Rep. Kathy Castor

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.

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.

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 2416 reauthorizes a federal grant program under the Public Health Service Act that supports partnerships between military and civilian medical providers to improve trauma care readiness. It extends the program's funding period from fiscal years 2019-2023 to 2024-2028. This change ensures continued financial support for existing trauma readiness initiatives at military treatment facilities and civilian hospitals. The bill directly affects military medical programs and participating civilian healthcare systems that receive these grants. It does not create new requirements but maintains current grant operations through 2028.

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.

Maddy summaryThe CALM Modernization Act of 2023 updates the law requiring consistent audio levels between TV commercials and programming to include video streaming services. It directs the Federal Communications Commission (FCC) to create a new rule within one year that prevents streaming services from making commercial audio louder than the surrounding video content, similar to existing TV requirements. The rule would take effect 180 days after publication but allows up to one year of delay for streaming services facing significant financial hardship. The bill also mandates a government report to evaluate the current law's effectiveness in moderating commercial loudness.

Maddy summaryThis bill authorizes $50 million annually from 2024 through 2029 for the Centers for Disease Control and Prevention (CDC) to conduct or support research on firearms safety and gun violence prevention. The funding is specifically for studies under the Public Health Service Act, adding to existing research budgets rather than replacing them. It directly affects CDC researchers and public health agencies by providing dedicated resources to study gun violence causes and prevention strategies. The bill creates no new regulations or requirements, only enabling research to inform future policy decisions.

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.