Rep. Marie Gluesenkamp Perez

Maddy summaryThe VA Same-Day Scheduling Act of 2023 requires the Department of Veterans Affairs to schedule appointments for enrolled veterans during the same phone call when they request care. This applies to veterans enrolled in the VA healthcare system who contact the VA by phone to request appointments. The law mandates that the VA must complete the scheduling during the call - without delay or future scheduling - regardless of the appointment date. The requirement takes effect 120 days after the bill is enacted.

Maddy summaryThe Optimizing Postpartum Outcomes Act of 2023 requires the Health and Human Services Secretary to issue guidance within one year on covering pelvic health services (like pelvic floor exams and physical therapy) during the postpartum period under Medicaid and CHIP programs. This guidance will include best practices for payment models, financing options, and standardized terminology to improve access for postpartum women. It also mandates a GAO study on coverage gaps for postpartum services and funds a new CDC-led education campaign to train healthcare providers and inform postpartum women about pelvic health care. The bill directly affects postpartum women enrolled in Medicaid or CHIP, aiming to standardize and expand access to these specific health services.

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.

Maddy summaryThis bill requires the Census Bureau to create a new separate category in the Current Population Survey for "Postsecondary Nondegree Awardees" within one year of enactment. It directly affects individuals who hold a high school diploma plus a recognized non-degree credential (like a trade certificate), but not an associate or bachelor's degree, by changing how their educational attainment is tracked. The key mechanism is mandating this specific data category to better measure vocational education outcomes. This change impacts how workforce data is collected and reported, not the vocational programs themselves.

Helping Kids Cope Act This bill establishes programs within the Health Resources and Services Administration (HRSA) to support pediatric behavioral health care. Specifically, HRSA must award grants, contracts, or cooperative agreements to eligible health care providers for (1) integrating and coordinating pediatric behavioral health care within communities, and (2) pediatric mental health and substance use disorder workforce training. Additionally, HRSA must award grants, contracts, or cooperative agreements to hospitals or rural health clinics that predominately treat individuals under age 21 for expanding their capacity to provide pediatric behavioral health services. Recipients may use awards for constructing or modernizing sites of care and enhancing digital infrastructure, telehealth capabilities, or other improvements to patient care infrastructure.

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 summaryHR 1839, the Combating Illicit Xylazine Act, makes the illicit use and distribution of xylazine a federal crime by adding it to the Controlled Substances Act. The bill broadly defines xylazine to cover numerous chemical variants and prohibits human use or non-licit distribution, while preserving legitimate veterinary and pharmaceutical uses. It requires tracking xylazine in drug supply chains and mandates two reports to Congress within 1 and 4 years on its prevalence, sources, and whether it should be rescheduled. The bill directly affects individuals distributing or using xylazine illicitly, including as an additive to drugs like fentanyl, and aims to address its public health risks. Congress declared illicit xylazine an "emerging drug threat" under existing law.

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 summaryThis proposed constitutional amendment would limit Senators to serving two consecutive terms and Representatives to five consecutive terms. After reaching these limits, members could not run for re-election until one year after their term ended. The amendment excludes terms served to fill vacancies lasting under three years for Senators or one year for Representatives when counting consecutive terms. If ratified by 38 states within seven years, it would become part of the Constitution, requiring Congress to adjust election rules for future terms.

Supporting Our First Responders Act This bill establishes a competitive grant program to support medical transport and emergency medical services (EMS). The Department of Health and Human Services (HHS) must award the grants to EMS organizations (including for-profit organizations) or state, tribal, territorial, or local governments. Grant-funded activities include (1) providing salaries and stipends for EMS workers; (2) purchasing vehicles, personal protective equipment, and other resources; and (3) establishing community paramedicine or mobile integrated health care initiatives. HHS must also report to Congress about health insurance reimbursement for medical transport and EMS and the feasibility of establishing a federal EMS office.