Rep. John B. Larson

Maddy summaryHR 902, "Ellie’s Law," authorizes $10 million annually from fiscal years 2024 through 2028 for the National Institute of Neurological Disorders and Stroke to conduct broader research on unruptured brain aneurysms. The funding aims to study diverse patient populations by age, sex, and race, supplementing existing research budgets without replacing them. This bill directly affects researchers and future patients by increasing federal investment in a condition impacting 6.6 million Americans, with current federal spending at only $2.08 per affected person yearly. The legislation focuses on advancing scientific understanding to improve prevention and treatment, citing the high mortality rate (50% fatal) and significant healthcare costs ($4.1 billion annually in direct costs) associated with brain aneurysm ruptures.

Maddy summaryHR 949, the Insular Area Medicaid Parity Act, removes federal funding caps on Medicaid for U.S. territories, directly affecting Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. The bill amends the Social Security Act to eliminate the existing limit on federal Medicaid funding for these territories, allowing them to receive full federal matching funds like states. This change takes effect for fiscal year 2023, ending the previous restriction that required territories to fund a portion of their Medicaid costs themselves. The policy change ensures these territories can access the same level of federal Medicaid support as states.

Maddy summaryHR 972, the Outpatient Surgery Quality and Access Act of 2023, updates Medicare payment rules for outpatient surgery centers and hospital outpatient departments. It requires Medicare to publicly compare quality data for these facilities in the same geographic area on Medicare.gov, allows facilities to review data before release, and mandates that the Secretary cite specific criteria when excluding procedures from coverage. The bill also caps patient out-of-pocket costs for outpatient surgery at the hospital deductible amount and aligns annual payment updates between surgery centers and hospitals. These changes aim to improve transparency for beneficiaries and standardize payment adjustments.

Maddy summaryThe American Opportunity Accounts Act establishes savings accounts for children born after December 31, 2005, to help them build financial assets. The government will make an initial $1,000 contribution to each eligible child's account (for those born after 2023) and provide annual contributions based on family income, ranging from $2,000 for low-income families to $0 for higher-income families. Account holders can access funds for education, home ownership, or other qualified expenses after age 18, with certain exceptions for higher education costs. The accounts are excluded from federal benefit eligibility calculations, and the government will manage the accounts through an American Opportunity Fund Board.

Maddy summaryThis bill authorizes a single Congressional Gold Medal to honor all U.S. Army Dustoff crews who served during the Vietnam War (1962-1973). It recognizes their critical role in evacuating nearly 900,000 wounded personnel, including U.S., South Vietnamese, and allied forces, under extreme combat conditions. The medal, designed with input from the Secretary of Defense, will be presented to the U.S. Army Medical Department Museum for permanent display. Duplicate bronze medals may be sold to cover costs, but the primary action is the commemorative recognition of these crews' service.

Veterans Infertility Treatment Act of 2023 This bill requires the Department of Veterans Affairs (VA) to furnish infertility treatments, standard fertility preservation services, or both to a covered veteran or partner of a covered veteran. A covered veteran is a veteran who is enrolled in the VA health care system and has infertility or is at risk of having infertility, as determined by a licensed physician. The VA may furnish up to three completed in vitro fertilization cycles that result in live birth, or 10 attempted cycles, whichever occurs first. Additionally, the VA may furnish in vitro fertilization treatment using donated gametes or embryos. The VA must receive consent to furnish an in vitro fertilization cycle from the covered veteran, the partner of a covered veteran, and the third-party donor (if applicable). For purposes of paying travel expenses for treatment or services to the partner of a covered veteran, the VA must deem the partner to be a veteran receiving treatment or care. The VA must prescribe regulations related to the provision of infertility treatments and standard fertility preservation services as required by this bill. Prior to the enactment of such regulations, the VA must ensure that (1) counseling and treatment furnished under existing authority is available to a veteran and the veteran's partner, regardless of whether they are married; and (2) treatment under existing authority may be furnished using donated gametes or embryos.

Maddy summaryHR 782 prohibits state officials from interfering with abortion services provided across state lines. It specifically blocks states from restricting: (1) out-of-state patients traveling for legal abortions, (2) providers offering such services, (3) assistance for travel or care, or (4) the interstate shipment of FDA-approved abortion drugs. The bill allows the federal Attorney General or affected individuals to sue violators for injunctions, damages, and attorney fees. It directly affects patients seeking care in other states, healthcare providers, transportation services, and pharmacies handling FDA-approved abortion medications. The law focuses on preventing state laws from blocking access to legally permitted abortion services.

Maddy summaryHR 652, the Zero Food Waste Act, establishes a $650 million EPA grant program to reduce food waste by 50% by 2030 (compared to 2010 levels). It directly affects states, local governments, tribes, and nonprofits that apply for grants to fund food waste reduction activities, such as studying waste generation, collecting data, implementing diversion programs (like charging higher fees for landfill disposal), or supporting anaerobic digestion projects. Grants require grantees to collect data, publish reports, and prioritize projects in communities disproportionately affected by waste-related environmental or health impacts. The bill mandates annual EPA reports to Congress on progress toward the 50% reduction target.

Maddy summaryHR 926 would require the Supreme Court to establish a code of conduct for justices within 180 days of enactment, along with procedures for handling ethics complaints against them. The bill mandates minimum disclosure standards for gifts, income, and reimbursements received by justices and their law clerks, and requires justices to recuse themselves when they or their family received gifts from parties in a case. It would also require parties and amici curiae to disclose gifts given to justices and lobbying contacts related to justices' nominations, and establish a judicial investigation panel to review complaints against justices. The legislation aims to increase transparency in Supreme Court ethics processes and provide clearer recusal standards for justices.

Maddy summaryThis bill makes significant changes to US corporate tax rules to prevent tax avoidance through foreign operations. It requires corporations to calculate foreign income tax liabilities country-by-country, limits interest deductions for large international financial reporting groups, and modifies rules for "inverted corporations" (where US companies move tax residence abroad). The bill also creates new rules treating foreign corporations managed primarily in the US as domestic corporations for tax purposes. These changes aim to close tax loopholes related to outsourcing and foreign tax planning.