Rep. Paul Tonko

Maddy summaryHRES 181 is a non-binding House resolution expressing symbolic support for designating February 28, 2023, as "Rare Disease Day." It does not create new laws or policies but formally recognizes the importance of raising awareness about rare diseases, improving early diagnosis, and supporting research for treatments. The resolution acknowledges that rare diseases affect over 25 million people in the U.S. and highlights ongoing efforts like the FDA’s Rare Disease Endpoint Advancement Pilot Program. It aligns with the global observance of Rare Disease Day, which began in the U.S. in 2009.

Maddy summaryHR 1499, the Good Jobs for Good Airports Act, requires airports receiving federal funding to pay covered service workers a minimum wage of at least $15 per hour (or higher if state/local laws or federal standards require it) and provide minimum fringe benefits. It directly affects workers in specific airport roles like security, ticketing, concessions, cleaning, and ramp services at small, medium, or large hub airports. The bill mandates annual certification from airport operators to verify compliance with these wage and benefit standards, tied to eligibility for federal airport grants under the Infrastructure Investment and Jobs Act. It does not override stricter state or local laws but ensures minimum standards for workers supporting airport operations.

Maddy summaryThis bill removes federal restrictions that previously limited methadone prescribing for opioid use disorder, allowing certified addiction specialists and program employees to prescribe methadone through pharmacies for up to 30 days per electronic prescription. It directly affects patients with opioid use disorder who can now access treatment more flexibly outside traditional clinic settings, and healthcare providers who gain new prescribing authority. Key provisions include requiring electronic prescriptions, mandating patient informed consent about confidentiality differences, and permitting telehealth for counseling and ancillary services. The bill also requires annual reports to Congress tracking registered providers and patients served.

Maddy summaryThis bill amends the World Trade Center Health Program to expand eligibility to include certain Department of Defense and Federal agency workers who responded to the September 11 attacks at the Pentagon and Shanksville, Pennsylvania. It establishes a 500-person enrollment cap for these responders, allows a broader range of licensed health care providers to conduct program evaluations, and creates two new funding mechanisms totaling $2.04 billion for the program through 2033. The bill also clarifies enrollment counts by excluding deceased individuals from program statistics and adjusts funding calculations to ensure continued support for affected responders and survivors. These changes directly affect 9/11 responders who worked at the Pentagon and Shanksville sites and their families participating in the health program.

Maddy summaryHR 1280, the Cerebral Palsy Research Program Authorization Act of 2023, creates a federal research program at the CDC to study cerebral palsy. The bill authorizes the CDC to fund research on diagnosis, treatment, prevention factors, health costs, and public health surveillance related to cerebral palsy, which affects over 1 million Americans. It allocates $5 million annually from 2024 through 2029 for these research activities. This program directly supports researchers and health systems by advancing scientific understanding of a condition with no known cure that impacts children and adults worldwide.

Maddy summaryHR 1328, the Medical Device Nonvisual Accessibility Act of 2023, requires certain home-use medical devices (like blood pressure monitors and sleep apnea machines) to include nonvisual accessibility features - such as voice commands or audio feedback - by 2025. It directly affects blind or low-vision users who rely on these devices for independent, safe, and private care at home. The bill mandates that devices classified as Class II or III (and cleared via FDA processes) must meet accessibility standards ensuring equal usability for blind or low-vision individuals, with limited waivers allowed for manufacturers facing undue hardship. The FDA will develop and enforce these standards within two years, consulting with accessibility experts and blind users.

Maddy summaryThe Paycheck Fairness Act (HR 17) strengthens equal pay protections by amending the Fair Labor Standards Act. It prohibits pay discrimination based on sex, pregnancy, childbirth, sexual orientation, gender identity, and sex characteristics. The bill modifies employer defenses for pay differences to require demonstration that any disparity is job-related, consistent with business necessity, and accounts for the entire pay differential. It also prohibits employers from relying on wage history when making hiring decisions or setting pay, enhances penalties for violations, and requires the EEOC to collect compensation data disaggregated by sex, race, and national origin.

Maddy summaryHCONRES 22 is a symbolic resolution recognizing the persistent gender pay gap in the U.S., documenting that women earn significantly less than men across racial groups (e.g., Black women earn 67 cents for every dollar earned by White men). It highlights the economic impact of this disparity, noting women lose over $958 billion annually in wages and face barriers like occupational segregation and workplace harassment. The resolution does not create new laws or policies but formally acknowledges the issue and reaffirms Congress’s commitment to addressing the gap. It references specific Equal Pay Days (e.g., March 14 for all women) to underscore the time women must work to earn what men did the previous year.

Maddy summaryHRES 218 is a symbolic House resolution commemorating labor pioneer Kate Mullany during Women's History Month. It honors her founding the first all-female union in U.S. history (the Collar Laundry Union of Troy in 1864), leading strikes for fair wages and safer conditions, and becoming the first woman appointed to a national labor union leadership role in 1868. The resolution highlights her role in advancing workers' rights and her legacy as a model for women in labor organizing. As a commemorative resolution, it has no legal effect but formally recognizes her historical contributions to labor and women's history.

Maddy summaryHR 1478 requires federal firearm dealers to implement physical security measures, including locked cabinets, security systems, and video surveillance, to prevent gun thefts. The bill mandates quarterly inventory checks, extends background check record retention from 24 hours to 90 days, and repeals restrictions that prevented the ATF from disclosing crime gun trace data. It increases penalties for violations, including fines up to $20,000 and license suspension or revocation for repeated failures. The bill directly affects all federally licensed firearm dealers, manufacturers, and importers by holding them accountable for security failures and recordkeeping. This legislation aims to reduce gun trafficking by strengthening enforcement and transparency in the firearm industry.