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.
Rep. Sanford D. Bishop, Jr.
Sponsored bills
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.
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.
Maddy summaryHR 1826 (PSA Screening for HIM Act) requires health insurance plans and issuers to cover prostate cancer screenings without out-of-pocket costs for men aged 40 and over who are at high risk of prostate cancer. This directly affects African-American men and men with a family history of prostate cancer (defined as having a first-degree relative diagnosed with or who died from prostate cancer). The bill mandates coverage for evidence-based screenings under the same requirements as other preventive services, effective for plan years starting January 1, 2024. It aims to address disparities in prostate cancer outcomes by removing financial barriers to early detection for high-risk groups.
Maddy summaryThe Women's Health Protection Act of 2023 would protect access to abortion services by prohibiting states from imposing restrictions that are more burdensome than those for comparable medical procedures. The bill would ensure people can obtain abortion services before fetal viability without unnecessary limitations like mandatory waiting periods or biased counseling, and after viability when necessary to protect the patient's life or health. It would preempt state laws that conflict with these protections and allow for civil enforcement actions to challenge restrictive state laws. This bill directly affects people seeking abortion services (including transgender and nonbinary individuals who can become pregnant), health care providers, and states that have implemented abortion restrictions.
Maddy summaryHR 2539 permanently extends the New Markets Tax Credit (NMTC) program, which incentivizes private investment in low-income communities. The bill directly affects community development financial institutions (CDFIs) and investors who fund projects in designated low-income areas by ensuring the credit remains available beyond 2025. Key provisions include automatically adjusting the credit amount annually for inflation starting in 2024 and clarifying that the credit can be used to offset alternative minimum tax liability. This maintains the program’s effectiveness in channeling capital to underserved neighborhoods without changing eligibility or funding levels.
Maddy summaryThis bill amends the law governing Basic Allowance for Housing (BAH) for uniformed service members stationed in the U.S. It changes the calculation method so that BAH amounts must equal the actual monthly cost of adequate housing in each location, as determined by the Secretary of Defense. This directly affects active-duty service members and their families who receive BAH for housing. The key provision replaces the previous formula with a requirement that BAH payments match local housing costs for members in the same pay grade and dependency status. The change ensures BAH reflects current housing expenses rather than an older calculation method.
Maddy summaryHR 1465, "Violet’s Law," requires federal research facilities to establish standards for placing eligible animals (dogs, cats, primates, guinea pigs, hamsters, rabbits) no longer needed for research with animal rescue organizations, sanctuaries, shelters, or individuals. Federal departments and agencies operating such facilities must create these placement standards within one year of the law's enactment. The law mandates that animals must be vet-certified as healthy (free of infectious disease or physical issues) before placement and prohibits facilities from using animals for commercial trade, breeding, or public exhibitions. This policy directly affects federal research facilities and aims to provide permanent homes for research animals through defined, safe pathways.
This bill provides specified funds to the 1890 Scholarships Program for FY2025 and each succeeding year for student scholarships. The bill also permanently reauthorizes the 1890 Scholarships Program. This National Institute of Food and Agriculture program provides grants to 1890 Institutions (i.e., historically Black colleges and universities that belong to the U.S. land-grant university system) for students who intend to pursue a career in the food and agricultural sciences.
Minorities in Aviation Education Act of 2023 This bill establishes grants for increasing the exposure and access of students to the aviation industry, with a particular focus on women and minorities. Specifically, the Department of Transportation (DOT) must establish the Bessie Coleman Aviation Education Program to award the grants to state and local governments or educational agencies for activities that increase exposure and access to aviation-related education and jobs, such as programs to increase the recruitment and retention of underrepresented minorities in aviation degree programs. DOT must prioritize grant applicants that propose to use the funds to encourage the participation of women, minorities, and individuals in rural and urban areas in the aviation industry.