Rep. Beth Van Duyne

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 summaryHR 7184, the PRESS Act, targets equipment used to manufacture illegal drugs by making it unlawful to sell specific items like tableting machines, gelatin capsules, or related chemicals when the seller knows the equipment will be used to produce controlled substances for unlawful U.S. importation. It directly affects manufacturers and distributors of these drug-making tools who have knowledge or reasonable cause to believe their products will facilitate illegal drug trafficking. The bill adds new prohibitions to the Controlled Substances Act and increases potential prison sentences for violations, with penalties reaching up to 20 years for major offenses involving large quantities of equipment or chemicals. These changes aim to disrupt the supply chain for illicit synthetic drugs by holding equipment sellers accountable for their intended use.

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.

Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.

Maddy summaryThis bill creates a task force to recover unemployment benefits that were fraudulently issued and are currently held by banks or state agencies. The task force will coordinate with federal and state officials to develop guidelines for identifying these improper payments and establishing a process to return the funds to the government. Additionally, the legislation extends the time limit for prosecuting fraud related to pandemic unemployment benefits from the standard period to ten years after the violation occurred. These changes aim to ensure that misused funds are reclaimed and that authorities have sufficient time to pursue legal action against those who committed fraud during the pandemic.

Maddy summaryHR 5498 requires the Small Business Administration (SBA) to share information about health insurance reimbursement plans (specifically "individual coverage health reimbursement arrangements" or ICHRAs) with small businesses. The SBA must distribute this information through its local offices, small business development centers, and online channels like social media and its website. This bill directly affects small business owners by helping them understand a coverage option where employers reimburse employees for individual health insurance premiums. It focuses on increasing awareness of existing federal health coverage tools, not changing the rules themselves.

This resolution commemorates the one-year anniversary of the enactment of tax relief as part of the 2025 reconciliation act. It also expresses support for tax policies that benefit American families, farmers, seniors, small businesses, and workers.

Maddy summaryHR 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act, requires Veterans Affairs (VA) physicians or nurse practitioners to certify the death of a veteran who dies of natural causes within 48 hours of learning of the death. This directly affects veterans' families, who previously faced delays of up to eight weeks in burial and access to survivor benefits due to slow death certifications. The bill mandates annual reports to Congress on VA compliance with the 48-hour rule, including statistics on delays and their causes. The key change is establishing a strict timeline for death certification to prevent unnecessary delays in honoring veterans' final arrangements.

Maddy summaryThe GRACE for Military Survivors Act extends the deadline for contributing military death benefits to Roth IRAs and Coverdell education savings accounts from one year to three years. This change directly benefits families of service members who receive these death benefits, giving them more time to save for retirement or education. The law applies to benefits received after the bill is enacted and includes a special rule allowing contributions made within a specific window for benefits received between 2001 and the enactment date. By amending the Internal Revenue Code, the bill ensures that eligible funds can be deposited into these tax-advantaged accounts without losing their value due to time limits.

Maddy summaryThis bill, titled the Getting Terrorist Fanatics Out Act of 2026, amends existing immigration laws to allow for the immediate revocation of citizenship for individuals convicted of specific terrorist offenses. It directly affects naturalized U.S. citizens who are found guilty under sections 2339A or 2339B of the United States Code, which relate to providing material support to designated foreign terrorist organizations. Under the new provisions, the court handling the criminal conviction would automatically cancel the person's certificate of naturalization and declare their citizenship void without requiring a separate immigration hearing. The legislation grants criminal courts the authority to make this determination as part of the trial process for the underlying terrorist charges.