Sen. Mark Kelly

Maddy summaryThe Safe Step Act requires health insurance plans and employer-sponsored health coverage to create a transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically mandate trying a lower-cost drug first before covering a more expensive alternative. Exceptions must be approved if previous treatments failed, delaying coverage would cause severe harm, the required drug is unsafe, or the patient is stable on the requested drug. Health plans must respond to requests within 72 hours (or 24 hours in emergencies) and make the process details available online.

Maddy summaryThe Hydrogen for Trucks Act of 2023 establishes a federal grant program to support the adoption of hydrogen-powered heavy-duty trucks and related infrastructure. It provides funding for eligible entities - such as truck fleet operators, public agencies, fueling station developers, and partnerships - to purchase at least 7 hydrogen fuel cell trucks or build hydrogen fueling stations, with requirements for public access and regional diversity. Grants cover capital costs (up to $500,000 per truck or station), operational expenses, and safety training, while requiring recipients to report on fuel use, reliability, and emissions data. The program aims to demonstrate vehicle performance across different regions, reduce costs, and accelerate market deployment of hydrogen trucks by 2028, with priority given to projects benefiting disadvantaged communities.

Primary Care Enhancement Act of 2023 This bill allows a medical expense tax deduction for direct primary care service arrangements and provides that participation in such arrangements does not disqualify patients from making tax deductible contributions to health savings accounts.

Maddy summaryThis bill establishes the Hydrogen Infrastructure Finance and Innovation Act (HIFIA) pilot program to fund hydrogen infrastructure projects. It provides grants and low-cost loans (up to 80% of costs) to eligible entities like corporations, governments, and nonprofits building hydrogen pipelines, storage, or delivery systems - especially projects retrofitted for hydrogen blends or new pure-hydrogen lines. Priority is given to projects reducing emissions, minimizing environmental impact, serving disadvantaged communities, and creating U.S. jobs. The program requires mandatory leak monitoring and limits annual federal funding to $100 million for fiscal years 2024-2028.

Maddy summaryThis bill amends the tax code to allow employers to claim a work opportunity tax credit for hiring spouses of active-duty military members. It adds "qualified military spouse" as a new category for the credit, defined as an individual certified by a local agency as married to a military service member at the time of hire. Employers who hire such individuals after the bill's enactment date can claim this credit for their wages. The change directly affects employers seeking tax incentives and military spouses seeking employment opportunities. The provision applies to hiring that occurs after the bill becomes law.

Maddy summaryThis bill repeals two provisions that reduce Social Security benefits for certain public-sector retirees. It eliminates the government pension offset (GPO), which currently cuts Social Security checks for people with government pensions, and removes the windfall elimination provision (WEP), which reduces benefits for those with pensions from jobs not covered by Social Security. The changes directly affect public employees (like teachers, firefighters, and state/local government workers) who have pensions from jobs that didn't pay into Social Security. The bill takes effect for Social Security benefits paid after December 2023, restoring full benefits for eligible retirees.

Maddy summaryThe Preserve Access to Affordable Generics and Biosimilars Act prohibits "reverse payment" settlements where brand-name drug companies pay generic competitors to delay market entry, treating such agreements as anticompetitive violations of the Federal Trade Commission Act. The bill empowers the FTC to enforce these rules through civil penalties that can reach up to three times the value transferred in the settlement and allows for the forfeiture of a generic company's 180-day exclusivity period if they violate the new law. It also requires executives to certify that all settlement documents filed with regulators are complete and accurate, including any related oral agreements or contingent conditions. These provisions apply to both traditional generic drugs and biosimilar biological products to ensure that patent disputes do not unduly restrict consumer access to lower-cost alternatives.

Maddy summaryThis resolution designates February 6-10, 2023, as "National School Counseling Week" in the U.S. Senate. It symbolically recognizes the role of school counselors in supporting students' academic, social, and emotional development. The resolution encourages public awareness of counselors' contributions to student success and school safety but does not create new policies, funding, or requirements. It directly affects school counselors and communities by highlighting their work during this designated week.

Maddy summaryThis bill amends the Indian Reorganization Act of 1934 to clarify that the Secretary of the Interior may take land into trust for **any federally recognized Indian tribe**, updating the original language that referenced tribes "under Federal jurisdiction." It specifically **ratifies and confirms past land trust actions** taken for tribes recognized by the federal government at the time of those actions, preventing legal challenges based on recognition status. The bill explicitly states it **does not change other federal laws** or the Secretary's authority under them, and references to the Indian Reorganization Act in other laws will now include this amendment. This directly affects federally recognized tribes seeking land trust status and the Department of the Interior's administrative processes.

Maddy summarySRES 66 is a Senate resolution condemning China's use of a high-altitude surveillance balloon over U.S. territory as a violation of U.S. sovereignty. It specifically denounces China's false claims that the balloon was a weather device that drifted off course. The resolution requires the President to provide Congress with detailed briefings on the incident, including the balloon's timeline, intelligence gathered, and plans to prevent future violations of U.S. airspace. It calls for decisive U.S. action to deter foreign surveillance activities and holds the Chinese government accountable for such actions.