Rep. Seth Moulton

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.

This bill directs the Federal Aviation Administration (FAA) to establish an Impacted Communities Advisory Committee. The committee must provide advice and recommendations to the FAA on community needs, plans, and strategies with respect to areas that include noise policy; community engagement; noise, pollution, and health mitigation for communities close to airports and communities away from airports; and integration of new or emerging technologies.

Noise Data Collection Act This bill requires the Federal Aviation Administration (FAA) to annually report to Congress the estimated number of individuals in the United States who are exposed to certain levels of aviation noise. Specifically, the report must include estimates for the number of individuals exposed to aviation noise at each of the following day-night average sound levels (DNLs): 65 dBA, 55 dBA, and 46 dBA. In addition, the FAA's initial report must include an estimate of the number of individuals exposed to aviation noise at these levels for each year during the period beginning on January 1, 2010, and ending on the last day of the year preceding the year for which the first report is submitted. The DNL noise metric reflects a person's cumulative exposure to sound over a 24-hour period, expressed as the noise level for the average day of the year on the basis of annual aircraft operations.

Peer-Reviewed Report on Measuring Metrics and Thresholds This bill requires the Department of Transportation to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine to produce a report that identifies and recommends a system of measuring aviation noise. This measurement system must, with a highly reliable relationship, categorize noise levels to determine compatibility for residential areas and high annoyance areas based on appropriate metrics. In addition, it must (1) have a highly reliable relationship between projected noise exposure and surveyed reactions of individuals, and (2) be applied uniformly in measuring noise at airports and the surrounding area.

Air Traffic Noise and Pollution Expert Consensus Act of 2023 This bill requires the Federal Aviation Administration to enter into an arrangement with the National Academies of Sciences, Engineering, and Medicine to examine and report on the various health impacts of air traffic noise and pollution.

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.

Maddy summaryThe School Meals Expansion Act (HR 2567) amends the National School Lunch Act to make it easier for schools to provide free meals to all students. It lowers the income threshold to 25% (from a higher previous rate) and increases the eligibility multiplier to 2.5 for school years starting July 1, 2023. This means school districts with 25% or more students from low-income families can now qualify for full federal funding to offer free meals to all students without requiring individual applications. The bill directly affects local school districts that choose to participate in the community eligibility program under the National School Lunch Act.

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.

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.