Rep. Zoe Lofgren

Maddy summaryThe Community Housing Act of 2024 significantly increases federal investment in affordable housing through major funding boosts, including $44.5 billion for the Housing Trust Fund and $1.5 billion for the Capital Magnet Fund over the next decade. It repeals the Faircloth amendment, which had limited public housing construction since 1992, allowing public housing authorities to build new units without the previous cap. The bill establishes a permanent emergency rental assistance program providing $3 billion annually through 2029 to help low-income households with rent payments and creates the Unlocking Possibilities program to fund local efforts to streamline housing regulations and reduce zoning barriers. These provisions directly affect low- and moderate-income households, community land trusts, and rural communities facing housing insecurity and affordability challenges.

Maddy summaryThe "You Earned It, You Keep It Act" (HR 7084) establishes a $250,000 annual income threshold for Social Security taxes. Income above this threshold will no longer be subject to Social Security taxes but will still count toward Social Security benefits. This affects high earners who would have paid Social Security taxes on income above the current wage base. The bill also includes special rules for workers with multiple employers and applies to calendar years after 2024.

Maddy summaryHR 6790 establishes National Institutes of Health centers to advance research, early detection, and public awareness of rare kidney diseases, with a focus on rural and underserved communities. It mandates a federal study on genetic testing barriers, treatment patterns, and public awareness for rare kidney diseases affecting disproportionately impacted populations, including barriers to insurance coverage and access to specialists. The bill also funds nephrology training programs to increase specialists serving these communities and requires experiments to delay or prevent the need for dialysis and transplants. Total funding of $7 million is authorized for fiscal years 2024-2028 to support these research, education, and early intervention efforts.

Maddy summaryThe Preserving Seniors’ Access to Physicians Act of 2023 increases the Medicare payment adjustment rate for physicians from 1.25% to 4.62%, directly affecting doctors who treat Medicare patients (primarily seniors). It also reduces the funding for the Medicaid improvement fund from $5,796,117,810 to $3,973,117,810. These changes impact Medicare providers and Medicaid programs, with the Medicare adjustment aimed at supporting physicians adjusting to payment changes. The bill does not specify how the Medicaid funding reduction relates to its stated goal of preserving seniors' access to physicians.

Maddy summaryThe Marriage Equality for Disabled Adults Act removes a rule requiring disabled adult children to remain unmarried to receive Social Security benefits. It ensures married disabled adult children, or their spouses, can maintain eligibility for Social Security Disability Insurance and Medicaid without losing benefits due to marriage. The bill changes how income and resources are counted, so a spouse's income and resources are no longer deemed against the disabled adult child for benefit calculations. It also requires states to preserve Medicaid eligibility for these individuals at the same level as if they were unmarried.

Maddy summaryThe FOREST Act of 2023 prohibits U.S. imports of products made from commodities (palm oil, soybeans, cocoa, cattle, and rubber) produced on land where illegal deforestation occurred after the law's enactment. Importers must file declarations demonstrating they've assessed supply chain risks of illegal deforestation, with stricter requirements for products from countries identified in action plans. The law establishes a process to identify countries without adequate deforestation protections and requires them to develop action plans with specific benchmarks for compliance. It creates a fund using import penalty revenue to provide foreign assistance to help countries eliminate illegal deforestation and includes procurement preferences for federal contracts with suppliers demonstrating deforestation-free supply chains.

Maddy summaryThis bill adds audiology services to Medicare's covered benefits under Section 1861(s)(2)(KK), effective January 1, 2025. It allows qualified audiologists to provide hearing and balance assessments and diagnostic/treatment services without requiring a physician referral or supervision, directly affecting Medicare beneficiaries seeking these services and audiologists practicing under state law. Payment will be 80% of the lower of actual charge or the Medicare fee schedule. The bill does not expand the types of audiology services covered but changes how they are accessed and paid for under Medicare.

Maddy summaryHR 6407, the Medical Nutrition Therapy Act of 2023, expands Medicare coverage to include medical nutrition therapy for more chronic conditions beyond current limits. It directly affects Medicare beneficiaries with conditions like obesity, hypertension, dyslipidemia, eating disorders, and others not previously covered under Part B. The bill amends Medicare rules to allow coverage for prevention, management, or treatment of these conditions by a wider range of providers, including registered dietitians and clinical psychologists. This change would make medically necessary nutrition services available for conditions listed in the bill, such as diabetes, cardiovascular disease, and HIV, as determined by the Secretary.

Maddy summaryThis bill updates Medicare physician payment rules to improve stability and accuracy. It raises the budget neutrality threshold from $20 million (pre-2025) to $53 million in 2025, with annual indexing after 2026, to prevent excessive payment adjustments. The bill requires the Medicare program to correct budget neutrality payments based on actual service utilization data (not estimates) starting in 2025, and mandates updating direct cost inputs (like staff wages and equipment prices) every 5 years. It also caps annual changes to the physician payment conversion factor at 2.5% to limit sudden payment shifts, directly affecting Medicare physicians and healthcare providers receiving these payments.

Maddy summaryThe Ejiao Act of 2023 prohibits the import, export, transportation, sale, or purchase of donkeys, donkey hides, and products containing ejiao (a gelatin made from donkey skin) within U.S. borders. It directly affects U.S. businesses and consumers involved in trading these items, aiming to reduce global demand driving the slaughter of millions of donkeys - particularly harming communities in Africa and Latin America that rely on donkeys for farming, transportation, and livelihoods. Key mechanisms include civil penalties of up to $10,000 per violation, criminal penalties for severe breaches (including fines and imprisonment), and mandatory forfeiture of violative goods. The bill is grounded in congressional findings that the donkey skin trade has caused population collapses (e.g., 76% decline in China since 1992) and devastating social impacts on impoverished families.