Rep. Jason Crow

Maddy summaryThis bill requires sponsors of NIH-funded or NIH-approved clinical trials (for drugs, devices, biological products, or behavioral interventions) to set specific, measurable goals for recruiting participants reflecting race, ethnicity, age, and sex - either based on disease prevalence or the U.S. population. Key mechanisms include mandating detailed plans for achieving these goals, annual reporting of demographic data (without personally identifiable information), and strategies to reduce participation barriers like virtual visits or flexible scheduling. It also requires training for researchers on diversity and health inequities, and establishes a remediation process if goals aren’t met. The law aims to improve representation in clinical trials to ensure medical research better serves all patient groups.

Maddy summaryHR 3420, the My Body, My Data Act of 2023, restricts how companies can handle reproductive and sexual health data - such as pregnancy details, contraceptive use, or abortion-related information - by requiring them to collect only what’s necessary for requested services and limiting employee access. It gives individuals the right to access, correct, or delete their data, see which third parties received it, and get clear privacy policies explaining data practices. The Federal Trade Commission enforces the law, with penalties for violations including $100-$1,000 per violation per day, and bans retaliation for exercising these rights. The law applies to companies (like health apps or insurers) but excludes HIPAA-covered healthcare providers and entities subject to existing federal health privacy rules.

Support, Treatment, and Overdose Prevention of Fentanyl Overdoses Act of 2023 or the STOP Fentanyl Overdoses Act of 2023 This bill addresses data collection, treatment, harm reduction, and other issues related to substance misuse and addiction. It particularly focuses on opioids, fentanyl, and related substances. Specifically, the bill expands surveillance of fentanyl and related substances. This includes requiring a study on how to track overdoses by type of drug (including fentanyl) and awarding grants to states for collecting data about fentanyl-involved overdoses. The bill also provides for (1) training on detecting and handling fentanyl for law enforcement, and (2) grants for forensic laboratories to facilitate surveillance of controlled substances seized by law enforcement. Additionally, the bill establishes and modifies requirements to increase access to treatment and prevention services. For example, the Bureau of Prisons must make certain services, including medication-assisted treatments, available to individuals in its custody. The bill also establishes grants and requires other efforts to expand access to medications that temporarily reverse opioid overdoses (e.g., naloxone) and related harm reduction activities. Furthermore, the bill extends, subject to some conditions, liability protections for those who administer aid in an emergency (commonly known as Good Samaritan laws) to individuals who administer opioid overdose reversal drugs and to individuals who seek medical attention for themselves or on behalf of another for a drug overdose. The bill also requires multiple reports, including a report by the Department of State on foreign sources of certain drugs.

Maddy summary# Comprehensive Summary: Maternal Health and Vaccination Legislation This proposed legislation establishes a comprehensive framework to improve maternal health outcomes across multiple dimensions, with a strong focus on equity and addressing systemic disparities. The bill is organized into 13 titles covering various aspects of maternal health care. ## Key Focus Areas 1. **Maternal Health Equity**: The legislation emphasizes reducing racial and ethnic disparities in maternal health outcomes, with specific provisions targeting communities of color and underserved populations. 2. **Incarcerated Mothers**: Includes provisions to end shackling of pregnant individuals in correctional facilities and establishes programs for maternal health care in prisons and jails. 3. **Technology and Telehealth**: Creates grant programs for telehealth models, technology-enabled collaborative learning, and digital tools to improve access to maternal care. 4. **Climate Change Impact**: Addresses how climate change affects maternal and infant health, with a focus on vulnerable populations. 5. **Public Health Emergencies**: Establishes protocols for maternal care during public health crises like pandemics. 6. **Vaccinations**: Expands maternal vaccination awareness and equity campaigns. ## Major Provisions **Maternal Vaccination Campaign (Title XIII)**: - Expands awareness campaigns to specifically target pregnant and postpartum individuals - Allocates $17 million annually (2024-2028) for vaccination outreach - Includes specific efforts to increase vaccination rates among racial/ethnic minority groups **Technology and Telehealth (Titles IX)**: - $6 million annually for technology-enabled collaborative learning models - $6 million annually for digital tools to promote equity in maternal health - Creates a demonstration project for alternative payment models in maternal care **Climate Change and Maternal Health (Title XII)**: - $100 million for a grant program to protect vulnerable mothers and babies from climate change risks - $5 million for education and training at health profession schools - Establishes a National Institutes of Health Consortium on Birth and Climate Change Research **Incarcerated Mothers (Title VIII)**: - Requires 25% grant reduction for states that don't restrict restraints on pregnant incarcerated individuals - Establishes model programs in Bureau of Prisons facilities for pregnant and postpartum incarcerated individuals - $10 million annually for State and local prison and jail programs **Public Health Emergency Response (Title XI)**: - $100 million for data collection on maternal health during public health emergencies - $30 million for expanding maternal mortality reviews - $45 million for Pregnancy Risk Assessment Monitoring System (PRAMS) - $15 million for research on public health emergencies' impact on maternal health ## Cross-Cutting Themes - **Equity Focus**: Nearly every provision includes specific measures to address racial and ethnic disparities - **Data Collection**: Strong emphasis on collecting and analyzing demographic data - **Community Involvement**: Requires input from community-based organizations and affected populations - **Interagency Coordination**: Mandates collaboration between multiple federal agencies - **Long-Term Investment**: All funding is allocated for 5-year periods (2024-2028) The legislation represents a comprehensive, multi-faceted approach to improving maternal health outcomes in the United States, with particular attention to vulnerable populations and systemic barriers that contribute to poor maternal health outcomes.

Maddy summaryThis bill establishes federal standards for labor-management cooperation between public safety employers (state and local governments) and public safety workers (law enforcement officers, firefighters, and emergency medical services personnel). It requires the Federal Labor Relations Authority to determine if states substantially provide rights like collective bargaining, union representation, and binding arbitration for these workers. States found lacking would need to follow federal bargaining procedures after a two-year transition period or following the next legislative session. The bill explicitly respects existing state laws that provide comparable or better rights to public safety workers. It also prohibits strikes or work stoppages that would disrupt emergency services.

Maddy summaryHR 3537 authorizes the minting of commemorative coins to mark the 100th anniversary of the U.S. Foreign Service, established by the 1924 Rogers Act. The bill specifies three coin types ($5 gold, $1 silver, and half-dollar clad) with limited mintage (50,000 gold, 400,000 silver, 750,000 half-dollars) to be issued in 2025, featuring designs honoring diplomatic history. A surcharge on each coin sale ($35 for gold, $10 for silver, $5 for half-dollars) will fund the Association for Diplomatic Studies and Training (ADST) to support its oral history program and diplomatic preservation efforts. The coins will be legal tender, sold at cost-plus-surcharge, with all revenue directed to ADST per the bill's provisions.

Maddy summaryHR 3392, the Fighter Force Preservation and Recapitalization Act of 2023, requires the Air National Guard to maintain at least 25 fighter squadrons (each with a minimum of 18 aircraft) by mandating one-for-one replacement of existing squadrons by 2034. The bill directs the Air Force Secretary to develop and submit a recapitalization plan to Congress within 120 days of enactment, including modernizing squadrons and fielding new "Next Generation Air Dominance" systems. This directly affects the Air National Guard's fighter force structure, setting specific numerical requirements for aircraft and squadrons. The law allows limited waivers for extraordinary circumstances but maintains the core 2034 deadline for full recapitalization.

Maddy summaryHR 3416, the Youth Workforce Readiness Act of 2023, funds after-school and summer programs for youth aged 6-18 (including those in underserved communities) to build job skills and career pathways. It requires grants to community-based organizations partnering with employers, schools, and local agencies to provide career exploration, mentorship, work-based learning, and job training aligned with local industry needs. The program must track outcomes like school attendance, skill development, and job placement, with $100 million authorized annually for 2024-2028. It directly affects youth, community organizations, and local workforce boards through structured, measurable workforce readiness services.

Maddy summaryHRES 81 is a non-binding resolution passed by the U.S. House of Representatives urging the President to support creating an international Special Tribunal to prosecute Russia’s leaders for the crime of aggression against Ukraine. It specifically references Russia’s 2022 full-scale invasion as a violation of UN Charter principles and General Assembly Resolution 3314, which defines aggression as unlawful military force against a sovereign state. The resolution calls for the President to take all available measures to advance this tribunal, emphasizing Ukraine’s sovereignty and the need to hold Russian officials accountable for war crimes. It does not create the tribunal itself but seeks U.S. diplomatic support for its establishment.

Maddy summaryHRES 397 is a symbolic resolution expressing Congress's approval for the 50th anniversary celebration of U.S. Vietnam War prisoners of war (POWs) returning home in 1973. It directly recognizes the service and sacrifices of the approximately 766 U.S. military personnel captured during the war, including those who died in captivity. The resolution endorses the May 2023 event at the Richard Nixon Presidential Library in California, which commemorated the POW homecoming under the Paris Peace Accords. It has no funding or policy implications, serving solely as a ceremonial acknowledgment of historical events.