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.
Rep. Jim Costa
Sponsored bills
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 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 summaryHRES 277 is a non-binding resolution passed by the U.S. House of Representatives in April 2023 that urges the United States Postal Service (USPS) to restore mail delivery standards in effect as of July 1, 2012. It specifically calls for ending the 2015 service cuts that eliminated overnight first-class mail delivery and delayed other mail types, which the resolution states harmed businesses, rural communities, and the economy. The resolution cites the Postal Regulatory Commission’s finding that USPS could achieve cost savings without degrading service, emphasizing that returning to 2012 standards would improve delivery reliability without worsening USPS finances. As a resolution, it does not mandate action but expresses the House’s policy preference.
Maddy summaryThis resolution (HRES 279, introduced April 6, 2023) designates April 10 as "Dolores Huerta Day" to symbolically honor Dolores Huerta's civil rights work. It recognizes her role co-founding the farm workers movement, advocating for labor rights (including the California Agricultural Labor Relations Act), promoting women's equality, and originating the "Sí Se Puede" slogan. The resolution has no binding policy effect - it is purely commemorative, celebrating her legacy without creating new laws or affecting any group directly. It was introduced by multiple House members as a formal expression of support for her contributions to social justice.
Maddy summaryHR 2539 permanently extends the New Markets Tax Credit (NMTC) program, which incentivizes private investment in low-income communities. The bill directly affects community development financial institutions (CDFIs) and investors who fund projects in designated low-income areas by ensuring the credit remains available beyond 2025. Key provisions include automatically adjusting the credit amount annually for inflation starting in 2024 and clarifying that the credit can be used to offset alternative minimum tax liability. This maintains the program’s effectiveness in channeling capital to underserved neighborhoods without changing eligibility or funding levels.
Maddy summaryHR 1290 amends the Food, Conservation, and Energy Act of 2008 to explicitly allow agricultural producers to use storage facility loan program funds for constructing or upgrading propane storage facilities. This change directly affects farmers and agricultural businesses that use propane primarily for farming operations, as defined by federal regulations. The bill adds a specific eligibility category to the existing loan program, clarifying that propane storage for agricultural production qualifies under the same terms as other eligible uses. This policy change updates the program’s scope without altering funding levels or creating new requirements.
This resolution calls on major U.S. companies still operating in Russia to reconsider their continued presence after Russia's full-scale invasion of Ukraine. Supporting Americans who use their free speech rights to boycott U.S. firms still operating in Russia, the resolution condemns those companies, who provide financial benefits to the Putin regime and enable the regime to continue to wage war in Ukraine.
Maddy summaryHRES 273 is a symbolic House resolution supporting National Women's History Month for March 2023. It expresses the House's recognition of the goals and ideals of this annual observance, which honors women's historical contributions and the women's suffrage movement. The resolution specifically acknowledges women and organizations that promote teaching women's history and the suffrage movement. As a non-binding resolution, it does not create new laws or policies but serves as a formal acknowledgment of historical achievements.
Maddy summaryThe Renewable Natural Gas Incentive Act of 2023 creates a $1.00 federal tax credit per gallon for renewable natural gas (RNG) used as fuel in vehicles, boats, or aircraft. This credit applies to producers and users of RNG derived from biomass, requiring producers to register with the IRS and provide certification for each sale. Blended RNG (mixed with regular natural gas) can qualify only if accompanied by a prior contract specifying the RNG amount and producer certification. The credit expires December 31, 2033, and does not apply to RNG produced or used outside the United States.