Rep. Pete Aguilar

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 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.

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.

Maddy summaryThe Women's Health Protection Act of 2023 would protect access to abortion services by prohibiting states from imposing restrictions that are more burdensome than those for comparable medical procedures. The bill would ensure people can obtain abortion services before fetal viability without unnecessary limitations like mandatory waiting periods or biased counseling, and after viability when necessary to protect the patient's life or health. It would preempt state laws that conflict with these protections and allow for civil enforcement actions to challenge restrictive state laws. This bill directly affects people seeking abortion services (including transgender and nonbinary individuals who can become pregnant), health care providers, and states that have implemented abortion restrictions.

Maddy summaryHR 2403, the Enhanced Background Checks Act of 2023, modifies federal firearm background check procedures to address delays. It requires firearm licensees to wait at least 10 business days after a prospective buyer submits a petition verifying they are not prohibited from owning firearms before completing a sale, if the background check system hasn't cleared the transaction. The bill also mandates the Attorney General to create an electronic petition form, provide timely responses to petitions, and track delays. Additionally, it requires multiple reports analyzing implementation, transaction delays, denial reasons by state, and potential impacts on domestic violence victim safety, with the first report due within 150 days of enactment.

Maddy summaryThe International Human Rights Defense Act of 2023 creates a permanent Special Envoy at the State Department to coordinate U.S. efforts against discrimination and violence targeting LGBTQI+ people globally. The bill requires the development of an annual global strategy to address criminalization, discrimination, and violence based on sexual orientation, gender identity, or sex characteristics. It also mandates that U.S. country reports on human rights practices include detailed information about laws and practices affecting LGBTQI+ communities. The legislation authorizes U.S. foreign assistance programs to support LGBTQI+ rights through health services, legal protections, and community capacity building. This bill aims to strengthen U.S. diplomatic engagement on LGBTQI+ rights as part of broader human rights policy.

Homeownership for DREAMers Act This bill prohibits federal mortgage providers from limiting insurance eligibility on the basis of the mortgagor's participation in the Deferred Action for Childhood Arrivals Program.

Maddy summaryHR 1831 would award Billie Jean King a Congressional Gold Medal to honor her lifelong advocacy for equal rights in sports and society. The bill directs the Secretary of the Treasury to strike the medal and have it presented by congressional leaders, recognizing her pivotal role in advancing women's equality through tennis (including founding the Women’s Tennis Association and securing equal prize money) and her broader impact on society through initiatives like Title IX advocacy.

Maddy summaryHR 1794 authorizes the minting of commemorative coins to honor the 2028 Los Angeles Olympic and Paralympic Games. It specifies four coin types ($5 gold, $1 silver, half-dollar clad, and proof silver $1) with defined weights, sizes, and mintage limits (e.g., up to 100,000 gold coins). A surcharge is added to each coin sale (e.g., $35 for gold coins), with all surcharge funds directed to the U.S. Olympic and Paralympic Properties to support legacy programs and the Games' operations. The coins must be issued only during 2028 and are legal tender, though the bill focuses solely on commemorative coinage, not policy changes.