Sen. Roger Marshall

Maddy summaryThis bill clarifies the "public charge" rule for immigration, defining it as an immigrant likely to receive public benefits for more than 12 months in any 36-month period. It specifically lists benefits to count - including Medicaid (excluding emergency care for children/pregnant women), food stamps, housing aid, and health subsidies - and requires sponsors to prove financial ability at 125% of the federal poverty line. Applicants deemed likely to become a public charge may need to post a $10,000 bond, forfeitable if they receive benefits within 10 years. The rule applies to all visa and status applications filed after the effective date, excluding refugees, asylees, and military families.

Maddy summaryThis bill changes U.S. immigration law to make certain fraud convictions deportable without requiring a minimum fraud loss amount. It targets immigrants (aliens) convicted of fraud against any private individual, fund, corporation, or government entity, removing the previous threshold for deportation. It also adds provisions to revoke citizenship for naturalized citizens convicted of such fraud crimes, requiring courts to cancel their naturalization certificates. The changes apply to fraud committed on or after September 30, 1996, if not previously charged before the bill's enactment.

Maddy summaryThis bill reclassifies pharmacy benefit managers (PBMs) as fiduciaries under federal law, requiring them to act in the best interest of group health plans they serve. It mandates PBMs to disclose all compensation sources (including rebates and fees) and prohibits them from shielding themselves from liability for breaches of duty. The law directly affects PBMs, employers offering health plans, and health insurers that use PBM services. Key provisions include new transparency rules, clarifying that PBMs cannot be the "responsible fiduciary" for disclosure purposes, and banning contracts that exempt PBMs from accountability.

FDA Modernization Act 3.0 This bill requires the Food and Drug Administration (FDA) to publish an interim final rule implementing a provision of the Consolidated Appropriations Act of 2023 that authorized the use of certain alternatives to animal testing to support investigational use of a new drug.  The rule must replace references to animal tests, data, studies, models, and research with references to nonclinical tests, data, studies, models, and research throughout the FDA’s regulations governing investigational new drug applications, and may make other changes to the regulations as appropriate.  The rule must be published within one year of the bill’s enactment, and must take immediate effect as an interim final rule.

Maddy summaryThis bill (S 3506) allows the President to provide federal assistance for clearing wildfire debris from public and private lands and waters *without* requiring a formal major disaster declaration. It directly affects states and local governments managing post-wildfire cleanup, especially when hazardous waste (like chemicals or toxic materials) is involved. Key provisions include authorizing debris removal assistance under the Stafford Act and directing the EPA to provide resources (personnel, equipment, expertise) to help safely handle hazardous substances identified under federal environmental laws. The bill streamlines cleanup by enabling immediate federal support for debris removal and hazardous waste management after wildfires.

Maddy summaryThis bill establishes the President’s Council on Sports, Fitness, and Nutrition to revive the Presidential Fitness Test as the primary assessment for a national fitness award, directly affecting schools and youth. The Council, appointed by the President with up to 30 members serving two-year terms, will recommend strategies to restore the fitness test, promote school-based physical education programs, and address childhood obesity. It mandates the Secretary of Health and Human Services to provide funding and administrative support for the Council’s work, including expanding fitness opportunities and partnerships with sports organizations. The Council’s functions include advising the President on progress, developing fitness challenges, and addressing the national security impact of sedentary lifestyles among youth.

Maddy summaryThis bill requires federal agencies to report detailed payment information - including the purpose, funding source, and payment type - to the Treasury before disbursing funds. It mandates agencies to verify recipient bank account details and cross-check payment records to prevent errors or fraud. The Treasury gains access to databases like the National Directory of New Hires and tax/Social Security data (with privacy safeguards) to identify and recover improper payments. These requirements apply to all agencies using Treasury payment systems, aiming to improve transparency and reduce wasteful spending.

Maddy summaryThe Lowering Health Care Costs for Americans Act (S 3389) creates Healthcare Affordability Accounts that would receive premium tax credits instead of direct payments to consumers, with income-based limits on premium assistance ranging from $10 to $40 per month depending on income level. The bill prohibits coverage of gender transition procedures and abortion services under qualified health plans, while requiring detailed price transparency for hospitals, clinical diagnostic laboratories, imaging services, and ambulatory surgical centers to help consumers compare costs. It also mandates itemized bills for healthcare providers, including plain language descriptions of services, billing codes, and payment details, to improve consumer understanding of healthcare costs. The provisions apply to plan years beginning after 2026, with implementation timelines varying by section.

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.

Maddy summaryThe PBM Price Transparency and Accountability Act requires pharmacy benefit managers (PBMs) to be more transparent about drug pricing and ensure accurate payments to pharmacies. It establishes national average drug acquisition cost benchmarks for Medicaid, prohibits PBMs from keeping excessive profits through "spread pricing," and mandates detailed reporting of drug pricing, rebates, and fees. The bill affects Medicaid programs, Medicare Part D plans, and the PBMs that negotiate drug prices on behalf of insurers. It includes enforcement mechanisms like civil penalties for non-compliance and requires PBMs to report detailed pricing information to the Secretary of Health and Human Services.