Rep. Rick Larsen

Maddy summaryHR 3420, the My Body, My Data Act of 2023, restricts how companies can handle reproductive and sexual health data - such as pregnancy details, contraceptive use, or abortion-related information - by requiring them to collect only what’s necessary for requested services and limiting employee access. It gives individuals the right to access, correct, or delete their data, see which third parties received it, and get clear privacy policies explaining data practices. The Federal Trade Commission enforces the law, with penalties for violations including $100-$1,000 per violation per day, and bans retaliation for exercising these rights. The law applies to companies (like health apps or insurers) but excludes HIPAA-covered healthcare providers and entities subject to existing federal health privacy rules.

Support, Treatment, and Overdose Prevention of Fentanyl Overdoses Act of 2023 or the STOP Fentanyl Overdoses Act of 2023 This bill addresses data collection, treatment, harm reduction, and other issues related to substance misuse and addiction. It particularly focuses on opioids, fentanyl, and related substances. Specifically, the bill expands surveillance of fentanyl and related substances. This includes requiring a study on how to track overdoses by type of drug (including fentanyl) and awarding grants to states for collecting data about fentanyl-involved overdoses. The bill also provides for (1) training on detecting and handling fentanyl for law enforcement, and (2) grants for forensic laboratories to facilitate surveillance of controlled substances seized by law enforcement. Additionally, the bill establishes and modifies requirements to increase access to treatment and prevention services. For example, the Bureau of Prisons must make certain services, including medication-assisted treatments, available to individuals in its custody. The bill also establishes grants and requires other efforts to expand access to medications that temporarily reverse opioid overdoses (e.g., naloxone) and related harm reduction activities. Furthermore, the bill extends, subject to some conditions, liability protections for those who administer aid in an emergency (commonly known as Good Samaritan laws) to individuals who administer opioid overdose reversal drugs and to individuals who seek medical attention for themselves or on behalf of another for a drug overdose. The bill also requires multiple reports, including a report by the Department of State on foreign sources of certain drugs.

Maddy summary# Comprehensive Summary: Maternal Health and Vaccination Legislation This proposed legislation establishes a comprehensive framework to improve maternal health outcomes across multiple dimensions, with a strong focus on equity and addressing systemic disparities. The bill is organized into 13 titles covering various aspects of maternal health care. ## Key Focus Areas 1. **Maternal Health Equity**: The legislation emphasizes reducing racial and ethnic disparities in maternal health outcomes, with specific provisions targeting communities of color and underserved populations. 2. **Incarcerated Mothers**: Includes provisions to end shackling of pregnant individuals in correctional facilities and establishes programs for maternal health care in prisons and jails. 3. **Technology and Telehealth**: Creates grant programs for telehealth models, technology-enabled collaborative learning, and digital tools to improve access to maternal care. 4. **Climate Change Impact**: Addresses how climate change affects maternal and infant health, with a focus on vulnerable populations. 5. **Public Health Emergencies**: Establishes protocols for maternal care during public health crises like pandemics. 6. **Vaccinations**: Expands maternal vaccination awareness and equity campaigns. ## Major Provisions **Maternal Vaccination Campaign (Title XIII)**: - Expands awareness campaigns to specifically target pregnant and postpartum individuals - Allocates $17 million annually (2024-2028) for vaccination outreach - Includes specific efforts to increase vaccination rates among racial/ethnic minority groups **Technology and Telehealth (Titles IX)**: - $6 million annually for technology-enabled collaborative learning models - $6 million annually for digital tools to promote equity in maternal health - Creates a demonstration project for alternative payment models in maternal care **Climate Change and Maternal Health (Title XII)**: - $100 million for a grant program to protect vulnerable mothers and babies from climate change risks - $5 million for education and training at health profession schools - Establishes a National Institutes of Health Consortium on Birth and Climate Change Research **Incarcerated Mothers (Title VIII)**: - Requires 25% grant reduction for states that don't restrict restraints on pregnant incarcerated individuals - Establishes model programs in Bureau of Prisons facilities for pregnant and postpartum incarcerated individuals - $10 million annually for State and local prison and jail programs **Public Health Emergency Response (Title XI)**: - $100 million for data collection on maternal health during public health emergencies - $30 million for expanding maternal mortality reviews - $45 million for Pregnancy Risk Assessment Monitoring System (PRAMS) - $15 million for research on public health emergencies' impact on maternal health ## Cross-Cutting Themes - **Equity Focus**: Nearly every provision includes specific measures to address racial and ethnic disparities - **Data Collection**: Strong emphasis on collecting and analyzing demographic data - **Community Involvement**: Requires input from community-based organizations and affected populations - **Interagency Coordination**: Mandates collaboration between multiple federal agencies - **Long-Term Investment**: All funding is allocated for 5-year periods (2024-2028) The legislation represents a comprehensive, multi-faceted approach to improving maternal health outcomes in the United States, with particular attention to vulnerable populations and systemic barriers that contribute to poor maternal health outcomes.

Maddy summaryThe Keeping All Students Safe Act prohibits the use of "unlawful" seclusion and restraint in schools, including physical restraint that's life-threatening, contraindicated for a student's disability, or not properly trained for. It requires schools to use less restrictive interventions first, mandates training for school personnel in crisis intervention, and establishes reporting requirements for restraint incidents, including immediate parent notification and annual public reporting. The bill prohibits using physical restraint as a planned intervention in student education plans and requires states to submit compliance plans with data on restraint incidents disaggregated by race, disability status, and other factors. It applies to public schools and programs receiving federal funding, but does not affect private schools not receiving federal funds or home schools.

Maddy summaryHR 3517, the Wounded Warrior Bill of Rights Act of 2023, clarifies that military department secretaries (e.g., Secretary of the Army) retain final authority over fitness-for-duty determinations for service members in the Integrated Disability Evaluation System (IDES), not the Defense Health Agency. It requires the Department of Defense to update IDES policies so Wounded Warriors can demand a full hearing within 90 days if they dispute a medical separation decision, conducted by their military chain of command. This hearing is separate from existing IDES appeals and must be adjudicated within 90 days of request. The bill directly affects service members undergoing medical evaluation for separation due to injury or illness sustained in service. It ensures due process rights are upheld throughout the IDES process without altering healthcare benefits or creating new financial obligations.

Cut Red Tape For Online Sales Act This bill modifies requirements for third party settlement organizations to eliminate their reporting requirement with respect to the transactions of their participating payees unless they have earned $5,000 or more. A third party settlement organization is the central organization that has the contractual obligation to make payments to participating payees (generally, a merchant or business) in a third party payment network. The bill also requires entities that report income to to issue a plain-language description of the taxability of income reported on Form 1099-K.

Maddy summaryHR 3409, the Healthy Families Act, requires most employers to provide employees with paid sick leave. Employees earn 1 hour of paid sick time for every 30 hours worked, up to a maximum of 56 hours per year, which can be used for their own illness, caring for family members, or addressing domestic violence, sexual assault, or stalking situations. Smaller employers with fewer than 15 employees can provide unpaid sick leave instead of paid leave. The bill includes protections against retaliation for using sick leave and requires employers to inform employees about their rights under this law.

Maddy summaryHR 3255, the Freight Rail Workforce Health and Safety Act, requires major freight railroads (Class I carriers) to provide employees with at least 7 days of paid sick leave annually. This includes leave for personal illness, family care, preventive medical visits, and situations related to domestic violence, sexual assault, or stalking. Employees can carry over unused days to the next year, and railroads cannot require workers to find replacements before taking leave or penalize them for using it. The law prohibits retaliation, such as termination or demotion, for requesting or using sick leave, and ensures paid sick leave is separate from existing vacation or holiday time.

Maddy summaryThe PAST Act of 2023 amends the Horse Protection Act to ban specific devices used to cause pain (soring) in horses at shows, particularly affecting Tennessee Walking Horses, Racking Horses, and Spotted Saddle Horses. It defines prohibited "action devices" (like boots or chains causing friction) and requires licensed, conflict-free inspectors at events to enforce rules. The bill increases penalties for violations to up to $5,000 fines or 3 years in jail, and mandates longer disqualifications for repeat offenses (180 days → 1 year → 3 years). Horse show organizers, exhibitors, and participants must comply with these new inspection and penalty requirements.

Maddy summaryHR 3238, the Affordable Housing Credit Improvement Act of 2023, updates the Low-Income Housing Tax Credit (LIHTC) program to increase the availability of affordable housing across the United States. The bill makes several key changes including increasing state funding formulas, modifying tenant eligibility rules to better serve vulnerable populations (such as domestic violence victims and students), and expanding credit eligibility for projects in rural and Native American communities. Specific provisions raise the credit for properties serving extremely low-income households, clarify rules around tenant income increases, and require housing providers to protect victims of domestic violence. The bill also updates terminology from "low-income" to "affordable" throughout the tax code and enhances program transparency through data sharing requirements. These changes aim to make the LIHTC program more effective at creating and preserving affordable housing units for low-income households nationwide.