Sen. Thom Tillis

Maddy summaryThe MAP for Care Act establishes a Medicare program enabling beneficiaries (Medicare Part A or Part B enrollees) to register certified advance directives - such as living wills or durable powers of attorney for health care - through accredited online vendors. It requires vendors to meet security standards for storing and sharing directives, ensuring near real-time access for beneficiaries, their designated health care proxies, and providers during medical emergencies. The program includes a state-by-state index of advance directive forms on Medicare’s website, educational resources, and annual surveys to assess accessibility and usability, while respecting existing state laws governing advance directives. Beneficiaries may voluntarily enroll, update, or terminate their directives at any time without cost.

Maddy summaryThis bill requires Medicare to simplify access for family caregivers to beneficiaries' health information. It mandates that Medicare create a new authorization form (CMS-10106) allowing beneficiaries to grant caregivers access to their personal health data via 1-800-MEDICARE. The law also directs Medicare to provide clear outreach through notices, websites, and provider channels, including multilingual materials and training for call center staff. It requires the Secretary to develop fraud protection best practices within one year and ensure all Medicare beneficiaries - regardless of plan type - can authorize caregiver access.

Maddy summaryThis resolution (SRES 540) is a Senate commemorative measure designating December 10, 2025, as "Human Rights Day" to mark the 77th anniversary of the Universal Declaration of Human Rights. It does not create new laws or affect any individuals or policies; instead, it symbolically recognizes the anniversary and affirms the Senate's support for global human rights principles. The resolution includes statements condemning political imprisonment and urging governments to release unjustly detained human rights advocates, but it carries no binding legal effect. It serves solely as a ceremonial acknowledgment of human rights observance, consistent with the Senate's annual tradition of commemorating this date.

Maddy summarySRES 483 is a ceremonial Senate resolution honoring Dr. Jane Goodall, who passed away on October 1, 2025. It pays tribute to her lifelong work as a primatologist, conservationist, and founder of the Jane Goodall Institute and Roots & Shoots program, which engages youth globally in environmental action. The resolution recognizes her scientific contributions - including groundbreaking chimpanzee research at Gombe - and her advocacy for wildlife protection, education, and community-based conservation efforts like Tanzania's TACARE program. As a non-binding resolution, it does not enact policy changes but formally commemorates her legacy.

Maddy summaryThe AGRITOURISM Act (S 3392) creates a new Agritourism Advisor position within the USDA to support rural businesses. This role will directly assist farms and ranches offering agritourism activities - like farm stays, winery tours, u-pick operations, and farm-to-table dining - by connecting them to federal resources. The Advisor will coordinate USDA programs, provide technical assistance, share best practices, and help update farm enterprise development tools. The bill aims to strengthen rural economies by making it easier for small agricultural businesses to diversify through tourism. It applies to all states, tribal lands, and USDA programs nationwide.

Maddy summaryThis bill establishes a new payment system for certified community behavioral health clinics (CCBHCs) under Medicaid, creating a prospective payment system that will pay based on actual clinic costs starting in 2026. It expands Medicare coverage for CCBHC services beginning in 2027 and creates a new grant program to help community behavioral health clinics meet CCBHC certification standards, including funding $552.5 million annually from 2026-2030. The bill also provides liability protection for clinicians in CCBHCs under the Federal Tort Claims Act and requires states to coordinate Medicaid-certified community behavioral health services with existing community behavioral health clinics. These changes aim to improve access to comprehensive mental health services, particularly for veterans, rural residents, and other underserved populations.

Maddy summaryThe Appalachian Trail Centennial Act establishes a formal framework for managing the Appalachian National Scenic Trail and other national historic and scenic trails through cooperative partnerships. It designates the Appalachian Trail Conservancy as the official "Designated Operational Partner" for the Appalachian Trail, formalizing their role in trail operations, maintenance, and volunteer coordination. The bill creates structured processes for land protection planning, visitor capacity assessments, and economic impact studies of trail use on nearby communities ("gateway communities"). It also defines clear roles for Federal agencies (like the Department of the Interior and Agriculture) in administration while strengthening partnerships with volunteer organizations and local communities. The legislation aims to formalize and strengthen the century-old volunteer-based management model that has been central to the Appalachian Trail's success.

Maddy summaryThis bill renames seven creeks in North Carolina after local residents, including Noah Styron Creek, Hunter Parks Creek, and Kole McInnis Creek. It updates official references in all federal documents, maps, and records to reflect these new names. The bill has no policy impact beyond changing geographic identifiers and directly affects the specific waterways listed with their coordinates. As a commemorative naming act, it does not alter laws or regulations.

Maddy summaryThis bill requires the Department of Veterans Affairs (VA) to commission an independent study comparing the quality of mental health and addiction therapy care provided by VA health care providers versus non-VA providers. The study must assess key factors like health outcome improvements, use of evidence-based practices, coordination between providers, veteran satisfaction, and care for veterans with co-occurring conditions. It will cover various treatment settings - including telehealth, inpatient, and outpatient care - and must be completed within 18 months, with results published publicly. The study directly affects veterans receiving mental health or addiction therapy services through VA or non-VA providers. The bill does not change benefits or funding but aims to gather data to inform future care decisions.

Maddy summarySRES 536 is a non-binding Senate resolution designating December 2, 2025, as "World Nuclear Energy Day." It commemorates nuclear energy's role in clean power generation, highlighting historical milestones like the first nuclear chain reaction (1942) and the first commercial nuclear plant (1957). The resolution celebrates nuclear energy's contributions to U.S. electricity (18% of generation, 43% carbon-free), job creation (over 70,000 direct jobs), and national security, without creating new laws or affecting any group. It serves as a symbolic recognition of the industry's achievements.