Rep. Sheila Cherfilus-McCormick

Maddy summaryThe Latonya Reeves Freedom Act of 2023 strengthens the Americans with Disabilities Act's requirement that individuals with disabilities receive long-term services and supports in community settings rather than institutions. It defines "community-based" services to include specific housing options where individuals with disabilities can live independently with maximum control over their lives, including access to integrated housing, employment, and community participation. The bill requires states to develop transition plans to move people from institutional settings to community-based services within 12 years, with measurable annual targets for reducing institutionalization. It establishes enforcement mechanisms through the Department of Justice and Department of Health and Human Services to ensure compliance with these requirements.

Maddy summaryThe Puppy Protection Act of 2023 sets new standards for businesses that sell dogs (dealers), directly affecting pet stores and breeders operating under the Animal Welfare Act. It requires specific housing with space allowances based on dog size (e.g., 12-30 square feet per dog), temperature control (45-85°F), clean food twice daily, and daily exercise or socialization with humans/dogs for at least 30 minutes. The bill also mandates annual veterinary exams including dental care, strict breeding limits (e.g., age restrictions, maximum 2 litters in 18 months), and efforts to place retired breeding dogs in homes instead of selling them to other breeders. Regulations must be finalized within 18 months of enactment.

Maddy summaryHR 1378, the Veterans’ Appeals Backlog Improvement Act, establishes two new programs to improve staffing at the Department of Veterans Affairs (VA) for processing veterans' appeals. It creates a competitive internship program for ABA-accredited law students to gain experience with the Board of Veterans' Appeals, and a nine-year pilot program to recruit and retain entry-level attorneys through student loan repayment benefits and structured professional development, including mentorship and rotational assignments. The bill requires the VA to report on improving telehearings access within 180 days, including recommendations for reimbursing travel costs and testing new methods for remote hearings. These provisions aim to reduce the appeals backlog by strengthening the VA’s legal workforce, directly affecting VA recruitment and retention of legal professionals.

Maddy summaryHR 2682, the Veterans Medical Marijuana Safe Harbor Act, creates a federal exemption allowing veterans to use, possess, or transport state-legal medical marijuana without facing federal penalties. It specifically protects veterans in states or tribal lands where medical marijuana is permitted, and permits VA physicians to discuss or recommend it as a treatment for pain or conditions like PTSD. The bill mandates the VA to conduct research on medical marijuana's effects for veterans within 180 days and study veterans' access to state programs within two years. This exemption expires automatically five years after the bill’s enactment.

Maddy summaryHR 2665 delays Medicaid payment reductions for safety net hospitals by two years, changing the effective date from 2024 to 2026 under Section 1923(f)(7)(A) of the Social Security Act. This bill directly affects hospitals that serve high numbers of low-income and uninsured patients, providing them with additional time before facing reduced federal Medicaid payments. The key mechanism is a technical amendment to existing law, postponing an already scheduled payment adjustment without altering funding levels or eligibility. As a procedural bill, it does not create new programs or change hospital requirements.

Maddy summaryThis bill allows the Department of Veterans Affairs (VA) to use existing funds more flexibly to assist homeless veterans and veterans in HUD housing programs. It authorizes the VA to provide immediate needs like food, shelter, transportation for appointments, and communication devices (e.g., phones, tablets) to support veterans' stability and health. The law expands how VA funds can be applied beyond traditional housing assistance, focusing on urgent, practical support. It directly affects homeless veterans and those in HUD's housing assistance program by enabling faster, more adaptable aid. The bill amends existing VA law to improve responsiveness to veterans' immediate survival and health needs.

Maddy summaryHR 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023, improves support for veterans who experienced military sexual trauma by reforming disability claims processing and expanding access to mental health care. The bill establishes new standards for evaluating claims involving military sexual trauma, requiring specialized VA teams to process these claims and creating clearer guidelines for evidence and communication with veterans. It expands eligibility for counseling and treatment to include all former reserve members and creates a pilot program providing interim mental health care when veterans face wait times exceeding 14 days for residential treatment. The legislation also mandates a Comptroller General study on access to care and requires the VA to provide better communication and support throughout the claims process.

Freedom to Decide Act This concurrent resolution expresses the sense of Congress to (1) affirm that federal law authorizes the distribution of medication abortion, including by mail, as stated in a 2022 Department of Justice memorandum; and (2) condemn restrictions on the access and coverage of reproductive health care, including medication abortion.

Maddy summaryThe Family Violence Prevention and Services Improvement Act of 2023 amends the Family Violence Prevention and Services Act to improve services for victims of domestic violence, dating violence, and family violence. The bill authorizes $270 million annually for fiscal years 2024-2028, with specific allocations including 12.5% for Tribal grantees, 2.5% for culturally specific services, and funds for national hotlines and resource centers. It establishes a national domestic violence hotline, a National Indian Domestic Violence Hotline, and resource centers for Alaska Native and Native Hawaiian populations, requiring all services to be trauma-informed, culturally relevant, and accessible to underserved populations including racial and ethnic minorities, people with disabilities, and Tribal communities. The bill also mandates a study on financial stability support for survivors of domestic violence.

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.