Maddy summaryThe Better Care Better Jobs Act (S 100) aims to improve access to home and community-based services (HCBS) for Medicaid beneficiaries by providing federal funding to states for developing improvement plans and implementing an HCBS Infrastructure Improvement Program. The bill offers enhanced federal funding (a 10 percentage point increase in Medicaid matching rates) to states that meet requirements including maintaining or expanding HCBS access, improving direct care worker wages and training, and implementing quality measurement systems. States must develop detailed plans assessing current HCBS availability, workforce conditions, and barriers to access, and then report annually on progress toward specific benchmarks. The bill also makes permanent certain Medicaid provisions related to spousal impoverishment protection and extends the Money Follows the Person program, directly affecting Medicaid beneficiaries and direct care workers.
Sponsored bills
Maddy summaryThe Fair and Transparent Gas Prices Act of 2023 requires the Federal Trade Commission (FTC) to study whether oil and gas companies engage in anti-competitive or collusive conduct that inflates consumer prices, delays fuel supply, or restricts alternative energy options. The FTC must investigate specific practices like reducing fuel production investments, stock buybacks, and impacts on alternative fuel availability, working with state attorneys general. The study mandates a report to Congress within one year (and annually for two more years) with findings and recommendations for legislative or administrative action. This bill directly affects the FTC, oil and gas companies, and state attorneys general through its study requirements and funding ($15 million annually for 2024-2025), but does not change existing laws or prices.
Maddy summaryThis bill would admit Washington, D.C. as the 51st state, officially named "State of Washington, Douglass Commonwealth," granting it full representation in Congress with two Senators and one Representative. It would establish a "Capital" area within the new state that remains under federal jurisdiction, including the White House, Capitol Building, and other key government properties. The bill would repeal the District of Columbia's congressional delegate position and the 23rd Amendment, which currently provides D.C. with electoral votes in presidential elections. It would also provide for the transition of federal properties, courts, and government functions while maintaining federal control over the Capital area.
Maddy summaryThe BUILD for Veterans Act of 2023 aims to improve how the Department of Veterans Affairs manages its physical infrastructure, including buildings, land, and related assets used to deliver health care and services to veterans. Key provisions require the VA to establish dedicated staffing for capital asset management at medical centers, develop performance metrics to track progress, and create a comprehensive 10-year strategic plan addressing staffing, budgeting, and planning needs. The bill also mandates climate resilience reviews for VA facilities, centralized management of asset disposal and reuse, and regular reports to Congress on capital asset projects, funding requirements, and performance metrics. These changes directly affect VA's operations across all medical centers, facilities, and infrastructure assets under its jurisdiction, aiming to make capital asset management more efficient and responsive to veterans' needs.
Maddy summaryThis bill expands health insurance subsidies under the Affordable Care Act for people with household incomes up to 800% of the federal poverty line (up from 400%), directly affecting millions of middle-income Americans purchasing coverage through health insurance marketplaces. Key provisions adjust the sliding-scale subsidy system to lower premium percentages across income tiers - like reducing the maximum payment from 8.5% to 6% for incomes between 300%-400% of poverty - and increase cost-sharing reductions for lower-income enrollees. It also modifies eligibility thresholds, raising the income limit for the highest savings tier from 150% to 200% of poverty and increasing the percentage of out-of-pocket costs covered. These changes aim to make premiums and deductibles more affordable by expanding subsidy eligibility and refining how payments are calculated.
Maddy summaryThis bill would ban the sale, manufacture, transfer, and possession of most semiautomatic rifles, pistols, and shotguns meeting specific criteria defined as "assault weapons," as well as large capacity ammunition magazines holding more than 10 rounds. The ban would not apply to weapons already owned before enactment, or to certain types like bolt-action rifles, antique firearms, or weapons used by law enforcement. The bill would require identification markings on new assault weapons and magazines, require background checks for transfers of "grandfathered" weapons, and authorize federal buy-back programs for banned weapons through Byrne grants. It includes exemptions for military, law enforcement, and certain historical firearms.
Maddy summaryThis bill extends the terminal lakes assistance program under the Farm Security and Rural Investment Act of 2002 by updating its expiration date from 2023 to 2025. It directly affects farmers and communities relying on this program, which provides support for managing water resources in terminal lake systems. The key provision amends Section 2507(f) of the Act to extend the program’s authorization period by two years. The change was enacted on January 5, 2023, after passing both chambers of Congress in December 2022. This is a procedural adjustment to maintain existing assistance without altering program eligibility or funding levels.
This act makes changes to the Joint Commission on Reducing Violent Crime Against Indians, which was established to increase intergovernmental coordination to identify and combat violent crime within Indian lands and against Indians. Specifically, the act extends the joint commission for an additional 18 months. It also extends the deadline, from 18 months to 36 months, for the joint commission to make publicly available and submit recommendations to the Department of the Interior, the Department of Justice, and specified congressional committees. Additionally, the act allows the joint commission to accept and use gifts or donations of services or property from Indian tribes or tribal entities, academic institutions, or other not-for-profit organizations.
Childhood Cancer Survivorship, Treatment, Access, and Research Reauthorization Act of 2022 or the Childhood Cancer STAR Reauthorization Act This act reauthorizes through FY2028 and modifies pediatric cancer research and related programs, including to expand collection of and access to relevant biospecimens and to support the transition of pediatric cancer survivors to primary care.
National Heritage Area Act This act establishes a National Heritage Area System. The Department of the Interior may provide technical and financial assistance to local coordinating entities to support the establishment, development, and continuity of such areas. The National Heritage Area System shall be composed of each National Heritage Area, National Heritage Corridor, National Heritage Canalway, Cultural Heritage Corridor, National Heritage Route, and National Heritage Partnership designated by Congress before or on enactment of this act; and each National Heritage Area designated by Congress after enactment of this act. A National Heritage Area shall not be considered to be a unit of the National Park System nor subject to the authorities applicable to such units. Interior may carry out or review a study to assess the suitability and feasibility of each proposed heritage area for designation as a National Heritage Area. Interior must review and certify whether the proposed area meets specified requirements, including that it has natural, historic, and cultural resources that represent distinctive aspects of the heritage of the United States. An area shall be designated as a National Heritage Area only by an act of Congress. Interior shall conduct studies to assess the suitability and feasibility of designating specified areas in Hawaii as the Kaena Point National Heritage Area and in Virginia and North Carolina as the Great Dismal Swamp National Heritage Area. The act also (1) establishes or extends specified National Heritage Areas, (2) redesignates the America's Agricultural Heritage Partnership in Iowa as the Silos & Smokestacks National Heritage Area, and (3) extends the deadline for the management plans for certain heritage areas.