Maddy summaryS 475, the Alternatives to PAIN Act, changes Medicare Part D coverage to make non-opioid pain management drugs more accessible and affordable for beneficiaries. It requires Medicare plans to cover qualifying non-opioid pain drugs without deductibles and place them on the lowest cost-sharing tier (meaning patients pay the least out-of-pocket) starting in 2026. The bill also prohibits plans from requiring step therapy (forcing patients to try opioids first) or prior authorization for these specific drugs. Qualifying drugs must treat acute pain (like post-surgery), not work on opioid receptors, have no equivalent alternatives, and meet cost thresholds. This directly affects Medicare Part D beneficiaries needing pain management and the plans that cover them.
Sponsored bills
Maddy summaryThis bill excludes capital gains from the sale of certain property rights when sold to organizations participating in the Department of Defense's REPI program. The REPI program helps military bases protect environmentally sensitive land while maintaining training readiness. Landowners selling qualifying property - including full ownership, remainder interests, or perpetual land use restrictions - to REPI-participating organizations can exclude the sale profit from taxable income. It directly affects property owners who sell to REPI programs, with specific rules for family-owned entities.
Maddy summaryS 405, the "Protection of Women in Olympic and Amateur Sports Act," establishes new definitions for biological sex and prohibits males from participating in female-designated amateur sports competitions. The bill defines "female" as someone with a reproductive system producing eggs and "male" as someone with a system producing sperm, explicitly stating "sex" means biological sex. It amends federal law to add a requirement that prohibits individuals designated male at birth from competing in events "designated for females, women, or girls." This policy directly affects amateur sports organizations and competitions with gender-specific categories under federal oversight.
Defending Defense Research from Chinese Communist Party Espionage Act of 2025 This bill generally prohibits contracts between certain foreign entities and institutions of higher education that are conducting research funded by the Department of Defense (DOD), and it imposes a post-employment restriction on principal investigators of certain DOD-funded research projects. Beginning on January 1, 2027, the bill generally prohibits institutions of higher education that conduct DOD-funded research from entering into contracts with North Korea, China, Russia, or Iran or a foreign entity of concern (e.g., an academic institution of China that meets certain criteria). DOD is prohibited from providing funds to such institutions unless the institution receives a waiver. Institutions seeking to contract with the listed countries or entities, and those with existing contracts, must submit waiver requests to DOD. Waivers are valid for one year. Institutions with contracts that are longer than one year may apply to renew the waiver for an additional one-year period. The bill also generally imposes a post-employment restriction on individuals who serve as principal investigators of certain defense research projects, unless DOD waives the restriction. Specifically, for the 10 years following their employment as a principal investigator, an individual may not seek or accept employment or conduct any activity for which a foreign entity of concern provides compensation. This applies to principal investigators of projects that are (1) operated by an institution of higher education; (2) funded by DOD; and (3) involve a critical or emerging technology, as determined by DOD.
Maddy summaryThe IRONDOME Act of 2025 directs the Department of Defense to modernize U.S. homeland missile defense systems in response to growing threats from China, Russia, and North Korea. Key provisions require transferring missile defense operations from the Missile Defense Agency to military departments by 2024, accelerating production of 80 Next Generation Interceptors at Fort Greely, Alaska (to be completed by 2038), and expediting development of systems like THAAD, space-based interceptors, and drone detection networks. The bill authorizes $19.5 billion for fiscal year 2026, with specific funding for interceptor production, radar modernization, satellite systems, and dirigible procurement. It directly affects U.S. missile defense programs, contractors, and infrastructure projects supporting homeland security.
Maddy summaryThe Fair Access to Banking Act (S 401) prohibits large financial institutions ($10 billion+ in assets) and payment networks from denying services to lawful businesses based on political or reputational factors, such as the type of legal business they operate. It requires banks to justify denials using objective, risk-based standards instead of category-based decisions, and mandates written explanations for denials. The law enables lawsuits against violators with treble damages and civil penalties up to 10% of service value (capped at $10,000 per violation). It directly affects major banks, payment processors, and credit unions that serve large-scale customers, ensuring fair access for businesses operating within federal law.
Maddy summaryThis bill would eliminate diversity, equity, and inclusion (DEI) programs across federal agencies by requiring the closure of DEI offices, rescinding related executive orders (including those on racial equity and LGBTQ+ inclusion), and prohibiting federal funds from being used for DEI-related activities. It defines "prohibited diversity, equity, or inclusion practice" as including training that asserts certain groups are inherently superior or inferior, or requiring employees to sign statements about such concepts. The bill affects all federal agencies, personnel, contractors, and grantees by banning DEI training, offices, and related activities while exempting Equal Employment Opportunity offices and disability-related programs. It also creates a private cause of action allowing individuals to sue for violations with penalties of $1,000 per violation per day.
Maddy summaryS 364, titled the "Hearing Protection Act" (though it regulates firearm silencers, not hearing protection), changes federal law to treat firearm silencers like firearms for tax and regulatory purposes. It imposes a 10% federal tax on silencers (similar to firearms), preempts state laws that tax or regulate silencers beyond federal rules, and requires the destruction of existing silencer registration records within one year. The bill clarifies definitions of "firearm silencer" in federal law and modifies licensing requirements for these devices. This directly affects silencer owners, manufacturers, and state governments that previously imposed additional restrictions or taxes.
Maddy summaryThe STOP MADNESS Act (S 363) proposes imposing U.S. economic sanctions on foreign governments and entities that resist repatriating migrants who entered the U.S. unlawfully or knowingly facilitate such immigration. It would block financial transactions with U.S. financial systems for targeted foreign governments and foreign persons meeting specific criteria, including those obstructing U.S. repatriation efforts or aiding illegal immigration. The bill requires the President to submit annual reports to Congress detailing sanctions actions and enforcement, with a 7-year reporting period. It defines key terms like "knowingly" and specifies exemptions for intelligence and law enforcement activities.
Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.