Sen. Christopher A. Coons

Maddy summaryThe Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for psychologists by raising payment percentages from 75 percent to 85 percent of the standard fee schedule. This change directly affects Medicare beneficiaries and psychologists who provide mental health services under the Medicare program. The higher payment rates apply to services furnished on or after January 1, 2027, aiming to improve access to mental health care by increasing provider compensation.

Maddy summarySJRES 103 is a congressional disapproval resolution targeting a Department of Veterans Affairs (VA) rule on reproductive health services for veterans. The resolution, if passed, would block the VA rule from taking effect by invoking the Congressional Review Act (Chapter 8 of Title 5, U.S. Code), meaning the rule published in the Federal Register (December 31, 2025) would have no legal force. This directly affects the VA’s ability to implement new guidelines for reproductive health services at its facilities, preserving existing policies instead. The resolution does not create new policy but halts a specific administrative rule.

Maddy summaryThis bill creates a Federal Clearinghouse to help Historically Black Colleges and Universities find and access federal research funding opportunities. The Clearinghouse will be established within the Department of Education and will include representatives from multiple federal agencies to provide information on grants for research and building research capacity. It will also offer best practices and recommendations to help HBCUs strengthen their research programs and compete for federal funding. The bill requires federal agencies to review their grant programs and report annually to Congress on how they can better support HBCU research capacity through the Clearinghouse.

Maddy summaryThe FISH Act of 2025 establishes a U.S. government "blacklist" of foreign fishing vessels, fleets, and their beneficial owners engaged in illegal, unreported, or unregulated (IUU) fishing or fishing involving forced labor. The bill prohibits listed vessels from accessing U.S. ports, receiving supplies within U.S. waters, and having their seafood imported into the United States. It creates procedures for adding vessels to the list based on evidence from international organizations, U.S. authorities, or civil society, with mechanisms for removal after corrective actions are taken. The act also authorizes sanctions against entities supporting IUU fishing and requires reports on enforcement efforts and technological solutions to combat IUU fishing.

Maddy summaryThis resolution designates March 21, 2026, as "National Women in Agriculture Day" to recognize the contributions of women in the agricultural sector. The bill directly affects women working in farming, research, education, and related industries by formally acknowledging their roles as producers, leaders, and mentors. It highlights that women represent over one-third of U.S. agricultural producers and generated $222 billion in agricultural sales in 2022. The designation encourages citizens to celebrate and support women in agriculture during National Ag Week, which coincides with the date. This is a commemorative measure rather than a policy change that alters laws or programs.

Maddy summaryThis Senate resolution formally welcomes Japanese Prime Minister Takaichi Sanae's upcoming visit to the United States and reaffirms the importance of the U.S.-Japan alliance. The document highlights various bilateral agreements and cooperation efforts in defense, trade, and security between the two nations. It specifically recognizes Japan's commitment to defense spending goals and the alliance's role in regional stability. The resolution serves as a diplomatic statement rather than creating new legal obligations or policy changes.

Maddy summaryThis bill, known as the Protecting and Enhancing Public Access to Codes Act of 2026, adds a new section to the U.S. Copyright Code to address standards that are incorporated by reference into federal, state, and local laws and regulations. The legislation requires standards development organizations to make these incorporated standards freely available online at no cost to the public, including searchable tables of contents and indexes, while still protecting the organizations' copyright rights. The bill defines key terms such as "incorporated by reference" and "standards development organization" to clarify which materials fall under these requirements. It also establishes that copyright protection for these standards continues even after they are referenced in laws, provided the organization makes them publicly accessible online within a reasonable time of being notified about the incorporation. The measure aims to balance public access to technical standards used in regulations with the ability of standards organizations to fund their work through licensing and sales.

Maddy summaryThis bill, known as the Ending Scam Credit Repair Act, strengthens existing consumer protections under the Credit Repair Organizations Act to combat deceptive practices in the credit repair industry. It primarily affects credit repair organizations and consumers who use these services. Key provisions include clarifying what constitutes a credit repair organization to exclude legitimate legal services, prohibiting upfront fees before demonstrating results, preventing duplicate dispute submissions, requiring clearer disclosures about services, mandating that consumers receive copies of contracts and communications, and requiring state licensing for credit repair organizations. The bill also establishes specific rules for how credit repair organizations must communicate with credit reporting agencies and increases civil penalties for violations to $500 per violation.

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.

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.