Rep. James Gallagher

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 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 bill, known as the Doug LaMalfa Sacramento River Basin Water Security and Reliability Act of 2026, aims to improve water management and environmental health in California's Sacramento River Basin by extending deadlines and funding specific restoration efforts. It extends the timeline for completing feasibility studies for federal water storage projects until 2041 and authorizes the federal government to contribute up to 50 percent of the costs for operating and maintaining state-led storage projects that provide public benefits like flood control and ecosystem improvements. The legislation also allocates $500 million over ten years for habitat restoration, fish passage improvements, and scientific monitoring to support endangered species such as Chinook salmon and steelhead trout. Additionally, the bill establishes a new Federal Leadership Committee to coordinate between various government agencies and state partners to accelerate the implementation of water and habitat projects. Finally, it allows water sellers to keep revenue from temporary water transfers to invest in dam safety, drought resilience, or extraordinary maintenance, provided unused funds are returned to the federal reclamation fund after a decade.

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 summaryThe Stop Lawmakers From Predicting Act prohibits Members of Congress, their spouses, and their dependent children from trading on prediction markets regarding government policies, actions, political outcomes, or any events related to their congressional duties. This restriction applies to any purchase, sale, or agreement dependent on these specific outcomes while the individual is in federal service. If a covered individual violates these rules, they must pay a fee equal to the greater of $2,000 or 10% of the transaction value, plus any net profit made from the trade. The law also forbids paying these penalties using personal allowances, campaign funds, or other official accounts, and it requires the supervising ethics office to issue guidance on how to interpret the new restrictions.

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 Hydropower Licensing Affordability Act amends the Federal Power Act to modify how federal licenses for hydropower projects are issued. Specifically, it requires that license conditions include measures to reasonably mitigate direct adverse effects on federal reservations and fish populations within applicable river systems. These changes aim to ensure that new or existing hydropower projects address environmental impacts on protected lands and aquatic species before a license is granted. The bill directly affects hydropower project developers and federal agencies responsible for licensing and environmental oversight.

Maddy summaryThe Rural Grants Transparency Act requires the U.S. Department of Agriculture to create clear, plain-language guides for rural development grant programs, helping small towns and nonprofits better understand eligibility and application steps. The bill mandates that these guides be updated every 90 days and include specific details like evaluation criteria, common reasons for rejection, and contact information for local offices. Additionally, the law ensures applicants receive standardized notifications about their application status and, if denied, a plain-language explanation of why their request was rejected along with advice for future submissions. To further increase openness, the Secretary must publish a searchable database of all awarded grants and release detailed scoring factors for competitive programs. These changes are designed to improve access to funding without requiring new money or altering existing program rules.

Maddy summaryThe HOME for Foster Youth Act expands housing assistance eligibility for former foster youth by increasing the time limit to receive support from 90 days to 180 days after leaving care. It also clarifies that funds from Education and Training Vouchers are not counted as income when determining eligibility for rental assistance. Additionally, the bill requires the Department of Housing and Urban Development and the Department of Health and Human Services to coordinate efforts to modernize programs and improve access to housing and supportive services for this population.

Maddy summaryThis bill extends the Rural Community Hospital Demonstration Program by an additional five years, allowing rural hospitals to continue receiving Medicare payment adjustments designed to help them compete with larger health systems. The legislation amends existing federal laws to change the program's timeline from a 15-year extension to a 20-year extension, ensuring these financial incentives remain in place for a longer period. It also includes specific rules for hospitals that joined the program later, ensuring they receive the same extended benefits during the final years of the new timeframe. The primary effect is to maintain current funding mechanisms for participating rural hospitals without altering the core rules of the demonstration.