Rep. Suzanne Bonamici

Maddy summaryHR 9811, the Child Care Infrastructure Act, provides $10 billion in federal funding to improve child care facilities across the U.S. It requires the government to conduct immediate and long-term assessments of facility conditions, prioritizing pandemic-impacted centers serving low-income families, infants/toddlers, rural communities, and non-traditional-hour programs. The bill funds grants for states to renovate, build, or improve facilities (up to $35 million per state annually) and awards grants to intermediary organizations like community development groups to support financing and technical assistance. These grants must be used to address specific needs identified in the assessments, with labor standards requiring prevailing wage rates for construction work. The funding is authorized for fiscal years 2025-2029, with 3% reserved for tribal nations and territories.

Maddy summaryThe International Maritime Pollution Accountability Act of 2024 requires operators of large cargo vessels (10,000+ gross tons) to report detailed emissions and voyage data starting January 1, 2025. It establishes fees for carbon dioxide-equivalent emissions ($150 per metric ton, adjusted for inflation) and for criteria air pollutants like nitrogen oxides and sulfur dioxide. The fees collected fund specific programs including modernizing U.S. shipping vessels to use low-carbon fuels, developing clean maritime technologies, workforce training, and port air monitoring. The bill targets emissions from the marine shipping industry, which accounts for nearly 3% of global carbon dioxide emissions and contributes to poor air quality near port communities. The law includes provisions to recognize foreign pollution fees and sunset provisions when international standards meet or exceed U.S. requirements.

Maddy summaryHR 8796, the "Stop Comstock Act," removes outdated restrictions from federal law that previously banned the distribution of materials related to contraception and abortion as "obscene" or "indecent." The bill amends Title 18 and the Tariff Act by deleting references to "indecent," "immoral," "unlawful abortion," and "procuring abortion" from provisions governing obscene materials. It clarifies that the law only prohibits "obscene materials" in commerce, eliminating broad restrictions on reproductive health information. This directly affects internet platforms, healthcare providers, and individuals sharing reproductive health resources by removing legal barriers to their distribution.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2027 and publish detailed data on their approval and denial rates for medical services by 2026. It directly affects Medicare Advantage plans (private insurers offering Medicare coverage) and their enrollees (seniors 65+), mandating transparency about prior authorization decisions, processing times, and appeal outcomes. Key provisions include requiring plans to report annual statistics on request approvals/denials, average processing times, and use of technology, with this data published publicly by the Centers for Medicare & Medicaid Services. The bill also sets timelines for plan responses to prior authorization requests and mandates reports to Congress on implementation and impacts.

Maddy summaryThe Essential Caregivers Act of 2024 requires nursing homes and similar facilities to allow residents to designate essential caregivers who provide emotional support or assistance with daily activities. During emergencies when regular visitation is restricted, facilities must permit at least one essential caregiver access to residents daily and cannot deny access without following specific procedures. Facilities may deny access for a maximum of 7 days during emergencies (or 14 days with state approval), and must provide a written explanation and appeal process if access is denied. The bill establishes a 48-hour appeal process for residents and caregivers to challenge denials, with facilities required to prove violations during appeals. This law applies to Medicare skilled nursing facilities, Medicaid nursing facilities, intermediate care facilities, and certain inpatient rehabilitation facilities.

Maddy summaryThis bill requires Medicare to cover falls risk assessments and fall prevention services during annual wellness visits and initial preventive physical exams for seniors aged 65+ who have fallen in the previous year. It directly affects Medicare beneficiaries with recent falls and healthcare providers delivering these services under Medicare. The key mechanism expands existing Medicare benefits to include these specific fall prevention services, effective January 1, 2025. Additionally, it mandates annual reports starting in 2026 tracking falls data for seniors over 65 who received fall-related treatment.

Maddy summaryThis bill requires Medicare to provide clear outreach and education so Medicare beneficiaries (enrolled in Part A, Part B, or Medicare Advantage plans) can authorize family caregivers to access their health information via 1-800-MEDICARE. It mandates the inclusion of a specific authorization form (CMS-10106) in Medicare notices and on Medicare.gov, along with training for call center staff. The Secretary must also share best practices to prevent fraud related to caregiver access and make materials available in non-English languages. It directly affects beneficiaries, their family caregivers, healthcare providers, and Medicare call center operators.

Maddy summaryHR 7119, the Fairness in Nursing Home Arbitration Act, prohibits nursing homes and providers of home health or community-based care from requiring residents or patients to sign arbitration agreements before any dispute arises. It directly affects residents of skilled nursing facilities (covered under Medicare) and individuals receiving home health or nursing care (covered under Medicaid), preventing facilities from enforcing such agreements for current or former patients. The key provision bans the use of pre-dispute arbitration agreements entirely, making them invalid and unenforceable, and ensures courts - not arbitrators - decide disputes related to these agreements. The bill applies to all service providers, including their employees and affiliates, and takes effect upon enactment.

Maddy summaryThe Nutrition CARE Act of 2024 expands Medicare Part B coverage to include medical nutrition therapy services for beneficiaries diagnosed with eating disorders. It directly affects Medicare beneficiaries with eating disorders - particularly an estimated 420,500-560,700 Black, Indigenous, and People of Color seniors - by requiring coverage for 13 hours of initial care (including assessment) and 4 hours annually for ongoing management. The bill amends Medicare law to specify that these services must be provided by registered dietitians or nutrition professionals following referrals from physicians or psychologists. Coverage applies to all eating disorders as defined by the DSM-5, addressing a gap where Medicare previously excluded this critical treatment component. This policy change aims to improve access to evidence-based care for a condition linked to high mortality and significant healthcare costs.

Maddy summaryThe Healthy MOM Act (HR 6716) would require health insurance plans to provide a special enrollment period for pregnant individuals beginning when pregnancy is reported to the insurer. It would mandate that group health plans cover maternity care for all dependents, including young women who might otherwise lack coverage due to plan exclusions. The bill would extend Medicaid coverage for pregnant individuals and infants to a full 12 months postpartum, rather than the current 60-day period. These provisions aim to improve access to comprehensive maternity care, which the bill states could prevent 3 in 5 pregnancy-related deaths by addressing coverage gaps that disproportionately affect women of color.