Sen. Tom Cotton

Maddy summaryThis bill expands Medicare coverage to include pharmacist services in designated underserved areas. It directly affects Medicare beneficiaries in health professional shortage areas, medically underserved areas, or medically underserved populations, as well as pharmacists licensed to provide these services. Key provisions require Medicare to cover pharmacist services (like those typically provided by physicians) in these areas and set payment at 80% of the lesser of the actual charge or 85% of the physician fee schedule. The changes take effect January 1, 2024, and require new billing codes for pharmacists.

Maddy summaryS 1498, the Finish It Act, requires the Department of Defense to transfer existing border wall construction materials to border states within 15 days of enactment for the sole purpose of building physical barriers along the U.S.-Mexico border. States receiving materials must certify they will use them exclusively for border barriers and face financial penalties if unused after two years. The bill mandates a report to Congress detailing storage costs, landowner contracts, and any internal investigations into the decision to store materials instead of using them. This directly affects the Department of Defense (which holds the materials), border states (as recipients), and private landowners (who currently store materials). The policy change focuses on redirecting existing resources toward border construction rather than ongoing storage costs.

Maddy summaryThis bill (S 1503) bans the use of Department of Defense (DoD) funds or DoD facilities for adult cabaret performances. It prohibits the DoD from hosting, advertising, or supporting any performance featuring topless dancers, go-go dancers, exotic dances, strippers, or male/female impersonators that appeals to prurient interest. The law directly affects DoD spending and operations, restricting where and how its budget can be used. It creates a clear definition of prohibited performances to ensure the ban applies consistently.

Maddy summaryThis bill requires thorough background checks - including fingerprint, sex offender registry, and child abuse history checks - for all sponsors and household members aged 18+ seeking to care for unaccompanied migrant children. It prohibits placing children with undocumented adults unless they are biological parents, legal guardians, or immediate relatives. The bill mandates unannounced home visits before release and at least five in-person visits in the first year (then quarterly), plus monthly reports to Congress on placements, sponsor vetting, and missing children. It also requires retroactive vetting of all sponsors since January 2021 to ensure compliance with these safety measures.

Maddy summaryThis bill modifies how federal agencies handle administrative subpoenas in child predator investigations. It prohibits recipients (like banks or tech companies) from disclosing that a subpoena was issued for 180 days, unless a federal official certifies disclosure would endanger victims, cause flight, destroy evidence, intimidate witnesses, or jeopardize the investigation. Recipients may share information only with necessary parties (e.g., legal counsel) under strict confidentiality rules. The bill also adds a new judicial review process (Section 3486A), requiring courts to quickly evaluate nondisclosure requests within 30 days to ensure they protect ongoing investigations.

Maddy summaryThis bill prohibits insurers from denying coverage, canceling policies, or increasing premiums for life, disability, or long-term care insurance solely because someone is a living organ donor, without considering actual health risks. It also updates the Family and Medical Leave Act to include recovery from organ donation surgery as a qualifying condition for leave for private-sector employees and federal workers. Additionally, the bill requires the Health and Human Services Secretary to update public educational materials about living organ donation within six months, covering benefits, risks, and the new insurance protections. These changes directly affect living organ donors, insurers, and employers who must comply with the updated leave and insurance rules.

Maddy summaryS 1382, the Protecting Our Supreme Court Justices Act of 2023, increases penalties for obstructing justice near Supreme Court justices' residences or workplaces. It amends federal law to raise the maximum prison sentence for picketing or parading that obstructs justice from one year to five years. This change directly affects individuals who engage in disruptive protests near justices' homes or offices. The bill focuses solely on strengthening criminal penalties for obstruction, not on judicial decisions or court procedures.

Maddy summaryThe Protecting Kids on Social Media Act requires social media platforms to verify the age of users through reasonable methods (beyond simple self-attestation) and obtain parental consent for minors aged 13-17 before allowing account creation or certain features. Platforms must stop using algorithmic recommendations based on personal data for users under 18 and allow parents to revoke consent at any time, with strict limits on how verification data can be used or stored. A voluntary government pilot program will offer secure digital ID credentials for age and parental verification, meeting high cybersecurity standards, though participation is optional for both users and platforms. Violations will be enforced by the Federal Trade Commission and state attorneys general, with civil penalties for non-compliance.

Maddy summaryThis bill strengthens penalties for individuals or organizations charging veterans unauthorized fees when assisting with VA benefit claims. It directly affects veterans who might be targeted by unscrupulous representatives and the representatives themselves who attempt to charge such fees. The key provision adds a new subsection (b) to Section 5905, making it illegal to solicit, charge, or receive any fee for preparing or submitting VA claims - except as allowed under specific other sections. Violations can result in fines, up to one year in prison, or both.

Maddy summaryThis joint resolution (SJRES 25) seeks congressional disapproval of a specific Department of Labor rule regarding wage rates for H-2A agricultural workers. It targets the rule published in the Federal Register (88 Fed. Reg. 12760) that established a methodology for calculating "Adverse Effect Wage Rates" (AEWR) for temporary H-2A nonimmigrant workers in non-range occupations. If passed, the resolution would block this rule from taking effect, directly affecting agricultural employers who rely on H-2A visas and the workers themselves by preventing the implementation of the new wage calculation method. The resolution does not create new policy but aims to halt an existing rule through the congressional disapproval process under U.S. Code.