Rep. Adriano Espaillat

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 415, the "End the Threat of Default Act," repeals the statutory debt ceiling (section 3101 of Title 31, U.S. Code), which currently limits how much the federal government can borrow. This would eliminate the need for Congress to approve increases to the borrowing cap, removing the risk of a government default on its debts. The bill directly affects the Treasury Department’s ability to manage federal borrowing, as it would no longer require congressional action to authorize new debt issuance. The technical amendments update references to the debt ceiling in other laws to reflect this change.

Maddy summaryThis bill, HR 35 (Close the Medigap Act of 2023), prohibits Medicare supplemental insurance (Medigap) insurers from denying coverage or charging higher premiums based on health status, pre-existing conditions, genetic information, or age. It directly affects Medicare beneficiaries (particularly those with pre-existing conditions) and requires insurers to offer guaranteed issue coverage starting January 1, 2024, with full implementation by 2029. Key mechanisms include banning health-based pricing discrimination, requiring insurers to spend at least 65% of individual policy premiums on healthcare (increasing to align with NAIC recommendations), and improving transparency on the Medicare Plan Finder website. The bill does not change Medicare Part A/B benefits but ensures broader access to supplemental coverage without health-related barriers.

Maddy summaryThe Assuring Medicare’s Promise Act of 2023 directs that taxes collected under the net investment income tax (a tax on investment income for high earners) be added to the Medicare Hospital Insurance Trust Fund, which helps finance Medicare Part A benefits. It modifies the tax code to include certain business income of high-income individuals (with modified adjusted gross income over $400,000 for single filers or $500,000 for joint filers) in the tax base, but includes a phase-in mechanism to limit immediate tax increases. This bill primarily affects high-income taxpayers and aims to strengthen Medicare’s financial stability by increasing trust fund revenue.

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 summaryHR 7438 directs the U.S. Treasury to mint commemorative coins for the 2026 FIFA World Cup, including 100,000 $5 gold coins, 500,000 $1 silver coins, and 750,000 half-dollar coins. The coins will be sold to the public at face value plus surcharges ($35, $10, and $5 per coin, respectively), with all surcharge revenue paid to FWC2026 US, Inc. for U.S. soccer programs. These funds must support soccer initiatives, particularly in underserved communities and youth development, as specified in the bill. The coins are legal tender but will only be issued during 2026, with no net cost to the U.S. government.

Maddy summaryThe CASC Act establishes a National Climate Adaptation Science Center and nine Regional Climate Adaptation Science Centers to provide scientific expertise for managing natural resources, cultural resources, and ecosystem services in response to climate change. These centers will conduct research, provide education and training, and offer advisory services to Federal agencies, States, Indian Tribes, Tribal organizations, Native Hawaiian organizations, and other partners. The National Center will coordinate with regional centers, develop research priorities, and conduct five-year merit reviews to ensure high-quality climate adaptation science. The bill requires centers to work with diverse partners including Tribal Colleges and Universities, Historically Black Colleges and Universities, and minority-serving institutions to ensure inclusive climate adaptation science.

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.

Maddy summaryHRES 1607 is a House resolution recognizing Peter Westbrook's Olympic fencing achievements and his founding of the Peter Westbrook Foundation. The resolution highlights the Foundation's provision of free fencing instruction and academic support to over 4,000 underserved youth in New York City, with a focus on Black and Latino students from low-income backgrounds. It specifically acknowledges the Foundation's success in achieving 100% high school graduation rates and 95% college attendance among participants.

Maddy summaryThe Working Dog Commemorative Coin Act (HR 807) directs the U.S. Treasury to mint three types of commemorative coins honoring working dogs' service: $5 gold coins, $1 silver coins, and half-dollar coins with specific weight and composition requirements. Each coin will carry a surcharge ($35 for $5 coins, $10 for $1 coins, $5 for half-dollars) that will be paid directly to America's VetDogs to support their programs providing service dogs for veterans, the disabled, and others. The coins will be issued in 2027 with designs reflecting working dogs' roles in military, detection, therapy, and assistance work. The legislation specifies that all surcharge revenue must fund America's VetDogs' operations without creating new government programs. This is a commemorative measure focused on honoring working dogs' contributions through coin sales, with all surcharge funds going to a specific nonprofit organization.