Rep. Donald M. Payne, Jr.

Maddy summaryThe Climate Resilience Workforce Act establishes a coordinated federal system to build a workforce for climate resilience, directly affecting workers in climate-related sectors and prioritizing frontline communities (low-income, communities of color, Tribal communities) and populations facing employment barriers (undocumented individuals, formerly incarcerated people). Key mechanisms include grant programs for state and local climate resilience planning, job creation grants requiring 40% of jobs to go to frontline communities and populations facing barriers, and minimum labor standards including $15/hour wages (increasing annually), employer-paid health insurance, and protections against discrimination. The bill creates an Office of Climate Resilience, a Climate Resilience Equity Advisory Board, and a Center for the Climate Resilience Workforce to define climate resilience sectors and ensure equitable hiring practices. It also removes employment barriers through immigration status protections, criminal record reforms, and drug testing policy changes for climate resilience workers.

Maddy summaryThe End Diaper Need Act of 2023 creates a federal program that will provide free diapers and incontinence supplies to low-income families with infants, toddlers, medically complex children (3+ years old with chronic health conditions), and low-income adults with disabilities. It allocates $200 million annually from 2024-2027 to fund this assistance through states and community organizations, making medically necessary diapers eligible for reimbursement through health savings accounts and other health benefit programs. The legislation requires integration with existing services like Medicaid, WIC, and TANF, and includes annual reporting requirements and an evaluation of the program's effectiveness within two years.

Maddy summaryThe CARE for Moms Act aims to reduce maternal mortality in the United States by improving healthcare access and quality for pregnant and postpartum women, with specific attention to racial disparities. Key provisions include requiring 12-month continuous Medicaid coverage for postpartum individuals (up from 60 days), expanding oral health coverage during pregnancy, and funding State-Based Perinatal Quality Collaboratives through $35 million annual grants. The bill specifically targets the higher maternal mortality rates faced by Black women, who are about 3 times more likely to die from pregnancy-related causes than White women. It also includes provisions for doula services, rural mobile health units, and improved data collection on maternal health outcomes.

Maddy summaryThe HOPE for Haitian Prosperity Act extends duty-free access for Haitian goods to the U.S. market until 2035, with specific extensions for apparel and other exports. It requires Haitian producers to meet labor standards on minimum wages, working hours, and safe conditions to maintain this trade benefit. The bill also creates a new U.S. technical assistance program to help Haiti diversify exports, focusing on agriculture, apparel, and services, while requiring collaboration with Haitian government, businesses, and labor groups. Annual reports to Congress will track progress on these efforts.

Maddy summaryThe Breast Cancer Patient Equity Act would require Medicare to cover custom-made breast prostheses for women who have undergone mastectomies, directly affecting Medicare beneficiaries and influencing private insurance coverage practices. Currently, Medicare denies coverage for these prostheses as "not medically necessary" while covering surgical breast reconstruction, creating a gap that disproportionately impacts older and minority women. The bill amends Medicare’s coverage rules to explicitly include custom breast prostheses under the same category as other body part prostheses. This change would address the lack of access to a common, less invasive alternative to surgery for over 100,000 women undergoing mastectomies annually.

Maddy summaryThe Social Security 2100 Act would significantly enhance Social Security benefits for millions of Americans by increasing monthly payments for retirees, disabled workers, widows/widowers, and children. Key provisions include raising the minimum benefit for long-term low earners, improving cost-of-living adjustments using a more accurate index, eliminating the 5-month waiting period for disability benefits, and extending child benefits to age 26. The bill also changes how Social Security taxes are calculated by applying them to income above $400,000 and establishes a unified Social Security Trust Fund to manage program finances. Most provisions would apply to benefits payable from 2025 through 2034, affecting all current and future Social Security beneficiaries.

Maddy summaryHR 4475, the Period PROUD Act of 2023, allocates $1.9 billion over four years (2025-2028) through the Social Services Block Grant Program to provide free menstrual products to low-income menstruating individuals. It requires states to distribute funds to qualified nonprofits for direct product distribution, community outreach, and improving access, while limiting administrative costs to 9% of funds. The bill mandates an evaluation by 2030 to assess health impacts and requires annual reports on program effectiveness. It also establishes best practices for schools on discussing menstruation and exempts funding from automatic budget cuts.

Maddy summaryHR 4282, the Equality for Families with Disabilities Act, requires states to develop customized support plans for parents, caregivers, foster parents, and adoptive parents with disabilities who interact with child welfare systems. It mandates individualized parenting assessments (based on personal strengths and evidence, not stereotypes) and disability-informed training for child welfare agencies and courts. The bill directly affects individuals with disabilities in these caregiving roles, ensuring they receive equal access to services and fair treatment during child welfare proceedings. Key mechanisms include revised state plans, mandatory staff training on disability rights, and new reporting requirements to Congress on implementation outcomes. These changes aim to replace generalized assumptions with concrete, evidence-based support within existing federal child welfare frameworks.

Maddy summaryThe ARC Act of 2023 establishes a national program to address peripheral artery disease (PAD), which disproportionately affects minority populations and leads to avoidable amputations. The bill requires Medicare and Medicaid to cover PAD screening tests (such as ankle-brachial index testing) for at-risk beneficiaries without cost-sharing, including people 65+ or those with diabetes, smoking history, or other risk factors. It authorizes $6 million annually for a CDC-led education program to inform healthcare providers and the public about PAD prevention and treatment. The bill also creates quality measures to encourage alternative treatments to amputation and establishes a pilot program to test amputation prevention services at healthcare facilities. These provisions aim to reduce amputation rates and improve outcomes for millions of Americans with PAD.

Maddy summaryThis bill, the Public Servants Protection and Fairness Act of 2023, amends Social Security to better protect public servants who work in jobs not covered by Social Security (such as certain government positions). It creates a new formula for calculating retirement benefits that combines both covered and noncovered earnings, ensuring public servants receive the higher of two benefit calculations. The bill also provides an additional $150 monthly payment for certain public servants whose benefits were previously reduced by the windfall elimination provision. It improves Social Security account statements to clearly show noncovered earnings and requires a study of how state retirement plans handle these benefits. These changes will apply to benefits starting in 2025.