Rep. Marcus J. Molinaro

Maddy summaryThis bill requires the Health Secretary to study Medicaid coverage of remote health monitoring devices (like blood pressure cuffs and pulse oximeters) for pregnant and postpartum women enrolled in Medicaid. Within 18 months, the Secretary must report to Congress on current coverage barriers, their impact on maternal health outcomes, and recommendations to address them. Based on this report, the Secretary will update state Medicaid resources (such as telehealth toolkits) within 6 months to help states improve coverage of these devices. The bill focuses on gathering data and supporting states - not directly changing coverage rules.

Maddy summaryThe Alzheimer’s Accountability and Investment Act (HR 620) requires the National Institutes of Health (NIH) Director to annually submit a budget estimate for Alzheimer’s-related initiatives - including personnel needs - directly to the President for review and then to Congress. This budget must be prepared after public comment and submitted without changes by the Secretary of Health and Human Services or the Advisory Council. The bill directly affects the NIH’s budget reporting process for Alzheimer’s research and programs, mandating transparency in how funds are allocated. It does not change funding levels but establishes a specific annual reporting mechanism to improve accountability.

Maddy summaryHR 8466 extends the Affordable Connectivity Program (ACP) through 2024 with $6 billion in funding, directly affecting low-income households receiving subsidized broadband internet. It strengthens eligibility verification by requiring use of the National Verifier, limiting eligibility to households with school meal program participation (not just provider programs), and mandating collection of partial Social Security numbers for verification. The bill adds new antifraud controls and performance measures for the FCC, requiring a report on program effectiveness within a year. It also allows households switching providers to maintain benefits only if they've used the current service for at least 180 days.

Maddy summaryThe SCREENS for Cancer Act of 2024 reauthorizes and expands the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides free screenings and care coordination to low-income, uninsured, or underinsured women. It increases annual funding from $275 million (2024) to $500 million (2028) and explicitly adds "prevention" to the program’s mission, requiring it to reduce racial and ethnic disparities in cancer outcomes. The bill mandates the program to address barriers like social determinants of health and implement evidence-based strategies to boost screenings, particularly for underserved communities disproportionately affected by pandemic-related screening declines. This directly benefits millions of women, especially Black, Hispanic, and Asian women, who face higher cancer death rates and reduced access to care.

Maddy summaryThis bill reauthorizes the National Alzheimer's Project Act through 2035 (extending the previous deadline of 2025) and adds new requirements to promote healthy aging and reduce Alzheimer’s risk factors. It mandates the program to provide information on healthy behaviors that may lower cognitive decline risk and expands the advisory group to include representatives from agencies like the Department of Justice, FEMA, and Social Security Administration, plus experts with diverse clinical trial experience. The bill directly affects Alzheimer’s research, care programs, and the federal advisory group overseeing national efforts. Key changes include requiring annual evaluations instead of initial ones and adding a focus on reducing health disparities in Alzheimer’s initiatives.

Maddy summaryHR 8533, the Safe Air on Airplanes Act, requires the Federal Aviation Administration to update aircraft safety regulations to address bleed air systems. It prohibits new jet and turboprop aircraft designs from using these systems, mandates filters to remove oil fumes in new aircraft within 7 years, and sets a 30-year phase-out schedule for existing aircraft designs (25% by year 10, 50% by year 20, 100% by year 30). The bill directly affects aircraft manufacturers and airlines by changing requirements for new aircraft production and fleet modifications. It focuses on technical air quality standards for cabin air, not health outcomes or costs.

Maddy summaryHR 8547 creates a tax credit for property owners who renovate or build commercial or residential units to meet universal design standards, which ensure spaces are accessible and usable by people of all abilities, ages, and disabilities. Property owners can earn a 20% tax credit for new construction or 50% for renovations of certified units, after obtaining HUD certification through a standardized process requiring licensed inspector verification. The bill establishes a certification system where units must comply with ADA minimum standards and universal design principles (like intuitive layouts and hazard reduction), with a mandatory label for marketing certified properties. This directly affects residential and commercial property owners seeking to reduce costs for accessible renovations while expanding accessible housing options.

Maddy summaryHR 8498 authorizes $1.02 billion in funding to modernize and rebuild facilities at the United States Merchant Marine Academy. The bill allocates $54 million for planning in fiscal year 2025 and $107.33 million annually from 2026 through 2034 for construction, following the "Full Speed Ahead" infrastructure plan. This funding directly affects the Academy's physical infrastructure, including rehabilitation, modernization, and new construction projects. The bill specifies that funds must align with the Maritime Security Infrastructure Council's plan outlined in the February 28, 2024, Congressional Record.

Maddy summaryHR 6248, the "Think Differently Transportation Act," requires Amtrak to submit detailed annual reports to Congress about its compliance with the Americans with Disabilities Act (ADA). Specifically, the bill mandates that Amtrak’s reports include an action plan to fix non-compliant rail cars and stations (per a 2020 Department of Justice settlement), plus a status update on all Amtrak-served stations. For each station, the report must clarify Amtrak’s responsibility level (sole, shared, or none), timelines for compliance, and the entity responsible for non-Amtrak portions. This bill directly affects Amtrak’s reporting obligations and Congress’s oversight of ADA accessibility in rail services.

Maddy summaryHR 8383, the Rural Obstetrics Readiness Act, creates a federal program to improve emergency obstetric care in rural areas lacking dedicated obstetric units. It authorizes $5 million (2025-2027) for training programs that teach non-obstetric rural healthcare providers to handle emergencies like severe bleeding, high blood pressure, or mental health crises during pregnancy or postpartum. The bill also allocates $15 million (2025-2028) for grants to rural hospitals and consortia to purchase equipment, hire staff, integrate training, and develop transfer protocols for obstetric emergencies. Additionally, it funds a $5 million teleconsultation pilot (2025-2028) to connect rural facilities with maternal health specialists via telehealth for urgent consultations. The program directly supports rural health facilities in designated maternity care shortage areas, aiming to expand access to emergency obstetric care.