Rep. Tony Cárdenas

Maddy summaryThis bill removes a restriction that previously barred people in jail or prison while awaiting trial from receiving Medicaid health benefits. It directly affects individuals in custody pending legal proceedings by allowing states to provide Medicaid coverage for their medical care during this time. The bill also allocates $50 million in planning grants to help states develop systems to enroll these individuals, recruit healthcare providers who can serve them, and establish electronic billing for services provided in correctional facilities or through outpatient care. Key provisions require states to assess healthcare needs, eliminate policy barriers, and create plans to increase provider participation in Medicaid for this population.

Maddy summaryHR 3008, the Drug Shortage Prevention Act of 2023, requires manufacturers of critical essential medicines (like life-saving or emergency drugs) to notify the FDA earlier about potential supply disruptions. Specifically, manufacturers must report permanent production stops, interruptions, or unexpected demand spikes (not seasonal) at least six months in advance for production issues, or within 48 hours for sustained demand increases. The notification must include reasons, ingredient sources, alternative suppliers, and expected duration. The FDA will then share this information with healthcare providers and patient groups to help manage shortages. This law applies to drugs critical for life-sustaining care, excluding certain radio pharmaceuticals.

Maddy summaryHR 3050, the Fair Adjudications for Immigrants Act, changes how immigration authorities define a "conviction" for deportation purposes. It specifically excludes dismissed, expunged, or vacated cases, probation without judgment, and cases under appeal from being counted as convictions. The bill also requires courts to issue a formal recommendation against removal before immigration penalties apply for certain convictions. This directly affects immigrants with past criminal records who have had these specific legal dispositions applied to their cases.

Maddy summaryThis bill protects living organ donors from insurance discrimination by prohibiting life, disability, and long-term care insurers from denying coverage, raising premiums, or altering policy terms solely because someone donated an organ while alive. It also updates the Family and Medical Leave Act to include recovery from organ donation surgery as a qualifying health condition, allowing donors to take protected leave for this purpose. Additionally, the bill requires the Health and Human Services Secretary to update public educational materials about living donation benefits, risks, and insurance protections within six months of enactment. These changes directly affect living organ donors, insurers, employers, and healthcare systems by ensuring fair access to insurance and workplace leave.

Maddy summaryHR 2955, the Stop Institutional Child Abuse Act, establishes a Federal Work Group to improve data collection and best practices for youth in residential programs (like therapeutic schools, treatment centers, and group homes). The Work Group, composed of federal agency representatives and diverse stakeholders, must develop national data standards, create risk assessment tools, and issue biennial reports with recommendations to enhance safety, reduce restraints, and expand community-based alternatives. It directly affects youth with mental health, substance use, or disability needs placed in these facilities, as well as agencies overseeing them. The bill also mandates a National Academies study to examine funding, oversight, and barriers to community care. These mechanisms aim to standardize data tracking and promote less restrictive, trauma-informed care for youth in residential programs.

Maddy summaryHR 2878 (CARE Act of 2023) requires federally funded research facilities (like those receiving NIH grants) to develop and publicly post adoption policies for dogs, cats, and rabbits no longer used in biomedical research. Key provisions mandate facilities to assess each animal’s health for adoption suitability, make reasonable efforts to place them through shelters, adoption organizations, or private arrangements, and publicly track adoption rates and outcomes. The bill directly affects over 240,000 companion animals used annually in U.S. research, ensuring transparency by requiring facilities to publish annual records on adoption numbers and euthanasia. It also provides legal immunity to facilities following these adoption policies, except for gross negligence.

Maddy summaryThe Smart Sentencing Adjustments Act creates a federal grant program to help states reduce prison populations by at least 20% over three years. States receive planning grants (up to $700,000) to develop strategies, then implementation grants (up to $70 million) to fund specific changes like eliminating mandatory minimums, downgrading offenses, expanding early release programs, reducing fines for low-income individuals, and improving reentry services. The bill requires states to track racial, gender, and socioeconomic impacts of funded programs and prohibits using funds for new prison construction or policies that increase incarceration. It authorizes $2 billion annually for 2024-2034 to support these state-level reforms.

Maddy summaryThe Child Care for Working Families Act establishes a federal entitlement program providing subsidized child care for working families with children under age 6 who are not yet in kindergarten. It creates a sliding fee scale where families at or below 85% of State median income pay no copayment, while higher-income families pay up to 7% of their income based on income thresholds. The bill requires states to develop quality rating systems for child care providers and ensures providers receive sufficient funding to meet quality standards, including wages equivalent to elementary educators. It prioritizes access for underserved populations including children with disabilities, infants and toddlers, children experiencing homelessness, and families in low-income communities. The program is funded with $20 billion for fiscal year 2024 and subsequent years through 2029.

Forced Arbitration Injustice Repeal Act of 2023 or the FAIR Act of 2023 This bill prohibits a predispute arbitration agreement from being valid or enforceable if it requires arbitration of an employment, consumer, antitrust, or civil rights dispute.

Maddy summaryThe Combating Child Labor Act strengthens penalties for employers violating child labor laws under the Fair Labor Standards Act. It increases criminal fines to $500,000 or up to 10 years in prison for willful violations causing death or serious injury to children under 18, and raises civil penalties for such violations up to $700,000 per incident. The bill also requires the Department of Labor to publish an annual report detailing child labor violations, including employer names, types of violations, and trends by industry or region. This report will help track enforcement efforts and identify high-risk areas, directly affecting employers who violate child labor rules and the Department of Labor’s oversight role.