Rep. Mike Bost

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 Diesel Engine Flexibility Act establishes a ten-year regulatory stability period for diesel engines used in on-road vehicles, non-road equipment, and heavy-duty trucks. During this time, the Environmental Protection Agency is prohibited from issuing new or stricter emission standards beyond the 2007 and 2010 rules for on-road vehicles, or the Tier 4 rules for non-road engines, unless specific exceptions for repairs or fraud enforcement apply. After the decade concludes, any new regulations must include a five-year delay before taking effect and must consider the financial and operational impacts on vehicle owners and manufacturers. The bill also provides legal protection for manufacturers using specific guidance documents to manage engine performance and monitor fluid quality without facing penalties.

Maddy summaryHR 3194, the LOCOMOTIVES Act, prevents states from setting their own emissions standards for locomotives used in interstate commerce. It amends the Clean Air Act to clarify that federal emissions rules exclusively apply to locomotives providing common carrier railroad transportation for hire (like commercial freight or passenger services across state lines), excluding these from state regulation. This directly affects railroads operating interstate services and state environmental agencies that previously could establish stricter local rules for such locomotives. The bill does not change the actual emissions requirements but shifts regulatory authority solely to the federal government for this specific category of locomotives.

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 prohibits federal funding under the Elementary and Secondary Education Act for any program, activity, literature, or material provided to children under 18 that includes "sexually oriented material," defined as depictions of explicit conduct or content involving gender dysphoria or transgenderism. It exempts standard science courses (like biology and anatomy), religious texts, and specific "classic" works of literature and art listed in designated references (e.g., *Great Books of the Western World* and Smarthistory guides). The law directly affects federally funded K-12 educational programs, restricting how school districts can use federal dollars for curriculum materials. It does not ban teaching about human anatomy, art history, or literature, as those are explicitly excluded from the definition of prohibited material.

Maddy summaryThe Residential Recovery for Seniors Act expands Medicare coverage to include three specific levels of residential treatment for substance use disorders: clinically managed low-intensity, clinically managed high-intensity, and medically managed services. To qualify for this coverage, facilities must meet strict standards regarding staffing, clinical assessments, and adherence to evidence-based criteria developed by recognized medical associations. The bill also establishes a new payment system that reimburses these facilities on a per-day basis, starting in fiscal year 2027, with rates initially set to cover 100% of their estimated costs.

Maddy summaryThe Securing Agriculture's Workforce Act of 2026 modernizes the H-2A visa program by transferring administrative authority to the Department of Homeland Security and introducing a unified online platform to streamline applications for employers and workers. Key provisions include establishing new housing standards with mandatory inspections, creating a system for staggered worker entry and exit, and allowing workers to transfer between employers without losing their status. The bill also defines specific job classifications for wage calculations, expands the scope of covered agricultural activities, and provides legal protections for employers who document the employment of workers seeking visa status. Additionally, it requires agencies to develop a heat illness prevention plan and allows for contract termination due to natural disasters.

Maddy summaryThe Veterans STAND Act requires the Department of Veterans Affairs to provide annual preventative health assessments to veterans with spinal cord injuries or disorders. These assessments cover risks for health complications, chronic pain management, dietary needs, prosthetic equipment, and access to assistive technologies like spinal cord neuromodulation devices. The VA must consult with medical specialists and device manufacturers when creating guidelines and submit yearly reports to Congress on veterans' use of these services and devices. This policy directly affects veterans with spinal cord injuries by ensuring regular, tailored health evaluations to improve long-term management and independence.

Maddy summaryThe End EPA Abuse Act of 2026 amends the Clean Air Act to limit the Environmental Protection Agency's authority to create new regulations. Specifically, it prohibits the EPA Administrator from issuing rules that restrict the sale or use of internal combustion engine vehicles, force power plants to switch fuel sources, or reduce the reliability of the electric grid. The bill also bars the agency from mandating technologies that are commercially unavailable, too expensive without subsidies, or technically unfeasible due to geographic or infrastructure limitations. Additionally, the law prevents the EPA from expanding its regulatory power beyond what Congress originally intended. These changes directly affect the EPA's ability to enforce environmental standards and impact industries such as automotive manufacturing and energy production.