Sen. Kevin Cramer

This resolution expresses the sense of the Senate that (1) Congress should adopt a fiscal target to reduce the federal budget deficit to 3% of gross domestic product or less as soon as possible and no later than the end of FY2030; and (2) after the target is achieved, Congress should continue to pursue further deficit reduction with the goal of achieving a balanced federal budget.

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 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 prohibits public colleges and universities receiving federal funding from denying religious student groups access to campus facilities or official recognition solely because of their religious beliefs, practices, or standards. It directly affects public higher education institutions and religious student organizations seeking equal treatment alongside secular groups. The key mechanism requires institutions to provide religious groups with the same rights, benefits, and privileges - such as meeting space, event scheduling, and official status - as non-religious student organizations. This policy change ensures religious groups cannot be discriminated against in campus activities through the threat of withheld federal funding.

Maddy summaryThis bill, the Conscience Protection Act of 2025, strengthens protections for healthcare providers and organizations that refuse to participate in certain medical procedures (including abortion, assisted suicide, and sterilization) based on religious, moral, or ethical beliefs. It creates a private right of action allowing affected entities to seek legal remedies when their conscience rights are violated, addressing a gap in current law where victims could not defend their rights in court. The bill amends the Public Health Service Act to prohibit discrimination against such healthcare entities and establishes clearer enforcement mechanisms through the Department of Health and Human Services, including administrative investigations and civil actions. It directly affects healthcare providers, hospitals, insurers, and other health-related organizations operating under federal funding. The bill aims to address inconsistent enforcement of existing conscience protections like the Weldon Amendment, which has been challenged in cases such as California's abortion coverage mandate.

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 summaryThe National Nursing Workforce Center Act of 2025 establishes a two-year federal pilot program to create or enhance state-based nursing workforce centers. These centers, funded through $1.5 million annually (2026-2027), will analyze nursing workforce data, address shortages, and develop strategies for recruitment and retention - using matching funds requiring $1 non-Federal for every $4 federal dollar. Eligible entities like state nursing boards, schools of nursing, and nonprofits will use grants to conduct statewide research on education gaps, clinical staffing challenges, and strategies to improve rural access and workforce diversity. Centers must report annually on outcomes, including demographic data and best practices for reducing shortages across specialties and regions.

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 summaryThis bill, titled the Stop Insider Trading Act, would restrict Members of Congress and their spouses and dependents from purchasing stocks in publicly traded companies. It requires these individuals to provide advance public notice at least seven days before selling any covered investments, with the notice filed with the Clerk of the House or Secretary of the Senate. The law includes exceptions for certain occupational transactions and reinvested dividends, and establishes penalties including fees and mandatory sales for violations.

Maddy summaryThe Critical Access for Veterans Care Act expands veterans' access to critical access hospitals and affiliated rural health clinics by allowing care for veterans living within 35 miles of these facilities without requiring prior authorization or referrals. It establishes that these facilities will be paid at Medicare rates (instead of standard service-based rates) for veteran care, and mandates that claims be processed and paid within 60 days. The bill also requires the Department of Veterans Affairs to submit a report to Congress within one year detailing implementation, claim processing times, and user experience related to this expanded access. This directly affects veterans in rural areas seeking timely healthcare near their homes.