Rep. Wiley Nickel

Helping Kids Cope Act This bill establishes programs within the Health Resources and Services Administration (HRSA) to support pediatric behavioral health care. Specifically, HRSA must award grants, contracts, or cooperative agreements to eligible health care providers for (1) integrating and coordinating pediatric behavioral health care within communities, and (2) pediatric mental health and substance use disorder workforce training. Additionally, HRSA must award grants, contracts, or cooperative agreements to hospitals or rural health clinics that predominately treat individuals under age 21 for expanding their capacity to provide pediatric behavioral health services. Recipients may use awards for constructing or modernizing sites of care and enhancing digital infrastructure, telehealth capabilities, or other improvements to patient care infrastructure.

Maddy summaryHR 1826 (PSA Screening for HIM Act) requires health insurance plans and issuers to cover prostate cancer screenings without out-of-pocket costs for men aged 40 and over who are at high risk of prostate cancer. This directly affects African-American men and men with a family history of prostate cancer (defined as having a first-degree relative diagnosed with or who died from prostate cancer). The bill mandates coverage for evidence-based screenings under the same requirements as other preventive services, effective for plan years starting January 1, 2024. It aims to address disparities in prostate cancer outcomes by removing financial barriers to early detection for high-risk groups.

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 summaryHR 2539 permanently extends the New Markets Tax Credit (NMTC) program, which incentivizes private investment in low-income communities. The bill directly affects community development financial institutions (CDFIs) and investors who fund projects in designated low-income areas by ensuring the credit remains available beyond 2025. Key provisions include automatically adjusting the credit amount annually for inflation starting in 2024 and clarifying that the credit can be used to offset alternative minimum tax liability. This maintains the program’s effectiveness in channeling capital to underserved neighborhoods without changing eligibility or funding levels.

Maddy summaryThe Ensuring Access to General Surgery Act of 2023 directs the Health Resources and Services Administration (HRSA) to study how to accurately identify areas in the U.S. with insufficient access to general surgeons, particularly in rural and underserved communities. The study will evaluate current methods for designating health professional shortage areas and propose a new approach using hospital service areas, surgeon-to-population ratios, and factors like wait times and transportation access. HRSA must report findings to Congress within one year and may later establish a formal process to designate "general surgery shortage areas" through rulemaking. If implemented, this would publicly list affected areas to better target resources addressing surgical care gaps.

Maddy summaryThe International Human Rights Defense Act of 2023 creates a permanent Special Envoy at the State Department to coordinate U.S. efforts against discrimination and violence targeting LGBTQI+ people globally. The bill requires the development of an annual global strategy to address criminalization, discrimination, and violence based on sexual orientation, gender identity, or sex characteristics. It also mandates that U.S. country reports on human rights practices include detailed information about laws and practices affecting LGBTQI+ communities. The legislation authorizes U.S. foreign assistance programs to support LGBTQI+ rights through health services, legal protections, and community capacity building. This bill aims to strengthen U.S. diplomatic engagement on LGBTQI+ rights as part of broader human rights policy.

Maddy summaryHR 1831 would award Billie Jean King a Congressional Gold Medal to honor her lifelong advocacy for equal rights in sports and society. The bill directs the Secretary of the Treasury to strike the medal and have it presented by congressional leaders, recognizing her pivotal role in advancing women's equality through tennis (including founding the Women’s Tennis Association and securing equal prize money) and her broader impact on society through initiatives like Title IX advocacy.

Maddy summaryThis bill changes how U.S. foreign aid is provided to international health organizations. It prevents U.S. agencies from denying aid to foreign non-governmental organizations (NGOs) solely because they offer health services (like counseling or referrals) using their own funds, as long as those services follow local laws. It also stops applying stricter rules about how foreign NGOs can use their own funds for advocacy compared to U.S. NGOs receiving similar aid. The bill directly affects foreign health-focused NGOs that rely on U.S. foreign assistance funding.

Maddy summaryHR 1777 establishes a $50 million annual fund (2024-2028) for collaborative defense research between the U.S. and Israel in emerging technologies like artificial intelligence, cybersecurity, directed energy, and automation. The bill directly supports U.S. and Israeli military forces by enabling joint development of new warfare capabilities to address current and future defense challenges. Key provisions include authorizing $50 million per year for collaborative projects, building on existing U.S.-Israel defense partnerships like counter-tunnel and counter-drone systems. This funding aims to strengthen bilateral defense innovation without altering existing military aid structures.

Maddy summaryHR 1637 establishes a Medicare pilot program called the Dementia Care Management Model to improve care for beneficiaries with Alzheimer's disease or related dementia. It requires participating providers to offer comprehensive services - including continuous monitoring, personalized care plans, medication management, and caregiver support - while excluding hospice care. Payments are made monthly based on patient needs (with pathways for uncomplicated vs. complex cases) and include quality-based bonuses, with no cost-sharing for beneficiaries. The model tests whether this approach improves health outcomes, care quality, and caregiver support while reducing Medicare spending, targeting Medicare beneficiaries not in nursing homes or hospice who meet specific diagnosis and enrollment criteria.