Maddy summaryS 2903, the Safe Step Act, requires health insurance plans and employers offering health coverage to establish a clear, timely process for patients or doctors to request exceptions when step therapy protocols (where insurers require trying cheaper drugs first) would harm a patient. It mandates approval for exceptions if prior drugs failed, delay would cause severe harm, a drug is unsafe, or a patient is stable on their current medication. Plans must respond to requests within 72 hours (or 24 hours in emergencies) and cover the requested drug without extra cost-sharing. The bill also requires annual reports to the government on exception requests, approvals, denials, and trends by medical condition or specialty. This directly affects patients on health plans with step therapy, their doctors, and the insurers managing those plans.
Sen. Mark R. Warner
Sponsored bills
Maddy summaryThis bill (S 1677, Ensuring Lasting Smiles Act) requires health insurance plans to cover medically necessary treatments for congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. It mandates coverage for reconstructive services, dental/orthodontic care, and related treatments during the course of medical treatment, while excluding purely cosmetic procedures not medically necessary. Plans may apply cost-sharing requirements similar to those for other medical services but must provide notice about these coverage requirements to participants by January 1, 2026. The bill also directs a study on provider network adequacy and cost impacts related to these coverage requirements, to be completed by December 2027.
Maddy summaryThis bill aims to increase U.S. involvement in global technical standards for artificial intelligence and emerging technologies. It requires the National Institute of Standards and Technology (NIST) to provide Congress with a briefing on U.S. participation opportunities, create a public web portal listing international standards efforts, and launch a 5-year pilot program. The pilot program will offer grants (up to $5 million total) to U.S. organizations hosting international standards meetings, covering costs like venue and planning. These efforts target U.S. industry and federal agencies working on AI/tech standards, with annual reports to Congress and a requirement to propose permanent implementation if the pilot succeeds.
Maddy summaryS. Res. 650 is a Senate resolution that formally recognizes the heritage, culture, and contributions of American Indian, Alaska Native, and Native Hawaiian women in the United States. The resolution highlights their achievements in military service, business ownership, healthcare, science, arts, and civil rights advocacy through specific examples of individual women. It does not create new laws or funding but serves as a symbolic acknowledgment of their historical and ongoing contributions to American society.
Maddy summaryThe Love Lives On Act of 2025 modifies veterans' and military survivors' benefit rules to prevent remarriage from automatically ending eligibility. It directly affects surviving spouses of veterans or military members who remarried, ensuring they retain access to key benefits. Key provisions include: (1) preventing termination of veterans' dependency compensation (under 38 U.S.C. §1311/1562) due to remarriage; (2) stopping termination of military Survivor Benefit Plan annuities solely for remarriage, with specific rules for those who remarried before age 55; and (3) expanding TRICARE coverage to include remarried widows/widowers whose subsequent marriage ended (via death, divorce, or annulment). These changes restore or maintain benefits that were previously lost upon remarriage.
Maddy summaryThe Hospice CARE Act of 2026 introduces stricter oversight and payment reforms for Medicare hospice programs. It temporarily halts enrollment of new hospice programs for five years, with exceptions for areas lacking adequate care access. The bill increases survey frequency for certain hospices, requires more independent physician certifications for terminal illness, and mandates face-to-face encounters before recertifying patients. Payment reforms include adjusting reimbursement rates for specific services like palliative chemotherapy and dialysis, while also implementing stricter reporting requirements and ownership change notifications.
Maddy summaryThis bill, titled the Failed Bank Executives Clawback Act, would give the Federal Deposit Insurance Corporation and federal regulators the authority to recover compensation from executives and other high-level personnel at banks that have failed. It directly affects directors, officers, controlling stockholders, and other individuals found primarily responsible for a bank's failure at institutions with over $10 billion in assets. The law would require these individuals to return bonuses, stock awards, and other compensation received in the three years before the bank's insolvency or resolution, with recovered funds going into the Deposit Insurance Fund. Additionally, the bill clarifies the Corporation's authority to take over certain financial companies regardless of how the takeover process was initiated.
Maddy summaryThis bill establishes the Economy of the Future Commission, a temporary legislative body designed to study how artificial intelligence adoption is affecting the U.S. economy. The Commission will consist of 10 members appointed by congressional leaders, including representatives from various congressional committees and experts in AI, education, workforce development, and taxation, along with four nonvoting deputy secretaries from federal departments. Its main duties include developing legislative recommendations on AI-related economic changes, evaluating impacts on education and workforce programs, and producing reports on employment shifts and federal revenue over the next five and ten years. The Commission will operate for approximately 13 months, concluding with a final report submitted to Congress and relevant federal agencies, and will be funded with $5.25 million.
Reclaim Trade Powers Act This bill repeals the statute that directs the President to take certain actions, such as imposing a tariff of up to 15% for up to 150 days on articles imported into the United States, when necessary to address large and serious U.S. balance-of-payments deficits or certain other situations that present fundamental international payments problems.
Maddy summaryThis bill establishes a new Fiscal Commission within Congress to analyze the nation's long-term fiscal health and propose reforms to reduce the federal debt and deficit. The commission will be composed of 16 members appointed by Senate and House leadership, including outside experts, and will have two co-chairs representing opposing political parties to ensure balanced oversight. Its primary duties include educating the public about fiscal risks, developing policies to achieve a sustainable debt-to-GDP ratio of 100 percent by 2039, and producing a final report with legislative recommendations by November 2026. If the commission approves its recommendations, the resulting implementing bills would receive expedited consideration in both chambers with limited debate and no amendments allowed. The commission would operate for approximately two years before terminating, with funding provided through existing Senate accounts.