Rep. Lauren Underwood

Maddy summaryHRES 439 is a non-binding resolution expressing the House of Representatives' support for keeping the U.S. Postal Service (USPS) as an independent federal agency, not subject to privatization. It highlights USPS's constitutional role, self-sustaining nature (relying on service revenue, not taxpayer funds), and its importance to rural communities, e-commerce, and over 600,000 employees. The resolution urges Congress to take action to preserve USPS's independence, emphasizing that privatization could raise prices, reduce services, and harm the nation's mail infrastructure. As a procedural resolution, it does not change law but formally states the House's position.

Maddy summaryThis bill would designate approximately 1.7 million acres of public land in Utah's Colorado Plateau and Great Basin regions as wilderness areas, protecting them from development while preserving traditional uses by Indigenous communities. It establishes specific wilderness areas across Utah's red rock canyons, including the Great Basin Wilderness Areas, Grand Staircase-Escalante Wilderness Areas, and others, with detailed acreage for each designated zone. The bill includes administrative provisions for managing these areas, such as maintaining existing livestock grazing rights, setting road setbacks to protect wilderness character, and reserving water rights for the wilderness areas. This legislation directly affects how the Bureau of Land Management administers public lands in Utah and defines the boundaries for public use of these designated wilderness areas.

Maddy summaryHR 3523, the Perinatal Workforce Act, provides $15 million annually from 2024 to 2028 to expand and diversify maternity care providers. It directs HHS to issue guidance for states on recruiting diverse providers (including midwives, nurses, and community health workers) and requires grant recipients to prioritize students from racial/ethnic minority groups, implement bias training, and target health professional shortage areas. The bill also mandates annual reporting on workforce diversity and outcomes, and requires a GAO report assessing barriers to equitable access in maternal healthcare. This legislation directly affects hospitals, nursing schools, midwifery programs, and insurers by funding targeted workforce development to address racial disparities in maternal care.

Maddy summaryThe Maternal Vaccination Act amends public health law to specifically target vaccination outreach for pregnant and postpartum individuals and their children, directly affecting public health campaigns and health agencies. It updates existing provisions to include these groups in awareness efforts, requires new activities to increase vaccination rates - particularly among racial and ethnic minority communities - and increases annual funding from $15 million to $17 million for fiscal years 2024-2028. Key mechanisms include revising language in the Public Health Service Act to explicitly cover pregnant/postpartum individuals in campaign descriptions and adding a new requirement (Section 317(k)(1)(E)(vii)) to address vaccination equity. The bill focuses on concrete policy changes to expand access and awareness, not on predicting outcomes.

Maddy summaryThe Kira Johnson Act (HR 3310) provides $100 million annually from 2024-2028 to fund community-based organizations working to improve maternal health outcomes for racial and ethnic minority groups with elevated rates of maternal mortality, severe maternal morbidity, and health disparities. It requires hospitals to establish respectful maternity care compliance programs allowing patients to report racism or bias, and mandates training for all maternity care employees to address bias, racism, and discrimination. The bill also requires annual reports on program effectiveness and studies to evaluate strategies for reducing bias in maternity care settings. These provisions directly affect hospitals, maternity care providers, community-based organizations, and pregnant and postpartum individuals from racial and ethnic minority groups.

Maddy summaryThe Data to Save Moms Act allocates $10 million annually (2024-2028) to help maternal mortality review committees improve community engagement and diversity, with special focus on racial and ethnic minority groups. It requires committees to better document pregnancy-related deaths, consider nonclinical factors affecting maternal health, and collect more detailed demographic data including race, ethnicity, and socioeconomic status. The bill also mandates a comprehensive review of maternal health data collection processes and establishes a study specifically focused on maternal health outcomes for American Indian and Alaska Native individuals. Additionally, it provides grants to minority-serving institutions to research maternal health disparities among racial and ethnic minority groups. These provisions aim to improve data quality, community involvement, and address maternal mortality and severe maternal morbidity.

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.

Maddy summaryHR 3312, the Moms Matter Act, establishes a $25 million annual grant program (2024-2027) for community organizations, health providers, and local governments to address maternal mental health and substance use disorders. It prioritizes funding for initiatives in areas with high maternal mortality rates, health disparities, or health professional shortage areas, focusing on evidence-based services like integrated mental health care in prenatal settings, postpartum support, stigma reduction, and provider training. The bill also creates a $15 million annual workforce program (2024-2028) to diversify maternal mental health providers through scholarships, training in bias/racism, and recruitment in underserved communities. These grants directly affect pregnant and postpartum individuals in high-risk demographic groups and aim to improve access to specialized care through concrete program requirements.

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.