Maddy summaryThis bill establishes minimum registered nurse-to-patient staffing ratios for hospitals across different units, directly affecting hospitals, registered nurses, and patients. It requires hospitals to implement staffing plans with specific ratios (e.g., 1:1 in trauma units, 2:1 in critical care, 4:1 in medical-surgical units) that must be publicly posted and maintained in detailed records. The bill includes enforcement through Medicare and Medicaid programs, with penalties for noncompliance up to $50,000 for subsequent violations. It also protects nurses who refuse unsafe assignments from retaliation and requires hospitals to provide transparency about staffing levels. The legislation aims to improve patient safety and nurse retention through concrete staffing standards rather than general guidelines.
Sponsored bills
Maddy summaryS 1138, the Fossil Free Finance Act of 2023, requires large banks (with over $50 billion in assets) and certain financial firms to reduce emissions tied to their investments. It mandates these institutions to eliminate all new fossil fuel projects immediately, end thermal coal financing by 2025, and cut financed emissions by 50% by 2030, aiming for net-zero by 2050. The bill prohibits using carbon offsets in emissions plans and requires annual reporting to Congress on progress toward climate targets. This directly affects major financial institutions, compelling them to divest from fossil fuels and align their lending with science-based climate goals.
Maddy summaryThis bill repeals two specific legal authorizations for U.S. military force against Iraq: the 1991 authorization (Public Law 102-1) and the 2002 authorization (Public Law 107-243). If enacted, it would end the legal basis for military operations in Iraq under these two resolutions. The repeal directly affects the executive branch’s authority to use military force against Iraq under these specific laws. It does not create new policy but removes existing legal permissions.
Maddy summarySRES 138 is a non-binding Senate resolution recognizing the global risks faced by environmental defenders - individuals protecting natural resources and human rights - and commending their work. It urges the U.S. government to take specific actions, including establishing a dedicated State Department position on environmental defenders, integrating their protection into foreign policy, and using diplomatic pressure to address violence against them. The resolution also calls for ensuring U.S. aid and international financial support do not fund projects harming defenders or the environment, while highlighting the disproportionate threats in regions like Latin America and Asia. It does not create new laws but sets policy recommendations for U.S. agencies and diplomacy.
Maddy summaryThe REAADI for Disasters Act improves disaster preparedness, response, recovery, and mitigation for individuals with disabilities and older adults (age 50+), who face higher risks during disasters. It requires accessible communications (including American Sign Language, captions, and plain language), inclusive advisory committees in disaster planning, and accessible shelters and facilities. The bill also mandates that crisis standards of care during disasters comply with civil rights laws and funds training centers to support disability-inclusive disaster management practices.
Maddy summarySenate Bill 1036, the Senior Hunger Prevention Act of 2023, aims to improve nutrition assistance access for seniors (60+) and people with disabilities by amending the Food and Nutrition Act. Key provisions include extending SNAP certification periods from 24 to 36 months, establishing a standardized medical expense deduction starting at $155 for fiscal year 2024 (adjusted annually), and creating simplified application programs (ESAP and CAP) to reduce administrative barriers for eligible households. The bill also funds a pilot program for outreach and enrollment targeting older adults, kinship families, and adults with disabilities, and expands food delivery services for eligible participants. Additional provisions increase funding for the Commodity Supplemental Food Program and Seniors Farmers' Market Nutrition Program.
Maddy summaryThe Gun Violence Prevention Research Act of 2023 would authorize $50 million annually for the Centers for Disease Control and Prevention (CDC) to conduct or support research on firearms safety and gun violence prevention for fiscal years 2024 through 2029. This funding would allow the CDC to study the causes and prevention of gun violence, including evaluating safety measures and effective interventions. The research would be conducted under the Public Health Service Act, with the funding added to existing appropriations. The bill does not change current laws but provides dedicated resources for evidence-based research on gun violence as a public health issue.
Maddy summaryThis bill requires Medicaid programs to use contracts with pharmacy benefit managers (PBMs) and managed care entities that mandate a pass-through pricing model for drugs. Under this model, payments must cover only the drug’s ingredient cost and a standard dispensing fee, with all payments passed directly to pharmacies, and prohibits PBMs from keeping any excess (known as spread pricing). It also mandates a national survey of retail pharmacy prices to set the average drug acquisition cost used for Medicaid reimbursements, requiring participating pharmacies to provide price data for the survey.
Maddy summaryThe EACH Act of 2023 requires federal health programs - including Medicaid, Medicare, the Indian Health Service, and others - to cover abortion services regardless of income or insurance type. It directly affects millions of low-income individuals, women of color (who are disproportionately enrolled in Medicaid), LGBTQ+ people, and people in states that currently restrict abortion coverage. Key provisions mandate that all federally funded health programs provide abortion coverage (Section 4), repeal a prior law restricting abortion coverage in private insurance (Section 5), and prohibit federal interference with private insurance coverage of abortion services. The bill aims to remove financial barriers to abortion care by ensuring coverage through federal programs and private plans.
Maddy summaryThe Access to AEDs Act (S 1024) provides $25 million in federal funding over five years (2024-2028) to help public elementary and secondary schools improve access to automated external defibrillators (AEDs) and CPR training. It authorizes grants for schools to purchase AEDs, train students and staff, develop emergency response plans, and partner with health organizations - such as local hospitals or fire departments - to implement these programs. The bill also requires the creation of a national database to track school AED access and share best practices, aiming to support immediate response during cardiac emergencies. This directly affects schools, students, and school staff by enhancing preparedness for sudden cardiac arrest, which the bill cites as a leading cause of death among young athletes and children.