Rep. Terri A. Sewell

Maddy summaryThis bill directs the Joint Committee of Congress on the Library to obtain a statue of Shirley Chisholm and place it permanently in the U.S. Capitol within two years of enactment. It authorizes the Architect of the Capitol to handle the agreement for the statue under the Committee's terms, with necessary funding approved as needed. The bill does not change laws or affect specific people or groups; it is a procedural measure to honor Shirley Chisholm, the first Black woman elected to Congress, through a permanent Capitol display.

Maddy summaryHR 1088, the Shirley Chisholm Congressional Gold Medal Act, authorizes a posthumous Congressional Gold Medal to honor Congresswoman Shirley Chisholm, the first African-American woman elected to Congress (1968) and the first Black candidate for a major party's presidential nomination (1972). The bill directs the Treasury Secretary to design and strike a gold medal featuring Chisholm's image, which will be presented by Congress and then permanently displayed at the Smithsonian Institution. Duplicate bronze medals may be sold to the public to cover production costs, with proceeds deposited into the U.S. Mint fund. This bill commemorates Chisholm's legacy and achievements without creating new laws or affecting any current policies.

Maddy summaryThis bill authorizes a posthumous Congressional gold medal for Constance Baker Motley, a pioneering civil rights attorney and federal judge. It directs the Treasury to strike a gold medal featuring her image and name, to be presented to her son, Joel Motley III, and niece, Constance Royster. The medal is a commemorative tribute recognizing her historic contributions to civil rights and her service as the first African-American woman appointed to a federal judgeship. No new policies or programs are created; the bill solely honors her legacy through a commemorative medal.

Disposable ENDS Product Enforcement Act of 2023 This bill requires the Food and Drug Administration (FDA) to update its enforcement guidance regarding Electronic Nicotine Delivery System (ENDS) products to include certain disposable ENDS products. In April 2020, the FDA published revised guidance on how it intends to prioritize enforcement resources with respect to ENDS products that do not have premarket authorization (i.e., that have not received FDA approval). The guidance specifies that the FDA intends to prioritize enforcement against (1) flavored, cartridge-based ENDS products (except for tobacco or menthol flavored products); (2) other ENDS products for which the manufacturer has not taken adequate measures to prevent access to minors; (3) any ENDS products that are targeted or promoted towards minors; and (4) any ENDS products for which the manufacturer has not submitted an application for market approval or did not receive approval. For purposes of this guidance, cartridge-based ENDS products do not include disposable products that are completely self-contained . The bill requires the FDA to incorporate these products, including nicotine products that are not derived from tobacco, into its enforcement priorities. The bill additionally specifies that the FDA may prioritize enforcement against these products in advance of updating the guidance. The FDA must also annually report on its enforcement actions with respect to these products.

Maddy summaryHR 902, "Ellie’s Law," authorizes $10 million annually from fiscal years 2024 through 2028 for the National Institute of Neurological Disorders and Stroke to conduct broader research on unruptured brain aneurysms. The funding aims to study diverse patient populations by age, sex, and race, supplementing existing research budgets without replacing them. This bill directly affects researchers and future patients by increasing federal investment in a condition impacting 6.6 million Americans, with current federal spending at only $2.08 per affected person yearly. The legislation focuses on advancing scientific understanding to improve prevention and treatment, citing the high mortality rate (50% fatal) and significant healthcare costs ($4.1 billion annually in direct costs) associated with brain aneurysm ruptures.

Maddy summaryHR 949, the Insular Area Medicaid Parity Act, removes federal funding caps on Medicaid for U.S. territories, directly affecting Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. The bill amends the Social Security Act to eliminate the existing limit on federal Medicaid funding for these territories, allowing them to receive full federal matching funds like states. This change takes effect for fiscal year 2023, ending the previous restriction that required territories to fund a portion of their Medicaid costs themselves. The policy change ensures these territories can access the same level of federal Medicaid support as states.

Kids' Access to Primary Care Act of 2023 This bill modifies payments for Medicaid primary care services. Specifically, the bill applies a Medicare payment rate floor to Medicaid primary care services that are provided after the date of enactment of the bill and extends the payment rate to additional types of practitioners (e.g., obstetricians). The Centers for Medicare & Medicaid Services must conduct a study on the number of children enrolled in Medicaid, the number of providers receiving payment for primary care services, and associated payment rates before and after the bill's implementation.

Maddy summaryHR 972, the Outpatient Surgery Quality and Access Act of 2023, updates Medicare payment rules for outpatient surgery centers and hospital outpatient departments. It requires Medicare to publicly compare quality data for these facilities in the same geographic area on Medicare.gov, allows facilities to review data before release, and mandates that the Secretary cite specific criteria when excluding procedures from coverage. The bill also caps patient out-of-pocket costs for outpatient surgery at the hospital deductible amount and aligns annual payment updates between surgery centers and hospitals. These changes aim to improve transparency for beneficiaries and standardize payment adjustments.

Maddy summaryThe HELP Copays Act (HR 830) changes how health insurance plans calculate patient cost-sharing. It requires that payments made by third parties (like pharmacies, charities, or discount programs) toward medical costs count toward a patient's deductible, copay, or out-of-pocket limit. This directly affects insured individuals who receive financial assistance, discounts, or product vouchers for healthcare expenses. The law ensures these external payments reduce the patient's actual out-of-pocket costs more quickly, aligning with existing Affordable Care Act and Public Health Service Act requirements.

761st Tank Battalion Congressional Gold Medal Act This bill provides for the award of a Congressional Gold Medal to the 761st Tank Battalion in recognition of their role in the success of Allied forces in Europe during World War II and for the example they set as the first Black soldiers to go to war as part of an American armored unit. Following the award of the gold medal, the gold medal shall be given to the National Museum of African American History and Culture where it shall be available for display and research.