Rep. Derek Kilmer

Maddy summaryThis bill removes federal restrictions that previously limited methadone prescribing for opioid use disorder, allowing certified addiction specialists and program employees to prescribe methadone through pharmacies for up to 30 days per electronic prescription. It directly affects patients with opioid use disorder who can now access treatment more flexibly outside traditional clinic settings, and healthcare providers who gain new prescribing authority. Key provisions include requiring electronic prescriptions, mandating patient informed consent about confidentiality differences, and permitting telehealth for counseling and ancillary services. The bill also requires annual reports to Congress tracking registered providers and patients served.

Maddy summaryHR 1328, the Medical Device Nonvisual Accessibility Act of 2023, requires certain home-use medical devices (like blood pressure monitors and sleep apnea machines) to include nonvisual accessibility features - such as voice commands or audio feedback - by 2025. It directly affects blind or low-vision users who rely on these devices for independent, safe, and private care at home. The bill mandates that devices classified as Class II or III (and cleared via FDA processes) must meet accessibility standards ensuring equal usability for blind or low-vision individuals, with limited waivers allowed for manufacturers facing undue hardship. The FDA will develop and enforce these standards within two years, consulting with accessibility experts and blind users.

Maddy summaryThe Paycheck Fairness Act (HR 17) strengthens equal pay protections by amending the Fair Labor Standards Act. It prohibits pay discrimination based on sex, pregnancy, childbirth, sexual orientation, gender identity, and sex characteristics. The bill modifies employer defenses for pay differences to require demonstration that any disparity is job-related, consistent with business necessity, and accounts for the entire pay differential. It also prohibits employers from relying on wage history when making hiring decisions or setting pay, enhances penalties for violations, and requires the EEOC to collect compensation data disaggregated by sex, race, and national origin.

Maddy summaryHCONRES 22 is a symbolic resolution recognizing the persistent gender pay gap in the U.S., documenting that women earn significantly less than men across racial groups (e.g., Black women earn 67 cents for every dollar earned by White men). It highlights the economic impact of this disparity, noting women lose over $958 billion annually in wages and face barriers like occupational segregation and workplace harassment. The resolution does not create new laws or policies but formally acknowledges the issue and reaffirms Congress’s commitment to addressing the gap. It references specific Equal Pay Days (e.g., March 14 for all women) to underscore the time women must work to earn what men did the previous year.

Maddy summaryHR 1510, the Improving Access to Nutrition Act of 2023, removes work requirements for Supplemental Nutrition Assistance Program (SNAP) recipients. It directly affects approximately 6.1 million people, including many Black, Hispanic, and Native American households disproportionately impacted by food insecurity (with rates 2-4x higher than White households), as well as families with children and individuals with health barriers to employment. The bill amends the Food and Nutrition Act by striking provisions requiring work for SNAP eligibility and related administrative requirements. This change aims to prevent vulnerable households from losing critical food assistance during the pandemic and beyond.

Maddy summaryThis bill expands the use of 529 college savings accounts to cover career training and credentialing costs. It allows funds to pay for tuition, fees, books, and testing expenses related to recognized postsecondary credential programs (like vocational certifications) that meet specific standards under the Workforce Innovation and Opportunity Act. The change directly affects workers seeking industry-recognized credentials - such as nursing certifications or IT certifications - instead of traditional degrees. It treats these expenses the same as traditional college costs for 529 account withdrawals, making it easier to save for career-focused training. The provision applies to expenses paid after the bill's enactment date.

Maddy summaryHRES 200 is a non-binding House resolution condemning two mass shootings in California: 11 victims in Monterey Park (January 21, 2023) at a Lunar New Year celebration and 7 victims in Half Moon Bay (January 23, 2023) at a farm. It honors all victims - primarily Asian-American seniors and immigrant farmworkers - expresses condolences to their families, and reaffirms the House’s commitment to supporting Asian-American and Pacific Islander communities. The resolution specifically addresses the rise in anti-Asian hate crimes during the pandemic and recognizes the vulnerability of immigrant communities. As a symbolic gesture, it does not create new laws or allocate funding but formally condemns the violence and affirms solidarity.

Improving Child Care for Working Families Act of 2023 This bill increases the limitation on the exclusion from employee gross income for employer-paid dependent care assistance from $5,000 to $10,500.

This resolution calls for the federal government to establish a national biodiversity strategy, which must include a goal of conserving at least 30% of U.S. lands and waters to protect biodiversity and address climate change by 2030 and other goals necessary to reduce the threats to biodiversity.

Maddy summaryHR 1322 expands federal retirement benefits to include specific non-traditional law enforcement roles. It adds IRS employees focused on tax collection, U.S. Postal Inspection Service staff, Department of Veterans Affairs police officers, and U.S. Customs and Border Protection seized property specialists to the definition of "law enforcement officer" under federal retirement systems. Current employees in these newly covered positions must elect to pay deposits for past service to receive full retirement credit, while their agencies must contribute additional funds for that past service. The bill also temporarily prevents mandatory separation for current law enforcement officers for three years after enactment.