Purchased and Referred Care Improvement Act of 2025 This bill specifies that the Indian Health Service (IHS) must reimburse patients for their out-of-pocket costs for authorized purchased/referred care services within 30 days. (The IHS provides medical and dental services directly to American Indian and Alaska Native patients whenever possible. However, when services are not available, IHS beneficiaries may be referred to private providers. This is called purchased/referred care.) Specifically, the bill requires the Department of Health and Human Services (HHS) to establish and implement procedures to allow a patient who paid out of pocket for purchased/referred care services authorized by the IHS to be reimbursed by the IHS for that payment no later than 30 days after the patient submits required documentation. Additionally, the bill requires HHS to update applicable provisions of and exhibits to the Indian Health Manual, contracts with providers, and other relevant documents and administrative authorities to incorporate the provisions of the bill. The bill also replaces statutory references to contract health service with purchased/referred care .
Sponsored bills
This resolution supports the designation of 2026 as the International Year of the Woman Farmer and recognizes the critical role of women in agriculture. The resolution also encourages citizens to celebrate the impact these women have on the food systems and agricultural workforce of the United States by encouraging and empowering women to pursue careers in agriculture and cultivate leadership opportunities.
Safeguard American Voter Eligibility Act or the SAVE America Act This bill requires individuals to provide documentary proof of U.S. citizenship when registering to vote, and requires photo identification to vote, in federal elections. Specifically, the bill prohibits states from accepting and processing an application to register to vote in a federal election unless the applicant presents documentary proof of U.S. citizenship. The bill specifies what documents are considered acceptable proof of U.S. citizenship, such as identification that complies with the REAL ID Act of 2005 that indicates U.S. citizenship. Further, the bill (1) prohibits states from registering an individual to vote in a federal election unless, at the time the individual applies to register to vote, the individual provides documentary proof of U.S. citizenship; and (2) requires states to establish an alternative process to demonstrate U.S. citizenship. Each state must take affirmative steps on an ongoing basis to ensure that only U.S. citizens are registered to vote, which shall include establishing a program to identify individuals who are not U.S. citizens using information supplied by certain sources. Additionally, states must remove noncitizens from their official lists of eligible voters. The bill (1) provides for a private right of action for certain violations, and (2) establishes criminal penalties for certain offenses. Individuals voting in federal elections must present an eligible photo identification document. An individual who votes by absentee ballot must submit a copy of their identification document with both the request for, and the submission of, the absentee ballot.
Maddy summaryThis bill requires the U.S. Senate to provide advice and consent for any international climate agreement that involves legally binding domestic emissions reductions (like the Paris Agreement), treating such agreements as treaties under the Constitution. It directly affects the executive branch and federal agencies by blocking the use of federal funds to implement or comply with these agreements unless Senate approval is first obtained. The key mechanism is changing the process for entering climate agreements from executive action to a formal treaty ratification process. This would prevent the U.S. government from joining or rejoining international climate deals without Senate confirmation. The bill does not alter the content of climate agreements but changes how they are approved and funded.
Maddy summaryThe SAVE Moms and Babies Act of 2026 prohibits the FDA from approving new abortion drugs or granting investigational exemptions for them. It requires existing approved abortion drugs to be dispensed only in-person by certified healthcare providers in clinics or hospitals (not pharmacies), mandates providers to verify pregnancy duration and handle complications, and enforces strict adverse event reporting to the FDA. The bill directly affects healthcare providers prescribing abortion drugs, patients seeking these medications, and the FDA’s regulatory authority over such drugs. Key provisions include banning use after 70 days gestation, requiring provider certification for specific medical capabilities, and mandating documentation of risks to patients.
Maddy summarySRES 585 is a commemorative resolution honoring Ben Nighthorse Campbell, a former U.S. Senator from Colorado and the first Native American to chair the Senate Committee on Indian Affairs. It recognizes his military service, Olympic judo career, legislative work (including authoring the National Museum of the American Indian Act), and advocacy for tribal communities. The resolution has no policy impact - it formally expresses the Senate’s respect for his legacy, requests transmission to his family, and directs a moment of silence. It directly affects Campbell’s legacy and family, not any current policy or population. (Note: This is a procedural resolution, not a bill with legislative provisions.)
Maddy summaryS 3665, the Passenger Rail Crew Protection Act, makes it a federal crime to assault or intimidate crew members on passenger trains, platforms, or in rail stations. It directly affects railroad workers (including engineers, conductors, and safety personnel) and passengers who threaten them, defining "dangerous weapon" to include items like pocket knives under 2.5 inches and box cutters. The law prohibits actions that interfere with crew duties or reduce their ability to perform them, with penalties of up to 8 years in prison for basic offenses and up to 20 years if a dangerous weapon is used. This bill establishes clear legal protections for rail crew members during their work, focusing on preventing physical threats that could compromise safety.
Maddy summaryThis bill declares that the constitutional right to life applies to all human beings from the moment of conception, including fertilization. It states that Congress intends to implement this right under its powers in Article I and the 14th Amendment. The bill explicitly clarifies it does not require prosecuting women for pregnancy outcomes, ban in vitro fertilization, or restrict birth control methods. It defines "human person" to include individuals at all life stages starting at conception.
Maddy summarySRES 288 is a Senate resolution condemning recent ideologically motivated attacks on Jewish individuals, including a violent assault in Boulder, Colorado, on June 1, 2025, and other incidents like the attack on Israeli Embassy staff in Washington, D.C., and fires at the Pennsylvania Governor’s Residence. The resolution formally expresses the Senate’s condemnation of these acts as part of a growing pattern of antisemitism and politically motivated violence. It reaffirms the Senate’s commitment to protecting peaceful assembly and religious practice, while urging federal, state, and local law enforcement to thoroughly investigate such incidents and calling on community leaders to publicly oppose antisemitism. This resolution has no legal effect but serves as a formal statement of the Senate’s position.
Maddy summaryThe BADGES for Native Communities Act (S 390) aims to improve coordination and data sharing around missing persons, unclaimed remains, and death investigations involving Native communities. It creates Tribal facilitators to coordinate reporting to the National Missing and Unidentified Persons System, establishes a grant program for tribes and states to develop response centers, and requires reports on law enforcement staffing needs in Indian country. The bill also creates a demonstration program for background checks of Bureau of Indian Affairs law enforcement officers and mandates a GAO study on evidence collection procedures. These provisions directly affect Native American tribes, Tribal organizations, Bureau of Indian Affairs law enforcement, and federal agencies working in Indian country. The legislation seeks to address systemic gaps in data collection and law enforcement response to cases involving Native communities.