Sen. Catherine Cortez Masto

Maddy summaryThe DOULA for VA Act of 2023 establishes a 5-year pilot program to provide doula support services to pregnant and postpartum veteran women enrolled in the VA healthcare system. It directs the VA to offer up to 10 doula sessions per veteran - including three to four sessions before birth, one during labor, and three to four postpartum sessions via VA Video Connect - through the Whole Health model. The program targets VA facilities with high or low female veteran enrollment and prioritizes consultation with veteran groups, doulas, and health equity experts. The VA must report annually on outcomes and recommend whether to expand the model, with funding authorized through 2029 and a $3,500 per veteran payment cap for services.

PBM Reporting Transparency Act This bill requires the Medicare Payment Advisory Commission to report certain information about pharmacy benefit managers (PBMs) under the Medicare prescription drug benefit and Medicare Advantage. Specifically, the commission must report on trends in agreements between PBMs and prescription drug plans, the impact of any differences in agreements on out-of-pocket spending for enrollees and pharmacy reimbursements, and any appropriate recommendations. The commission must submit an updated report two years after its initial report.

Maddy summary# Summary of Proposed Election Reform Legislation This comprehensive legislative document outlines a wide-ranging election reform bill with multiple titles addressing various aspects of voting rights, election administration, and election integrity. Key provisions include: 1. **Democracy Restoration** (Title I): - Restores voting rights for citizens with criminal convictions (except those serving felony sentences in correctional institutions) - Requires states to notify individuals of restored voting rights upon completion of sentence or release from custody - Includes enforcement mechanisms for states to comply with the restoration provisions 2. **Voter Identification Requirements** (Title II): - Establishes a standardized system for voter identification requirements - Specifies acceptable forms of identification (including many government-issued documents) - Requires states to provide free identification documents to eligible voters - Includes funding ($5 million annually for 5 years) to cover costs 3. **Voter List Maintenance** (Title III): - Prohibits "voter caging" (using undeliverable mail to challenge voter eligibility) - Requires states to verify voter ineligibility using objective and reliable evidence - Limits removal of voters from registration lists to specific circumstances (death, permanent move) - Mandates notice requirements for voters removed from lists 4. **Election Integrity** (Title IV): - Prohibits interference with voter registration (Section 612) - Restricts removal of local election administrators to cases of inefficiency, neglect, or malfeasance - Prohibits harassment and intimidation of election workers - Bans deceptive practices in elections (false information about voting procedures, qualifications, or endorsements) The legislation aims to expand voting access while maintaining election integrity, with specific focus on eliminating barriers for people with criminal convictions, ensuring fair voter list maintenance, and protecting election workers from harassment and intimidation. It also includes provisions for enforcement through civil actions, criminal penalties, and reporting requirements.

Maddy summaryS 2477 (Equitable Community Access to Pharmacist Services Act) expands Medicare Part B coverage to include specific pharmacist services previously only covered when provided by physicians. It directly affects Medicare beneficiaries and pharmacists by allowing coverage for services like evaluating patients for COVID-19, flu, or respiratory illnesses, and addressing public health emergencies - provided pharmacists are licensed or operating under federal emergency authority. The bill establishes payment at 80% of the lesser of actual charge or 85% of physician payment rates (100% during federal emergencies) and prohibits balance billing for these services. It also clarifies that existing Medicare enrollment pathways for pharmacists remain available. This bill modifies Medicare Part B coverage under the Social Security Act without restricting current pharmacy reimbursement options.

Maddy summaryThe ATTAIN Mental Health Act requires the U.S. Department of Health and Human Services to create a public online dashboard that makes federal mental health and substance use disorder grant information easier to find. The dashboard will list grant names, show current application status (open, closed, or awarded), and provide direct links to apply, while being accessible under the Americans with Disabilities Act. It will help schools, health providers, tribal organizations, community groups, and other potential applicants quickly locate funding opportunities by location and program type. The dashboard must be updated regularly to reflect current grant openings and be designed with input from diverse stakeholders like hospitals and tribal entities.

Maddy summaryThe Reproductive Health Patient Navigator Act of 2023 would create a federal grant program to fund community organizations - including abortion funds and nonprofits - that help individuals access abortion services. Eligible groups would use these grants to provide practical support like connecting people to providers, coordinating travel and childcare costs, and offering accurate, culturally appropriate reproductive health information. The bill also includes legal protections preventing states from restricting these navigation services, even in states with abortion bans, and allows organizations to sue states that block such support. This directly affects people seeking abortion care and the community groups that assist them, focusing on reducing barriers to access.

Maddy summaryThis bill creates an online cybersecurity clearinghouse within the National Telecommunications and Information Administration (NTIA) to support food and agriculture businesses. The clearinghouse will provide free, publicly available resources - including annual FAQs, ransomware response guides, and small business tools - specifically for farms, processors, distributors, and their IT systems. It will consolidate voluntary cybersecurity recommendations covering system protection, incident response, and data security for the industry. The bill also mandates a government study on current cybersecurity efforts in the sector, to be completed within 90 days of enactment.

Maddy summaryS 2372, the Accelerating Kids’ Access to Care Act, streamlines enrollment for out-of-state healthcare providers who treat Medicaid-eligible children under 21 with medically complex conditions. It requires states to adopt a process allowing these providers to join state Medicaid/CHIP programs without extra state-level screening, provided they already meet federal Medicare or home-state program requirements and pose low fraud risk. The bill establishes a 5-year enrollment period for eligible providers, directly affecting children needing specialized care across state lines and the providers serving them. Key provisions remove barriers to interstate care coordination while maintaining federal oversight standards.

Maddy summaryThis bill establishes a federal program to improve cybersecurity for rural water and wastewater systems. It directs the Agriculture Secretary to create a "cybersecurity circuit rider" program that sends certified technical experts to assist rural water associations with assessing their current cybersecurity defenses, developing protection protocols, and addressing gaps in their security plans. The program is funded with $10 million annually from 2024 through 2028. It directly affects rural water associations operating public water systems, not individual homeowners or large municipal utilities.

Maddy summaryThis bill withdraws approximately 309,272 acres in the Ruby Mountains subdistrict of Humboldt-Toiyabe National Forest and 39,926 acres in Ruby Lake National Wildlife Refuge from mineral leasing, preventing future mining and drilling on these federal lands. It directly affects land management by the U.S. Forest Service and Fish and Wildlife Service, preserving these areas from commercial mineral development. The withdrawal includes an exception for noncommercial refuge management activities by the Fish and Wildlife Service. Maps defining the exact boundaries are made publicly available for inspection at relevant federal offices.