Rep. Raúl M. Grijalva

Maddy summaryHR 9774, the Health Care Affordability Act of 2024, would expand premium tax credits under the Affordable Care Act for households earning between 150% and 400% of the federal poverty level. It modifies the sliding scale calculation to reduce the percentage of monthly insurance premiums these households must pay, with the lowest out-of-pocket costs for those near 400% of poverty. This directly affects individuals and families purchasing health insurance through marketplace plans who qualify for these tax credits. The changes apply to tax years beginning after December 31, 2025.

Maddy summaryThe SAFE for Survivors Act of 2024 provides comprehensive workplace protections for survivors of domestic violence, dating violence, sexual assault, and stalking. It establishes a new entitlement to 40 work days of safe leave per year (with 10 days paid) for employees to address qualifying acts of violence, including time for counseling, safety planning, legal assistance, and medical care. The bill prohibits employers from discriminating against or retaliating against employees who take this leave, requires reasonable accommodations for survivors, and ensures unemployment compensation eligibility for those who separate from work due to violence. It also includes insurance protections preventing insurers from denying coverage or charging higher premiums based on a person's status as a survivor. This legislation directly affects employees, employers, and insurance providers across the United States.

Maddy summaryThe Comprehensive Dental Reform Act of 2024 would expand dental coverage under Medicare and Medicaid by adding "oral health services" as a covered benefit. Starting in 2025, Medicare would cover 100% of preventive dental services and 80% of other services. Medicaid would require states to cover oral health services for adults (with some exceptions), including mobile dental services to overcome access barriers, and would increase federal funding for these services by 15 percentage points. The bill also creates new programs to expand the dental workforce through training, loan repayment, and partnerships with dental schools, with specific provisions for veterans, prisoners, and Indian Health Service.

Maddy summaryThis bill makes permanent Medicare telehealth flexibilities for Indian health programs and urban Indian organizations. It allows patients in tribal communities to receive covered telehealth services from home (not just medical facilities) and expands coverage to include audio-only visits starting January 1, 2025. The policy directly affects tribal health providers, urban Indian organizations, and Medicare beneficiaries living in tribal communities who rely on these services. These changes ensure consistent access to telehealth care under Medicare without requiring physical clinic visits for eligible patients.

Maddy summaryThe SWIFT Act (HR 9234) amends Social Security provisions to benefit widows, widowers, and surviving divorced spouses. It eliminates reductions in benefits for those claiming survivors benefits before retirement age due to disabilities. The bill increases the age limit for child-in-care benefits from 16 to 18 (or 19 for full-time students). It also creates new provisions allowing beneficiaries who delay claiming benefits to receive increased amounts. These changes apply to benefits payable on or after January 1, 2025.

Maddy summaryThe Health Over Wealth Act requires private equity firms that own or control health care entities (including hospitals, clinics, nursing facilities, and mental health providers) to submit detailed annual reports to the government about their financial structure, staffing practices, political spending, and patient care metrics. It establishes a task force to monitor private equity's impact on health care access and quality, and creates new requirements for hospitals planning to close or discontinue services, including advance notice and mitigation plans. The bill also prohibits certain real estate transactions that could weaken health care entities and mandates licensing for private equity firms investing in health care, with penalties for non-compliance.

Maddy summaryThe Patient Debt Relief Act requires Medicare-participating hospitals to establish clear financial assistance policies by January 2026, including publicly available eligibility criteria and 30-day pre-payment screening for charity care. It prohibits hospitals from placing home liens, garnishing wages, or selling debt to collectors without offering income-based repayment plans (capping payments at 4% of gross monthly income) and eliminates interest for patients earning under 250% of the poverty line. Hospitals failing to comply face civil penalties up to $1 million per violation. The bill also creates a $100 million grant program to fund nonprofits that discharge medical debt for individuals meeting income thresholds (5% of income or under 400% of poverty line), with quarterly reporting requirements. These provisions apply directly to hospitals and low-income patients with medical debt.

Maddy summaryThis bill caps patient out-of-pocket costs for prescription drugs under health insurance plans. It prohibits group health plans and insurers from requiring patients to pay more in deductibles, coinsurance, or copays for covered outpatient drugs dispensed at in-network pharmacies than the nationwide average consumer price for that drug (based on Social Security Act data). The law applies to all health insurance plans covered under the Public Health Service Act, ERISA, and Internal Revenue Code, directly affecting insured patients who fill prescriptions at participating pharmacies. The key mechanism ensures patient costs never exceed the national average drug price, using existing federal pricing data without creating new administrative requirements.

Maddy summaryHR 8796, the "Stop Comstock Act," removes outdated restrictions from federal law that previously banned the distribution of materials related to contraception and abortion as "obscene" or "indecent." The bill amends Title 18 and the Tariff Act by deleting references to "indecent," "immoral," "unlawful abortion," and "procuring abortion" from provisions governing obscene materials. It clarifies that the law only prohibits "obscene materials" in commerce, eliminating broad restrictions on reproductive health information. This directly affects internet platforms, healthcare providers, and individuals sharing reproductive health resources by removing legal barriers to their distribution.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2027 and publish detailed data on their approval and denial rates for medical services by 2026. It directly affects Medicare Advantage plans (private insurers offering Medicare coverage) and their enrollees (seniors 65+), mandating transparency about prior authorization decisions, processing times, and appeal outcomes. Key provisions include requiring plans to report annual statistics on request approvals/denials, average processing times, and use of technology, with this data published publicly by the Centers for Medicare & Medicaid Services. The bill also sets timelines for plan responses to prior authorization requests and mandates reports to Congress on implementation and impacts.