Rep. Jared Moskowitz

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 Natural Disaster Risk Reinsurance Program Act of 2023 establishes a voluntary federal program administered by the Treasury Department to help insurers avoid insolvency after major natural disasters. It requires participating states to set a pre-set threshold (based on insurance premiums) for covered events like hurricanes or earthquakes; if total insured losses exceed this threshold, the federal government covers the excess through repayable payments. The program directly affects homeowners insurers (covering property/casualty policies for single/multifamily homes) and participating states, which must repay federal funds within 10 years with interest. This aims to maintain market affordability for homeowners insurance by ensuring insurers can cover large-scale disaster claims without collapsing.

Maddy summaryHR 3538, the "No Pay for Congress During Default or Shutdown Act," requires Members of Congress to forfeit one day’s pay for each 24-hour period the government defaults on debt or shuts down due to funding gaps. If the debt limit is reached or a shutdown occurs, their pay is withheld during the crisis and held in escrow until the end of the 118th Congress (2025), after which any withheld funds are released. The bill applies only to the 2023-2025 congressional term and excludes days after the November 2024 election. It directly affects all Senators and Representatives by tying their compensation to avoiding government funding crises.

Ritchie Boys Congressional Gold Medal Act This bill provides for the award of a Congressional Gold Medal to the military intelligence professionals at Camp Ritchie, commonly known as the "Ritchie Boys," in recognition of their contributions to the field of human intelligence and their service during World War II.

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 summaryHR 3409, the Healthy Families Act, requires most employers to provide employees with paid sick leave. Employees earn 1 hour of paid sick time for every 30 hours worked, up to a maximum of 56 hours per year, which can be used for their own illness, caring for family members, or addressing domestic violence, sexual assault, or stalking situations. Smaller employers with fewer than 15 employees can provide unpaid sick leave instead of paid leave. The bill includes protections against retaliation for using sick leave and requires employers to inform employees about their rights under this law.

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 363 is a resolution expressing support for recognizing National Police Week, an annual observance established by law to honor law enforcement officers who have died in the line of duty. The resolution acknowledges 556 officers killed in the line of duty during 2022 and calls for ensuring law enforcement officers have necessary equipment, training, and resources to protect both themselves and the public. It encourages the American public to observe National Police Week by honoring law enforcement personnel and recognizing their essential mission in serving communities across the United States. This resolution does not create new law but formally expresses congressional support for an existing observance.

Maddy summaryHRES 372 is a non-binding House resolution expressing support for designating May 2023 as "Mental Health Awareness Month." It does not create new laws or allocate funds but formally urges the nation to recognize mental health as a priority. The resolution supports reducing stigma around mental illness, expanding access to mental health services, and emphasizing that mental well-being is as important as physical health. It highlights the need for greater awareness and resources, particularly for youth, veterans, and communities of color facing mental health disparities, but does not mandate any specific policy changes.

Maddy summaryHRES 381 is a non-binding House resolution supporting National Fentanyl Awareness Day in 2023. It aims to increase public awareness about the dangers of counterfeit fentanyl pills - fake pills that mimic prescription medications and are linked to over 70,000 overdose deaths in 2021, including 80% of deaths among youth aged 14-23. The resolution encourages existing law enforcement efforts to combat counterfeit pills and acknowledges that only 48% of youth are aware fentanyl is used in these fake pills. It does not create new laws or programs but formally recognizes the need for greater awareness, particularly for young people vulnerable to these deadly substances.