Rep. Dean Phillips

Maddy summaryHR 2725, the "Do No Harm Act," amends the Religious Freedom Restoration Act (RFRA) to clarify that RFRA does not apply when federal laws protect against discrimination or promote equal opportunity. It specifically exempts protections under the Civil Rights Act, Americans with Disabilities Act, workplace benefits like leave, child labor safeguards, and healthcare access from RFRA challenges. The bill also clarifies that RFRA does not block private lawsuits between individuals, applying only to cases involving government entities. This amendment ensures that existing federal civil rights and workplace protections remain enforceable under RFRA.

Maddy summaryThe Latonya Reeves Freedom Act of 2023 strengthens the Americans with Disabilities Act's requirement that individuals with disabilities receive long-term services and supports in community settings rather than institutions. It defines "community-based" services to include specific housing options where individuals with disabilities can live independently with maximum control over their lives, including access to integrated housing, employment, and community participation. The bill requires states to develop transition plans to move people from institutional settings to community-based services within 12 years, with measurable annual targets for reducing institutionalization. It establishes enforcement mechanisms through the Department of Justice and Department of Health and Human Services to ensure compliance with these requirements.

Maddy summaryThis bill establishes a 10-member Commission to study how U.S. federal laws and policies affect citizens living abroad. The Commission will examine specific issues including tax reporting requirements, access to financial institutions, voting procedures, Social Security/Medicare interactions, and immigration processes for family members. It must submit an initial report within one year of enactment, detailing findings and recommendations for improving these systems. The Commission will terminate after submitting a follow-up report one year later, with no direct policy changes enacted by the bill itself.

Maddy summaryThe Puppy Protection Act of 2023 sets new standards for businesses that sell dogs (dealers), directly affecting pet stores and breeders operating under the Animal Welfare Act. It requires specific housing with space allowances based on dog size (e.g., 12-30 square feet per dog), temperature control (45-85°F), clean food twice daily, and daily exercise or socialization with humans/dogs for at least 30 minutes. The bill also mandates annual veterinary exams including dental care, strict breeding limits (e.g., age restrictions, maximum 2 litters in 18 months), and efforts to place retired breeding dogs in homes instead of selling them to other breeders. Regulations must be finalized within 18 months of enactment.

Maddy summaryHR 2665 delays Medicaid payment reductions for safety net hospitals by two years, changing the effective date from 2024 to 2026 under Section 1923(f)(7)(A) of the Social Security Act. This bill directly affects hospitals that serve high numbers of low-income and uninsured patients, providing them with additional time before facing reduced federal Medicaid payments. The key mechanism is a technical amendment to existing law, postponing an already scheduled payment adjustment without altering funding levels or eligibility. As a procedural bill, it does not create new programs or change hospital requirements.

Maddy summaryThe VA Same-Day Scheduling Act of 2023 requires the Department of Veterans Affairs to schedule appointments for enrolled veterans during the same phone call when they request care. This applies to veterans enrolled in the VA healthcare system who contact the VA by phone to request appointments. The law mandates that the VA must complete the scheduling during the call - without delay or future scheduling - regardless of the appointment date. The requirement takes effect 120 days after the bill is enacted.

Small Business Tax Equity Act of 2023 This bill exempts a trade or business that conducts marijuana sales in compliance with state law from a provision in the Internal Revenue Code that prohibits business-related tax credits or deductions for expenditures in connection with trafficking in controlled substances.

Maddy summaryThe Optimizing Postpartum Outcomes Act of 2023 requires the Health and Human Services Secretary to issue guidance within one year on covering pelvic health services (like pelvic floor exams and physical therapy) during the postpartum period under Medicaid and CHIP programs. This guidance will include best practices for payment models, financing options, and standardized terminology to improve access for postpartum women. It also mandates a GAO study on coverage gaps for postpartum services and funds a new CDC-led education campaign to train healthcare providers and inform postpartum women about pelvic health care. The bill directly affects postpartum women enrolled in Medicaid or CHIP, aiming to standardize and expand access to these specific health services.

Maddy summaryHR 2414 extends CHAMPVA health coverage for children of veterans from age 21 to 26, regardless of marital status. This change directly affects children of veterans enrolled in the CHAMPVA program who would otherwise lose coverage upon turning 21. The bill amends Section 1781(c) of Title 38, U.S. Code, to update eligibility rules for medical care provided after the law's enactment. It does not impact existing coverage for children under a specific subsection (section 101(4)(A)(ii)).

Maddy summaryHR 2584, the SAVE Act, creates a new federal criminal offense for assaulting or intimidating hospital employees while they're performing their duties, punishable by up to 10 years in prison, with enhanced penalties for using weapons, causing injury, or during public emergencies. The bill authorizes $25 million annually in federal grants to hospitals for violence prevention programs, including staff training, security technologies like panic buttons and video surveillance, and coordination with law enforcement. It defines "hospital" broadly to include various medical facilities such as long-term care hospitals, rehabilitation facilities, and critical access hospitals. The legislation directly affects hospital workers and medical facilities by establishing federal criminal penalties for violence against employees and providing funding to improve workplace safety. The law aims to address the rising problem of workplace violence against healthcare workers, which the bill states has increased since 2011.