Rep. Sean Casten

Support, Treatment, and Overdose Prevention of Fentanyl Overdoses Act of 2023 or the STOP Fentanyl Overdoses Act of 2023 This bill addresses data collection, treatment, harm reduction, and other issues related to substance misuse and addiction. It particularly focuses on opioids, fentanyl, and related substances. Specifically, the bill expands surveillance of fentanyl and related substances. This includes requiring a study on how to track overdoses by type of drug (including fentanyl) and awarding grants to states for collecting data about fentanyl-involved overdoses. The bill also provides for (1) training on detecting and handling fentanyl for law enforcement, and (2) grants for forensic laboratories to facilitate surveillance of controlled substances seized by law enforcement. Additionally, the bill establishes and modifies requirements to increase access to treatment and prevention services. For example, the Bureau of Prisons must make certain services, including medication-assisted treatments, available to individuals in its custody. The bill also establishes grants and requires other efforts to expand access to medications that temporarily reverse opioid overdoses (e.g., naloxone) and related harm reduction activities. Furthermore, the bill extends, subject to some conditions, liability protections for those who administer aid in an emergency (commonly known as Good Samaritan laws) to individuals who administer opioid overdose reversal drugs and to individuals who seek medical attention for themselves or on behalf of another for a drug overdose. The bill also requires multiple reports, including a report by the Department of State on foreign sources of certain drugs.

Maddy summary# Comprehensive Summary: Maternal Health and Vaccination Legislation This proposed legislation establishes a comprehensive framework to improve maternal health outcomes across multiple dimensions, with a strong focus on equity and addressing systemic disparities. The bill is organized into 13 titles covering various aspects of maternal health care. ## Key Focus Areas 1. **Maternal Health Equity**: The legislation emphasizes reducing racial and ethnic disparities in maternal health outcomes, with specific provisions targeting communities of color and underserved populations. 2. **Incarcerated Mothers**: Includes provisions to end shackling of pregnant individuals in correctional facilities and establishes programs for maternal health care in prisons and jails. 3. **Technology and Telehealth**: Creates grant programs for telehealth models, technology-enabled collaborative learning, and digital tools to improve access to maternal care. 4. **Climate Change Impact**: Addresses how climate change affects maternal and infant health, with a focus on vulnerable populations. 5. **Public Health Emergencies**: Establishes protocols for maternal care during public health crises like pandemics. 6. **Vaccinations**: Expands maternal vaccination awareness and equity campaigns. ## Major Provisions **Maternal Vaccination Campaign (Title XIII)**: - Expands awareness campaigns to specifically target pregnant and postpartum individuals - Allocates $17 million annually (2024-2028) for vaccination outreach - Includes specific efforts to increase vaccination rates among racial/ethnic minority groups **Technology and Telehealth (Titles IX)**: - $6 million annually for technology-enabled collaborative learning models - $6 million annually for digital tools to promote equity in maternal health - Creates a demonstration project for alternative payment models in maternal care **Climate Change and Maternal Health (Title XII)**: - $100 million for a grant program to protect vulnerable mothers and babies from climate change risks - $5 million for education and training at health profession schools - Establishes a National Institutes of Health Consortium on Birth and Climate Change Research **Incarcerated Mothers (Title VIII)**: - Requires 25% grant reduction for states that don't restrict restraints on pregnant incarcerated individuals - Establishes model programs in Bureau of Prisons facilities for pregnant and postpartum incarcerated individuals - $10 million annually for State and local prison and jail programs **Public Health Emergency Response (Title XI)**: - $100 million for data collection on maternal health during public health emergencies - $30 million for expanding maternal mortality reviews - $45 million for Pregnancy Risk Assessment Monitoring System (PRAMS) - $15 million for research on public health emergencies' impact on maternal health ## Cross-Cutting Themes - **Equity Focus**: Nearly every provision includes specific measures to address racial and ethnic disparities - **Data Collection**: Strong emphasis on collecting and analyzing demographic data - **Community Involvement**: Requires input from community-based organizations and affected populations - **Interagency Coordination**: Mandates collaboration between multiple federal agencies - **Long-Term Investment**: All funding is allocated for 5-year periods (2024-2028) The legislation represents a comprehensive, multi-faceted approach to improving maternal health outcomes in the United States, with particular attention to vulnerable populations and systemic barriers that contribute to poor maternal health outcomes.

Maddy summaryThe Keeping All Students Safe Act prohibits the use of "unlawful" seclusion and restraint in schools, including physical restraint that's life-threatening, contraindicated for a student's disability, or not properly trained for. It requires schools to use less restrictive interventions first, mandates training for school personnel in crisis intervention, and establishes reporting requirements for restraint incidents, including immediate parent notification and annual public reporting. The bill prohibits using physical restraint as a planned intervention in student education plans and requires states to submit compliance plans with data on restraint incidents disaggregated by race, disability status, and other factors. It applies to public schools and programs receiving federal funding, but does not affect private schools not receiving federal funds or home schools.

Maddy summaryHR 3541, the Accounting STEM Pursuit Act of 2023, amends the Elementary and Secondary Education Act to include accounting education in school curricula. It requires schools to offer accounting career awareness and programs, particularly to students from groups underrepresented in accounting careers. The bill positions accounting as a STEM field and aims to expand student exposure to accounting through grade 12 courses. This change directly affects K-12 students and schools by integrating accounting into educational opportunities to diversify the future accounting workforce.

Maddy summaryThe CERTS Tax Exemption Act (HR 3510) exempts certain grants received by transportation service providers from federal taxation under the Coronavirus Economic Relief for Transportation Services Act. It directly affects eligible transportation providers who receive these specific grants by excluding the grant amounts from their gross income and preventing related tax deductions or basis adjustments from being denied. Key provisions ensure that for partnerships and S corporations, excluded grant amounts are treated as tax-exempt income, and partner basis increases align with grant-funded costs. This creates a clear tax treatment for these grants without altering the underlying grant program.

Law Enforcement Training for Mental Health Crisis Response Act of 2023 This bill authorizes the Office of Justice Programs within the Department of Justice to award grants to law enforcement and corrections agencies for behavioral health crisis response training.

Maddy summaryHR 3537 authorizes the minting of commemorative coins to mark the 100th anniversary of the U.S. Foreign Service, established by the 1924 Rogers Act. The bill specifies three coin types ($5 gold, $1 silver, and half-dollar clad) with limited mintage (50,000 gold, 400,000 silver, 750,000 half-dollars) to be issued in 2025, featuring designs honoring diplomatic history. A surcharge on each coin sale ($35 for gold, $10 for silver, $5 for half-dollars) will fund the Association for Diplomatic Studies and Training (ADST) to support its oral history program and diplomatic preservation efforts. The coins will be legal tender, sold at cost-plus-surcharge, with all revenue directed to ADST per the bill's provisions.

Maddy summaryThis bill changes federal tax rules to allow employees to receive tax-free benefits for bike commuting expenses. It repeals a suspension of tax exclusions and expands coverage to include reimbursement for qualified bike/scooter purchases, repairs, or rentals (like bikeshare), as long as the vehicle meets safety specs (e.g., e-bikes under 20mph or 750W, scooters under 100lbs). The benefit is capped at 30% of the monthly amount allowed for commuting expenses. It directly affects employees who regularly bike to work and employers offering these tax-free commuting benefits, effective for 2023 tax years.

Maddy summaryHR 3550, the Safe Interactions Act of 2023, authorizes $100 million annually (2023-2026) to fund competitive grants for nonprofit disability organizations to train law enforcement officers on interacting with people with disabilities and older adults with cognitive impairments. The bill requires grantees to develop training programs that include at least 8 hours of initial training for new officers and 4 hours annually for existing officers, covering communication strategies, de-escalation techniques, disability awareness, and community resources. These programs must involve covered individuals (people with disabilities or older adults with cognitive issues) as instructors or advisors and be implemented through partnerships with law enforcement agencies. The training aims to reduce violent encounters between officers and covered individuals by improving officers’ understanding of disability-related needs and civil rights protections.

Maddy summaryThis bill directs the Department of Homeland Security to create a threat assessment on how terrorists and foreign actors use cyber harassment - including doxing - to threaten individuals. The assessment must detail tactics, notable incidents, and risk indicators for law enforcement, while coordinating with privacy offices. It requires DHS to share the report with Congress within 180 days and publish it online, with state/local law enforcement receiving it via fusion centers. The bill does not create new laws or penalties but focuses on information gathering about existing threats. (Procedural bill; summary limited to key action and scope.)