Rep. Nikki Budzinski

Maddy summaryHR 2439, the Ally’s Act, requires most private health insurance plans to cover hearing-related services and devices for qualifying individuals. It mandates coverage for cochlear implants, bone conduction devices, maintenance, upgrades every five years, hearing assessments, surgery, and rehabilitation, without separate cost-sharing or medical necessity reviews. This directly affects people with hearing loss who need implantable devices, as defined by a physician or audiologist. The law applies to group health plans under the Public Health Service Act, ERISA, and Internal Revenue Code, taking effect for plan years beginning January 1, 2025.

Maddy summaryHR 2434, the Next Generation Fuels Act of 2023, requires automobile manufacturers to design vehicles for model years 2028 and later to operate with gasoline containing up to 25% ethanol (2028-2032) or 30% ethanol (2033+) and to be compatible with gasoline having a research octane number of 95 or higher (2028-2032) or 98 or higher (2033+). Fuel retailers must install equipment to ensure compatibility with these high-octane, high-ethanol fuels, while refiners must meet specific requirements for gasoline aromatics content and low-carbon fuel standards. The bill mandates labeling requirements to inform consumers about fuel compatibility and potential consequences of using lower-octane fuels. EPA must determine nationwide availability of 98 octane gasoline by 2031 before the full requirements take effect in 2033, affecting automobile manufacturers, fuel retailers, and refiners through changes in vehicle design, fuel composition, and consumer information standards.

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 summaryHR 1826 (PSA Screening for HIM Act) requires health insurance plans and issuers to cover prostate cancer screenings without out-of-pocket costs for men aged 40 and over who are at high risk of prostate cancer. This directly affects African-American men and men with a family history of prostate cancer (defined as having a first-degree relative diagnosed with or who died from prostate cancer). The bill mandates coverage for evidence-based screenings under the same requirements as other preventive services, effective for plan years starting January 1, 2024. It aims to address disparities in prostate cancer outcomes by removing financial barriers to early detection for high-risk groups.

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 summaryHR 2532, the Women in NCAA Sports Act, establishes a 16-member Commission to study and compare how the NCAA treats men’s and women’s sports programs. The Commission will examine NCAA operations - including tournament venues, budgets, media contracts, and policies - to identify disparities in treatment across all sports and student-athlete programs. After 18 months, it must submit a report to Congress with findings and recommendations for improving fairness, while avoiding any review of athlete eligibility. The bill directly affects NCAA operations and requires Congress to consider the Commission’s findings for potential policy changes.

Maddy summaryHR 1509 reauthorizes annual federal funding for the Healthy Food Financing Initiative (HFFI), which helps establish grocery stores and healthy food access in underserved communities. The bill mandates increasing annual funding from $25 million in fiscal year 2024 up to $50 million per year starting in 2028. This funding supports projects like new supermarkets in "food desert" areas, directly benefiting residents in low-income neighborhoods with limited grocery options. The initiative provides grants and loans to developers, aiming to improve nutrition access without changing existing program rules.

Precision Agriculture Loan Program Act of 202 3 This bill establishes a loan program within the Farm Service Agency to assist agricultural producers in purchasing precision agriculture equipment and technology, such as geospatial mapping, data management and analytics software, and network connectivity products and solutions. Precision agriculture refers to managing, tracking, or reducing crop or livestock production inputs, including seed, feed, fertilizer, chemicals, water, and time, at a heightened level of spatial and temporal granularity to improve efficiencies, reduce waste, and maintain environmental quality.

Maddy summaryThe PRECISE Act (HR 1459) modifies existing USDA loan and conservation programs to specifically support farmers and ranchers adopting precision agriculture technologies. It expands eligibility for loan guarantees and increases payments under the Environmental Quality Incentives Program (EQIP) and Conservation Stewardship Program (CSP) for practices involving precision agriculture - such as GPS-guided equipment, soil sensors, and data management software. The bill defines "precision agriculture" broadly to include technologies that reduce input use (like fertilizer or water) while improving efficiency, and requires USDA agencies to coordinate on these programs. Directly affects farmers using EQIP/CSP, with special provisions for socially disadvantaged and beginning farmers. It does not create new programs but adjusts existing funding mechanisms to prioritize precision agriculture adoption.