Rep. Doris O. Matsui

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 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 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 Affordable Care Act to allow individuals to enroll in standalone dental plans through health insurance Exchanges without needing to also have a separate health insurance plan. It directly affects consumers seeking dental coverage who may not qualify for or prefer not to enroll in a comprehensive health plan. The key provision removes a federal restriction that previously prevented enrollment in these dental plans solely based on lack of separate health insurance. This change makes it easier for people to access dental insurance options through the same marketplaces used for health coverage.

Simplifying Management, Access, Reallocation, and Transfer of Spectrum Act or the SMART Spectrum Act This bill requires the National Telecommunications and Information Administration to implement an incumbent informing capability in its regulation of the electromagnetic spectrum. The bill also outlines minimum requirements for the capability that address protection of classified information and other matters. Incumbent informing capability is a mechanism that facilitates the sharing of spectrum allocated for both federal and nonfederal uses; it enables federal users to reliably inform nonfederal users when and where the federal systems are operating in order to manage harmful interference between the federal and nonfederal uses.

Maddy summaryThe International Human Rights Defense Act of 2023 creates a permanent Special Envoy at the State Department to coordinate U.S. efforts against discrimination and violence targeting LGBTQI+ people globally. The bill requires the development of an annual global strategy to address criminalization, discrimination, and violence based on sexual orientation, gender identity, or sex characteristics. It also mandates that U.S. country reports on human rights practices include detailed information about laws and practices affecting LGBTQI+ communities. The legislation authorizes U.S. foreign assistance programs to support LGBTQI+ rights through health services, legal protections, and community capacity building. This bill aims to strengthen U.S. diplomatic engagement on LGBTQI+ rights as part of broader human rights policy.

Maddy summaryHR 1139, the GUARD VA Benefits Act, amends federal law to strengthen penalties for individuals or organizations charging veterans unauthorized fees when helping with VA benefit claims. It directly affects veterans seeking assistance with VA claims and the representatives (like advocates or attorneys) who might charge them fees. The bill adds a new provision making it a violation to solicit, charge, or receive any fee for preparing, presenting, or prosecuting VA claims, punishable by fines under Title 18. This change specifically targets unauthorized fee-charging while excluding fees covered under existing exceptions in sections 5904 or 1984 of the law.

Maddy summaryHR 1831 would award Billie Jean King a Congressional Gold Medal to honor her lifelong advocacy for equal rights in sports and society. The bill directs the Secretary of the Treasury to strike the medal and have it presented by congressional leaders, recognizing her pivotal role in advancing women's equality through tennis (including founding the Women’s Tennis Association and securing equal prize money) and her broader impact on society through initiatives like Title IX advocacy.