Maddy summaryThis bill prohibits Medicare from paying for orthotics or prosthetics delivered directly to patients without in-person training from a qualified provider (a "drop shipment"), ensuring beneficiaries receive proper fitting and use instructions. It expands the list of healthcare providers who can prescribe these devices to include physical therapists, occupational therapists, orthotists, and prosthetists. The bill also specifically requires Medicare to cover replacements for custom-fitted orthotics and custom-fabricated orthotic devices, aligning with existing rules for prosthetic replacements. These changes aim to improve patient safety and access to properly fitted devices under Medicare.
Rep. Nathaniel Moran
Sponsored bills
Maddy summaryThis bill prohibits the District of Columbia government from establishing new sister city relationships with jurisdictions in countries designated as "foreign adversaries" under federal law. It requires the District to terminate any existing sister city relationships with such countries within 180 days of the law's enactment or according to the existing agreement's terms. The District must also certify compliance with this law to receive federal funds for diplomatic liaison and outreach services. The bill directly affects the District's international partnerships and its use of federal funding for diplomatic activities.
Maddy summaryHR 1919, the "Anti-CBDC Surveillance State Act," prohibits the Federal Reserve from developing, testing, or issuing any central bank digital currency (CBDC) or similar digital assets. It specifically bans the Fed from offering direct financial products to individuals, maintaining individual accounts, or issuing CBDCs directly or indirectly through intermediaries like banks. The bill also blocks the Fed from using any digital asset for monetary policy and clarifies that physical currency's privacy protections remain intact. This policy directly affects the Federal Reserve System's ability to create or manage digital monetary tools.
Maddy summaryHR 4454, the SOIL Act of 2025, prohibits China, Iran, North Korea, and Russia (or entities controlled by them) from buying or leasing property within 10 miles of designated sensitive sites. These sites include U.S. military installations, ports, government facilities, and any property that could enable foreign intelligence gathering or expose national security activities to surveillance. The bill amends the Defense Production Act to create this restriction, effective upon enactment, and requires the Committee to notify Congress of any violations. It directly affects foreign entities from the specified countries seeking to acquire property near these defined national security locations.
Maddy summaryThe SHIELD Act would change unemployment benefit eligibility by barring workers from receiving regular unemployment compensation if they are unemployed due to a strike or labor dispute they are participating in, financially supporting, or have a direct interest in (excluding lockouts). This rule would require states to adjust their unemployment programs to deny benefits in such cases. The changes would take effect two years after the bill becomes law, though states could choose to implement them sooner. The bill also repeals a federal tax provision related to unemployment tax rates, but this is a secondary provision.
Maddy summaryHR 4474, the Equal Shot Act of 2025, prohibits the Small Business Administration (SBA) from denying financial assistance - such as loans or guarantees - to firearm businesses solely because of their industry. It directly affects firearm manufacturers, distributors, trade associations, and affiliated entities like shooting ranges or training providers. The bill requires the SBA to treat these applicants equally under existing law, removing any policy that would block them based on their connection to firearms. This is a concrete policy change ensuring firearm-related businesses have the same access to SBA programs as other eligible applicants.
Maddy summaryThis resolution (HRES 583) condemns the July 7, 2025, attack on a U.S. Border Patrol facility in McAllen, Texas, where Ryan Louis Mosqueda injured agents and police. It expresses support for the affected personnel, wishes them a full recovery, and reaffirms the House’s backing of Border Patrol officers in their border security mission. The resolution directly addresses the McAllen community and Border Patrol staff impacted by the violence, serving as a symbolic statement of solidarity without creating new laws or policies.
Maddy summaryHR 4382 authorizes the U.S. Mint to produce commemorative coins for the 2028 Los Angeles Olympics/Paralympics and 2034 Salt Lake City Winter Olympics/Paralympics. It specifies gold, silver, and half-dollar coin designs with defined mintage limits (e.g., up to 100,000 $5 gold coins for each event), all bearing inscriptions like "2028" or "2034" and standard coin features. A surcharge ($5-$50 per coin) is added to sales, with all funds directed to the respective Olympic committees to support event hosting and legacy programs like youth sports. The bill ensures no net cost to the government by requiring surcharge revenues to cover all design, production, and marketing expenses before funds are disbursed.
Maddy summaryHRES 570 is a House resolution commending Petty Officer 3rd Class Scott Ruskan for rescuing 165 people during catastrophic July 2025 flooding in central Texas. The resolution honors Ruskan, a Coast Guard Aviation Survival Technician from Air Station Corpus Christi, for his role as the sole triage coordinator during the disaster. It recognizes his "exceptional courage" and "selflessness" in saving lives during the Guadalupe River flooding that caused extensive damage and loss of life. As a ceremonial resolution, it does not create new laws or policies but formally expresses the House's gratitude for Ruskan's service.
Maddy summaryThis bill requires drug manufacturers to pay rebates to Medicare when their "selected drugs" (cancer and complex therapies subject to negotiated maximum fair prices) are used. Manufacturers must calculate rebates based on the difference between current Medicare payment rates (ASP+6) and new negotiated rates (MFP+6), covering the gap for beneficiaries. This lowers patient coinsurance from the current 20% of ASP+6 to 20% of MFP+6 for these specific drugs during the negotiated price period. The rebates are paid to the Medicare trust fund and apply to Medicare Part B beneficiaries using these drugs, directly affecting drug manufacturers and patients covered under Medicare Part B.