Rep. Christopher R. Deluzio

Maddy summaryThis bill (HR 1753) ensures 310+ female service members who served in specialized cultural support teams (2010-2021, identified by skill codes R2J/5DK) receive proper military records and veterans benefits. It requires the military to include this service in personnel records and count it as combat service for disability claims. Veterans denied benefits for injuries from this service can now file supplemental claims within three years of enactment, with claims treated as if filed on their original claim date. The bill also mandates VA outreach to inform affected veterans and families about this new process.

Maddy summaryThe Shipbuilding Innovation Act creates a federal grant program to fund U.S. shipyards developing specialty vessels for energy transition projects, such as offshore wind support vessels. It allocates $100 million annually (2025-2029) for grants covering up to 80% of project costs, requiring 70-80% of materials to be U.S.-made (with limited exceptions). Grants support shipyard infrastructure upgrades and building vessels with energy-efficient propulsion systems, while prohibiting land/building purchases and mandating strict reporting. Shipyards applying must demonstrate project need, methodology, and leverage existing programs, with annual reports to Congress on U.S.-flagged vessel capabilities for energy initiatives.

Maddy summaryHR 9774, the Health Care Affordability Act of 2024, would expand premium tax credits under the Affordable Care Act for households earning between 150% and 400% of the federal poverty level. It modifies the sliding scale calculation to reduce the percentage of monthly insurance premiums these households must pay, with the lowest out-of-pocket costs for those near 400% of poverty. This directly affects individuals and families purchasing health insurance through marketplace plans who qualify for these tax credits. The changes apply to tax years beginning after December 31, 2025.

Maddy summaryThe Steel Modernization Act of 2024 provides financial assistance and tax credits to U.S. steel manufacturers adopting technologies that reduce greenhouse gas emissions from steel production. It requires recipients to produce "near-zero emissions intensity steel" by 2035, report emissions data, and implement community benefits plans that address local environmental and economic concerns. The bill also imposes a tariff on imported steel based on its emissions intensity, with revenues funding clean energy programs and administrative costs. This affects steel manufacturers, workers, and communities near steel facilities by promoting cleaner production while supporting domestic steel industry competitiveness.

Maddy summaryThe Pharmacists Fight Back Act (HR 9096) sets new rules for Pharmacy Benefits Managers (PBMs) working with federal health care programs like Medicare Part D and Medicaid. It requires PBMs to reimburse in-network pharmacies at a rate covering the drug's actual cost plus a small fee (capped at $25), and to reduce patient cost-sharing by at least 80% of rebates received from drug manufacturers. The bill bans PBMs from steering patients to specific pharmacies, charging patients more than pharmacies are paid, or using rebates to lower pharmacy payments after claims are processed. It also mandates public reporting of drug pricing data to improve transparency, ensuring patients and pharmacies receive fairer treatment under federal health programs.

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 summaryThe HEAR Act of 2024 would require Medicare to cover hearing rehabilitation services and hearing aids for eligible beneficiaries. It defines hearing rehabilitation to include assessments, counseling, and fitting of hearing aids, while defining hearing aids as FDA-approved devices (excluding over-the-counter options). Coverage applies to Medicare beneficiaries with hearing loss who have not received hearing aids in the past three years and whose hearing has deteriorated, as confirmed by a comprehensive assessment. The bill amends Medicare to include these services as standard benefits, removing prior exclusions that previously limited coverage. This policy change directly affects older adults and people with disabilities who rely on Medicare for hearing care.

Maddy summaryThis bill would require the U.S. to reimpose tariffs on steel imports from Mexico that were in effect before May 2019. The tariffs must remain in place for at least one year, and the U.S. Trade Representative and Commerce Secretary must certify that Mexico has fixed its trade practices before lifting them. The President may also add import limits to return steel imports from Mexico to pre-2019 trade levels. The bill directly affects Mexican steel exporters and aims to address claims that Mexico violated a 2019 trade agreement.