Rep. Carol D. Miller

Maddy summaryThis House concurrent resolution supports designating the week of September 21 through September 25, 2026, as National Falls Prevention Awareness Week to highlight fall risks among adults over age 65. The bill cites statistics showing that falls are a leading cause of injury and death in this demographic, resulting in significant medical costs for Medicare, Medicaid, and private payors. It recognizes the effectiveness of cost-effective prevention strategies such as exercise programs, medication management, and home hazard reduction. Additionally, the resolution encourages federal investments in these programs and acknowledges the collaborative efforts of government agencies, health care providers, and community organizations to reduce fall risks.

Maddy summaryThis bill would require Medicare to cover early detection screening tests for Alzheimer's disease and related dementias starting January 1, 2028. It defines eligible tests as FDA-cleared genomic blood tests, blood product analyses, or equivalent medical imaging methods (like protein expression or whole genome sequencing) that detect pre-symptomatic or early-stage conditions. Medicare beneficiaries would receive this coverage without cost-sharing for these specific screenings. The bill amends Medicare coverage rules to explicitly include these tests under Section 1861(nnn) of the Social Security Act.

Maddy summaryThis bill requires the Congressional Budget Office (CBO) to identify potential budget savings from preventive health care in its scoring of proposed legislation. Specifically, it directs the CBO Director to describe and estimate reductions in future federal spending resulting from preventive health interventions - such as screenings or vaccinations - when requested by congressional budget committee leaders. These savings would be included as supplementary information in budget projections, but not used to meet budget enforcement rules. The bill does not change actual health programs or funding; it only modifies how the CBO accounts for potential long-term savings from preventive care in budget analysis.

Maddy summaryThe Apples to Apples Comparison Act of 2025 requires the Centers for Medicare & Medicaid Services (CMS) to publish detailed Medicare spending data starting in 2025. It mandates that CMS release machine-readable, county- and Metropolitan Statistical Area-level expenditure information for over 30 distinct beneficiary categories (e.g., Part A-only enrollees, Medicare Advantage members, and those with supplemental coverage) on its public website. The law also requires the Medicare Payment Advisory Commission (MedPAC) to analyze Medicare Advantage vs. traditional Medicare spending patterns beginning in 2026, with public methodology and data transparency. Additionally, the Medicare Trustees must include disaggregated expenditure data in their annual reports starting in 2026. This bill directly affects how CMS and federal agencies collect and share Medicare spending data, not beneficiaries' coverage or costs.

Maddy summaryThe BOP Direct-Hire Authority Act allows the Bureau of Prisons (BOP) Director to directly hire qualified candidates for competitive service positions at BOP facilities without following standard federal hiring rules, such as competitive exams or public announcements. This change applies only to BOP facilities and aims to speed up staffing for critical roles. The authority expires once 96% of the competitive positions (as of the bill’s enactment date) are filled. The bill directly affects BOP hiring processes and does not alter existing pay or benefits for positions.

Maddy summaryHR 2004, titled "Tyler’s Law," requires the Secretary of Health and Human Services to study how often hospital emergency departments test for fentanyl during overdose cases (beyond standard drug tests), including associated costs, patient benefits/risks, and impacts on privacy and patient-physician relationships. The study must be completed within one year of the bill's enactment. Based on the study results, the Secretary must issue guidance within six months on whether emergency departments should routinely test for fentanyl, how to inform clinicians about test contents, and how such testing may affect future overdose risks and health outcomes. This bill directly affects hospital emergency departments and patients experiencing overdoses by shaping future testing protocols.

Maddy summaryThis bill requires all new passenger vehicles manufactured for sale in the U.S. to include AM radio as standard equipment (not an optional add-on) by 2027-2028, depending on manufacturer size. It mandates that AM radio receivers must be easily accessible to drivers and allows compliance through digital AM broadcast technology. During a transition period, manufacturers must clearly label vehicles without AM radio but cannot charge extra for this feature. The bill also mandates a GAO study on AM radio's role in emergency alerts and includes a 10-year sunset provision for the rule. It preempts state laws regarding AM radio access in vehicles.

Maddy summaryThe Net Effective Cost Transparency and Prescription Drug Affordability Act of 2026 requires Medicare Part D and Advantage plans to use a standardized public bidding process for pharmacy benefit managers starting in 2028, ensuring that the lowest projected net effective cost is generally selected. The bill mandates that plan sponsors maintain real-time tools to track actual drug costs and escrow funds to refund enrollees if they are overcharged relative to their bids. It also establishes a new five-star rating system for these plans based on how closely actual spending matches projections, with low-performing plans required to notify beneficiaries of alternative options. Additionally, the legislation extends similar transparency requirements to commercial health plans by requiring them to disclose projected net effective costs in their bid submissions.