Rep. Mariannette Miller-Meeks

Maddy summaryHJRES 27 is a congressional resolution seeking to block a federal rule that redefined which waterways fall under the Clean Water Act's protections. It targets a rule submitted by the Army Corps of Engineers, Department of Defense, and Environmental Protection Agency (EPA) on January 18, 2023, which aimed to revise the "Waters of the United States" definition. The resolution would formally disapprove this rule under a specific federal procedure (Chapter 8 of Title 5), preventing it from taking effect. This would directly affect how federal agencies regulate pollution and development near water bodies, including wetlands and smaller streams.

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 summaryThe VA Same-Day Scheduling Act of 2023 requires the Department of Veterans Affairs to schedule appointments for enrolled veterans during the same phone call when they request care. This applies to veterans enrolled in the VA healthcare system who contact the VA by phone to request appointments. The law mandates that the VA must complete the scheduling during the call - without delay or future scheduling - regardless of the appointment date. The requirement takes effect 120 days after the bill is enacted.

Maddy summaryHR 2647, the Restore Public Health Institution Trust Act of 2023, requires the U.S. Comptroller General to produce a report within 120 days of enactment examining the Centers for Disease Control and Prevention's (CDC) public health messaging and guidance during the pandemic. The report must analyze the data used by the CDC, assess how inconsistent messaging affected public trust and vaccine uptake (including for school-age children), and evaluate potential influence from outside groups like teachers unions. It will also provide recommendations to improve the CDC's future communication and decision-making processes. This bill does not change CDC policies but mandates an independent review to address concerns about public health communication. The report will be submitted to specific congressional committees focused on health, education, and oversight.

Maddy summaryThe PLUS for Veterans Act of 2023 clarifies and updates rules for veterans' benefit claims under the Department of Veterans Affairs. It sets a $12,500 annual fee cap (adjusted for inflation) for agents or attorneys representing veterans, prohibits charging fees for medical exams, and prohibits unauthorized fees with penalties including fines or up to one year in prison. The bill directly affects veterans seeking benefits, their legal representatives, and the VA by standardizing fee agreements, requiring VA reports on agent/attorney suspensions, and ensuring veterans can access free services from VA-recognized organizations. Key provisions include banning fees for medical reports and requiring clear fee disclosures to veterans.

Maddy summaryHR 2584, the SAVE Act, creates a new federal criminal offense for assaulting or intimidating hospital employees while they're performing their duties, punishable by up to 10 years in prison, with enhanced penalties for using weapons, causing injury, or during public emergencies. The bill authorizes $25 million annually in federal grants to hospitals for violence prevention programs, including staff training, security technologies like panic buttons and video surveillance, and coordination with law enforcement. It defines "hospital" broadly to include various medical facilities such as long-term care hospitals, rehabilitation facilities, and critical access hospitals. The legislation directly affects hospital workers and medical facilities by establishing federal criminal penalties for violence against employees and providing funding to improve workplace safety. The law aims to address the rising problem of workplace violence against healthcare workers, which the bill states has increased since 2011.

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.

Maddy summaryHR 2434, the Next Generation Fuels Act of 2023, requires automobile manufacturers to design vehicles for model years 2028 and later to operate with gasoline containing up to 25% ethanol (2028-2032) or 30% ethanol (2033+) and to be compatible with gasoline having a research octane number of 95 or higher (2028-2032) or 98 or higher (2033+). Fuel retailers must install equipment to ensure compatibility with these high-octane, high-ethanol fuels, while refiners must meet specific requirements for gasoline aromatics content and low-carbon fuel standards. The bill mandates labeling requirements to inform consumers about fuel compatibility and potential consequences of using lower-octane fuels. EPA must determine nationwide availability of 98 octane gasoline by 2031 before the full requirements take effect in 2033, affecting automobile manufacturers, fuel retailers, and refiners through changes in vehicle design, fuel composition, and consumer information standards.

Maddy summaryHR 1839, the Combating Illicit Xylazine Act, makes the illicit use and distribution of xylazine a federal crime by adding it to the Controlled Substances Act. The bill broadly defines xylazine to cover numerous chemical variants and prohibits human use or non-licit distribution, while preserving legitimate veterinary and pharmaceutical uses. It requires tracking xylazine in drug supply chains and mandates two reports to Congress within 1 and 4 years on its prevalence, sources, and whether it should be rescheduled. The bill directly affects individuals distributing or using xylazine illicitly, including as an additive to drugs like fentanyl, and aims to address its public health risks. Congress declared illicit xylazine an "emerging drug threat" under existing law.

Precision Agriculture Loan Program Act of 202 3 This bill establishes a loan program within the Farm Service Agency to assist agricultural producers in purchasing precision agriculture equipment and technology, such as geospatial mapping, data management and analytics software, and network connectivity products and solutions. Precision agriculture refers to managing, tracking, or reducing crop or livestock production inputs, including seed, feed, fertilizer, chemicals, water, and time, at a heightened level of spatial and temporal granularity to improve efficiencies, reduce waste, and maintain environmental quality.