Rep. Teresa Leger Fernandez

Maddy summaryThis bill amends Medicare rules to allow nurse practitioners and physician assistants to document medical necessity for diabetic shoes, a requirement currently limited to physicians. It directly affects Medicare beneficiaries with diabetes who need these shoes and expands the pool of providers (nurse practitioners and physician assistants) who can fulfill the documentation requirement. The key change inserts "nurse practitioner, or physician assistant" into Medicare's documentation standards for diabetic shoe coverage. This simplifies access for patients by enabling more healthcare providers to support coverage approval without requiring a physician's signature. The bill does not change coverage eligibility or costs, only the documentation process.

Maddy summaryHR 716, the Fair COLA for Seniors Act of 2023, changes how cost-of-living adjustments (COLAs) are calculated for Social Security and related benefits by using the Consumer Price Index for Elderly Consumers (CPI-E) instead of the standard Consumer Price Index. This affects Social Security beneficiaries, veterans receiving disability compensation or survivor benefits, and federal retirees under the Civil Service and Military Retirement Systems. The bill requires that any COLA increase for Social Security also applies to these other benefits using the CPI-E, which better reflects inflation experienced by seniors. The change takes effect for benefit determinations starting September 2023.

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 summaryThe EACH Act of 2023 would require federal health programs - including Medicaid, Medicare, the Indian Health Service, and TRICARE - to cover abortion services without restrictions. It repeals a provision in the Affordable Care Act that allowed states to limit abortion coverage in health insurance plans sold through state marketplaces. The bill also prohibits the federal government from restricting abortion coverage in private health insurance plans. This would directly affect millions of people, particularly low-income individuals and people of color, who are disproportionately enrolled in Medicaid and currently face barriers to abortion care due to coverage restrictions.

Maddy summaryHR 33 would expand Medicare to cover dental, vision, and hearing services for beneficiaries, which are currently not covered under Medicare. The bill provides 100% coverage for preventive dental services in 2024, with basic dental services gradually increasing to 80% coverage by 2027. Vision coverage would include routine eye exams and corrective lenses at 80% coverage, while hearing services would cover hearing exams and hearing aids at 80% coverage. The bill includes specific limitations, such as two dental cleanings per year and one pair of glasses every 24 months, with the Secretary of Health and Human Services having authority to apply additional limitations or modify coverage based on medical recommendations. The changes would take effect on January 1, 2024.

Maddy summaryThis bill authorizes a single Congressional Gold Medal to honor the members of Escuadrón 201 (the "Aztec Eagles"), a Mexican air squadron that fought alongside U.S. forces in the Pacific during WWII. The medal, to be struck by the Treasury and displayed at the Smithsonian, commemorates their 795 combat sorties, 2,000 combat flight hours, and seven pilot fatalities while supporting U.S. and Philippine ground forces. The bill is purely commemorative, with no policy changes or direct effects on current legislation or constituents. It recognizes historical military collaboration between Mexico and the U.S. during World War II.

Maddy summaryHRES 152 is a non-binding House resolution supporting existing state "move over" laws, which require drivers to move over a lane or slow down near emergency responders on roadways. It directly affects all drivers by promoting awareness of these safety laws, which aim to protect emergency workers, tow operators, and stranded motorists. The resolution urges federal, state, and nonprofit groups to increase public education about these laws, citing that 50 traffic responders were killed in roadside collisions in 2022. It emphasizes that raising public awareness - identified as the top challenge by state officials - is critical to improving road safety.

Maddy summaryHR 4338 formally designates the historic Route 66 as a National Historic Trail under the National Trails System Act, covering approximately 2,400 miles from Chicago, Illinois, to Santa Monica, California, along its original alignments between 1926 and 1985. The bill specifies that the National Park Service will administer the trail while prohibiting the federal government from acquiring land beyond one-quarter mile on either side of the trail or creating buffer zones, and explicitly states it will not interfere with energy development or use eminent domain. This designation primarily affects the public by recognizing Route 66's historical significance and landowners along the route by limiting federal land acquisition and management restrictions. It is a procedural act focused on formal recognition, not new regulatory requirements.

Maddy summaryThe Good Samaritan Remediation of Abandoned Hardrock Mines Act of 2024 establishes a limited pilot program allowing non-responsible parties (called "Good Samaritans") to remediate pollution at abandoned hardrock mine sites. The bill creates a permit process requiring applicants to demonstrate they're not liable for the pollution, can safely complete the remediation, and will protect the environment. The Environmental Protection Agency would issue up to 15 permits for these projects, providing liability protection for permitted activities while requiring public notice and environmental review. The pilot program would expire after 7 years, with the EPA required to report on its effectiveness to Congress.

Maddy summaryHR 6751 authorizes the U.S. Mint to produce commemorative coins honoring Roberto Clemente, a Hall of Fame baseball player and humanitarian, including 50,000 $5 gold coins, 400,000 $1 silver coins, and 750,000 half-dollar coins. The coins must feature Clemente's image and inscriptions like "Roberto Clemente" and "2027," with all sales including a surcharge ($5-$35 per coin) paid to the Roberto Clemente Foundation. The foundation, which supports youth sports, education, and disaster relief programs, will use these funds for its mission, while the U.S. Treasury must recover all production costs. The coins will be sold exclusively in 2027, with no net cost to the government.