Rep. Chris Pappas

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 summaryHR 1839, the Combating Illicit Xylazine Act, makes the illicit use and distribution of xylazine a federal crime by adding it to the Controlled Substances Act. The bill broadly defines xylazine to cover numerous chemical variants and prohibits human use or non-licit distribution, while preserving legitimate veterinary and pharmaceutical uses. It requires tracking xylazine in drug supply chains and mandates two reports to Congress within 1 and 4 years on its prevalence, sources, and whether it should be rescheduled. The bill directly affects individuals distributing or using xylazine illicitly, including as an additive to drugs like fentanyl, and aims to address its public health risks. Congress declared illicit xylazine an "emerging drug threat" under existing law.

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 summaryHRES 277 is a non-binding resolution passed by the U.S. House of Representatives in April 2023 that urges the United States Postal Service (USPS) to restore mail delivery standards in effect as of July 1, 2012. It specifically calls for ending the 2015 service cuts that eliminated overnight first-class mail delivery and delayed other mail types, which the resolution states harmed businesses, rural communities, and the economy. The resolution cites the Postal Regulatory Commission’s finding that USPS could achieve cost savings without degrading service, emphasizing that returning to 2012 standards would improve delivery reliability without worsening USPS finances. As a resolution, it does not mandate action but expresses the House’s policy preference.

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 summaryThis bill amends the law governing Basic Allowance for Housing (BAH) for uniformed service members stationed in the U.S. It changes the calculation method so that BAH amounts must equal the actual monthly cost of adequate housing in each location, as determined by the Secretary of Defense. This directly affects active-duty service members and their families who receive BAH for housing. The key provision replaces the previous formula with a requirement that BAH payments match local housing costs for members in the same pay grade and dependency status. The change ensures BAH reflects current housing expenses rather than an older calculation method.

Maddy summaryHR 2482 requires the Secretary of Defense to study how accessible mental health care is for active-duty military members, specifically examining provider availability on bases, inpatient services, and potential improvements. This study directly affects active-duty service members by assessing their current access to mental health support. The bill mandates a report to Congress within 180 days of enactment, detailing the findings and recommendations. It does not change existing policy but gathers data to inform future decisions.

Maddy summaryHR 1465, "Violet’s Law," requires federal research facilities to establish standards for placing eligible animals (dogs, cats, primates, guinea pigs, hamsters, rabbits) no longer needed for research with animal rescue organizations, sanctuaries, shelters, or individuals. Federal departments and agencies operating such facilities must create these placement standards within one year of the law's enactment. The law mandates that animals must be vet-certified as healthy (free of infectious disease or physical issues) before placement and prohibits facilities from using animals for commercial trade, breeding, or public exhibitions. This policy directly affects federal research facilities and aims to provide permanent homes for research animals through defined, safe pathways.

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.