Rep. Ann M. Kuster

Maddy summaryThe RCORP Authorization Act (HR 9842) authorizes $165 million annually from 2024 to 2028 to fund the Rural Communities Opioid Response Program. It provides federal grants to states, tribes, rural health offices, and other eligible entities to expand opioid prevention, treatment, and recovery services in rural communities. Funds can be used for planning, evidence-based service delivery, technical assistance, and addressing emerging public health issues, but cannot purchase or improve real property. This program directly supports rural areas facing substance use disorders by strengthening local health services through targeted federal funding.

Maddy summaryHR 1719, the Honoring Our Fallen Heroes Act of 2023, establishes a presumption that certain cancers diagnosed in public safety officers (like police and firefighters) are work-related if linked to their duties. It defines 22 specific cancers (including lung, mesothelioma, and WTC-related cancers) as "exposure-related," allowing officers or their families to receive benefits without proving direct work connection, provided they were diagnosed within 15 years of leaving active service. The bill also creates a process for adding new cancers to the list based on scientific evidence, requiring the Bureau to review petitions and make decisions within 180 days. This applies to deaths or disabilities occurring on or after January 1, 2023, directly affecting officers who developed covered cancers during service.

Maddy summaryThe STOPP Act (HR 9790) amends the Controlled Substances Act to regulate tableting machines, encapsulating machines, and their critical parts, which can be used to illegally manufacture pills including opioids. It requires these machines to have permanent serial numbers, creates a registration system for manufacturers and distributors, and establishes a National Pill Press Registry maintained by the Attorney General. The law imposes penalties for violations like removing serial numbers, failing to register, or dealing in these machines without proper authorization. This bill directly affects businesses that produce, distribute, import, or export these machines, requiring them to register with the Attorney General and maintain detailed records of transactions. The registration system aims to prevent these machines from being diverted into illegal drug manufacturing operations.

Maddy summaryThis bill clarifies Medicare rules to allow doctors to provide certain critical medications directly in their offices without extra administrative hurdles. It specifically amends a Medicare provision (Section 1877(b)(2) of the Social Security Act) to remove a requirement that drugs furnished in-office must follow specific administrative rules, effective May 11, 2023. The bill also directs the removal of conflicting Medicare guidance published in 2021 and 2023, which had previously restricted this practice. This change directly affects Medicare beneficiaries (seniors) and doctors' offices that supply covered medications during patient visits. It streamlines access to necessary drugs by eliminating an unnecessary barrier to in-office medication administration under Medicare.

Maddy summaryHR 3433, the "Give Kids a Chance Act of 2024," requires pharmaceutical companies developing certain cancer drugs to conduct pediatric studies if the drugs target molecular pathways relevant to childhood cancers. It directly affects drug manufacturers submitting new applications for cancer treatments, particularly those combining previously approved adult cancer drugs or containing a single new active ingredient. The bill amends FDA regulations to mandate these pediatric investigations only when specific conditions are met, such as when a drug's molecular target is relevant to pediatric cancer growth. The FDA must issue implementing guidance within 12 months, and reports to Congress will track implementation and effectiveness starting 2 years after enactment.

Maddy summaryThis bill prohibits hospitals and transplant centers from denying organ transplants or related services to people with disabilities solely because of their disability. It requires covered entities to make reasonable modifications to policies (like considering a patient's support network for post-transplant care) and provide auxiliary aids (such as communication services or accessible health information). The law specifically prevents discrimination based on disability during evaluation, listing, and treatment, while clarifying that medical decisions must be based on individualized assessments - not disability alone. It applies to all organ transplant processes and allows individuals to file complaints with the Department of Health and Human Services or sue for violations.

Maddy summaryThis bill requires the Department of Defense to provide clear, annual information to TRICARE beneficiaries (military members, families, and retirees) about reproductive healthcare access under the military health system. It mandates details on covered care (including abortion), when care is available at military facilities, how to request leave/travel for out-of-state care, and how to find non-DoD providers. Military healthcare providers must also receive annual training on their obligation to offer covered reproductive care (abortion, contraception, fertility) regardless of state laws, and their legal protections. The information must be shared in person, in writing (including electronically), and posted in accessible areas at military medical facilities. This focuses on improving transparency and provider knowledge, not expanding coverage.

Maddy summaryThis bill expands TRICARE coverage to allow military service members and their dependents to obtain up to a full year's supply of contraception in a single fill (365 days) at military pharmacies, retail pharmacies, or through TRICARE's mail-order program. It requires TRICARE to implement this coverage within 180 days of enactment and mandates outreach to inform beneficiaries and providers within 90 days of implementation. The policy directly affects active-duty military members and their eligible dependents enrolled in TRICARE, removing prior restrictions on supply limits for contraceptive prescriptions. This change simplifies access by eliminating the need for frequent refills while maintaining existing coverage requirements under TRICARE.

Maddy summaryHR 9691 establishes the Julius Rosenwald and Rosenwald Schools National Historical Park as a unit of the National Park System. The park will preserve specific sites, including the San Domingo School in Maryland and the St. George Rosenwald School in South Carolina, plus a Chicago headquarters at the former Sears complex. It aims to commemorate Julius Rosenwald's philanthropy - particularly his partnership with Booker T. Washington to build over 5,000 schools for African-American students in the segregated South - and his broader legacy of social justice. The bill directs the Secretary of the Interior to administer the park, develop a management plan, and create a national network connecting related Rosenwald School sites for educational interpretation.

Maddy summaryThis bill creates a new occupational category (code 31-1123) within the federal Standard Occupational Classification system specifically for direct support professionals (DSPs) who assist people with intellectual or developmental disabilities. It directly affects DSPs, state agencies, and federal data collectors by reclassifying their work - currently grouped under home health aides - into a distinct category. The key mechanism is revising the SOC system to better track DSP workforce data, address high turnover rates (43% nationally), and recognize their unique role in promoting clients' independence and community inclusion. This change aims to improve data accuracy for addressing staffing challenges, without altering service delivery or benefits.