Rep. Grace F. Napolitano

Maddy summaryHR 6451, the Mental Health Justice Act of 2023, provides $250 million in federal grants to states, tribes, and localities to hire mental health professionals as first responders for specific emergencies. It directs these professionals to replace police in situations involving mental health crises, substance use, or intellectual/developmental disabilities - such as when a 911 caller describes a mental health emergency or a first responder identifies someone needing mental health support. The bill requires grantees to train responders in de-escalation techniques, link individuals to community-based services (not incarceration), and report on outcomes like reduced arrests or use of force. It also mandates data collection on demographics and prevents funneling people into institutional settings, with annual reports to Congress on program effectiveness.

Maddy summaryHR 6415, the CARE for First Responders Act, creates targeted mental health support for first responders, including law enforcement, firefighters, EMTs, and 911 operators (previously excluded from many services). It establishes a 24/7 confidential mental health hotline integrated with the 988 Suicide Lifeline, funds mobile crisis teams for disaster response, and mandates specialized training to reduce stigma and improve access to culturally competent care. The bill requires the development of peer support programs and education for responders and their families on mental health coping strategies. It authorizes $5 million annually (2024-2028) for grants to states and organizations to implement these services, specifically addressing the higher rates of mental health challenges and suicide among first responders compared to the general population.

Maddy summaryHR 6406, the "Last Servicemember Standing Medal Act," creates a new military service medal to honor specific service members. It authorizes the Secretary of Defense to award the medal to active-duty members who were the last surviving member of their unit after combat during a war or overseas operation, demonstrated extraordinary heroism in defense of the U.S., and received recommendations from their commanding officer and at least two peers. The medal is limited to one award per person, and if a recipient dies, the medal may be issued to their next-of-kin. The bill amends Title 10 of the U.S. Code to establish this recognition, with implementation to be expedited by Congress.

Maddy summaryHR 6301, the Cancer Drug Parity Act of 2023, requires group health plans to ensure that out-of-pocket costs for oral anticancer drugs (taken by patients at home) are no higher than for intravenous or injected anticancer drugs. It applies to patients prescribed oral anticancer medications approved by the FDA and deemed medically necessary or clinically appropriate by their physician. The law prohibits insurers from increasing patient costs for oral drugs through benefit changes, such as higher copays or stricter coverage limits, and allows prior authorization for all chemotherapy. The law takes effect for 2024 plan years, and the GAO will study its impact on patient costs within two years.

Maddy summaryThe SHIP Act imposes sanctions on foreign entities that knowingly handle Iranian petroleum, targeting those involved in port operations, transportation, refining, or ship-to-ship transfers of Iranian oil. Starting 90 days after enactment, the President must block assets, deny visas, and impose penalties on individuals or companies engaging in these activities, including family members or owners of sanctioned entities. It requires annual reports tracking Iran's oil exports, revenues, and key players like shipping companies and ports. The sanctions terminate if the President certifies Iran has stopped supporting terrorism and dismantled weapons programs.

Maddy summaryHR 6204, the "See the Board Act," establishes a federal grant program to provide free eye care services to students in public elementary and secondary schools. The bill directs the Health and Human Services Secretary to fund nonprofit organizations that operate mobile eye clinics using portable equipment to deliver screenings, exams, and glasses directly at schools. This program covers costs for equipment, personnel, and operational expenses, targeting students in schools defined under the Elementary and Secondary Education Act. The initiative is authorized for fiscal years 2024 through 2029.

Maddy summaryHR 5976, the Youth Mental Health Research Act, establishes a new NIH research initiative led by the National Institute of Mental Health. The bill directs collaboration between three NIH institutes to coordinate research on youth mental health, focusing specifically on building community resilience for at-risk youth and improving how mental health services reach young people in schools, communities, and other settings where they live and work. It authorizes $100 million annually for fiscal years 2024 through 2028 to fund this research. The bill does not create direct services but aims to generate evidence to inform future mental health support strategies for young people.

Maddy summaryHRES 832 is a symbolic resolution recognizing Día de los Muertos (Day of the Dead) as an annual cultural observance in the U.S. and globally. It acknowledges the holiday's origins in Mesoamerican traditions, its significance in honoring deceased loved ones through altars (*ofrendas*), and its role in celebrating Latino cultural heritage. The resolution specifically highlights the contributions of Mexican and Mexican American communities to U.S. society and culture, without creating new laws or obligations. It is a ceremonial gesture by Congress, not a policy with concrete effects on individuals or communities.

Maddy summaryThe PHASE Act of 2023 directs the National Institute of Standards and Technology (NIST) to identify innovative traffic control technologies that improve safety for pedestrians and cyclists without causing distraction. It requires the Transportation Secretary to conduct a study analyzing urban areas with rising pedestrian fatalities and test physical safety measures like crosswalk technology, better lighting, and accessible sidewalks. The bill also creates a $5 million annual grant program for cities, tribes, and municipalities to fund specific pedestrian safety infrastructure, including marked crosswalks, adaptive lighting, accessible curb ramps, and upgraded traffic signals. These grants must comply with federal regulations and the Americans with Disabilities Act. The law directly affects local governments seeking funding and aims to protect pedestrians and vulnerable road users through concrete infrastructure improvements.

Maddy summaryHR 5983, the Clean Water Act of 2023, redefines "protected water resources" under federal law to explicitly include all interstate and intrastate waters (such as intermittent and ephemeral streams), wetlands, and their tributaries. This directly affects federal agencies like the EPA, states managing water quality, and developers or landowners needing permits for activities near these waters. The bill eliminates the Supreme Court’s narrow "navigable waters" definition from Sackett v. EPA (2023), restoring protections for tens of millions of acres of wetlands and millions of miles of small streams. Key mechanisms require the EPA to annually review and adjust exclusions from protections based on scientific evidence, ensuring water bodies critical to drinking water, flood control, and ecosystems remain safeguarded.