Rep. Salud O. Carbajal

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 summaryThe Real Emergency Access for Aging and Disability Inclusion for Disasters Act (REAADI for Disasters Act) requires that individuals with disabilities and older adults be included in decision-making for all phases of disaster management. It mandates accessible communication methods (including American Sign Language, captions, and plain language), ensures disaster shelters and services are accessible without segregation, and requires compliance with civil rights laws in crisis standards of care. The bill also establishes training centers to support disability-inclusive disaster management and creates a national commission to review past settlement agreements related to disability rights in disasters. This legislation directly affects individuals with disabilities and older adults, as well as government agencies responsible for disaster planning and response.

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 summaryThis bill amends the law governing Basic Allowance for Housing (BAH) for uniformed service members stationed in the U.S. It changes the calculation method so that BAH amounts must equal the actual monthly cost of adequate housing in each location, as determined by the Secretary of Defense. This directly affects active-duty service members and their families who receive BAH for housing. The key provision replaces the previous formula with a requirement that BAH payments match local housing costs for members in the same pay grade and dependency status. The change ensures BAH reflects current housing expenses rather than an older calculation method.

Maddy summaryThe Free to Grow Act of 2023 repeals a specific felony provision related to hemp production under federal law. It removes Section 297B(e)(3)(B) of the Agricultural Marketing Act of 1946, which previously classified certain hemp production violations as felonies. This change directly affects hemp producers by eliminating the risk of felony charges for regulatory non-compliance in hemp cultivation. The bill simplifies legal consequences for growers by aligning penalties with the current federal regulatory framework for hemp.

Maddy summaryHR 2454, the United States-Israel PTSD Collaborative Research Act, establishes a grant program to fund joint research projects between U.S. academic or nonprofit entities and Israeli institutions focused on post-traumatic stress disorder (PTSD). The bill directs the Secretary of Defense, with coordination from the Departments of Veterans Affairs and State, to award grants for collaborative research addressing PTSD treatment gaps, building on existing U.S.-Israel scientific cooperation frameworks. It specifically targets research into improved PTSD diagnosis and treatment methods, rather than providing direct services or benefits. The program requires annual reporting to Congress on research outcomes and terminates seven years after the first grant is issued.

Maddy summaryThe RISE Act (HR 2401) requires colleges to accept multiple types of documentation - such as past Individualized Education Programs (IEPs), Section 504 plans, or licensed professional evaluations - to verify a student’s disability for accommodations, rather than requiring current evaluations. It also mandates institutions to publicly share clear, accessible processes for determining accommodation eligibility and to report specific disability-related enrollment data (like total students with disabilities and accommodations used) to federal databases. The bill authorizes $10 million for a national support center to assist postsecondary students with disabilities. It applies directly to institutions of higher education and students formally registered with disability services offices, without altering existing ADA definitions or rights.

Maddy summaryHR 2403, the Enhanced Background Checks Act of 2023, modifies federal firearm background check procedures to address delays. It requires firearm licensees to wait at least 10 business days after a prospective buyer submits a petition verifying they are not prohibited from owning firearms before completing a sale, if the background check system hasn't cleared the transaction. The bill also mandates the Attorney General to create an electronic petition form, provide timely responses to petitions, and track delays. Additionally, it requires multiple reports analyzing implementation, transaction delays, denial reasons by state, and potential impacts on domestic violence victim safety, with the first report due within 150 days of enactment.

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.