Rep. Zachary Nunn

Maddy summaryThe Optimizing Postpartum Outcomes Act of 2023 requires the Health and Human Services Secretary to issue guidance within one year on covering pelvic health services (like pelvic floor exams and physical therapy) during the postpartum period under Medicaid and CHIP programs. This guidance will include best practices for payment models, financing options, and standardized terminology to improve access for postpartum women. It also mandates a GAO study on coverage gaps for postpartum services and funds a new CDC-led education campaign to train healthcare providers and inform postpartum women about pelvic health care. The bill directly affects postpartum women enrolled in Medicaid or CHIP, aiming to standardize and expand access to these specific health services.

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 2602, the Small Business Child Care Investment Act, reclassifies eligible nonprofit child care centers as "small business concerns" under federal loan programs. This allows organizations meeting specific criteria - like state licensing, 501(c)(3) tax status, and non-discrimination policies - to access SBA Section 7(a) loans and Title V financing. The bill requires loan guarantees for amounts over $500,000 but eliminates denial of loans solely due to religious activity (per First Amendment protections). It mandates annual SBA reports tracking loan numbers and amounts provided to these child care providers. The law directly affects nonprofit child care centers serving children from birth to school age.

Maddy summaryHR 2597, the Reserve Component Parental Leave Parity Act, extends paid parental leave for part-time military reservists to match active-duty standards. It increases reserve members' paid leave from six days to twelve days for birth, adoption, or placement of a child, and allows unused leave to be taken after the initial one-year period under specific circumstances like operational demands. The bill also updates retirement credit rules to include parental leave (replacing "maternity leave") for calculating retired pay. These changes apply to parental leave beginning on or after the law's enactment date.

Maddy summaryThis bill allows Medicaid coverage for incarcerated individuals during the 30 days preceding their release from public institutions. It directly affects people transitioning from prisons or jails back into communities by extending health coverage during this critical period. The key mechanism amends the Social Security Act to remove a Medicaid exclusion for this 30-day window. Additionally, it requires an 18-month report analyzing correctional healthcare standards, current discharge practices, and the potential impact of this coverage extension on post-release health access.

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 summaryThis bill requires the Department of Homeland Security (DHS) to assess how transnational criminal organizations use social media platforms and related services to recruit individuals in the U.S., particularly near borders, for illicit activities like drug trafficking and human smuggling. DHS must submit a national strategy within one year to improve coordination between federal agencies, state/local law enforcement, and major social media platforms (defined as "covered operators") to counter this recruitment. The strategy mandates a voluntary reporting system for platforms to share information about cartel activity, with DHS designating a point of contact in U.S. Customs and Border Protection to disseminate intelligence for prevention and law enforcement. It directly affects social media companies, border communities, and federal agencies involved in counter-narcotics and border security efforts.

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.

Maddy summaryThis bill extends the deadline for U.S.-Israel cooperation to monitor and disrupt tunnels along the Gaza border. It amends a 2016 law by changing the end date from December 31, 2024, to December 31, 2026. The extension directly affects U.S. and Israeli security agencies working together on tunnel surveillance and prevention. The key mechanism is simply updating the expiration date for this existing program.

Maddy summaryHR 2510 makes the federal adoption credit for children with special needs refundable, meaning families who adopt such children can receive a cash refund even if they don't owe federal income tax. The bill directly affects adoptive parents who claim the credit for children with special needs, allowing them to get the full credit amount as a refund rather than just reducing their tax bill. Key provisions define "special needs adoption expenses" as qualified costs for these adoptions and adjust tax code language to treat this portion as a refundable credit. The changes apply to taxable years beginning after December 31, 2023.