Sen. Christopher A. Coons

Radiation Oncology Case Rate Value Based Program Act of 2025 or the ROCR Value Based Program Act This bill establishes a specialized payment program under Medicare for providers and suppliers of radiation oncology services.  Specifically, the Centers for Medicare & Medicaid Services (CMS) must establish a program under which radiation therapy providers (i.e., hospital outpatient departments) and suppliers (i.e., physician group practices and freestanding radiation therapy centers) receive payments for each episode of care provided to individuals with specified types of cancer. An episode of care  means the period beginning on the day radiation therapy planning is furnished to the individual and ending (1) for individuals with bone or brain metastases, 30 days later; and (2) for individuals with other cancer types, 90 days later. Participation in the program is mandatory for providers and suppliers that participate in Medicare, unless the provider or supplier is part of a state-based Center for Medicare & Medicaid Innovation model or qualifies for a significant hardship exemption. The CMS must set payment rates for the program based on national payment rates with specified adjustments (e.g., geographic adjustments). Providers and suppliers who provide certain transportation services for individuals under their care may receive an additional payment. Providers and suppliers must be accredited in accordance with certain standards, subject to payment reductions. The Government Accountability Office must report on (1) implementation of the program, and (2) underserved areas that are in need of more or newer radiation therapy resources.

Maddy summaryThis bill, the Major Richard Star Act (S 1032), allows veterans with combat-related disabilities to receive both their military retired pay and Veterans Affairs disability compensation simultaneously. It amends U.S. Code sections to remove the automatic reduction in retired pay that previously forced these veterans to choose between the two payments. The key change ensures veterans with combat-related disabilities qualify for full retired pay without offset against their VA disability benefits, effective for payments starting after the bill's enactment date. This directly affects veterans receiving military retired pay under Chapter 61 who also qualify for VA disability compensation for combat-related injuries.

Maddy summaryThis bill requires Small Business Development Centers and Women’s Business Centers to provide new services connecting small businesses with career and technical education (CTE) program graduates. Specifically, it mandates that these centers help small businesses hire CTE graduates and assist CTE graduates in starting their own small businesses. The law amends the Small Business Act to add these explicit duties to existing program requirements, directly affecting small businesses seeking skilled workers and CTE graduates entering entrepreneurship. The policy change focuses on strengthening workforce pipelines by integrating CTE education outcomes with small business needs.

Maddy summaryThe Concrete and Asphalt Innovation Act of 2025 establishes a federal research, development, and demonstration program focused on reducing greenhouse gas emissions in cement, concrete, asphalt binder, and asphalt mixture production. The program, funded with $200 million over fiscal years 2025-2029, will support demonstration projects, provide technical assistance to update building codes and standards, and establish Manufacturing USA institutes for low-emissions materials. It also creates a Federal Highway Administration initiative that reimburses states for higher costs of using low-emissions materials in highway projects and offers 2% incentives on project costs. The bill aims to reduce embodied greenhouse gas emissions in construction materials while supporting domestic manufacturing and creating jobs in the construction sector.

Safe Schools Improvement Act This bill requires states to direct their local educational agencies (LEAs) to establish policies that prevent and prohibit bullying and harassment of elementary and secondary school students. In particular, these policies must prohibit bullying and harassment based on race, color, national origin, disability, religion, or sex. Sex includes sexual orientation, gender identity, and sex characteristics (including intersex traits). Further, LEAs must provide (1) students, parents, and educational professionals with annual notice of the conduct prohibited in their disciplinary policies; (2) students and parents with grievance procedures that target such conduct; and (3) the public with annual data on the incidence and frequency of that conduct at the school and LEA level. The Department of Education must conduct and report on an independent biennial evaluation of programs and policies to combat bullying and harassment in elementary and secondary schools. The National Center for Education Statistics must collect state data to determine the incidence and frequency of the conduct prohibited by LEA disciplinary policies.

Maddy summaryThe Medical Supply Chain Resiliency Act (S 998) aims to strengthen U.S. access to critical medical goods by creating "trusted trade partner agreements" with foreign countries that meet specific criteria, such as maintaining open trade during health emergencies and protecting intellectual property. It directly affects the U.S. Trade Representative, foreign governments, and medical manufacturers by reducing tariffs and trade barriers for medical devices and pharmaceuticals with these partners. Key mechanisms include establishing a framework to diversify supplier networks, harmonize regulatory standards, and expedite cross-border movement of medical goods during crises. The bill requires the President to submit regular reports to Congress and mandates that agreements must be approved by Congress before taking effect.

Maddy summaryThis bill transitions Transportation Security Administration (TSA) employees from TSA-specific personnel systems to the standard federal system under Title 5 of the U.S. Code, requiring completion by December 31, 2025. It prohibits changes to current TSA personnel policies during transition, ensures no reduction in pay or benefits for employees, and preserves collective bargaining rights for screening agents. The bill mandates annual reports on workforce satisfaction, retention rates, and actions to improve morale, as well as reports on recruitment, diversity, and workplace safety to Congress. It includes specific protections for Federal Air Marshals regarding mental health, suicide rates, and workplace conditions. The TSA must submit detailed implementation plans to Congress within 7 days of the bill's enactment.

Maddy summaryS 596, the Critical Materials Future Act of 2025, establishes a 5-year pilot program under the Department of Energy to support domestic processing of critical materials (like those used in clean energy and defense tech). The program provides financial support - using tools such as price guarantees and contracts - to attract private investment for 3+ eligible projects that refine or recycle raw materials into usable forms, prioritizing those using domestic or reliable sources (e.g., U.S. partners or allies with free trade agreements). It requires annual reports to Congress and a final study to evaluate the effectiveness of these financial tools in building secure supply chains and reducing reliance on imports from countries of concern. The pilot is funded with $750 million and aims to enhance energy and national security through market stability.

Maddy summaryThe Give Kids a Chance Act of 2025 modifies FDA regulations to improve pediatric cancer drug development and extends incentives for rare pediatric disease treatments. It requires drug developers seeking approval for molecularly targeted cancer drugs to include pediatric-focused studies (e.g., dosing, safety) for specific cancer types, with new FDA guidance due within 12 months. The bill also extends the rare pediatric disease priority review voucher program through 2029 and mandates a GAO study to evaluate how effectively these vouchers spur development of treatments for rare pediatric diseases, reporting findings by 2034. This directly affects pharmaceutical companies developing cancer drugs and the FDA’s approval process, aiming to accelerate treatments for children with cancer and rare diseases.

Maddy summaryThis bill establishes the Joint Task Force to Counter Illicit Synthetic Narcotics (JTF-ISN), a federal coordination body led by a presidentially appointed director. It brings together agencies including the DEA, FBI, Treasury, Homeland Security, and others to share intelligence and coordinate operations targeting synthetic narcotics trafficking networks, with specific focus on Chinese involvement in the crisis. The task force must submit regular reports to Congress on its activities, funding needs, and progress in disrupting trafficking, while maintaining existing agency authorities. It explicitly prohibits targeting personal drug use or low-level dealing unrelated to major trafficking networks.