Rep. Susan Wild

Maddy summaryHR 4942 extends and modifies the Conrad State 30 program, which allows states to sponsor foreign medical graduates to work in medically underserved areas in exchange for a commitment to practice for three years. The bill directly affects foreign medical graduates seeking to work in the U.S., states that sponsor them, and health facilities in underserved communities. Key provisions include creating mechanisms for physicians to change employers or states if they face issues with their current employment, adding requirements for employment agreements (including prohibitions on non-compete clauses), and establishing exceptions to the three-year work requirement under certain circumstances. The bill also creates a process for states to recapture waiver slots when physicians leave their employment and requires annual reporting on the program's usage. These changes aim to improve physician retention in underserved areas by providing more flexibility and protections for foreign medical graduates.

Maddy summaryThis bill expands employee ownership in S corporations by extending tax deferral for selling company stock to employee ownership plans (ESOPs), creating a Treasury Department office to provide education and technical assistance for ESOPs, and amending small business rules to maintain eligibility for government programs after ESOP ownership exceeds 49%. It establishes a new Labor Department "Advocate for Employee Ownership" to coordinate federal efforts, educate stakeholders, and recommend policy improvements. The bill directly affects S corporations using ESOPs, their employees who become owners, and small businesses that might lose government program access due to ESOP acquisitions. Key provisions include tax incentive extensions, new support offices, and updated small business classification rules.

Maddy summaryHR 1345 establishes the Office of Policy Development and Cybersecurity within the National Telecommunications and Information Administration (NTIA), creating a dedicated unit to address cybersecurity and communications policy. The new office, led by an Associate Administrator, will develop market-based policies promoting innovation and digital inclusion, conduct studies on internet access, coordinate multistakeholder cybersecurity guidance, and advocate for secure network supply chains. This bill directly affects the NTIA’s internal operations and its policy work, shifting focus to cybersecurity coordination and commercialization of communications technologies. It redesignates the existing Associate Administrator for Policy Analysis and Development into this new cybersecurity-focused role without changing the position’s holder. The bill does not impose new requirements on businesses or the public but restructures NTIA’s internal policy processes.

Maddy summaryHR 4893, the Scientific Integrity Act, requires federal agencies that fund, conduct, or oversee scientific research to adopt policies preventing political interference in science. The bill mandates these agencies to prohibit suppression or distortion of research findings, establish Scientific Integrity Officers to enforce policies, and implement training and reporting systems. It directly affects scientists and engineers employed by or contracted with covered agencies (like the EPA or NIH), ensuring their work remains free from political pressure. Key mechanisms include annual public reporting on misconduct complaints, whistleblower protections, and requiring scientific conclusions to be based on evidence, not ideology.

Maddy summaryHR 4157, the "Not Just a Number Act," requires the Department of Veterans Affairs (VA) to produce annual reports on veteran suicide rates and their connection to VA healthcare and benefits. The reports must break down suicide rates by age, gender, and race, and examine how engagement with VA services (like Vet Centers, healthcare enrollment, benefits claims, and housing loans) correlates with suicide trends. The bill also mandates a VA toolkit for state/local coroners to improve veteran suicide death reporting, and a study on creating a dedicated VA suicide prevention office. These measures aim to standardize data collection and identify effective prevention strategies, directly affecting VA operations, congressional oversight, and veteran care systems.

Maddy summaryThe CHIPP Act (HR 4771) permanently extends federal funding for the Children's Health Insurance Program (CHIP), which provides health coverage to low-income children in families that earn too much to qualify for Medicaid but cannot afford private insurance. It removes previous expiration dates (like 2029) from CHIP funding provisions, ensuring continuous support for states administering the program. The bill also permanently extends related programs, including pediatric quality measures funding with automatic inflation adjustments, and modifies eligibility rules to allow states to expand coverage for children in higher-income households. This affects all 50 states that run CHIP programs and the millions of children and families who rely on this coverage.

Maddy summaryHR 4769, the PFAS Alternatives Act, funds research and training to develop PFAS-free turnout gear for firefighters. It authorizes $25 million annually (2024-2028) for grants to eligible organizations to research, develop, and test next-generation gear without per- and polyfluoroalkyl substances (PFAS), which are linked to firefighter cancer risks. The bill requires partnerships with firefighting organizations to ensure research translates into practical training and gear care guidance, including decontamination protocols. It also allocates $2 million yearly for training programs on proper gear use and maintenance, aiming to reduce exposure to hazardous chemicals during fire operations.

Cease Animal Research Grants Overseas Act of 2023 or the CARGO Act of 2023 This bill prohibits the National Institutes of Health from awarding support for any research that uses live animals unless the research occurs in the United States (including U.S. territories and possessions).

Maddy summaryThis bill establishes a federal grant program to improve recruitment, retention, and career advancement for direct care workers who provide hands-on support to older adults and individuals with disabilities. It would allocate $300 million annually from 2024-2029 to fund education and training programs, career pathways, and supportive services like childcare and transportation for these workers. The program requires grantees to consult with workers, people receiving care, and employers when developing strategies, and mandates reporting on outcomes including wage increases (with a minimum of $14.27/hour), job placement rates, and care quality improvements. The bill directly affects the 25 million Americans needing daily care assistance and the 7.9 million projected job openings in direct care by 2030.

Advancing Maternal Health Equity Under Medicaid Act This bill provides a 90% federal matching rate for Medicaid maternal health care expenditures that exceed 2019 levels. Qualifying services must be provided by maternity care providers or perinatal health workers (e.g., doulas) and include prenatal and postpartum telehealth services, home visits, and behavioral health care.