Rep. Andy Harris

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 7651, the Chloe Cole Act of 2026, prohibits healthcare providers from performing certain medical interventions on minors under 18 aimed at altering physical development to align with gender identity. These "covered interventions" include puberty blockers, hormone treatments, and specific surgeries, but exclude medically necessary care for conditions like disorders of sexual development or traumatic injuries. The bill creates a federal civil lawsuit right for affected minors or their parents against providers who perform such interventions, allowing claims for damages including emotional distress and punitive awards, with strict liability for providers after the law's enactment. It explicitly allows exceptions for legitimate medical treatments and requires providers to prove such exceptions apply if challenged.

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 summaryThe Secure the Border Act of 2026 mandates the immediate resumption of border wall construction along the U.S.-Mexico border, requiring the Department of Homeland Security to build at least 900 miles of physical barriers and deploy advanced surveillance technology. The bill significantly restricts asylum eligibility by barring applicants who transit through third countries without seeking protection there, tightening definitions for "particular social group" claims, and imposing new fees on applications. It also directs federal agencies to reopen specific immigration detention facilities that were closed after January 2021 and requires the mandatory return of certain non-citizens to contiguous foreign territories if they cannot be detained or removed. Additionally, the legislation expands penalties for visa overstays, mandates monthly public reporting of border encounter statistics, and prohibits the use of federal funds for processing individuals entering between ports of entry.

Maddy summaryThis bill, titled the Permanent Trump Secure Border Act, aims to strengthen border security and reform immigration enforcement by directing the Department of Homeland Security to resume and complete the construction of a physical border wall, expand the use of surveillance technology, and increase staffing levels for Border Patrol agents. It also imposes stricter rules on asylum eligibility and employment authorization for applicants, mandates the reopening of specific immigration detention facilities, and requires the return of individuals arriving from contiguous foreign countries to those nations while their claims are processed. Additionally, the legislation expands penalties for visa overstays, limits the use of certain digital tools like the CBP One app, and includes provisions to reduce funding for organizations that facilitate illegal entry or provide services to inadmissible aliens.

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 summaryThis bill proposes a constitutional amendment to repeal the Seventeenth Amendment, which currently mandates the direct election of U.S. Senators by the public. If ratified by conventions in three-fourths of the states, the change would restore the original system where state legislatures select Senators. The proposal includes a provision to protect the terms of any Senators currently serving, ensuring their positions remain unaffected by the transition. This measure directly impacts the method of choosing Senators and would alter the balance of power between the federal government and state legislatures.

Maddy summaryThis bill, titled the Ban Abortion by Mail Act, aims to restrict how abortion medications like mifepristone are prescribed by requiring an in-person visit between the patient and the doctor. It directly affects health care providers who are currently certified by the FDA to dispense these drugs, threatening their certification status if they prescribe them without a physical examination or to patients living in states where the provider lacks a medical license. The legislation mandates that the FDA report annually to Congress on any providers who lose this certification due to violations or unsafe prescribing practices. By enforcing these specific conditions, the bill seeks to ensure that all prescriptions for abortion drugs are administered under strict supervision and within the legal boundaries of the patient's state.

Repealing Big Brother Overreach Act This bill repeals the Corporate Transparency Act. The act requires existing companies and newly created companies to report beneficial ownership information to the Department of the Treasury’s Financial Crimes Enforcement Network for purposes of addressing the financing of terrorism and money laundering.