Rep. Jennifer L. McClellan

Maddy summaryThe SAD Act prohibits crisis pregnancy centers (CPCs) from making deceptive claims about offering abortion services, contraception, or employing licensed medical personnel. It directly affects CPCs nationwide - over 2,500 of which operate under false pretenses, often outnumbering abortion clinics by 3:1 in many states. The Federal Trade Commission (FTC) would enforce this by imposing civil penalties up to $100,000 or 50% of a CPC’s annual revenue for violations. The law requires CPCs to provide accurate information about reproductive health services, aiming to prevent misleading patients from accessing abortion care.

American Innovation and R&D Competitiveness Act of 2023 This bill eliminates the five-year amortization requirement for research and experimental expenditures, thus allowing continued expensing of such expenditures in the taxable years in which they are incurred.

Maddy summaryHRES 269 is a non-binding resolution passed by the U.S. House of Representatives on March 30, 2023. It recognizes the federal government's duty to develop and implement a Transgender Bill of Rights to protect transgender and nonbinary people. The resolution outlines key provisions, including ensuring access to gender-affirming medical care, ending discrimination in employment and housing, and improving legal recognition of gender identity on government documents. It also calls for addressing systemic barriers in education, safety, and economic security faced by transgender and nonbinary individuals.

Maddy summaryHR 2725, the "Do No Harm Act," amends the Religious Freedom Restoration Act (RFRA) to clarify that RFRA does not apply when federal laws protect against discrimination or promote equal opportunity. It specifically exempts protections under the Civil Rights Act, Americans with Disabilities Act, workplace benefits like leave, child labor safeguards, and healthcare access from RFRA challenges. The bill also clarifies that RFRA does not block private lawsuits between individuals, applying only to cases involving government entities. This amendment ensures that existing federal civil rights and workplace protections remain enforceable under RFRA.

Maddy summaryThe Latonya Reeves Freedom Act of 2023 strengthens the Americans with Disabilities Act's requirement that individuals with disabilities receive long-term services and supports in community settings rather than institutions. It defines "community-based" services to include specific housing options where individuals with disabilities can live independently with maximum control over their lives, including access to integrated housing, employment, and community participation. The bill requires states to develop transition plans to move people from institutional settings to community-based services within 12 years, with measurable annual targets for reducing institutionalization. It establishes enforcement mechanisms through the Department of Justice and Department of Health and Human Services to ensure compliance with these requirements.

Maddy summaryThe Puppy Protection Act of 2023 sets new standards for businesses that sell dogs (dealers), directly affecting pet stores and breeders operating under the Animal Welfare Act. It requires specific housing with space allowances based on dog size (e.g., 12-30 square feet per dog), temperature control (45-85°F), clean food twice daily, and daily exercise or socialization with humans/dogs for at least 30 minutes. The bill also mandates annual veterinary exams including dental care, strict breeding limits (e.g., age restrictions, maximum 2 litters in 18 months), and efforts to place retired breeding dogs in homes instead of selling them to other breeders. Regulations must be finalized within 18 months of enactment.

Maddy summaryThis bill allows the Department of Veterans Affairs (VA) to use existing funds more flexibly to assist homeless veterans and veterans in HUD housing programs. It authorizes the VA to provide immediate needs like food, shelter, transportation for appointments, and communication devices (e.g., phones, tablets) to support veterans' stability and health. The law expands how VA funds can be applied beyond traditional housing assistance, focusing on urgent, practical support. It directly affects homeless veterans and those in HUD's housing assistance program by enabling faster, more adaptable aid. The bill amends existing VA law to improve responsiveness to veterans' immediate survival and health needs.

Maddy summaryHR 2630, the Safe Step Act, requires group health plans and health insurance issuers to establish a clear, transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically force patients to try cheaper drugs first before covering more expensive alternatives. The bill mandates that plans must approve exceptions when prior treatments failed, delay would cause serious harm, a treatment is unsafe, or a patient is stable on a previously approved drug, with strict 72-hour (or 24-hour in emergencies) decision timelines. It also requires plans to publish the exception process online and limit documentation requests to only necessary medical information. This law directly affects health insurers, employers offering health plans, and patients using step therapy for prescription drugs.

Maddy summaryThis bill allows Medicaid coverage for incarcerated individuals during the 30 days preceding their release from public institutions. It directly affects people transitioning from prisons or jails back into communities by extending health coverage during this critical period. The key mechanism amends the Social Security Act to remove a Medicaid exclusion for this 30-day window. Additionally, it requires an 18-month report analyzing correctional healthcare standards, current discharge practices, and the potential impact of this coverage extension on post-release health access.

Resident Physician Shortage Reduction Act of 2023 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. Current law provides for an increase of up to 200 positions per fiscal year beginning in FY2023, with a total increase of 1,000 positions; each hospital may receive up to 25 additional positions. Current law also provides for an additional increase of up to 200 positions for FY2026, with at least 100 of these positions for psychiatry or related specialties; each hospital may receive up to 10 additional positions. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2025-FY2031; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.