United States · United States Congress · 27 July 2023
Stillbirth Health Improvement and Education for Autumn Act of 2023 or the SHINE for Autumn Act of 2023 This bill authorizes grants and establishes other programs to improve data collection on stillbirths. Specifically, the Department of Health and Human Services (HHS) may award grants for surveillance and data collection on stillbirths, and HHS must issue guidelines for health departments and vital statistics units concerning the collection of stillbirth data. HHS must also develop educational awareness materials about stillbirths and make them publicly available. Furthermore, HHS must implement a fellowship program to provide training in perinatal autopsy pathology and otherwise support research on stillbirths and fetal autopsies. The bill also requires HHS to issue a report with educational guidelines on stillbirths and stillbirth risk factors.
United States · United States Congress · 27 July 2023
Better Collaboration, Accountability, and Regulatory Enforcement for Animals Act of 2023 or the Better CARE for Animals Act of 2023 This bill modifies enforcement provisions under the Animal Welfare Act, including by allowing the Department of Justice (DOJ) to bring civil actions against violators of the act for appropriate relief, such as removing animals, revoking violators' licenses, or issuing civil penalties. DOJ must use the penalties to pay for the temporary care for animals pending the disposition of civil or criminal proceedings that allege violations of the act with respect to such animals.
United States · United States Congress · 27 July 2023
Recognizing Gun Violence as a Public Health Emergency Act This bill requires the Department of Health and Human Services, in coordination with the Centers for Disease Control and Prevention, to report on the effects of gun violence on public health and the status of any actions taken to address these effects. The report must include specified elements, including the impact of gun violence on communities, the effectiveness of certain intervention programs and policies, and data on the types of firearms involved in incidents of gun violence.
United States · United States Congress · 27 July 2023
Appalachian Communities Health Equity Act or the ACHE Act This bill prohibits the authorization or continuation of certain mountaintop removal coal mining pending the results of a study on the health effects of such mining. Specifically, the National Institute of Environmental Health Sciences must study and publish the health effects on surrounding communities of surface coal mining that involves explosives and that is conducted in the steep slopes of Kentucky, Tennessee, West Virginia, and Virginia. Federal and state agencies may not authorize or renew any such mining until and unless the study concludes that there are no health risks; entities that currently conduct such mining must monitor and report pollution levels associated with such mining until the study's publication. The Office of Surface Mining Reclamation and Enforcement must collect a one-time fee from each entity that currently or previously conducted such mining to cover the federal cost of implementing the bill's requirements.
United States · United States Congress · 27 July 2023
Democracy Restoration Act of 2023 This bill addresses the voting rights of individuals convicted of a criminal offense and the restoration of their voting rights. First, the bill declares that the right of a U.S. citizen to vote in any election for federal office shall not be denied or abridged because that individual has been convicted of a criminal offense unless, at the time of the election, such individual is serving a felony sentence. Further, the bill provides for enforcement of, and remedies for violations of, the bill. In addition, it sets forth requirements for state and federal notification of individuals of the restoration of their voting rights. Finally, the bill prohibits federal funding of construction or improvement of a place of incarceration unless U.S. citizens incarcerated in that jurisdiction are notified, upon release, of their voting rights.
United States · United States Congress · 27 July 2023
Tax Fairness for Workers Act This bill allows an above-the-line tax deduction for union dues and expenses. (An above-the-line deduction is subtracted from gross income and is available whether or not a taxpayer itemizes other deductions.) The bill also reinstates the miscellaneous itemized tax deduction for unreimbursed expenses attributable to the performance of services as an employee (Under current law, all miscellaneous itemized deductions are suspended through 2025).
United States · United States Congress · 27 July 2023
This concurrent resolution opposes actions that undermine Israel's future as a Jewish, democratic state. The resolution expresses that democracy is at the core of the special relationship between the United States and Israel, and that Congress stands with all Israelis seeking to defend liberal democracy, judicial review, and independent political institutions.
United States · United States Congress · 26 July 2023
Medicare Mental Health Inpatient Equity Act of 2023 This bill removes the 190-day lifetime limit on inpatient psychiatric hospital services under Medicare.
United States · United States Congress · 26 July 2023
Lowering Drug Costs for American Families Act This bill expands the Medicare Drug Price Negotiation Program to include additional drugs and drugs that are covered under private insurance. It also extends certain rebate requirements for covered drugs under Medicare to drugs that are covered under private insurance. Current law requires the Centers for Medicare & Medicaid Services (CMS) to negotiate maximum prices for brand-name drugs that do not have other generic equivalents and that account for the greatest Medicare spending; the CMS must eventually negotiate the prices of 20 drugs that are covered under Medicare in 2029 and each year thereafter. The bill requires the CMS to negotiate the prices of 50 drugs beginning in 2029. It also applies the negotiated maximum prices under the program to drugs that are covered under private health insurance, unless the insurer opts out. The CMS, Department of Labor, and Department of Treasury must publish a list of insurers that choose to opt out; insurers must also publicly disclose their decision to opt out. Current law also requires drug manufacturers to issue rebates to the CMS for brand-name drugs without generic equivalents under Medicare that cost $100 or more per year per individual and for which prices increase faster than inflation. The bill extends these requirements to drugs that are covered under private insurance.
United States · United States Congress · 26 July 2023
Reproductive Health Care Accessibility Act This bill establishes various grants and related programs that address sexual and reproductive health care for individuals with disabilities. Specifically, the Health Resources and Services Administration must support training for health care providers who offer sexual and reproductive health care to individuals with disabilities, and educating individuals with disabilities about sexual and reproductive health care. The Administration for Community Living must establish a national center to provide recommendations, technical assistance, and other resources related to the provision of sexual and reproductive health care for individuals with disabilities. The bill also authorizes support for medical schools, nursing schools, and other educational institutions that offer obstetrics and gynecology training programs to expand the number of individuals with disabilities entering the reproductive health care workforce. Additionally, the Department of Health and Human Services must study the effectiveness and other aspects of reproductive health care services and programs for individuals with disabilities.
United States · United States Congress · 26 July 2023
Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023 This bill reauthorizes through FY2032 and expands the Substance Use Disorder Treatment and Recovery Loan Repayment Program. Through this program, the Health Resources and Services Administration provides loan repayment assistance to individuals who agree to work for a period of time in the field of substance use disorder treatment. In particular, the bill expands eligibility to include individuals who agree to work in mental health professional shortage areas for a period of time. The bill also allows the use of the loan repayment assistance to repay any loan incurred to obtain a post-graduate degree in a mental health or related field. (Current law limits the loans eligible for repayment to loans for education and training for substance use disorder treatment employment and specified nursing and federal education loans.)
United States · United States Congress · 26 July 2023
Nonrestrictive Offshore Wind Act or the NOW Act This bill repeals certain requirements that the Department of the Interior must meet before issuing a lease for offshore wind development. Under the Inflation Reduction Act of 2022, Interior may not issue a lease unless (1) an offshore oil and gas lease sale has been held in the year prior to issuing the lease, and (2) Interior offers a specified minimum acreage for offshore lease sales in the previous year. The bill repeals those requirements.
United States · United States Congress · 26 July 2023
Conrad State 30 and Physician Access Reauthorization Act This bill modifies the Conrad 30 Waiver program, which incentivizes qualified foreign physicians to serve in underserved communities. It also extends statutory authority for the program for three years from this bill's enactment. Aliens coming to the United States under a J-1 nonimmigrant visa to receive medical training typically must leave the country and reside for two years abroad before being eligible to apply for an immigrant visa or permanent residence. The Conrad program waives this requirement for individuals who meet certain qualifications, including serving for a number of years at a health care facility in an underserved area. The bill increases the number of waivers that a state may obtain each fiscal year from 30 to 35 if a certain number of waivers were used the previous year, and provides for further adjustments depending on demand. An alien physician may be employed at an academic medical center to meet the Conrad program's employment requirements if the alien's work is in the public interest, even if the medical center is not in an underserved area. Employment contracts for alien physicians under the Conrad program shall contain certain information, such as the maximum number of on-call hours per week the physician shall have to work. Certain alien physicians (along with the physician's spouse and children) shall be exempt from the direct annual numerical limits on immigration, including those physicians that have met certain requirements related to visas for physicians to serve in underserved areas.
United States · United States Congress · 25 July 2023
9-8-8 Implementation Act of 2023 This bill modifies programs and activities that support access to behavioral health services, with a focus on crisis services and the 9-8-8 telecommunication system that provides callers with mental health or suicide crisis support and resources. For example, the bill establishes a national suicide prevention media campaign and grant programs to support crisis call centers and the behavioral health workforce. It also requires the Department of Health and Human Services to convene a panel to develop recommendations for 9-1-1 dispatchers on how respond to callers experiencing behavioral health crises, including with respect to utilizing the 9-8-8 system. The bill also expands coverage under Medicare, Medicaid, the Children's Health Insurance Program (CHIP), private insurance, and insurance programs for members of the Armed Forces, veterans, and federal employees to include crisis response services.
United States · United States Congress · 25 July 2023
Medicaid Bump Act This bill increases the Medicaid federal matching rate, also known as the Federal Medical Assistance Percentage (FMAP), for behavioral health expenses that exceed prior levels (i.e., as of March 31, 2019). The Centers for Medicare & Medicaid Services must specify which services are eligible for the increased FMAP. States must use funds to supplement state funding for programs in effect as of April 1, 2021, and to increase the capacity, efficiency, and quality of services.
United States · United States Congress · 25 July 2023
Scientific Integrity Act This bill revises provisions regarding the release of scientific research results by federal agencies. Each agency that funds, conducts, or oversees scientific research must (1) adopt and enforce a scientific integrity policy that includes certain requirements, such as restricting scientific conclusions from being based on political considerations; and (2) submit such policy to the Office of Science and Technology Policy (OSTP) for approval. Agencies must make their policies public, submit them to Congress, and periodically update them with OSTP's approval. The Government Accountability Office shall review implementation of the policies. Each agency shall (1) appoint a Scientific Integrity Officer, (2) establish a process for dispute resolution consistent with the scientific integrity policy, and (3) establish a specified training program for current and new employees.
United States · United States Congress · 24 July 2023
Physical Therapist Workforce and Patient Access Act of 2023 This bill expands certain health professional programs and Medicare covered services to include physical therapists. Specifically, the bill expands the National Health Service Corps to include physical therapists and provides for the designation of specific health professional target areas for physical therapists under the program. The bill also expands covered services of rural health clinics and federally qualified health centers under Medicare to include physical therapy services.
United States · United States Congress · 20 July 2023
Breast Cancer Patient Equity Act This bill provides for Medicare coverage of custom fabricated breast prostheses following the surgical removal of the breast (i.e., a mastectomy), including replacements of such prostheses. Currently, Medicare covers surgically implanted breast prostheses, as well as some external breast prostheses (e.g., post-surgical bras).
United States · United States Congress · 20 July 2023
Children’s Health Insurance Program Permanency Act or the CHIPP Act This bill permanently extends the Children's Health Insurance Program (CHIP) and related measures, programs, and authorities. Specifically, the bill permanently funds CHIP and related programs that support the development of child health quality measures and outreach and enrollment efforts. The bill also permanently authorizes the Medicaid and CHIP express lane eligibility option, which allows states to use information from designated programs (e.g., the Supplemental Nutrition Assistance Program) to streamline eligibility determinations for children. Additionally, under the bill, states may expand eligibility to children whose family income exceeds the otherwise applicable limits.
United States · United States Congress · 20 July 2023
Helping Tobacco Users Quit Act This bill provides for Medicaid and Children's Health Insurance Program (CHIP) coverage of certain tobacco cessation services. Specifically, the bill provides for coverage, without cost-sharing, of diagnostic, therapy, and counseling services and pharmacotherapy, including prescription and nonprescription tobacco cessation agents, that are provided under medical supervision and in accordance with specified guidelines. It also applies a 90% Federal Medical Assistance Percentage (i.e., federal matching rate) for such items and services for five years.
United States · United States Congress · 19 July 2023
Accelerating Kids' Access to Care Act This bill requires state Medicaid programs to establish a process through which qualifying out-of-state providers may enroll as participating providers for five years without undergoing additional screening requirements, unless the state has an agreement with other states that governs coverage of children with medically complex conditions that is in accordance with specified guidance from the Centers for Medicare & Medicaid Services (CMS). Among other requirements, a qualifying provider must (1) serve individuals under the age of 21; (2) have previously been screened for Medicare participation or for participation in the Medicaid program of the state in which the provider is located; and (3) have been determined by the CMS or state Medicaid program to pose a limited risk of fraud, waste, or abuse.
United States · United States Congress · 18 July 2023
Protecting Pandemic and All-Hazards Preparedness Act of 2023 or the Protecting PAHPA Act of 2023 This bill extends through FY2028 and modifies various programs and activities that support public health preparedness and response. The bill also addresses matters concerning shortages of drugs and medical devices and recalls of drugs. For example, the bill modifies activities of the Office of the Assistant Secretary for Preparedness and Response, the Centers for Disease Control and Prevention, and the Biomedical Advanced Research and Development Authority; grants to support preparedness and response activities of health departments, hospitals, and public health laboratories; programs to facilitate the response of volunteer health providers and other professionals during disasters and emergencies; efforts related to the management and operation of the Strategic National Stockpile; federal partnerships and initiatives for collaborating and coordinating during public health and other emergencies and with the development of medical countermeasures and diagnostic testing capacity; and requirements for collecting and reporting public health and health care data and information. Additionally, the bill makes various changes to address and mitigate shortages of drugs and devices, including by (1) setting out a process to safely extend the expiration date of certain medical countermeasures and other life-saving drugs, and (2) expanding requirements for drug manufacturers to notify the Food and Drug Administration concerning potential shortages. Further, the bill expands the authority of the Secretary of the Department of Health and Human Services to order the recall of controlled substances to cover all drugs.
United States · United States Congress · 18 July 2023
Freedom to Vote Act This bill addresses voter registration and voting access, election integrity and security, redistricting, and campaign finance. Specifically, the bill expands voter registration (e.g., automatic and same-day registration) and voting access (e.g., vote-by-mail and early voting). It also limits removing voters from voter rolls. Next, the bill establishes Election Day as a federal holiday. The bill declares that the right of a U.S. citizen to vote in any election for federal office shall not be denied or abridged because that individual has been convicted of a criminal offense unless, at the time of the election, such individual is serving a felony sentence. The bill establishes certain federal criminal offenses related to voting. In particular, the bill establishes a new criminal offense for conduct (or attempted conduct) to corruptly hinder, interfere with, or prevent another person from registering to vote or helping someone register to vote. Additionally, the bill sets forth provisions related to election security, including by requiring states to conduct post-election audits for federal elections. The bill outlines criteria for congressional redistricting and generally prohibits mid-decade redistricting. The bill addresses campaign finance, including by expanding the prohibition on campaign spending by foreign nationals, requiring additional disclosure of campaign-related fundraising and spending, requiring additional disclaimers regarding certain political advertising, and establishing an alternative campaign funding system for certain federal offices.
United States · United States Congress · 17 July 2023
Mercury 13 Congressional Gold Medal Act This bill provides for the award of a Congressional Gold Medal to commemorate the Mercury 13 in recognition of their accomplishments as part of the First Lady Astronaut Trainees (FLATs) Program (a privately funded project testing women pilots for astronaut fitness in the 1960s), their work for gender equity, and their example of women in the science, technology, engineering and mathematics (STEM) fields.
United States · United States Congress · 14 July 2023
Federal Mechanical Insulation Act The bill directs federal agencies to identify energy saving and water saving measures, such as the installation of mechanical insulation property, in certain annual energy and water evaluations of federal buildings. Thus, the bill allows the installation of mechanical insulation property (e.g., thermal insulation) to be considered an energy or water efficiency measure that may be used in federal buildings under the National Energy Conservation Policy Act.
United States · United States Congress · 14 July 2023
This joint resolution expresses the sense of Congress that the Equal Rights Amendment, which prohibits discrimination on the basis of sex, was ratified by more than three-fourths of the states and is therefore a valid constitutional amendment, effective January 27, 2020 (the date of Virginia's ratification). The Equal Rights Amendment was originally proposed to the states in 1972. The original proposal included a deadline for ratification of March 22, 1979; Congress subsequently extended the deadline to June 30, 1982. Although the requisite 38 states have ratified the amendment, three of these states did so after the deadlines, and five states subsequently rescinded their ratifications. The status of the amendment has been the subject of litigation.
United States · United States Congress · 13 July 2023
Candidate Voice Fraud Prohibition Act This bill prohibits the distribution of certain paid-for political communications that contain materially deceptive audio that is generated by artificial intelligence which impersonates a candidate's voice. It also establishes criminal penalties for related violations. The bill generally prohibits individuals, political committees, and other entities from distributing such a communication if the communication (1) contains materially deceptive audio that is generated by artificial intelligence which impersonates a candidate’s voice, (2) is distributed with actual malice, (3) is intended to injure the candidate’s reputation or to deceive a voter into voting against the candidate, and (4) is distributed within 60 or 90 days of an election (depending on the type of election). This prohibition does not apply to certain entities, such as radio or television broadcasting stations that broadcast the deceptive audio as part of a bona fide newscast. Additionally, the bill establishes a new criminal offense related to the distribution of materially deceptive audio that is generated by artificial intelligence which impersonates a candidate's voice. A violator is subject to criminal penalties—a fine, up to two years in prison, or both. The bill requires the Federal Election Commission to (1) promulgate regulations related to this bill, and (2) report to Congress on matters relating to compliance with and enforcement of this bill and recommendations to ensure compliance with this bill.
United States · United States Congress · 12 July 2023
Social Security 2100 Act This bill modifies the Social Security system, particularly with respect to benefit calculations, fund administration, and beneficiary resources. For example, the bill temporarily increases the primary insurance amount for Social Security benefits for all individuals (from 90% of a certain portion of average indexed monthly earnings to 93%). It also modifies benefit calculations for certain individuals, including by temporarily (1) increasing benefits for widows or widowers in two-income households; and (2) allowing children of a deceased, disabled, or retired worker to remain eligible for benefits through age 25 if they are full-time students. Additionally, the bill temporarily eliminates (1) the government pension offset , which reduces Social Security benefits for spouses, widows, and widowers who also receive government pensions of their own; and (2) the windfall elimination provision , which reduces Social Security benefits for individuals who also receive a pension or disability benefit from an employer that did not withhold Social Security taxes. The bill also modifies the financing and administration of the Social Security trust funds. For example, the bill (1) subjects income over $400,000 to Social Security payroll taxes, and (2) combines the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund into a single Social Security Trust Fund. Finally, the bill establishes requirements relating to Social Security services and resources, including by prohibiting the closure of field offices unless certain conditions are met (e.g., public hearings).
United States · United States Congress · 12 July 2023
Maternal and Child Health Stillbirth Prevention Act of 2023 This bill expands the scope of the Maternal and Child Health Services Block Grant to include research and activities to prevent stillbirths.
United States · United States Congress · 12 July 2023
Veteran Service Recognition Act of 2023 This bill addresses immigration-related issues pertaining to noncitizen (or non-U.S. national) military veterans, including by authorizing the Department of Homeland Security (DHS) to provide lawful permanent resident status to a veteran who is subject to removal. If a noncitizen veteran appears to be eligible for lawful permanent resident status under this bill, that veteran must receive a reasonable opportunity to apply for such status and may not be removed until there is a final administrative decision on the veteran's eligibility. For the purposes of providing such status under this bill, DHS may waive any applicable grounds of inadmissibility, except for certain crime- or security-related grounds. The bill also extends certain deadlines relating to obtaining citizenship after serving in the Armed Forces. DHS must create a system for identifying noncitizens who are or may be veterans. Before initiating removal proceedings against a noncitizen, DHS must attempt to determine whether the noncitizen is a veteran. DHS must ensure that veteran status is considered in immigration proceedings. Additionally, the bill requires U.S. Citizenship and Immigration Services and the Department of Defense to take certain actions to facilitate opportunities for military recruits and veterans to obtain U.S. citizenship; establishes the Military Family Immigration Advisory Committee to provide recommendations on cases involving the removal of a servicemember, veteran, or certain family members of a servicemember or veteran; and waives certain grounds of inadmissibility for certain noncitizens applying for lawful permanent resident status as an immediate relative of a U.S. citizen who has served at least two years in the Armed Forces.
United States · United States Congress · 11 July 2023
Support for Patients and Communities Reauthorization Act This bill reauthorizes through FY2028 and modifies various grants, programs, and activities that address substance use and misuse. This includes reauthorizing (1) data collection, education, and surveillance activities; (2) grants and other support for substance use disorder prevention, treatment, and recovery; (3) student loan repayment and other programs for the substance use disorder workforce; and (4) programs for addressing trauma, particularly for children, youth, and their families. Generally, the modifications expand programs. Additionally, the bill modifies provisions related to the scheduling of controlled substances, including by incorporating illicit xylazine (a compound used in veterinary medicine as a nonopioid tranquilizer) into schedule III of the Controlled Substances Act. Further, the bill makes permanent a requirement that Medicaid programs cover medication-assisted treatment for individuals with substance use disorders.
United States · United States Congress · 11 July 2023
Reducing Waste in National Parks Act This bill directs the National Park Service to establish a program for the National Park System to reduce disposable plastic products and, if applicable, eliminate the sale and distribution of disposable plastic products. Each regional office of the National Park Service must eliminate the sale of water in disposable plastic products and the sale and distribution of other disposable plastic products after consideration of several specified factors (e.g., the costs and benefits to overall operations). Each regional office must develop a proactive visitor education strategy to address visitor expectations of water availability and explain the rationale for the program and its implementation.
United States · United States Congress · 10 July 2023
IDEA Full Funding Act This bill provides permanent, mandatory funding for the grant program that assists states and outlying areas in providing special education and related services to children with disabilities.
United States · United States Congress · 6 July 2023
Period PROUD (Providing Resources for Our Underserved and Disadvantaged) Act of 2023 This bill provides additional funding through FY2028 for the Social Services Block Grant to support the provision of menstrual products (e.g., menstrual cups and underwear, sanitary napkins, and tampons) to low-income individuals. (This grant is a flexible funding stream used by states and territories to support a wide range of social services.) The bill also exempts the additional funds from sequestration. Sequestration is a process of automatic, across-the-board reductions under which budgetary resources are permanently cancelled to enforce specific budget policy goals.
United States · United States Congress · 30 June 2023
John W. Walsh Alpha-1 Home Infusion Act of 2023 This bill provides for Medicare coverage of treatment for alpha-1 antitrypsin (AAT) deficiency (a protein deficiency that raises the risk of lung and other diseases). Specifically, the bill provides for coverage of at-home augmentation therapy for beneficiaries with emphysema as a result of severe hereditary AAT deficiency. Treatment must be provided through qualified home infusion therapy suppliers; beneficiaries must be under the care of a physician, nurse practitioner, or physician assistant.
United States · United States Congress · 30 June 2023
This resolution expresses the sense of the House of Representatives that (1) lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) rights are human rights and protected by the U.S. Constitution; (2) LGBTQIA+ Pride Month should be celebrated; and (3) all Americans should be treated equally regardless of sexual orientation, sex characteristics, or gender identity.
United States · United States Congress · 30 June 2023
Fair and Equal Housing Act of 2023 This bill prohibits discrimination, in the context of various housing practices, against individuals based on their sexual orientation or gender identity.
United States · United States Congress · 27 June 2023
This resolution expresses condemnation for criminalizing the provision of and access to reproductive health care services, including abortion, contraception, and gender-affirming care. It further expresses support for efforts to expand access to such services.
United States · United States Congress · 27 June 2023
This resolution expresses support for (1) equal rights and protections for all people, regardless of actual or perceived sexual orientation, gender identity, or sex characteristics; and (2) the designation of LGBTQI+ Equality Day to commemorate Supreme Court decisions handed down on June 26 in 2003, 2013, and 2015. The resolution also acknowledges the need for further legislation to ensure that people in the United States are free from all forms of discrimination on the basis of actual or perceived sexual orientation, gender identity, or sex characteristics.
![Official portrait of Rep. Tonko, Paul [D-NY-20]](https://www.congress.gov/img/member/t000469_200.jpg)