Sen. Roger Marshall

Maddy summaryThe Lowering Health Care Costs for Americans Act (S 3389) creates Healthcare Affordability Accounts that would receive premium tax credits instead of direct payments to consumers, with income-based limits on premium assistance ranging from $10 to $40 per month depending on income level. The bill prohibits coverage of gender transition procedures and abortion services under qualified health plans, while requiring detailed price transparency for hospitals, clinical diagnostic laboratories, imaging services, and ambulatory surgical centers to help consumers compare costs. It also mandates itemized bills for healthcare providers, including plain language descriptions of services, billing codes, and payment details, to improve consumer understanding of healthcare costs. The provisions apply to plan years beginning after 2026, with implementation timelines varying by section.

Maddy summarySRES 536 is a non-binding Senate resolution designating December 2, 2025, as "World Nuclear Energy Day." It commemorates nuclear energy's role in clean power generation, highlighting historical milestones like the first nuclear chain reaction (1942) and the first commercial nuclear plant (1957). The resolution celebrates nuclear energy's contributions to U.S. electricity (18% of generation, 43% carbon-free), job creation (over 70,000 direct jobs), and national security, without creating new laws or affecting any group. It serves as a symbolic recognition of the industry's achievements.

Maddy summaryThe PBM Price Transparency and Accountability Act requires pharmacy benefit managers (PBMs) to be more transparent about drug pricing and ensure accurate payments to pharmacies. It establishes national average drug acquisition cost benchmarks for Medicaid, prohibits PBMs from keeping excessive profits through "spread pricing," and mandates detailed reporting of drug pricing, rebates, and fees. The bill affects Medicaid programs, Medicare Part D plans, and the PBMs that negotiate drug prices on behalf of insurers. It includes enforcement mechanisms like civil penalties for non-compliance and requires PBMs to report detailed pricing information to the Secretary of Health and Human Services.

Maddy summaryThis bill caps the monthly subsidy amount for people buying health insurance through the ACA marketplace at $5 above the base premium rate. It requires government-issued photo ID for all enrollees over 18 and additional documentation as needed for enrollment verification. The bill also enacts a 2025 federal rule focused on marketplace integrity and affordability into law. These changes directly affect individuals purchasing ACA plans who receive premium subsidies.

Maddy summaryThe Back the Blue Act of 2025 creates new federal criminal offenses for killing or assaulting law enforcement officers, judges, and certain public safety personnel (including firefighters and first responders) while they are on duty or because of their official status. It increases penalties for these crimes, including minimum 10-year prison terms for killing officers and longer sentences for assaults causing serious injury, with the death penalty possible for killings. The bill also adds a "flight to avoid prosecution" provision for those fleeing to evade charges for killing officers, expands law enforcement officers' rights to carry firearms in certain circumstances, and limits federal habeas corpus relief for individuals convicted of killing law enforcement officers. This legislation directly affects law enforcement officers, judges, and public safety personnel, as well as individuals who commit violence against them.

Maddy summaryThe PBM Disclosure Act clarifies that pharmacy benefit managers (PBMs) and third-party administrators (TPAs) must disclose both direct and indirect compensation they receive for managing pharmacy benefits in employer-sponsored health plans. This requirement directly affects PBMs and TPAs that provide pharmacy benefit management services to health plans. The bill mandates the Department of Labor to issue regulations within 180 days of enactment, which will apply to health plan years beginning six months after publication. The law explicitly clarifies an existing ERISA disclosure rule without creating new requirements.

Maddy summaryThis Senate resolution (SRES 525) condemns the Iranian government's ongoing, state-sponsored persecution of the Baha'i minority, citing decades of systemic abuses including executions, job dismissals, education bans, and property confiscations. It references UN reports and Human Rights Watch findings documenting Iran's violation of international human rights treaties, such as the Universal Declaration of Human Rights and the International Covenant on Civil and Political Rights. The resolution calls on Iran to immediately release imprisoned Baha'is, end discriminatory policies restricting their education and employment, and cease hate propaganda, while urging the U.S. President and Secretary of State to impose sanctions on Iranian officials responsible for these abuses.

Maddy summaryThis bill increases the tax exclusion for capital gains when selling a primary residence. It doubles the exclusion amount from $250,000 (for single filers) to $500,000 and from $500,000 (for married couples) to $1,000,000. The bill also adds an inflation adjustment for amounts after 2025, tying future increases to the cost-of-living adjustment. It directly affects homeowners who sell their primary residence and would otherwise owe tax on profits exceeding the previous limits. The changes apply to sales after the bill's enactment date.

Maddy summaryS 3341, the Investing in All of America Act of 2025, modifies rules for Small Business Investment Companies (SBICs) to adjust their debt limits and expand eligible investments. It lowers the maximum leverage ratio for certain SBICs from $300 million to $200 million and sets a new $125 million cap on excluded investments for companies funding businesses in rural areas, critical technology sectors, or small manufacturers. The bill specifically affects SBICs licensed under the Small Business Investment Act of 1958 and the businesses they finance in targeted geographic or industry areas. Key changes include revised financial thresholds and updated definitions for "rural" and "critical technology" to qualify for debt exclusions. These provisions directly alter how SBICs calculate allowable debt when supporting small businesses.

Maddy summaryThe AI Workforce PREPARE Act requires the Department of Labor to collect and analyze data on how artificial intelligence affects jobs, including tracking AI adoption by employers and forecasting impacts on specific occupations. It establishes an AI Workforce Research Hub to lead this effort, mandates new survey questions about AI in the workplace, and requires employers to disclose when AI contributes to mass layoffs. The bill creates detailed employment forecasts for occupations most affected by AI, with prediction intervals showing uncertainty ranges, and aims to integrate this data into workforce training programs. These provisions are designed to help workers, employers, and policymakers prepare for AI-driven changes in the labor market.