Rep. Jill N. Tokuda

Maddy summaryHR 6567 establishes a new FEMA program to improve disaster recovery in U.S. territories like Puerto Rico, Guam, and the U.S. Virgin Islands. The program will identify and address recurring challenges - such as outdated infrastructure, remote locations, language barriers, and limited staff - that delay recovery after hurricanes and other disasters. FEMA must provide tailored technical assistance, develop training courses, and create best practices for territories applying for federal disaster funding. The bill authorizes $50 million annually (2024-2028) for this program and requires biennial reports to Congress on progress and recommendations for continuation. It directly affects territories struggling with slow recovery due to unique geographic, economic, and administrative hurdles.

Maddy summaryHR 6654, the Farewell to Foam Act of 2023, bans the sale and distribution of expanded polystyrene foam food containers, packaging peanuts ("loose fill"), and coolers starting January 1, 2026. It directly affects food service providers (like restaurants and schools), manufacturers, distributors, and retailers who sell these foam products. The bill prohibits selling these items, with enforcement starting with a written warning for first violations, followed by escalating civil penalties ($250 for a second violation, up to $1,000 for fourth+ violations), while exempting small businesses with low annual revenue from repeated penalties within a 7-day period.

Maddy summaryThis bill forgives federal student loans for individuals enrolled in Medicare Part A or in the 24-month waiting period for Medicare benefits. It requires the Secretary of Education to cancel the full outstanding balance (principal, interest, and fees) on eligible loans used for undergraduate or graduate education, provided the loans were taken out at least 10 years before application. Borrowers must apply, and the law prohibits refunds for payments made prior to forgiveness. The policy directly affects Medicare/Social Security recipients with qualifying federal student loans, eliminating their debt burden without requiring repayment.

Maddy summaryThe Affordable Drug Manufacturing Act of 2023 establishes a new Office of Drug Manufacturing within the Department of Health and Human Services to directly manufacture and sell specific prescription drugs. It prioritizes drugs with expired patents or limited manufacturers (like insulin, asthma inhalers, naloxone, epinephrine injectors, and antibiotics) that face high costs or shortages, requiring the Office to produce at least 15 such drugs within one year and 25 within three years. The Office sets "fair prices" based on manufacturing costs, patient access, and impact on competition, while mandating public transparency in all pricing and requiring federal agencies to purchase these drugs. This directly affects patients and consumers by aiming to lower costs and improve access to essential medications through government-manufactured alternatives.

Maddy summaryHR 6600, "Tyler’s Law," requires the Secretary of Health and Human Services to study how often hospital emergency departments test for fentanyl during overdose cases, along with the costs, benefits, risks, and patient privacy impacts. The study must be completed within one year of the bill’s enactment, followed by guidance issued within six months on whether fentanyl testing should become routine. This guidance will address how hospitals can inform clinicians about testing protocols and how fentanyl testing might affect future overdose risks and patient health outcomes. The bill directly affects hospitals and emergency departments treating overdose patients, focusing on improving data-driven practices for fentanyl detection.

Maddy summaryHR 6641, the Keep America's Waterfronts Working Act, establishes a federal task force to identify and address critical needs of working waterfronts, which are coastal areas used for commercial fishing, boating, aquaculture, and related activities. The bill creates a grant program to help coastal states, Indian Tribes, and Native Hawaiian organizations develop and implement plans to preserve and expand working waterfronts through property acquisition, facility improvements, and climate adaptation measures. It also establishes a loan fund to provide financial assistance for waterfront preservation, with special provisions for disadvantaged communities and requirements for covered entities to develop plans ensuring waterfronts remain available for their intended uses. The legislation authorizes $50 million annually from 2024-2028 for these programs, with reporting requirements to track implementation and effectiveness.

Maddy summaryThe Inclusive Democracy Act of 2023 protects voting rights for people with criminal convictions in federal elections, ensuring they can register and vote while incarcerated, on probation, or on parole. It requires states to notify individuals about their voting rights at key points (during conviction, on probation/parole, and in carceral settings), and mandates carceral settings to provide voter registration forms, absentee ballot applications, and voting information. The bill establishes procedures for transmitting registration and ballot applications with expedited processing near election deadlines, requires states to accept applications and ballots postmarked within 2 days of deadlines, and prohibits prosecution for voting in non-federal elections when registered for federal elections. The law applies to federal elections starting with the 2024 general election.

Maddy summaryThe Workers POWER Act (HR 6634) strengthens federal labor enforcement by expanding staffing and resources for the Department of Labor's Wage and Hour Division and Occupational Safety and Health Administration (OSHA). It creates new paid student positions (5 in Washington, DC, plus 2 per regional office), establishes child labor fellowships (5 per agency), and increases student loan repayment benefits for eligible employees. The bill also authorizes performance-based bonuses, retention incentives, and $250 million annually in grants to states to improve their labor enforcement capacity. These changes directly affect Department of Labor enforcement staff and state/local labor agencies working to address wage theft, child labor, and workplace safety violations.

Maddy summaryThis bill creates a federal grant program to expand access to mental health care for rural residents and those working in farming, fishing, or forestry (Triple-F industry). It authorizes up to $10 million annually (2024-2028) for nonprofit or public organizations to deliver home-based telemental health services - using video or phone - directly to patients in their homes. The program specifically targets areas with health professional shortages or Triple-F workers, requiring grantees to measure service quality compared to in-person care. Reports on outcomes must be submitted to Congress after three years to evaluate effectiveness.

Maddy summaryThe Elizabeth Dole Home Care Act of 2023 increases the expenditure cap for home- and community-based care for veterans from 65% to 100% of costs, with exceptions for certain cases based on clinical need and geographic factors. It establishes new programs including Veteran-Directed Care, which allows veterans to select and manage their own in-home care services, and Home-Based Primary Care, which provides in-home health care overseen by VA providers. The bill requires improved coordination with existing programs like the Program of All-Inclusive Care for the Elderly (PACE) and mandates a centralized website with information about available services. It specifically targets veterans who would otherwise require nursing home care or face increased risk of hospitalization, and includes provisions to address home health aide shortages through pilot programs.