Rep. Alexandria Ocasio-Cortez

Innovative Maternal Payment and Coverage To Save Moms Act or the IMPACT to Save Moms Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a demonstration program to test alternative payment models under Medicaid and the Children's Health Insurance Program (CHIP) for maternity care. The CMS may consider payment models that include or are designed to address certain areas, such as improved maternal health outcomes for at-risk demographic groups, consideration of social determinants of health, or incorporation of diverse maternity care teams or settings. The CMS must evaluate the program's impact on maternal health outcomes, spending, patient experience, and other relevant areas.

Maddy summaryHR 3304, the Maternal Health Pandemic Response Act, allocates $190 million to improve maternal and infant health outcomes during public health emergencies. It funds CDC programs to collect and analyze racial, ethnic, and demographic data on pregnant and postpartum individuals affected by infectious diseases, requiring public reporting of disaggregated data (by race, ethnicity, and geography) to address health disparities. The bill also establishes a federal task force to develop recommendations for respectful, equitable maternity care during emergencies, including telehealth access, mental health support, and culturally appropriate services. These provisions directly affect pregnant and postpartum people, particularly those from racial and ethnic minority groups facing higher maternal mortality risks.

Maddy summaryThe Protecting Moms and Babies Against Climate Change Act establishes a federal grant program to help communities address climate change risks that affect pregnant people, new mothers, and infants under 3 years old. It allocates $100 million over four years for community-based organizations to provide climate-related health services, including air conditioning, housing assistance, mental health support, and training for health care providers on climate risks. The bill also creates a grant program for health profession schools to integrate climate change education into medical training and establishes a National Institutes of Health research consortium to study climate impacts on maternal health. All grant recipients must address racial and ethnic disparities, collect data by demographic factors, and prevent negative environmental or housing impacts in their initiatives.

Maddy summary# Comprehensive Summary: Maternal Health and Vaccination Legislation This proposed legislation establishes a comprehensive framework to improve maternal health outcomes across multiple dimensions, with a strong focus on equity and addressing systemic disparities. The bill is organized into 13 titles covering various aspects of maternal health care. ## Key Focus Areas 1. **Maternal Health Equity**: The legislation emphasizes reducing racial and ethnic disparities in maternal health outcomes, with specific provisions targeting communities of color and underserved populations. 2. **Incarcerated Mothers**: Includes provisions to end shackling of pregnant individuals in correctional facilities and establishes programs for maternal health care in prisons and jails. 3. **Technology and Telehealth**: Creates grant programs for telehealth models, technology-enabled collaborative learning, and digital tools to improve access to maternal care. 4. **Climate Change Impact**: Addresses how climate change affects maternal and infant health, with a focus on vulnerable populations. 5. **Public Health Emergencies**: Establishes protocols for maternal care during public health crises like pandemics. 6. **Vaccinations**: Expands maternal vaccination awareness and equity campaigns. ## Major Provisions **Maternal Vaccination Campaign (Title XIII)**: - Expands awareness campaigns to specifically target pregnant and postpartum individuals - Allocates $17 million annually (2024-2028) for vaccination outreach - Includes specific efforts to increase vaccination rates among racial/ethnic minority groups **Technology and Telehealth (Titles IX)**: - $6 million annually for technology-enabled collaborative learning models - $6 million annually for digital tools to promote equity in maternal health - Creates a demonstration project for alternative payment models in maternal care **Climate Change and Maternal Health (Title XII)**: - $100 million for a grant program to protect vulnerable mothers and babies from climate change risks - $5 million for education and training at health profession schools - Establishes a National Institutes of Health Consortium on Birth and Climate Change Research **Incarcerated Mothers (Title VIII)**: - Requires 25% grant reduction for states that don't restrict restraints on pregnant incarcerated individuals - Establishes model programs in Bureau of Prisons facilities for pregnant and postpartum incarcerated individuals - $10 million annually for State and local prison and jail programs **Public Health Emergency Response (Title XI)**: - $100 million for data collection on maternal health during public health emergencies - $30 million for expanding maternal mortality reviews - $45 million for Pregnancy Risk Assessment Monitoring System (PRAMS) - $15 million for research on public health emergencies' impact on maternal health ## Cross-Cutting Themes - **Equity Focus**: Nearly every provision includes specific measures to address racial and ethnic disparities - **Data Collection**: Strong emphasis on collecting and analyzing demographic data - **Community Involvement**: Requires input from community-based organizations and affected populations - **Interagency Coordination**: Mandates collaboration between multiple federal agencies - **Long-Term Investment**: All funding is allocated for 5-year periods (2024-2028) The legislation represents a comprehensive, multi-faceted approach to improving maternal health outcomes in the United States, with particular attention to vulnerable populations and systemic barriers that contribute to poor maternal health outcomes.

Maddy summaryThe Clean Energy Minerals Reform Act of 2023 establishes a new regulatory framework for hardrock mineral mining on federal lands, replacing the 1872 Mining Law. It requires permits for exploration and operations, imposes new royalty rates (minimum 8-12.5% of gross value), and creates a new Abandoned Hardrock Mine Reclamation Program funded by fees and royalties. The bill establishes a "small miner's lease" program with reduced fees for small operations (up to 200 acres) and requires financial assurance to cover reclamation costs. It also mandates consultation with Indian Tribes before mineral activities that may impact tribal lands or resources, and prohibits mining in protected areas including National Parks, wilderness areas, and sacred sites. The bill applies to all existing mining claims and new mineral activities on federal lands, with new rules taking effect upon enactment.

Maddy summaryThis bill changes federal tax rules to allow employees to receive tax-free benefits for bike commuting expenses. It repeals a suspension of tax exclusions and expands coverage to include reimbursement for qualified bike/scooter purchases, repairs, or rentals (like bikeshare), as long as the vehicle meets safety specs (e.g., e-bikes under 20mph or 750W, scooters under 100lbs). The benefit is capped at 30% of the monthly amount allowed for commuting expenses. It directly affects employees who regularly bike to work and employers offering these tax-free commuting benefits, effective for 2023 tax years.

This resolution condemns the great replacement theory, which it describes as a white supremacist conspiracy theory that has been used to falsely justify racially motivated, violent acts of terrorism domestically and internationally.

Maddy summaryThis bill requires public schools (K-12) to integrate Asian American, Native Hawaiian, and Pacific Islander (AANHPI) history into their American history and civics curricula. It amends the Elementary and Secondary Education Act to mandate that all required history content "shall include" AANHPI history, updating existing standards for teachers, textbooks, and national assessments. The law directs the Smithsonian Institution’s Asian Pacific American Center to provide educational resources for schools implementing this change. It directly affects school districts, educators, and curriculum developers by requiring concrete revisions to history instruction. The bill does not fund new programs but modifies existing federal education law to ensure AANHPI contributions and experiences are included in required teaching.

Maddy summaryHR 3422, the Judiciary Act of 2023, would amend the structure of the U.S. Supreme Court by increasing the number of associate justices from eight to twelve. It would also raise the required quorum for court proceedings from six to eight justices. This bill directly affects the Supreme Court's operational structure and composition. The change is purely procedural, altering the Court's size and voting requirements without impacting other legal processes or specific groups of people.

Report on Grant Consolidation Authority for Puerto Rico Act This bill requires the Government Accountability Office (GAO) to report to Congress regarding the consolidation of certain grant programs currently available to insular areas and the suitability of such consolidation for Puerto Rico. Further, any official of Puerto Rico from whom the GAO seeks information for purposes of that report must promptly and comprehensively respond to such request for information.