Rep. Josh Harder

Maddy summaryThis bill, the EMPSA Act (Eliminating the Marriage Penalty in SSI Act), changes Social Security Income (SSI) rules for married adults with intellectual or developmental disabilities. It directly affects married individuals aged 18+ who have these disabilities and meet income and resource limits. The key change removes the "marriage penalty" by ensuring their spouse’s income and resources no longer count against their SSI eligibility or benefit amount, allowing them to receive the full individual benefit rate. This update modifies specific sections of the Social Security Act to eliminate the previous disadvantage faced by married couples under these disability conditions.

Maddy summaryThe Nutrition CARE Act of 2024 expands Medicare Part B coverage to include medical nutrition therapy services for beneficiaries diagnosed with eating disorders. It directly affects Medicare beneficiaries with eating disorders - particularly an estimated 420,500-560,700 Black, Indigenous, and People of Color seniors - by requiring coverage for 13 hours of initial care (including assessment) and 4 hours annually for ongoing management. The bill amends Medicare law to specify that these services must be provided by registered dietitians or nutrition professionals following referrals from physicians or psychologists. Coverage applies to all eating disorders as defined by the DSM-5, addressing a gap where Medicare previously excluded this critical treatment component. This policy change aims to improve access to evidence-based care for a condition linked to high mortality and significant healthcare costs.

Maddy summaryThis bill directs the Architect of the Capitol to create a time capsule for the U.S. Semiquincentennial (250th anniversary of independence). Congressional leadership will determine its contents, including representative materials about the Semiquincentennial, copies of key legislative milestones, and a message to future Congress. The capsule will be sealed on the Capitol's West Lawn by July 4, 2026, and remain unopened until July 4, 2276, when it will be presented to the 244th Congress for their consideration. The bill is procedural and does not affect citizens or change existing laws.

Maddy summaryHR 5819, the COMPLETE Care Act, incentivizes Medicare primary care providers to integrate behavioral health services by increasing payments for specific services (like mental health and substance use disorder support) during 2025-2027. Providers using designated HCPCS codes for integrated care would receive 125-175% of standard payment rates, with the percentage declining annually. The bill also requires these providers to report on integration quality measures and mandates technical assistance for practices adopting integrated models, funded through new appropriations for 2024-2027. It directly affects Medicare-participating primary care practices serving beneficiaries needing mental health or substance use services.

Maddy summaryThis bill clarifies that Medicare must cover external infusion pumps and associated non-self-administrable drugs as durable medical equipment (DME) when specific criteria are met. It directly affects Medicare beneficiaries requiring home infusion therapy for drugs that must be prepared just before use, administered by a healthcare professional, or labeled for external pump use at least monthly. Key provisions require the drug's FDA labeling to specify external pump administration, safe home delivery by qualified suppliers, and preparation/administration requirements. The bill mandates Medicare coverage under existing rules (LCD L33794) for qualifying treatments, effective upon enactment or FDA approval, whichever is later.

Maddy summaryThe Health Insurance Price Transparency Act of 2023 requires most group health plans and health insurance issuers to provide clear, upfront pricing information to consumers. It mandates that plans make cost-sharing details (like deductibles and copayments) available to individuals through user-friendly online tools that provide real-time responses. The bill also requires plans to publicly post detailed rate and payment information, including in-network rates, maximum allowed amounts, and payment details for drugs and services, in machine-readable formats that can be easily compared. These requirements apply to most group health plans (excluding grandfathered plans) and take effect for plan years beginning two years after the law's enactment.

Maddy summaryThis bill prevents Medicare from imposing stricter supervision requirements for outpatient physical therapy and occupational therapy than those established by state law, requiring Medicare to follow existing state regulations instead. It takes effect January 1, 2024, directly affecting Medicare-covered therapy services in all states. Additionally, it mandates a Government Accountability Office study by December 2024 to analyze how Medicare’s 15% payment differential for therapy assistants impacts access to care in rural and underserved areas. The study will examine this payment policy across all Medicare Part B settings.

Maddy summaryThe Physical Therapist Workforce and Patient Access Act of 2023 expands the National Health Service Corps to include physical therapists in its loan repayment program and creates designated "physical therapy health professional target areas" for their assignment in underserved communities. It also amends Medicare to cover physical therapy services provided by physical therapists at Rural Health Clinics and Federally Qualified Health Centers, effective January 1, 2025. This directly affects physical therapists by offering new career pathways in underserved areas and patients in those communities by increasing access to physical therapy services for conditions like pain management and rehabilitation. The bill does not alter existing eligibility requirements for physical therapists but formally integrates their services into key federal healthcare programs.

Maddy summaryThe Train More Doctors Act of 2023 extends the period for certain teaching hospitals to train resident doctors under federal funding rules. Hospitals that started new medical residency programs between 2018 and 2021 and were disrupted by the pandemic will get a two-year extension to their 5-year training cap period. This adjustment allows these hospitals to count more new residents toward their federal funding limit without hitting the cap sooner, helping address doctor shortages. The bill directly affects teaching hospitals that began new residency programs in the specified timeframe and faced pandemic-related challenges.

Maddy summary# Summary of the Farm Workforce Modernization Act of 2023 This comprehensive legislation introduces significant reforms to employment verification and immigration processes in the United States, with particular focus on agricultural workers. Key provisions include: ## Electronic Verification System (Section 301) - Establishes a new electronic verification system (replacing E-Verify) that must confirm identity and employment authorization within 3 business days - Includes photo matching tools, individual monitoring features, and fraud prevention measures - Requires employers to verify employment eligibility through this system ## Agricultural Industry Requirements (Section 302) - Mandates electronic verification for agricultural employers based on business size: * 500+ employees: 6 months after application period * 100-499 employees: 9 months after application period * 20-99 employees: 12 months after application period * 1-19 employees: 15 months after application period - Creates rural access points through USDA offices to assist with verification challenges ## System Modernization (Section 303) - Repeals the E-Verify Program and replaces it with the new verification system - Requires former E-Verify users to transition to the new system ## Compensation for Errors (Section 301) - Establishes an Electronic Verification Compensation Account to reimburse workers for lost wages due to government errors in verification - Includes procedures for contesting non-confirmations and appealing final nonconfirmations ## Additional Protections - Prohibits unfair immigration-related employment practices (e.g., terminating employees due to tentative nonconfirmations) - Creates a new compensation mechanism for workers wrongfully denied employment - Requires employers to provide specific notices to individuals with verification issues This legislation represents a major overhaul of employment verification processes, with special attention to agricultural workers and a focus on reducing errors that could lead to wrongful termination or denied employment. It also includes significant protections for workers against discrimination based on immigration status.