Rep. Debbie Wasserman Schultz

Maddy summaryThe Nutrition CARE Act of 2024 expands Medicare Part B coverage to include medical nutrition therapy services for beneficiaries diagnosed with eating disorders. It directly affects Medicare beneficiaries with eating disorders - particularly an estimated 420,500-560,700 Black, Indigenous, and People of Color seniors - by requiring coverage for 13 hours of initial care (including assessment) and 4 hours annually for ongoing management. The bill amends Medicare law to specify that these services must be provided by registered dietitians or nutrition professionals following referrals from physicians or psychologists. Coverage applies to all eating disorders as defined by the DSM-5, addressing a gap where Medicare previously excluded this critical treatment component. This policy change aims to improve access to evidence-based care for a condition linked to high mortality and significant healthcare costs.

Maddy summaryThis bill updates U.S. trade and immigration policies to strengthen economic ties with Uruguay. It adds Uruguay to the list of beneficiary countries under the Caribbean Basin Economic Recovery Act, allowing U.S. businesses to benefit from preferential trade terms. The bill also requires the U.S. government to review Uruguay’s eligibility for the Visa Waiver Program within 90 days, assessing whether Uruguayan citizens could travel to the U.S. without visas and outlining steps Uruguay might need to take to qualify. These provisions directly affect U.S. businesses engaged with Uruguay and Uruguayan citizens seeking business visas or visa-free travel to the U.S.

Maddy summaryThis bill, HR 6860, protects patients with end-stage kidney disease (ESRD) who require dialysis by preventing health insurance plans from discriminating against them. It amends Medicare rules to prohibit plans from treating dialysis coverage differently than other medical services based on a patient’s ESRD diagnosis, need for dialysis, or any other factor. The bill clarifies that plans can still choose which dialysis providers to include in their networks but cannot deny or limit coverage for dialysis services solely because of the patient’s condition. It ensures Medicare remains the secondary payer for these services as intended, without forcing plans to cover specific providers.

Maddy summaryThe PEERS Act of 2023 (HR 6748) would add Medicare coverage for "peer support services" starting January 1, 2025. These services, provided by certified specialists who have recovered from mental health or substance use conditions, offer emotional, informational, and community support to Medicare beneficiaries diagnosed with mental disorders or substance use disorders. The bill establishes payment rates (80% of a fee schedule) for community mental health centers and certified community behavioral health clinics offering these services and modifies Medicare exclusions to allow coverage. It directly affects Medicare beneficiaries with these diagnoses, certified peer support specialists, and eligible healthcare providers like Federally Qualified Health Centers.

Maddy summaryHR 6407, the Medical Nutrition Therapy Act of 2023, expands Medicare coverage to include medical nutrition therapy for more chronic conditions beyond current limits. It directly affects Medicare beneficiaries with conditions like obesity, hypertension, dyslipidemia, eating disorders, and others not previously covered under Part B. The bill amends Medicare rules to allow coverage for prevention, management, or treatment of these conditions by a wider range of providers, including registered dietitians and clinical psychologists. This change would make medically necessary nutrition services available for conditions listed in the bill, such as diabetes, cardiovascular disease, and HIV, as determined by the Secretary.

Maddy summaryHR 5614 extends duty-free treatment for Haitian apparel imports under the Caribbean Basin Economic Recovery Act until September 30, 2035. It modifies the quantitative limit for eligible apparel imports to cap at 1.25% of the U.S. market for the most recent 12-month period, replacing the previous fixed annual period structure. This bill directly affects Haitian apparel exporters and U.S. importers of Haitian-made clothing by maintaining tariff preferences. The extension also requires the President to adjust the Harmonized Tariff Schedule to restore lost benefits for eligible items affected by prior tariff schedule changes.

Maddy summaryHR 5183, the Cancer Care Planning and Communications Act, requires Medicare to cover "cancer care planning and coordination services" for beneficiaries diagnosed with cancer. This policy directly affects Medicare patients with cancer, particularly older adults (over half of cancer diagnoses occur in Medicare beneficiaries), by mandating written care plans developed by physicians or providers. The key mechanism adds specific coverage for these plans under Medicare, requiring them to document treatment options, coordinate care across providers, and address symptoms like pain or fatigue - furnished in culturally appropriate formats. The bill specifies payment rates matching existing transitional care management services, effective for care starting after the law's enactment.

Maddy summaryThe WISE Act of 2023 aims to remove barriers for immigrant survivors of domestic violence, sexual assault, human trafficking, and other crimes who are eligible for protections under the Violence Against Women Act (VAWA) and Trafficking Victims Protection Act (TVPA). Key provisions include reforming U visa eligibility to include civil violations related to abuse, eliminating annual U visa caps, and automatically granting work authorization to applicants within 180 days of filing. The bill also prohibits detention of these survivors while their applications are pending and expands protections for battered spouses, children, and abused derivative aliens seeking immigration relief. This directly affects non-citizen victims of violence who are navigating complex immigration processes to remain safely in the United States.

Maddy summaryThe HOPE for Haitian Prosperity Act extends duty-free access for Haitian goods to the U.S. market until 2035, with specific extensions for apparel and other exports. It requires Haitian producers to meet labor standards on minimum wages, working hours, and safe conditions to maintain this trade benefit. The bill also creates a new U.S. technical assistance program to help Haiti diversify exports, focusing on agriculture, apparel, and services, while requiring collaboration with Haitian government, businesses, and labor groups. Annual reports to Congress will track progress on these efforts.

Maddy summaryHR 5008, the HEAL for Immigrant Families Act of 2023, would remove immigration status as a barrier to health insurance coverage for immigrants in the United States. The bill would make all lawfully present immigrants, including those with Deferred Action for Childhood Arrivals (DACA) status, eligible for Medicaid, CHIP, and Affordable Care Act health insurance subsidies. It would eliminate state-level restrictions on Medicaid eligibility for immigrants and allow individuals with federally authorized presence to access premium tax credits and cost-sharing reductions. This legislation aims to address health coverage disparities that disproportionately affect immigrant communities, particularly Black, Indigenous, Latinx, and other communities of color.