Rep. Patrick Ryan

Maddy summaryThis bill creates a new visa category for temporary workers in mobile entertainment, such as carnival and circus staff who travel across the U.S. It directly affects carnival operators, seasonal workers, and food/concession vendors at fairs and festivals. The key provision requires Department of Labor certification to ensure U.S. workers are not displaced and that hiring foreign workers won’t lower wages or working conditions. It defines "mobile entertainment provider" to include traveling carnivals, circuses, and affiliated seasonal services like food concessions at local events.

Maddy summaryHR 1637 establishes a Medicare pilot program called the Dementia Care Management Model to improve care for beneficiaries with Alzheimer's disease or related dementia. It requires participating providers to offer comprehensive services - including continuous monitoring, personalized care plans, medication management, and caregiver support - while excluding hospice care. Payments are made monthly based on patient needs (with pathways for uncomplicated vs. complex cases) and include quality-based bonuses, with no cost-sharing for beneficiaries. The model tests whether this approach improves health outcomes, care quality, and caregiver support while reducing Medicare spending, targeting Medicare beneficiaries not in nursing homes or hospice who meet specific diagnosis and enrollment criteria.

Maddy summaryHR 1613, the Drug Price Transparency in Medicaid Act of 2023, requires Medicaid programs to mandate pass-through pricing for covered outpatient drugs. This means pharmacy benefit managers (PBMs) and managed care entities must pay pharmacies directly for the drug's ingredient cost plus a fixed dispensing fee, eliminating "spread pricing" where PBMs keep profits from the difference between what they pay pharmacies and what Medicaid reimburses. The bill also establishes a national survey of retail pharmacy drug prices to determine average acquisition costs, requiring participating pharmacies to report pricing data to states. These changes apply to Medicaid contracts entered into or renewed 18 months after the bill's enactment, affecting states, PBMs, managed care organizations, and community pharmacies.

Maddy summaryThe Military Food Security Act of 2023 amends federal law to exclude the basic allowance for housing (BAH) from the gross household income calculation for eligible military members when determining eligibility for food assistance programs. This change directly affects active-duty service members and their families who rely on programs like the Supplemental Nutrition Assistance Program (SNAP). The key provision removes BAH from income calculations, meaning housing payments will no longer reduce a military household's eligibility for food benefits. This adjustment aims to improve access to nutrition assistance for military families by ensuring their housing allowance isn't counted as income. The bill focuses solely on modifying a calculation method, with no new funding or benefits created.

Maddy summaryHR 1716, the Global Aircraft Maintenance Safety Improvement Act, requires U.S. airlines to annually report detailed information about heavy maintenance work performed outside the U.S. on their aircraft, including locations, work descriptions, and any safety issues identified after maintenance. It prohibits U.S. airlines from entering new contracts for such maintenance with repair stations in countries classified by the FAA as "Category 2" due to safety deficiencies. The bill also mandates that mechanics and supervisors at foreign repair stations performing heavy maintenance on U.S. aircraft must hold appropriate FAA certifications. Additionally, it establishes a working group with international aviation authorities to review and recommend improvements for overseeing foreign repair stations.

Maddy summaryThe Office of Gun Violence Prevention Act of 2023 establishes a new office within the Department of Justice to coordinate federal efforts on gun violence prevention. The office, led by a Director appointed by the Attorney General, will evaluate existing programs, identify data gaps, and make evidence-based policy recommendations to Congress and the President. It will work with an advisory council including DOJ officials and external members like gun violence survivors, community service providers, and public health experts. The office must produce an annual report to Congress on gun violence trends and policy recommendations, and the bill authorizes funding to support these activities.

Maddy summaryThis bill establishes the Agent Orange Veterans Service Medal, a commemorative award for veterans who receive compensation under 38 U.S.C. §§ 1116 or 1116A (for health conditions linked to Agent Orange exposure). The Secretary of Defense must design and issue the medal upon request by eligible veterans or their next-of-kin if the veteran has passed away. Veterans must apply through a process created by the Department of Defense to receive the medal, which serves solely as a symbolic recognition of service. The bill does not alter existing benefits or create new entitlements.

Maddy summaryThe AI for National Security Act amends the National Defense Authorization Act to require the Department of Defense to consider specific artificial intelligence-based cybersecurity tools during procurement. It mandates that the DoD evaluate AI-powered endpoint security systems capable of preventing cyber attacks without constant internet connectivity, and also requires consideration of software supply chain security enhancements. These changes directly affect the Department of Defense's purchasing process and the companies supplying cyber security products to military operations. The bill updates existing procurement rules to prioritize these security features in defense contracting.

Maddy summaryHR 1723, the Abortion is Health Care Everywhere Act of 2023, amends the Foreign Assistance Act to remove restrictions on using U.S. foreign aid funds for abortion services. It explicitly allows U.S. foreign assistance programs to fund comprehensive reproductive health care, including abortion services, training, and equipment. This change directly affects U.S. international health programs and recipient countries, enabling them to integrate safe abortion care into broader reproductive health services. The bill aims to align U.S. policy with global health guidelines by making abortion services a standard part of reproductive health care funded through foreign assistance.

Maddy summaryThe Railway Safety Act of 2023 establishes new safety requirements for trains transporting hazardous materials, including advance notification to emergency response agencies and restrictions on blocked crossings. It mandates minimum 2-person crews for most freight trains (with specific exceptions for low-risk operations), requires rail carriers to install and maintain wayside defect detectors on tracks carrying hazardous materials, and increases civil penalties for violations based on a percentage of annual income rather than fixed amounts. The bill also sets a phase-out schedule for older DOT-111 tank cars by May 2025 and authorizes research into safer tank car designs. These provisions directly affect rail carriers, shippers of hazardous materials, and emergency response agencies responsible for planning and response.