Maddy summaryThe Rural Physician Workforce Production Act of 2023 creates a new payment system to support medical residency training in rural areas. It allows hospitals, critical access hospitals, and rural emergency hospitals to receive additional payments for residents who train at least 8 weeks in rural locations, with payments based on national medical training costs adjusted annually. The bill requires hospitals to pay residents' salaries during rural training and defines "rural training location" using census data (rural areas, rural-urban commuting area codes, or locations near sole community hospitals). This program is designed to increase rural physician training without affecting existing residency program limits or Medicare funding for medical education. Payments are budget-neutral, meaning they won't increase overall Medicare spending on medical education.
Sponsored bills
Maddy summaryHR 756, the Foster Care Stabilization Act of 2023, provides $5 million in federal grants to support foster youth under age 26. It awards three demonstration grants (up to $1 million each) to foster care stabilization agencies for emergency relief and improved pre-placement services, directly helping youth waiting for placement or experiencing instability. Key provisions allow funds for hiring staff, providing up to $250 annually in clothing/personal items per youth, food preparation, and preventing abuse/neglect. Agencies must return unused funds after three years and report on outcomes like reduced home transfers and service usage. The bill targets agencies serving foster youth, focusing on immediate safety and stability during transitions.
Maddy summaryHR 751, the FAIR Act, requires hospitals running medical residency programs to report annual data on applicants and acceptances from both osteopathic (DO) and allopathic (MD) medical schools starting in 2024. Specifically, hospitals must submit the number of applicants and accepted candidates from each medical school type, confirm they accept both DO and MD applicants, and state that COMLEX and USMLE exam scores are equally accepted. The Health Secretary must then publish this data online for public transparency. The bill directly affects hospitals operating residency programs and aims to make their admissions processes more visible, without mandating specific acceptance rates or changing admission criteria.
Maddy summaryThis bill targets specific Mexican cartels (Sinaloa, Jalisco New Generation, Beltran-Levya, Gulf, Los Zetas, Tijuana, and La Familia Michoacana/Knights Templar) by increasing penalties for related crimes, prohibiting cartel members from using U.S. financial institutions, and creating a CARTEL Fund to distribute seized assets (75% to Homeland Security, 25% to Justice Department). It establishes new immigration barriers for cartel members and their family members, and imposes penalties on U.S. citizens who facilitate cartel activities. The bill also authorizes sanctions against foreign governments and individuals that support these cartels, including blocking transactions and denying visas. This legislation would directly affect cartel members, their associates, U.S. citizens facilitating cartel activities, and foreign entities supporting these organizations.
Maddy summaryHR 589, the MAHSA Act, imposes U.S. sanctions on Iran's Supreme Leader, President, and affiliated entities responsible for human rights abuses and terrorism. It targets the Supreme Leader's Office, the President's cabinet, security forces involved in the crackdown following Mahsa Amini's death, and entities financing abuses. The bill requires the President to annually determine and apply existing sanctions - like property blocking and visa bans - against these individuals and entities. This directly affects Iran's top leadership and security apparatus, aiming to hold them accountable for abuses including the Morality Police's role in Amini's detention and the subsequent violent suppression of protests.
Maddy summaryHR 549, the Metastatic Breast Cancer Access to Care Act, removes waiting periods for disability and Medicare coverage for people diagnosed with metastatic breast cancer. Specifically, it amends Social Security Act sections to allow immediate eligibility for disability insurance benefits (eliminating the standard waiting period) and immediate Medicare coverage (waiving the 24-month waiting period) for these patients. The bill directly affects individuals with metastatic breast cancer who would otherwise face delays in accessing critical benefits. These changes apply to applications filed or benefits beginning after the bill's enactment date. The law makes no other policy changes beyond these specific eligibility adjustments.
Maddy summaryHR 407, the "Protect the UNBORN Act," prohibits federal agencies from implementing or enforcing two specific executive orders issued by President Biden in 2022 (Executive Orders 14076 and 14079), which aimed to protect access to reproductive healthcare services. The bill bans the use of federal funds, including those from the 2022 Consolidated Appropriations Act, to carry out, administer, or enforce these executive orders. It directly affects federal agencies and programs that would otherwise comply with the Biden administration's policies on reproductive healthcare access. The bill does not create new healthcare rules but blocks the implementation of existing executive actions.
Maddy summaryThe Bipartisan Social Security Commission Act of 2023 establishes a 13-member commission to develop long-term solutions for Social Security solvency. The commission, appointed with bipartisan representation from Congress and experts, must submit recommendations within one year for ensuring the solvency of the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund for at least 75 years. Congress must then expedite consideration of these recommendations through a special "approval bill" with strict time limits and no amendments. This bill directly affects future Social Security policy decisions by creating a structured process for addressing the program's financial sustainability.
Maddy summaryHR 177 requires nursing facilities to report specific information about their medical directors to the federal government. This affects all nursing facilities participating in Medicare and Medicaid, as they must include this data in required reports starting 90 days after updated regulations are published. The bill mandates that the Secretary of Health and Human Services issue these updated regulations within two years, making the reported medical director information publicly available on the Nursing Home Compare website six months after the regulations publish. This creates a new data point for the public to review regarding nursing facility leadership.
Maddy summaryThis bill bans federal funding for abortions in most cases, prohibiting the use of taxpayer money for abortion services or health insurance plans covering abortion. Exceptions allow funding for abortions resulting from rape, incest, or when a pregnancy endangers a woman's life. It requires health insurance plans sold through the Affordable Care Act (ACA) marketplaces to clearly disclose any separate costs for abortion coverage and prohibits ACA subsidies from being used for plans that cover abortion (except in the specified exceptions). The law directly affects federal programs like Medicaid, ACA marketplace plans, and insurers offering health coverage to individuals using federal subsidies.