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 creates a permanent program to cover tuition and educational expenses for Air National Guard members who meet their training requirements. It requires the Air Force Secretary to use existing authority under federal law (10 U.S.C. §2007) to pay for these costs, replacing temporary or inconsistent approaches. The program directly affects active-duty Air National Guard members who comply with their training obligations under 32 U.S.C. §502(a). This is a concrete policy change to standardize and ensure ongoing tuition assistance, not a new funding source or eligibility expansion.
Maddy summaryThis bill (S 402) updates outdated terminology in District of Columbia court codes to use more respectful and current language. It replaces "substantially retarded persons" and similar phrases with "persons with moderate intellectual disabilities" in three specific court sections: the U.S. District Court (§11-501(2)(D)), Superior Court (§11-921(a)(4)(D)), and Family Court (§11-1101(a)(15)). These changes directly affect how DC courts refer to individuals with intellectual disabilities in legal contexts. The bill makes concrete policy adjustments to modernize court terminology without altering legal procedures or rights.
Maddy summaryThis bill prohibits critical skill pay supplements for Senior Executive Service (SES) employees working at the Department of Veterans Affairs' (VA) Central Office (including Veterans Health Administration, Benefits Administration, and National Cemetery Administration), regardless of where they perform duties. It allows limited exceptions for SES employees primarily working at non-Central Office facilities, requiring incentives to be proportional to time spent at those locations. The bill also mandates annual reports to Congress listing VA SES employees receiving such incentives, starting one year after enactment. The policy directly affects VA senior leadership positions at the Central Office and modifies existing pay incentive rules for these roles.
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 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 summarySRES 49 is a ceremonial Senate resolution designating the week beginning February 3, 2025, as "National Tribal Colleges and Universities Week." It recognizes Tribal Colleges and Universities (TCUs), which serve over 230 federally recognized tribes and provide culturally grounded education to Native and non-Native students in underserved communities. The resolution calls for public observance through activities that highlight TCUs' role in preserving indigenous languages, supporting tribal communities, and preparing students for the workforce. This symbolic measure does not create new laws or allocate funding, but aims to raise national awareness of TCUs' contributions.
Maddy summaryThis bill modifies Medicare payment calculations for rural hospitals to provide increased funding. It directly affects "sole community hospitals" and "Medicare-dependent hospitals" by rebasing their payment formulas using a 2016 cost reporting period as the new base, effective October 1, 2025. The key mechanism replaces the previous base period with 2016 data, potentially increasing payments if this change results in higher reimbursement. The bill also extends existing payment programs for these hospitals through future fiscal years and prohibits certain payment adjustments for rebased amounts. This is a technical adjustment to Medicare reimbursement rules, not a new eligibility program.
Maddy summaryThis bill, S 317 (Charitable Act), creates a new federal income tax deduction for charitable contributions for individuals who do not itemize deductions (the majority of taxpayers). It allows these taxpayers to deduct up to one-third of their standard deduction amount for charitable gifts in 2026 and 2027. The bill also eliminates penalties related to charitable deduction errors under tax code sections 6662 and 6664. The changes apply to tax returns filed for 2026 and 2027 tax years.
Laken Riley Act This act requires the Department of Homeland Security (DHS) to detain certain non-U.S. nationals ( aliens under federal law) who have been arrested for burglary, theft, larceny, shoplifting, assault of a law enforcement officer, or any crime that results in death or serious bodily injury to another person. The act also authorizes states to sue the federal government for decisions or alleged failures related to immigration enforcement. Under this act, DHS must detain an individual who (1) is unlawfully present in the United States or did not possess the necessary documents when applying for admission; and (2) has been charged with, arrested for, convicted of, or admits to having committed acts that constitute the essential elements of the above crimes. The act also authorizes state governments to sue for injunctive relief over certain immigration-related decisions or alleged failures by the federal government if the decision or failure caused the state or its residents harm, including financial harm of more than $100. Specifically, the state government may sue the federal government over a decision to release a non-U.S. national from custody; failure to fulfill requirements relating to inspecting individuals seeking admission into the United States, including requirements related to asylum interviews; failure to fulfill a requirement to stop issuing visas to nationals of a country that unreasonably denies or delays acceptance of nationals of that country; violation of limitations on immigration parole, such as the requirement that parole be granted only on a case-by-case basis; or failure to detain an individual who has been ordered removed from the United States.