfires. It also commemorates Henry Miller, the first president of the International Brotherhood of Electrical Workers, who died on July 10, 1896, while performing his duties. Ultimately, the measure encourages the public to observe this day with reflection on the contributions of lineworkers.

Maddy summaryThis resolution expresses the House of Representatives' support for the goals of Alzheimer's and Brain Awareness Month, which takes place in June. It aims to raise public awareness about Alzheimer's disease and other forms of dementia while encouraging individuals to educate themselves and advocate for better research and care services. The document highlights the significant impact of these conditions on millions of Americans and calls for increased support for patients, their families, and caregivers.

Maddy summaryThe NOPE Act of 2026 expands the congressional review process for U.S. sanctions targeting Russia, specifically adding energy-related actions to the list of measures that require legislative approval. Under this bill, the government must wait for a specific certification from the Secretary of State confirming that Russia has ended its war in Ukraine and committed to a just peace settlement before taking certain actions against Russian crude oil, petroleum products, natural gas, or other energy exports. The legislation also allows for limited exceptions during this review period to permit energy shipments necessary for crew safety, emergency repairs, environmental protection, or urgent economic needs in foreign countries.

Maddy summaryThis resolution is a procedural step that allows the House of Representatives to immediately begin debating a separate bill, H.R. 7016. The underlying bill would ban the use of federal funds for any military invasion of NATO countries and their territories. To ensure the debate happens smoothly, the resolution waives most standard rules and limits discussion to one hour of debate and one motion to recommit. It also specifies how amendments to the bill will be handled during the consideration process.

Maddy summaryThis resolution expresses the House of Representatives' support for designating the fourth Sunday in June as "National Learn to Swim Week" to raise awareness about water safety. The bill highlights statistics from the CDC showing that drowning is a leading cause of unintentional injury death for children and notes that formal swimming lessons can significantly reduce drowning risks. It emphasizes the need to address disparities in swimming skills across different communities and encourages governments and schools to promote access to swimming lessons and integrate water safety education. While the measure does not create new laws or funding, it serves as a formal statement of intent to encourage action on drowning prevention and aquatic safety.

Maddy summaryThis resolution expresses support for designating June as Portuguese National Heritage Month to honor the contributions of Portuguese Americans to the United States. It highlights the community's historical impact in areas such as maritime industries, agriculture, education, and public service, while also noting their role in strengthening transatlantic relations. The measure urges Americans to observe the month with programs that celebrate Portuguese culture and heritage, particularly around the annual Dia de Portugal celebration on June 10.

Maddy summaryThis bill redesignates the existing National Parks and Public Land Legacy Restoration Fund as the America's Legacy Restoration Fund to address deferred maintenance on federal lands. It directs revenue from recreation fees and a portion of energy development income into the fund, which must be used primarily for repairing critical infrastructure like roads, trails, and buildings managed by agencies such as the National Park Service and the Forest Service. The legislation establishes strict rules requiring that most funds go toward non-transportation projects, mandates transparency through public dashboards tracking project status, and sets aside a small percentage for matching private donations. Additionally, the bill increases entrance fees for foreign visitors to ensure they contribute to the fund, while prohibiting the use of these specific funds for land acquisition or employee bonuses.

Maddy summaryThe Pell Grant Preservation and Expansion Act of 2026 aims to increase financial aid for college students by raising the maximum Pell Grant amount to $15,000 by the 2031-2032 award year and ensuring the program is fully funded through mandatory spending rather than annual appropriations. The bill also expands eligibility for students who receive means-tested government benefits by automatically assigning them a lower financial need score, while simultaneously allowing Dreamer students - undocumented immigrants who meet specific criteria such as graduating high school or serving in the military - to qualify for federal aid. Additional provisions restore the total number of semesters a student can receive Pell Grants from 12 to 18 and adjust the rules for satisfactory academic progress to reduce penalties for students who struggle to meet grade requirements. Finally, the legislation restores Pell Grant eligibility for some students who previously received outside scholarships and sets the law's effective date for July 1, 2026.