Rep. Becca Balint

Maddy summaryHR 3548, the Pursuing Equity in Mental Health Act, aims to reduce mental health disparities for racial and ethnic minority groups by directing federal funding and policy changes. It increases annual grants for primary/behavioral health services to $60 million in 2023 and $80 million yearly through 2029, prioritizing entities serving minority communities. The bill requires the NIH to study mental health disparities within 9 months and mandates new training for mental health professionals (including social work and psychiatry) on culturally appropriate care. Additionally, it funds a $15 million annual outreach strategy to combat stigma and improve access to care, requiring materials tailored to cultural and language needs of minority groups.

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 summaryThis bill requires that AM radio receivers be included as standard equipment in all new motor vehicles (such as cars and trucks) sold in the United States, with a rule to be issued by the Department of Transportation within one year. The rule must ensure AM radio is easily accessible on the dashboard and allows manufacturers to use digital AM radio technology instead of traditional AM. During the one-year period between the bill's enactment and the rule's effective date, manufacturers must clearly label vehicles without AM radio. The bill also directs a study to evaluate whether an alternative system could deliver emergency alerts as reliably as AM radio across the country, especially during crises.

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 summaryThe Keeping All Students Safe Act prohibits the use of "unlawful" seclusion and restraint in schools, including physical restraint that's life-threatening, contraindicated for a student's disability, or not properly trained for. It requires schools to use less restrictive interventions first, mandates training for school personnel in crisis intervention, and establishes reporting requirements for restraint incidents, including immediate parent notification and annual public reporting. The bill prohibits using physical restraint as a planned intervention in student education plans and requires states to submit compliance plans with data on restraint incidents disaggregated by race, disability status, and other factors. It applies to public schools and programs receiving federal funding, but does not affect private schools not receiving federal funds or home schools.

Maddy summaryThe CERTS Tax Exemption Act (HR 3510) exempts certain grants received by transportation service providers from federal taxation under the Coronavirus Economic Relief for Transportation Services Act. It directly affects eligible transportation providers who receive these specific grants by excluding the grant amounts from their gross income and preventing related tax deductions or basis adjustments from being denied. Key provisions ensure that for partnerships and S corporations, excluded grant amounts are treated as tax-exempt income, and partner basis increases align with grant-funded costs. This creates a clear tax treatment for these grants without altering the underlying grant program.

Maddy summaryThis bill directs the Department of Homeland Security to create a threat assessment on how terrorists and foreign actors use cyber harassment - including doxing - to threaten individuals. The assessment must detail tactics, notable incidents, and risk indicators for law enforcement, while coordinating with privacy offices. It requires DHS to share the report with Congress within 180 days and publish it online, with state/local law enforcement receiving it via fusion centers. The bill does not create new laws or penalties but focuses on information gathering about existing threats. (Procedural bill; summary limited to key action and scope.)

Maddy summaryHCONRES 44 is a non-binding congressional resolution urging the creation of a U.S. Commission on Truth, Racial Healing, and Transformation. It does not establish the commission itself but calls for its formation to acknowledge historical injustices against Black, Indigenous, and other people of color - including systemic discrimination in housing, Social Security, the GI Bill, and land policies - and to address ongoing racial inequities. The resolution emphasizes the need to dismantle the "belief in a hierarchy of human value" and promote racial healing as a national priority. It complements ongoing efforts like H.R. 40 (a bill to study reparations) but does not create new legal requirements or funding.