Rep. Adam Smith

Maddy summaryThe AIR PUMP Act requires airlines to provide nursing crew members (like flight attendants and pilots) with reasonable break time to express breast milk for up to one year after their child's birth, as well as a private, non-bathroom space for this purpose. It specifically excludes breaks during critical flight phases and ensures accommodations won't compromise safety, security, or require significant costs (e.g., aircraft modifications). The bill includes anti-retaliation protections for employees who request accommodations or file complaints, and enforces these requirements through the Department of Labor using existing Fair Labor Standards Act mechanisms. This directly affects airline employees who are nursing parents and their employers, aligning airline workplace policies with federal breastfeeding protections.

Maddy summaryThis bill would designate approximately 1.7 million acres of public land in Utah's Colorado Plateau and Great Basin regions as wilderness areas, protecting them from development while preserving traditional uses by Indigenous communities. It establishes specific wilderness areas across Utah's red rock canyons, including the Great Basin Wilderness Areas, Grand Staircase-Escalante Wilderness Areas, and others, with detailed acreage for each designated zone. The bill includes administrative provisions for managing these areas, such as maintaining existing livestock grazing rights, setting road setbacks to protect wilderness character, and reserving water rights for the wilderness areas. This legislation directly affects how the Bureau of Land Management administers public lands in Utah and defines the boundaries for public use of these designated wilderness areas.

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.

Maddy summaryThe Maternal Vaccination Act amends public health law to specifically target vaccination outreach for pregnant and postpartum individuals and their children, directly affecting public health campaigns and health agencies. It updates existing provisions to include these groups in awareness efforts, requires new activities to increase vaccination rates - particularly among racial and ethnic minority communities - and increases annual funding from $15 million to $17 million for fiscal years 2024-2028. Key mechanisms include revising language in the Public Health Service Act to explicitly cover pregnant/postpartum individuals in campaign descriptions and adding a new requirement (Section 317(k)(1)(E)(vii)) to address vaccination equity. The bill focuses on concrete policy changes to expand access and awareness, not on predicting outcomes.

Maddy summaryThe Kira Johnson Act (HR 3310) provides $100 million annually from 2024-2028 to fund community-based organizations working to improve maternal health outcomes for racial and ethnic minority groups with elevated rates of maternal mortality, severe maternal morbidity, and health disparities. It requires hospitals to establish respectful maternity care compliance programs allowing patients to report racism or bias, and mandates training for all maternity care employees to address bias, racism, and discrimination. The bill also requires annual reports on program effectiveness and studies to evaluate strategies for reducing bias in maternity care settings. These provisions directly affect hospitals, maternity care providers, community-based organizations, and pregnant and postpartum individuals from racial and ethnic minority groups.

Maddy summaryThe Data to Save Moms Act allocates $10 million annually (2024-2028) to help maternal mortality review committees improve community engagement and diversity, with special focus on racial and ethnic minority groups. It requires committees to better document pregnancy-related deaths, consider nonclinical factors affecting maternal health, and collect more detailed demographic data including race, ethnicity, and socioeconomic status. The bill also mandates a comprehensive review of maternal health data collection processes and establishes a study specifically focused on maternal health outcomes for American Indian and Alaska Native individuals. Additionally, it provides grants to minority-serving institutions to research maternal health disparities among racial and ethnic minority groups. These provisions aim to improve data quality, community involvement, and address maternal mortality and severe maternal morbidity.

Social Determinants for Moms Act This bill requires the Department of Health and Human Services (HHS) to establish a task force and a grant program to address social determinants of maternal health. These are nonmedical factors that impact maternal health outcomes, such as transportation, food security, and economic security. The task force, composed of federal and nonfederal stakeholders, must develop strategies and coordinate efforts to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities. Additionally, HHS must award grants to community-based organizations, nonprofits, tribal organizations, public health departments, or consortia of these entities to address social determinants of maternal health and eliminate disparities in maternal health outcomes.

Innovative Maternal Payment and Coverage To Save Moms Act or the IMPACT to Save Moms Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a demonstration program to test alternative payment models under Medicaid and the Children's Health Insurance Program (CHIP) for maternity care. The CMS may consider payment models that include or are designed to address certain areas, such as improved maternal health outcomes for at-risk demographic groups, consideration of social determinants of health, or incorporation of diverse maternity care teams or settings. The CMS must evaluate the program's impact on maternal health outcomes, spending, patient experience, and other relevant areas.

Maddy summaryHR 3304, the Maternal Health Pandemic Response Act, allocates $190 million to improve maternal and infant health outcomes during public health emergencies. It funds CDC programs to collect and analyze racial, ethnic, and demographic data on pregnant and postpartum individuals affected by infectious diseases, requiring public reporting of disaggregated data (by race, ethnicity, and geography) to address health disparities. The bill also establishes a federal task force to develop recommendations for respectful, equitable maternity care during emergencies, including telehealth access, mental health support, and culturally appropriate services. These provisions directly affect pregnant and postpartum people, particularly those from racial and ethnic minority groups facing higher maternal mortality risks.

Maddy summaryThe Protecting Moms and Babies Against Climate Change Act establishes a federal grant program to help communities address climate change risks that affect pregnant people, new mothers, and infants under 3 years old. It allocates $100 million over four years for community-based organizations to provide climate-related health services, including air conditioning, housing assistance, mental health support, and training for health care providers on climate risks. The bill also creates a grant program for health profession schools to integrate climate change education into medical training and establishes a National Institutes of Health research consortium to study climate impacts on maternal health. All grant recipients must address racial and ethnic disparities, collect data by demographic factors, and prevent negative environmental or housing impacts in their initiatives.