Rep. Ann M. Kuster

Maddy summaryThis bill allows Medicaid coverage for incarcerated individuals during the 30 days preceding their release from public institutions. It directly affects people transitioning from prisons or jails back into communities by extending health coverage during this critical period. The key mechanism amends the Social Security Act to remove a Medicaid exclusion for this 30-day window. Additionally, it requires an 18-month report analyzing correctional healthcare standards, current discharge practices, and the potential impact of this coverage extension on post-release health access.

Maddy summaryThis bill creates a 2-year pilot program to establish or improve state-based nursing workforce centers. It provides $1.5 million annually (2024-2025) for up to six state or regional centers, requiring non-Federal matching funds (1:4 ratio). These centers will analyze nursing workforce data - including education, retention, and shortages - and develop strategies to recruit, retain, and diversify nurses, especially in rural and underserved areas. The program mandates annual reports to Congress on outcomes and best practices for addressing nursing shortages. It directly affects states, nursing schools, healthcare employers, and nursing workforce centers through federal grants and data-driven planning.

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 summaryThis bill authorizes $50 million annually from 2024 through 2029 for the Centers for Disease Control and Prevention (CDC) to conduct or support research on firearms safety and gun violence prevention. The funding is specifically for studies under the Public Health Service Act, adding to existing research budgets rather than replacing them. It directly affects CDC researchers and public health agencies by providing dedicated resources to study gun violence causes and prevention strategies. The bill creates no new regulations or requirements, only enabling research to inform future policy decisions.

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 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 2532, the Women in NCAA Sports Act, establishes a 16-member Commission to study and compare how the NCAA treats men’s and women’s sports programs. The Commission will examine NCAA operations - including tournament venues, budgets, media contracts, and policies - to identify disparities in treatment across all sports and student-athlete programs. After 18 months, it must submit a report to Congress with findings and recommendations for improving fairness, while avoiding any review of athlete eligibility. The bill directly affects NCAA operations and requires Congress to consider the Commission’s findings for potential policy changes.

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.