Sen. Roger Marshall

Maddy summaryThis bill defines biological sex for federal law by amending Title 1 of the U.S. Code. It specifies that "female" means a person biologically characterized by egg-producing systems at conception, "male" means sperm-producing systems at conception, and "gender identity" is not recognized as replacing biological sex in federal contexts. The law directly affects all federal agencies, departments, and laws requiring interpretation of terms like "sex," "female," or "male" by mandating these biological definitions. It does not create new programs or funding but changes how federal agencies must interpret existing laws and regulations.

Maddy summaryThe Increased TSP Access Act of 2025 expands access to conservation technical assistance by creating new certification pathways for third-party providers like agricultural retailers, cooperatives, and professional societies. It allows the Secretary of Agriculture to approve non-Federal entities (e.g., professional organizations or state agencies) to certify these providers, with specific criteria including expertise in conservation planning and experience working with farmers. The bill sets strict timelines for approval (40 business days) and requires approved entities to provide training and continuing education to certified providers. It also establishes fair payment rates for technical services and mandates public reporting on certification numbers, funding, and cost savings.

Maddy summaryThe LEDGER Act (S 1160) requires the Treasury Department to create a system tracking every federal government disbursement within 180 days of enactment. It mandates that all departments, agencies, and offices across the executive, legislative, and judicial branches report spending details, including the availability period of each funding source. This affects all federal entities that receive or spend government funds by requiring granular tracking of where money comes from and how it’s used. The law aims to improve transparency in federal spending by making expenditure data systematically accessible.

Maddy summaryThis resolution (SRES 138) designates March as "Deep Vein Thrombosis and Pulmonary Embolism Awareness Month" to raise public awareness about two serious but preventable blood clot conditions. It supports efforts to educate the public on deep vein thrombosis (DVT, blood clots in deep veins) and pulmonary embolism (PE, a clot traveling to the lungs), which affect up to 900,000 people annually in the U.S. and cause 60,000-100,000 deaths each year. The resolution does not create new laws or allocate funding; it is a non-binding symbolic gesture recognizing the importance of awareness for at-risk populations, including cancer patients and postpartum individuals. It aims to highlight prevention and the significant health burden of these conditions.

Maddy summaryThe Dietary Guidelines Reform Act of 2025 changes how the federal government develops the Dietary Guidelines for Americans, which are used to inform nutrition policies and public health programs. It requires guidelines to be based on the latest scientific evidence, address chronic diseases, and ensure recommendations are affordable and accessible for all Americans. The bill establishes an Independent Advisory Board with specific membership rules (including political balance and scientific expertise) and mandates full disclosure of conflicts of interest for all members. It also sets a 10-year update cycle for the guidelines but allows for more frequent updates when scientific advancements require it, with justification provided to Congress.

Maddy summaryThis bill repeals federal waivers that allow California to set its own vehicle and engine emission standards under the Clean Air Act. It directly affects California's Air Resources Board (CARB), prohibiting the state from adopting or enforcing standards for nonroad engines (like construction equipment, farm vehicles, and locomotives) or new motor vehicles. Key provisions include removing federal authorization for California's vehicle standards (Section 177) and invalidating all existing waivers for state emission rules. The bill would eliminate California's ability to enforce its own emission requirements for these categories, shifting authority entirely to federal standards.

Maddy summaryThe Safeguarding Medicaid Act (S 1082) requires all Medicaid applicants and recipients in every state and territory to undergo an asset test, removing previous exemptions for people who are aged, blind, or disabled. It sets the resource limit for eligibility at the same level used for Supplemental Security Income (SSI) benefits, meaning individuals with assets above this threshold would be ineligible for Medicaid. The bill also mandates states to implement electronic asset verification systems within one year of enactment and report annually on the number of asset checks conducted during eligibility renewals and new applications. This affects all Medicaid applicants and recipients nationwide, with states required to track and report savings from these verification efforts to the federal government.

Maddy summaryS 1021 establishes a new program within the Supplemental Nutrition Assistance Program (SNAP) to increase purchases of "naturally nutrient-rich dairy" (like fluid milk, yogurt, and cheese made from cow's milk) by SNAP households. It provides point-of-sale incentives at checkout, meaning SNAP users would receive immediate discounts when buying qualifying dairy products. The program allocates $10 million annually for grants to state/local governments or nonprofits to run projects, with priority given to initiatives maximizing direct incentives and using electronic systems. Projects must be evaluated for effectiveness, and results will be publicly reported, while transitioning existing dairy incentive programs to this new framework.

Maddy summaryThis bill expands the Work Opportunity Tax Credit to include military spouses. It adds "qualified military spouse" as a new category eligible for the credit, meaning employers who hire spouses of active-duty service members can claim the tax benefit. To qualify, a spouse must be certified by a local agency as married to an Armed Forces member at the time of hire. The change applies to hires occurring after the law's effective date, directly affecting military spouses seeking employment and employers who hire them.

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.