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. Jesús G. "Chuy" García
Sponsored bills
Maddy summaryHJRES 54 proposes a constitutional amendment stating that only natural persons (human beings) have rights protected by the U.S. Constitution, explicitly denying constitutional rights to corporations, limited liability companies, and other artificial entities. It would require governments to regulate or restrict corporate political contributions and spending to ensure equal access to elections, mandate public disclosure of all political spending, and clarify that campaign finance rules do not violate the First Amendment. This amendment directly affects corporations and other artificial entities by removing their constitutional standing in legal challenges and subjecting their political activities to stricter government oversight. If passed, it would fundamentally change how corporations interact with election laws and constitutional protections, though it preserves press freedom under Section 3. The bill is a proposed amendment requiring ratification by 3/4 of state legislatures to become part of the Constitution.
Expanding Opportunities for Diverse Entrepreneurs Act This bill requires the Department of Transportation (DOT) Disadvantaged Business Enterprise (DBE) program and recipients of assistance from the program to analyze and report on the program. The DBE program seeks to offer small disadvantaged businesses (i.e., certified as owned and controlled by socially and economically disadvantaged individuals) a fair opportunity to compete for federally funded transportation contracts. The bill requires the DBE liaison officers to track and provide an analysis of all efforts to expand knowledge of services and opportunities available (e.g., minimum outreach, training, and online development support) to non-certified and certified DBEs to increase an enterprise's ability to compete for, and perform on, federally funded transportation contracts; DOT to publicly post online a searchable and exportable version of the Uniform Report of DBE Awards/ Commitments and Payments for each state; and DOT to submit an annual report to Congress on the DBE program.
Maddy summaryHR 2402, the Alan Reinstein Ban Asbestos Now Act of 2023, bans the manufacture, processing, use, and sale of commercial asbestos (including specific types like chrysotile and crocidolite) in the U.S. starting one year after enactment, with key exceptions. It allows the chlor-alkali industry to continue using asbestos for diaphragm manufacturing until two years after enactment and permits limited national security exemptions for up to three years with public disclosure. The bill also requires the EPA and HHS to create public education resources about asbestos health risks and mitigation options. This directly affects manufacturers, distributors, and users of commercial asbestos products, excluding asbestos present only as an impurity.
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 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 summaryThis resolution (HRES 279, introduced April 6, 2023) designates April 10 as "Dolores Huerta Day" to symbolically honor Dolores Huerta's civil rights work. It recognizes her role co-founding the farm workers movement, advocating for labor rights (including the California Agricultural Labor Relations Act), promoting women's equality, and originating the "Sí Se Puede" slogan. The resolution has no binding policy effect - it is purely commemorative, celebrating her legacy without creating new laws or affecting any group directly. It was introduced by multiple House members as a formal expression of support for her contributions to social justice.
Maddy summaryHR 2501, titled "Sunset for the 2001 Authorization for Use of Military Force Act," would end the 2001 law (Public Law 107-40) that authorized military force following the September 11 attacks. The bill directly affects military operations currently justified under that 2001 authorization, requiring future actions to seek new congressional approval. It mandates the repeal of the 2001 AUMF 240 days after the bill becomes law, ending its legal authority. The bill states Congress finds the 2001 authorization has been used too broadly, conflicting with constitutional war powers.
Fair Manufactured Housing Lending Act This bill requires a manufactured or modular home retailer to comply with consumer mortgage protections, including those related to lending origination and conflicts of interest.
Maddy summaryHR 1509 reauthorizes annual federal funding for the Healthy Food Financing Initiative (HFFI), which helps establish grocery stores and healthy food access in underserved communities. The bill mandates increasing annual funding from $25 million in fiscal year 2024 up to $50 million per year starting in 2028. This funding supports projects like new supermarkets in "food desert" areas, directly benefiting residents in low-income neighborhoods with limited grocery options. The initiative provides grants and loans to developers, aiming to improve nutrition access without changing existing program rules.