Rep. Darren Soto

Social Determinants for Moms Act This bill requires the Department of Health and Human Services (HHS) to establish a task force and a grant program to address social determinants of maternal health. These are nonmedical factors that impact maternal health outcomes, such as transportation, food security, and economic security. The task force, composed of federal and nonfederal stakeholders, must develop strategies and coordinate efforts to eliminate preventable maternal mortality, severe maternal morbidity, and maternal health disparities. Additionally, HHS must award grants to community-based organizations, nonprofits, tribal organizations, public health departments, or consortia of these entities to address social determinants of maternal health and eliminate disparities in maternal health outcomes.

Innovative Maternal Payment and Coverage To Save Moms Act or the IMPACT to Save Moms Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a demonstration program to test alternative payment models under Medicaid and the Children's Health Insurance Program (CHIP) for maternity care. The CMS may consider payment models that include or are designed to address certain areas, such as improved maternal health outcomes for at-risk demographic groups, consideration of social determinants of health, or incorporation of diverse maternity care teams or settings. The CMS must evaluate the program's impact on maternal health outcomes, spending, patient experience, and other relevant areas.

Maddy summaryHR 3304, the Maternal Health Pandemic Response Act, allocates $190 million to improve maternal and infant health outcomes during public health emergencies. It funds CDC programs to collect and analyze racial, ethnic, and demographic data on pregnant and postpartum individuals affected by infectious diseases, requiring public reporting of disaggregated data (by race, ethnicity, and geography) to address health disparities. The bill also establishes a federal task force to develop recommendations for respectful, equitable maternity care during emergencies, including telehealth access, mental health support, and culturally appropriate services. These provisions directly affect pregnant and postpartum people, particularly those from racial and ethnic minority groups facing higher maternal mortality risks.

Maddy summaryThe Protecting Moms and Babies Against Climate Change Act establishes a federal grant program to help communities address climate change risks that affect pregnant people, new mothers, and infants under 3 years old. It allocates $100 million over four years for community-based organizations to provide climate-related health services, including air conditioning, housing assistance, mental health support, and training for health care providers on climate risks. The bill also creates a grant program for health profession schools to integrate climate change education into medical training and establishes a National Institutes of Health research consortium to study climate impacts on maternal health. All grant recipients must address racial and ethnic disparities, collect data by demographic factors, and prevent negative environmental or housing impacts in their initiatives.

Maddy summary# Comprehensive Summary: Maternal Health and Vaccination Legislation This proposed legislation establishes a comprehensive framework to improve maternal health outcomes across multiple dimensions, with a strong focus on equity and addressing systemic disparities. The bill is organized into 13 titles covering various aspects of maternal health care. ## Key Focus Areas 1. **Maternal Health Equity**: The legislation emphasizes reducing racial and ethnic disparities in maternal health outcomes, with specific provisions targeting communities of color and underserved populations. 2. **Incarcerated Mothers**: Includes provisions to end shackling of pregnant individuals in correctional facilities and establishes programs for maternal health care in prisons and jails. 3. **Technology and Telehealth**: Creates grant programs for telehealth models, technology-enabled collaborative learning, and digital tools to improve access to maternal care. 4. **Climate Change Impact**: Addresses how climate change affects maternal and infant health, with a focus on vulnerable populations. 5. **Public Health Emergencies**: Establishes protocols for maternal care during public health crises like pandemics. 6. **Vaccinations**: Expands maternal vaccination awareness and equity campaigns. ## Major Provisions **Maternal Vaccination Campaign (Title XIII)**: - Expands awareness campaigns to specifically target pregnant and postpartum individuals - Allocates $17 million annually (2024-2028) for vaccination outreach - Includes specific efforts to increase vaccination rates among racial/ethnic minority groups **Technology and Telehealth (Titles IX)**: - $6 million annually for technology-enabled collaborative learning models - $6 million annually for digital tools to promote equity in maternal health - Creates a demonstration project for alternative payment models in maternal care **Climate Change and Maternal Health (Title XII)**: - $100 million for a grant program to protect vulnerable mothers and babies from climate change risks - $5 million for education and training at health profession schools - Establishes a National Institutes of Health Consortium on Birth and Climate Change Research **Incarcerated Mothers (Title VIII)**: - Requires 25% grant reduction for states that don't restrict restraints on pregnant incarcerated individuals - Establishes model programs in Bureau of Prisons facilities for pregnant and postpartum incarcerated individuals - $10 million annually for State and local prison and jail programs **Public Health Emergency Response (Title XI)**: - $100 million for data collection on maternal health during public health emergencies - $30 million for expanding maternal mortality reviews - $45 million for Pregnancy Risk Assessment Monitoring System (PRAMS) - $15 million for research on public health emergencies' impact on maternal health ## Cross-Cutting Themes - **Equity Focus**: Nearly every provision includes specific measures to address racial and ethnic disparities - **Data Collection**: Strong emphasis on collecting and analyzing demographic data - **Community Involvement**: Requires input from community-based organizations and affected populations - **Interagency Coordination**: Mandates collaboration between multiple federal agencies - **Long-Term Investment**: All funding is allocated for 5-year periods (2024-2028) The legislation represents a comprehensive, multi-faceted approach to improving maternal health outcomes in the United States, with particular attention to vulnerable populations and systemic barriers that contribute to poor maternal health outcomes.

Maddy summaryThe Keeping All Students Safe Act prohibits the use of "unlawful" seclusion and restraint in schools, including physical restraint that's life-threatening, contraindicated for a student's disability, or not properly trained for. It requires schools to use less restrictive interventions first, mandates training for school personnel in crisis intervention, and establishes reporting requirements for restraint incidents, including immediate parent notification and annual public reporting. The bill prohibits using physical restraint as a planned intervention in student education plans and requires states to submit compliance plans with data on restraint incidents disaggregated by race, disability status, and other factors. It applies to public schools and programs receiving federal funding, but does not affect private schools not receiving federal funds or home schools.

Maddy summaryThe Extinction Prevention Act of 2023 establishes four separate conservation funds to protect specific species: butterflies across North America, plants in the Pacific Islands, freshwater mussels in the United States, and desert fish in the Southwest. Each fund authorizes $5 million annually from 2024-2029 to provide competitive grants for habitat protection, research, and conservation programs. Projects must be submitted by eligible organizations (states, tribes, nonprofits) and include specific elements like stakeholder engagement and demonstration of conservation potential. The Secretary of the Interior will review proposals based on criteria including conservation priority, sustainability, and matching funds, with annual reports required to Congress on fund usage and species status.

Maddy summaryThis bill establishes federal standards for labor-management cooperation between public safety employers (state and local governments) and public safety workers (law enforcement officers, firefighters, and emergency medical services personnel). It requires the Federal Labor Relations Authority to determine if states substantially provide rights like collective bargaining, union representation, and binding arbitration for these workers. States found lacking would need to follow federal bargaining procedures after a two-year transition period or following the next legislative session. The bill explicitly respects existing state laws that provide comparable or better rights to public safety workers. It also prohibits strikes or work stoppages that would disrupt emergency services.

Maddy summaryHR 3544, the Remote Naturalization Act, allows immigrants with approved naturalization applications to complete their oath ceremony remotely via video call if they cannot attend in person due to specific emergencies (like pandemics, disasters, or public health crises) or personal inability to travel. It requires the Department of Homeland Security to establish remote ceremony procedures within 30 days, notify eligible applicants, and hold these ceremonies within 30 days of their request. The bill mandates annual reports to Congress tracking how many people used remote ceremonies versus in-person ones, and clarifies that missing a remote ceremony does not count as abandoning naturalization. This directly affects immigrants whose in-person ceremonies were canceled or who face barriers to attending.

Maddy summaryThis bill directs the Department of Homeland Security to create a threat assessment on how terrorists and foreign actors use cyber harassment - including doxing - to threaten individuals. The assessment must detail tactics, notable incidents, and risk indicators for law enforcement, while coordinating with privacy offices. It requires DHS to share the report with Congress within 180 days and publish it online, with state/local law enforcement receiving it via fusion centers. The bill does not create new laws or penalties but focuses on information gathering about existing threats. (Procedural bill; summary limited to key action and scope.)