Rep. Nikki Budzinski

Maddy summaryThe Puppy Protection Act of 2023 sets new standards for businesses that sell dogs (dealers), directly affecting pet stores and breeders operating under the Animal Welfare Act. It requires specific housing with space allowances based on dog size (e.g., 12-30 square feet per dog), temperature control (45-85°F), clean food twice daily, and daily exercise or socialization with humans/dogs for at least 30 minutes. The bill also mandates annual veterinary exams including dental care, strict breeding limits (e.g., age restrictions, maximum 2 litters in 18 months), and efforts to place retired breeding dogs in homes instead of selling them to other breeders. Regulations must be finalized within 18 months of enactment.

Maddy summaryHR 1378, the Veterans’ Appeals Backlog Improvement Act, establishes two new programs to improve staffing at the Department of Veterans Affairs (VA) for processing veterans' appeals. It creates a competitive internship program for ABA-accredited law students to gain experience with the Board of Veterans' Appeals, and a nine-year pilot program to recruit and retain entry-level attorneys through student loan repayment benefits and structured professional development, including mentorship and rotational assignments. The bill requires the VA to report on improving telehearings access within 180 days, including recommendations for reimbursing travel costs and testing new methods for remote hearings. These provisions aim to reduce the appeals backlog by strengthening the VA’s legal workforce, directly affecting VA recruitment and retention of legal professionals.

Maddy summaryHR 2665 delays Medicaid payment reductions for safety net hospitals by two years, changing the effective date from 2024 to 2026 under Section 1923(f)(7)(A) of the Social Security Act. This bill directly affects hospitals that serve high numbers of low-income and uninsured patients, providing them with additional time before facing reduced federal Medicaid payments. The key mechanism is a technical amendment to existing law, postponing an already scheduled payment adjustment without altering funding levels or eligibility. As a procedural bill, it does not create new programs or change hospital requirements.

Maddy summaryThis bill allows the Department of Veterans Affairs (VA) to use existing funds more flexibly to assist homeless veterans and veterans in HUD housing programs. It authorizes the VA to provide immediate needs like food, shelter, transportation for appointments, and communication devices (e.g., phones, tablets) to support veterans' stability and health. The law expands how VA funds can be applied beyond traditional housing assistance, focusing on urgent, practical support. It directly affects homeless veterans and those in HUD's housing assistance program by enabling faster, more adaptable aid. The bill amends existing VA law to improve responsiveness to veterans' immediate survival and health needs.

Maddy summaryThis resolution (HRES 281) supports National Youth HIV/AIDS Awareness Day (observed April 10) and calls for actions to address HIV disparities affecting young people. It directly affects youth aged 13-24, particularly African-American youth and young gay/bisexual men, who face higher HIV diagnoses and barriers to care. Key provisions include encouraging state/local governments to recognize the day, promoting inclusive sex education with medically accurate HIV prevention info (like PrEP), supporting youth-friendly healthcare access without parental consent, and urging funding for programs like the Ryan White HIV/AIDS Program. The resolution does not create new laws or allocate funds but advocates for policy changes to reduce stigma, improve access to care, and align with existing federal HIV strategies.

Maddy summaryHR 2413, the Dental Care for Veterans Act, reclassifies dental care as standard medical services under the VA's existing benefits structure, eliminating prior restrictions that treated dental care separately. It modifies how dental appliances are procured and establishes a phased eligibility timeline: veterans already eligible for dental benefits gain immediate access, while others qualify over 1-4 years based on their current benefit status. The bill affects all veterans currently covered under VA dental programs, changing their access to care without creating new funding. Key provisions streamline dental service delivery under Title 38, aligning it with other medical benefits.

Freedom to Decide Act This concurrent resolution expresses the sense of Congress to (1) affirm that federal law authorizes the distribution of medication abortion, including by mail, as stated in a 2022 Department of Justice memorandum; and (2) condemn restrictions on the access and coverage of reproductive health care, including medication abortion.

Maddy summaryHR 2584, the SAVE Act, creates a new federal criminal offense for assaulting or intimidating hospital employees while they're performing their duties, punishable by up to 10 years in prison, with enhanced penalties for using weapons, causing injury, or during public emergencies. The bill authorizes $25 million annually in federal grants to hospitals for violence prevention programs, including staff training, security technologies like panic buttons and video surveillance, and coordination with law enforcement. It defines "hospital" broadly to include various medical facilities such as long-term care hospitals, rehabilitation facilities, and critical access hospitals. The legislation directly affects hospital workers and medical facilities by establishing federal criminal penalties for violence against employees and providing funding to improve workplace safety. The law aims to address the rising problem of workplace violence against healthcare workers, which the bill states has increased since 2011.

Maddy summaryThe Family Violence Prevention and Services Improvement Act of 2023 amends the Family Violence Prevention and Services Act to improve services for victims of domestic violence, dating violence, and family violence. The bill authorizes $270 million annually for fiscal years 2024-2028, with specific allocations including 12.5% for Tribal grantees, 2.5% for culturally specific services, and funds for national hotlines and resource centers. It establishes a national domestic violence hotline, a National Indian Domestic Violence Hotline, and resource centers for Alaska Native and Native Hawaiian populations, requiring all services to be trauma-informed, culturally relevant, and accessible to underserved populations including racial and ethnic minorities, people with disabilities, and Tribal communities. The bill also mandates a study on financial stability support for survivors of domestic violence.

Maddy summaryHR 2630, the Safe Step Act, requires group health plans and health insurance issuers to establish a clear, transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically force patients to try cheaper drugs first before covering more expensive alternatives. The bill mandates that plans must approve exceptions when prior treatments failed, delay would cause serious harm, a treatment is unsafe, or a patient is stable on a previously approved drug, with strict 72-hour (or 24-hour in emergencies) decision timelines. It also requires plans to publish the exception process online and limit documentation requests to only necessary medical information. This law directly affects health insurers, employers offering health plans, and patients using step therapy for prescription drugs.