Rep. Nanette Diaz Barragán

Maddy summaryHR 2630, the Safe Step Act, requires group health plans and health insurance issuers to establish a clear, transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically force patients to try cheaper drugs first before covering more expensive alternatives. The bill mandates that plans must approve exceptions when prior treatments failed, delay would cause serious harm, a treatment is unsafe, or a patient is stable on a previously approved drug, with strict 72-hour (or 24-hour in emergencies) decision timelines. It also requires plans to publish the exception process online and limit documentation requests to only necessary medical information. This law directly affects health insurers, employers offering health plans, and patients using step therapy for prescription drugs.

Tax Fairness for Disaster Victims Act This bill allows individual taxpayers living in a disaster area to use earned income from a preceding taxable year for purposes of calculating the earned income tax credit. The bill applies if current year income is disrupted by a disaster and is less than the income of the preceding taxable year.

Maddy summaryHJRES 54 proposes a constitutional amendment stating that only natural persons (human beings) have rights protected by the U.S. Constitution, explicitly denying constitutional rights to corporations, limited liability companies, and other artificial entities. It would require governments to regulate or restrict corporate political contributions and spending to ensure equal access to elections, mandate public disclosure of all political spending, and clarify that campaign finance rules do not violate the First Amendment. This amendment directly affects corporations and other artificial entities by removing their constitutional standing in legal challenges and subjecting their political activities to stricter government oversight. If passed, it would fundamentally change how corporations interact with election laws and constitutional protections, though it preserves press freedom under Section 3. The bill is a proposed amendment requiring ratification by 3/4 of state legislatures to become part of the Constitution.

Maddy summaryThe School Meals Expansion Act (HR 2567) amends the National School Lunch Act to make it easier for schools to provide free meals to all students. It lowers the income threshold to 25% (from a higher previous rate) and increases the eligibility multiplier to 2.5 for school years starting July 1, 2023. This means school districts with 25% or more students from low-income families can now qualify for full federal funding to offer free meals to all students without requiring individual applications. The bill directly affects local school districts that choose to participate in the community eligibility program under the National School Lunch Act.

This resolution expresses the House of Representative's resolve to take effective action on climate change to protect the mental health and well-being of current and future youth. It also supports the expansion of funding for climate education, resilience, and climate adaptation projects that benefit their mental health and well-being.

Expanding Opportunities for Diverse Entrepreneurs Act This bill requires the Department of Transportation (DOT) Disadvantaged Business Enterprise (DBE) program and recipients of assistance from the program to analyze and report on the program. The DBE program seeks to offer small disadvantaged businesses (i.e., certified as owned and controlled by socially and economically disadvantaged individuals) a fair opportunity to compete for federally funded transportation contracts. The bill requires the DBE liaison officers to track and provide an analysis of all efforts to expand knowledge of services and opportunities available (e.g., minimum outreach, training, and online development support) to non-certified and certified DBEs to increase an enterprise's ability to compete for, and perform on, federally funded transportation contracts; DOT to publicly post online a searchable and exportable version of the Uniform Report of DBE Awards/ Commitments and Payments for each state; and DOT to submit an annual report to Congress on the DBE program.

Maddy summaryThis bill allows Medicaid coverage for incarcerated individuals during the 30 days preceding their release from public institutions. It directly affects people transitioning from prisons or jails back into communities by extending health coverage during this critical period. The key mechanism amends the Social Security Act to remove a Medicaid exclusion for this 30-day window. Additionally, it requires an 18-month report analyzing correctional healthcare standards, current discharge practices, and the potential impact of this coverage extension on post-release health access.

Maddy summaryThis bill creates a 2-year pilot program to establish or improve state-based nursing workforce centers. It provides $1.5 million annually (2024-2025) for up to six state or regional centers, requiring non-Federal matching funds (1:4 ratio). These centers will analyze nursing workforce data - including education, retention, and shortages - and develop strategies to recruit, retain, and diversify nurses, especially in rural and underserved areas. The program mandates annual reports to Congress on outcomes and best practices for addressing nursing shortages. It directly affects states, nursing schools, healthcare employers, and nursing workforce centers through federal grants and data-driven planning.

Maddy summaryHR 2439, the Ally’s Act, requires most private health insurance plans to cover hearing-related services and devices for qualifying individuals. It mandates coverage for cochlear implants, bone conduction devices, maintenance, upgrades every five years, hearing assessments, surgery, and rehabilitation, without separate cost-sharing or medical necessity reviews. This directly affects people with hearing loss who need implantable devices, as defined by a physician or audiologist. The law applies to group health plans under the Public Health Service Act, ERISA, and Internal Revenue Code, taking effect for plan years beginning January 1, 2025.

Helping Kids Cope Act This bill establishes programs within the Health Resources and Services Administration (HRSA) to support pediatric behavioral health care. Specifically, HRSA must award grants, contracts, or cooperative agreements to eligible health care providers for (1) integrating and coordinating pediatric behavioral health care within communities, and (2) pediatric mental health and substance use disorder workforce training. Additionally, HRSA must award grants, contracts, or cooperative agreements to hospitals or rural health clinics that predominately treat individuals under age 21 for expanding their capacity to provide pediatric behavioral health services. Recipients may use awards for constructing or modernizing sites of care and enhancing digital infrastructure, telehealth capabilities, or other improvements to patient care infrastructure.