Rep. Mike Carey

Maddy summaryHR 2584, the SAVE Act, creates a new federal criminal offense for assaulting or intimidating hospital employees while they're performing their duties, punishable by up to 10 years in prison, with enhanced penalties for using weapons, causing injury, or during public emergencies. The bill authorizes $25 million annually in federal grants to hospitals for violence prevention programs, including staff training, security technologies like panic buttons and video surveillance, and coordination with law enforcement. It defines "hospital" broadly to include various medical facilities such as long-term care hospitals, rehabilitation facilities, and critical access hospitals. The legislation directly affects hospital workers and medical facilities by establishing federal criminal penalties for violence against employees and providing funding to improve workplace safety. The law aims to address the rising problem of workplace violence against healthcare workers, which the bill states has increased since 2011.

Maddy summaryHR 2630, the Safe Step Act, requires group health plans and health insurance issuers to establish a clear, transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically force patients to try cheaper drugs first before covering more expensive alternatives. The bill mandates that plans must approve exceptions when prior treatments failed, delay would cause serious harm, a treatment is unsafe, or a patient is stable on a previously approved drug, with strict 72-hour (or 24-hour in emergencies) decision timelines. It also requires plans to publish the exception process online and limit documentation requests to only necessary medical information. This law directly affects health insurers, employers offering health plans, and patients using step therapy for prescription drugs.

Maddy summaryThis bill allows Medicaid coverage for incarcerated individuals during the 30 days preceding their release from public institutions. It directly affects people transitioning from prisons or jails back into communities by extending health coverage during this critical period. The key mechanism amends the Social Security Act to remove a Medicaid exclusion for this 30-day window. Additionally, it requires an 18-month report analyzing correctional healthcare standards, current discharge practices, and the potential impact of this coverage extension on post-release health access.

Maddy summaryHR 2380, the Cellphone Jamming Reform Act of 2023, allows state and federal correctional facilities (like prisons and jails) to operate cellphone jamming systems to block wireless signals from contraband devices or communications involving individuals held in the facility. The bill restricts the Federal Communications Commission (FCC) from blocking such jamming systems, but requires facilities to limit jamming only to housing areas, have state facilities cover all costs, and consult with local law enforcement before implementation. It defines "jamming systems" broadly to include all necessary equipment and installation details. This bill directly affects correctional facilities seeking to prevent cell phone use by inmates, particularly for security purposes related to contraband. The law does not create new restrictions on cellphone use but changes how facilities can deploy jamming technology.

Maddy summaryHR 1839, the Combating Illicit Xylazine Act, makes the illicit use and distribution of xylazine a federal crime by adding it to the Controlled Substances Act. The bill broadly defines xylazine to cover numerous chemical variants and prohibits human use or non-licit distribution, while preserving legitimate veterinary and pharmaceutical uses. It requires tracking xylazine in drug supply chains and mandates two reports to Congress within 1 and 4 years on its prevalence, sources, and whether it should be rescheduled. The bill directly affects individuals distributing or using xylazine illicitly, including as an additive to drugs like fentanyl, and aims to address its public health risks. Congress declared illicit xylazine an "emerging drug threat" under existing law.

Maddy summaryHR 1826 (PSA Screening for HIM Act) requires health insurance plans and issuers to cover prostate cancer screenings without out-of-pocket costs for men aged 40 and over who are at high risk of prostate cancer. This directly affects African-American men and men with a family history of prostate cancer (defined as having a first-degree relative diagnosed with or who died from prostate cancer). The bill mandates coverage for evidence-based screenings under the same requirements as other preventive services, effective for plan years starting January 1, 2024. It aims to address disparities in prostate cancer outcomes by removing financial barriers to early detection for high-risk groups.

Maddy summaryHR 2539 permanently extends the New Markets Tax Credit (NMTC) program, which incentivizes private investment in low-income communities. The bill directly affects community development financial institutions (CDFIs) and investors who fund projects in designated low-income areas by ensuring the credit remains available beyond 2025. Key provisions include automatically adjusting the credit amount annually for inflation starting in 2024 and clarifying that the credit can be used to offset alternative minimum tax liability. This maintains the program’s effectiveness in channeling capital to underserved neighborhoods without changing eligibility or funding levels.

Supporting Our First Responders Act This bill establishes a competitive grant program to support medical transport and emergency medical services (EMS). The Department of Health and Human Services (HHS) must award the grants to EMS organizations (including for-profit organizations) or state, tribal, territorial, or local governments. Grant-funded activities include (1) providing salaries and stipends for EMS workers; (2) purchasing vehicles, personal protective equipment, and other resources; and (3) establishing community paramedicine or mobile integrated health care initiatives. HHS must also report to Congress about health insurance reimbursement for medical transport and EMS and the feasibility of establishing a federal EMS office.

Maddy summaryThis bill, HR 2451 (Freedom of Association in Higher Education Act of 2023), prevents colleges receiving federal funds from punishing students or single-sex social organizations (like fraternities/sororities) solely because of their single-sex membership policies. It prohibits actions such as denying housing, scholarships, or leadership roles, or forcing students to waive these protections as a condition of enrollment. The law does not require colleges to recognize such groups, nor does it block disciplinary action for misconduct unrelated to membership (e.g., academic issues). It directly affects students in single-sex organizations and institutions participating in federal student aid programs under Title IV.

Maddy summary# Summary of the TAPP American Resources Act This comprehensive legislation, titled the "TAPP American Resources Act" (or "Transparency, Accountability, and Permitting Process for American Resources Act"), is a major overhaul of federal energy and natural resource permitting processes. The key provisions include: 1. **Streamlined Permitting Processes**: - Creates a 50-year term limit for pipeline rights-of-way - Allows oil and gas exploration on non-Federal surface estate without Federal permits - Reduces royalty rates for oil and gas leases from 16.67% to 12.5% - Limits judicial review of permits to cases involving "imminent and substantial environmental harm" 2. **NEPA Reforms**: - Expands categorical exclusions for certain energy projects - Allows use of previously completed environmental assessments for similar projects - Limits environmental reviews to areas directly affected by the proposed action - Reduces consideration of downstream effects of oil and gas consumption 3. **Mining and Mineral Development**: - Designates mining as a "covered sector" for permitting improvement - Creates a memorandum of agreement process for mining projects - Requires mineral resource assessments before land withdrawals - Ensures uranium is considered a critical mineral 4. **Revenue Sharing**: - Changes distribution of Gulf of Mexico revenue to states (37.5% to Gulf states, 62.5% to general fund) - Creates parity in offshore wind revenue sharing with offshore oil and gas - Eliminates administrative fees under the Mineral Leasing Act 5. **Water Quality Certification**: - Limits certification requirements to specific provisions of Clean Water Act sections - Requires states to publish certification requirements within 30 days - Sets 90-day timeline for states to identify additional materials needed The legislation represents a significant shift toward expediting domestic energy production while reducing regulatory burdens, with a focus on oil, gas, and mineral development on federal lands. It includes numerous amendments to existing laws including the National Environmental Policy Act, Mineral Leasing Act, Outer Continental Shelf Lands Act, and Clean Water Act.