Rep. Debbie Dingell

Maddy summaryHR 9152, the "SCHOOL Professionals Act of 2024," clarifies that contractors primarily providing operations or logistics services to educational organizations must be treated like direct employees for health coverage purposes under federal tax law. This means educational institutions using such contractors must determine if these workers qualify as "full-time" for health insurance requirements, similar to their own employees. The bill directly affects schools and colleges that rely on external contractors for facility or support services, requiring them to apply the same full-time employee rules to these contractors when assessing health coverage obligations. The rule change applies to months beginning after the bill's enactment date.

Maddy summaryThis bill creates a new Medicare payment model for emergency medical services (EMS) that allows coverage when ambulance providers deliver critical care on-site without transporting patients to a hospital. It directly affects Medicare beneficiaries receiving such on-site emergency care and ambulance providers who would previously not be reimbursed for non-transport services. The key provision requires Medicare to pay for these services at rates matching what would have been paid for transport, based on state protocols and emergency call responses, for a 5-year trial period. A report due 4 years after implementation will evaluate impacts on patient outcomes, system efficiency, and regional access.

Maddy summaryThe PROVE IT Act of 2024 directs the U.S. Energy Secretary to study and publicly report on the greenhouse gas emissions intensity of key U.S. manufactured products (like steel, aluminum, lithium batteries, and critical minerals) compared to those produced in "covered countries" (including the EU, China, and major trading partners). It requires a transparent methodology for calculating emissions data, identifies gaps in existing data, and establishes a public online database showing U.S. emissions advantages for these products. The bill also mandates an annual report on foreign countries using forced labor or human rights abuses in the production of critical minerals or rare earths. Importantly, it clarifies the study does not create new taxes, fees, or mandatory reporting requirements.

Maddy summaryHR 8390, the Mental Health and MAMA Act of 2024, eliminates cost-sharing (like copays or deductibles) for mental health and substance use disorder services during pregnancy and for one year after birth. It applies to people enrolled in group health plans, individual insurance, or federal employee health plans, covering services provided by in-network providers. The bill requires insurers to waive these costs starting two years after enactment, explicitly including telehealth services. It specifically targets care for pregnant and postpartum individuals, ensuring coverage from pregnancy diagnosis through the 12 months following birth.

Maddy summaryThe Essential Caregivers Act of 2024 requires nursing homes and similar facilities to allow residents to designate essential caregivers who provide emotional support or assistance with daily activities. During emergencies when regular visitation is restricted, facilities must permit at least one essential caregiver access to residents daily and cannot deny access without following specific procedures. Facilities may deny access for a maximum of 7 days during emergencies (or 14 days with state approval), and must provide a written explanation and appeal process if access is denied. The bill establishes a 48-hour appeal process for residents and caregivers to challenge denials, with facilities required to prove violations during appeals. This law applies to Medicare skilled nursing facilities, Medicaid nursing facilities, intermediate care facilities, and certain inpatient rehabilitation facilities.

Maddy summary# Summary of Long-Term Care Workforce Support Act This comprehensive legislation aims to improve conditions for the long-term care workforce (referred to as "direct care professionals") through multiple key components: 1. **Workforce Development & Safety**: Establishes workplace violence prevention standards requiring covered employers to develop written violence prevention plans, conduct incident investigations, provide training, and maintain records. 2. **Paid Sick Time Requirements**: Mandates that employers provide direct care professionals with at least 1 hour of paid sick time for every 30 hours worked (up to 56 hours per year), with specific uses including: - Medical care for the employee - Caring for family members - Domestic violence, sexual assault, or stalking situations - Public health emergencies (with additional paid sick time provided during emergencies) 3. **National Compensation Strategy**: Creates a National Direct Care Professional Compensation Strategy requiring the Secretary of Health and Human Services to develop and update a strategy for providing direct care professionals with livable wages, including recommendations on: - Calculating fair labor costs - Medicaid and public payer policies for compensation - Setting clear employer expectations for compensation - Tying training/certification to increased compensation 4. **Advisory Council**: Establishes a National Direct Care Professional Compensation Advisory Council with diverse representation to advise on compensation strategies. 5. **Evaluation & Accountability**: Requires evaluation of the legislation's implementation and outcomes, tracking spending by states, and analyzing impacts on workforce retention, compensation, working conditions, and service delivery. The legislation addresses multiple challenges in the direct care workforce, including low pay, high turnover, workplace violence, and lack of benefits, with the goal of improving both worker conditions and the quality of care for individuals receiving long-term services.

Maddy summaryThe SOAR Act of 2024 removes supplemental oxygen and related equipment, supplies, and services from Medicare's competitive bidding program, ensuring direct Medicare payment for these items starting in 2025. It establishes new payment rates for oxygen services, including specific rates for rural areas and liquid oxygen with annual inflation adjustments, and requires oxygen suppliers to provide specific services like initial evaluations, safety education, and 24-hour coverage. The bill also adds respiratory therapist services to Medicare coverage with a new payment add-on, requires electronic templates for documenting medical necessity for oxygen services, and establishes new beneficiary rights including the right to choose suppliers and receive timely equipment repairs. This legislation directly affects Medicare beneficiaries requiring oxygen therapy, oxygen suppliers, and respiratory therapists by changing how these services are paid for and delivered.

Maddy summaryThis bill makes permanent Medicare telehealth flexibilities that were temporarily expanded during the pandemic. It removes expiration dates for telehealth coverage, allowing beneficiaries to continue using these services without needing in-person visits for mental health, substance use, stroke care, and home dialysis. The bill also expands who can provide telehealth (including more healthcare professionals) and permits audio-only calls for Medicare-covered visits. These changes directly affect Medicare patients - especially those in rural areas or with mobility challenges - and healthcare providers who deliver remote care.

Maddy summaryThis bill would require the U.S. to reimpose tariffs on steel imports from Mexico that were in effect before May 2019. The tariffs must remain in place for at least one year, and the U.S. Trade Representative and Commerce Secretary must certify that Mexico has fixed its trade practices before lifting them. The President may also add import limits to return steel imports from Mexico to pre-2019 trade levels. The bill directly affects Mexican steel exporters and aims to address claims that Mexico violated a 2019 trade agreement.

Maddy summaryThe Telehealth Modernization Act of 2024 extends Medicare's temporary telehealth coverage rules permanently, removing the previous 2024 expiration date. It expands who can provide telehealth services by allowing more healthcare professionals (like certain nurse practitioners) to bill Medicare for these services, and ensures Federally Qualified Health Centers and Rural Health Clinics can continue billing for telehealth under existing payment rules after 2024. The bill also explicitly permits audio-only telehealth calls for Medicare coverage and allows telehealth for hospice face-to-face visits and home dialysis assessments as clinically appropriate, without time limits. These changes directly affect Medicare beneficiaries, healthcare providers, and community health centers offering telehealth services.