Maddy summaryThe PrEP Access and Coverage Act of 2023 requires health insurance plans to cover pre-exposure prophylaxis (PrEP) for HIV prevention without cost-sharing, including the medication, lab tests, follow-up care, and related services. It directly affects people at high risk of HIV (currently only 31% of eligible individuals use PrEP), health insurance companies, and healthcare providers by mandating comprehensive coverage without deductibles or co-pays. The bill also prohibits insurance companies from denying coverage or increasing premiums for people taking PrEP and establishes public education campaigns to increase awareness and reduce stigma. Additionally, it authorizes funding for state and community programs to improve access to PrEP, particularly for underserved populations including people of color, transgender individuals, and women. Most provisions will take effect on January 1, 2025.
Sponsored bills
Maddy summaryThis bill establishes a federal grant program to help people cover travel and logistical costs when accessing abortion services across state lines following the Dobbs decision. It authorizes $350 million annually (2024-2028) for grants to community-based organizations that assist individuals facing barriers like transportation, lodging, childcare, meals, or lost wages while traveling for care. Grants specifically cover expenses related to accessing abortion services but cannot fund the abortion procedure itself. The program prioritizes organizations serving people in states with abortion bans or those traveling to another state for care, directly supporting those disproportionately impacted by restricted access.
Maddy summaryS 2204, the Manufactured Housing Tenant’s Bill of Rights Act of 2023, requires lenders offering federally backed loans for manufactured home communities to ensure leases include specific tenant protections. It mandates 1-year lease terms (renewable annually), 60-day written notice for rent increases (with extended notice for hikes over 5%), a 5-day rent grace period, and rights for tenants to sell their homes in place without relocation. The law directly affects tenants in manufactured home communities and borrowers seeking federal loan programs, requiring them to certify lease compliance and submit documentation. Violations trigger penalties like rent refunds, interest, or 2-year financing bans, with protections supplementing but not replacing stronger state laws.
Maddy summaryThis bill bans the provision and advertising of conversion therapy for compensation, targeting therapists, clinics, and anyone offering paid services claiming to change a person's sexual orientation or gender identity. It prohibits advertising that falsely claims such therapy is harmless, effective, or without risk, and makes it unlawful to profit from these practices. Enforcement is handled by the Federal Trade Commission and state attorneys general through civil actions. The law directly affects providers of paid conversion therapy while protecting LGBTQ+ individuals from potentially harmful and ineffective treatments.
Maddy summaryThis bill establishes a new Title X Clinic Fund to increase federal funding for family planning services. It appropriates $512 million annually (2024-2033) for clinic grants and $50 million for clinic infrastructure (construction/renovation) under the Department of Health and Human Services. The fund requires clinics receiving this money to provide nondirective pregnancy counseling, ensuring patients receive neutral information about all options - including prenatal care, adoption, and pregnancy termination - without bias. This directly affects Title X clinics serving low-income individuals seeking reproductive health services.
Maddy summaryThis bill establishes an Office for Gender Equity within the Department of Education to support schools and colleges in fully implementing Title IX. It authorizes $160 million annually to fund grants for educational entities to develop programs addressing gender equity gaps in athletics, STEM fields, career education, and campus safety. The bill provides training and resources for Title IX coordinators and "Title IX allies" to address sex discrimination, with specific attention to students facing discrimination based on multiple characteristics like race and gender. It also requires the Department to research and share evidence-based best practices for reducing sex discrimination in education.
Maddy summaryThe Rebuild Rural America Act of 2023 establishes a new Rural Innovation and Partnership Administration within the Department of Agriculture and creates a $10 billion annual Rural Future Partnership Fund. This fund provides block grants to rural communities that form "rural partnership councils" to develop locally-driven plans addressing infrastructure, housing, health care, workforce development, and environmental resiliency. The legislation allocates funds based on population, with 3x funding for high-poverty areas (20%+ poverty rate), and requires annual reporting and evaluation of progress. The bill directly affects rural communities across the United States, particularly those with high poverty rates, by providing flexible federal investment for comprehensive community development.
Refund Equality Act of 2023 This bill permits legally married same sex couples to amend their tax returns to file as married filing jointly for returns outside of the statute of limitations.
Maddy summaryThis bill creates a new pathway for generic drug manufacturers to enter the market faster under specific conditions. It allows subsequent applicants to receive "effective approval" 180 days after a first applicant begins marketing a drug, but only if 33 months have passed since the first application and the first applicant hasn't started marketing within 75 days of approval. If a subsequent applicant fails to begin marketing within 75 days of approval, their application reverts to "tentative approval" and they lose eligibility for that pathway unless they prove an unforeseen event prevented marketing. The bill directly affects generic drug manufacturers seeking FDA approval for drugs where a first applicant has delayed commercialization.
Maddy summarySRES 263 is a symbolic Senate resolution commemorating June 19, 2023, as "Juneteenth National Independence Day" to recognize June 19, 1865 - the date Union troops announced the end of slavery in Texas. It honors the historical significance of this date, when news of emancipation reached enslaved people in the Southwestern U.S. after the Civil War. The resolution does not create new laws or policies but formally acknowledges this observance as part of U.S. history and heritage, supporting nationwide recognition of the event. It affects all Americans by affirming a shared historical moment in the nation's journey toward freedom.