Maddy summaryS 2903, the Safe Step Act, requires health insurance plans and employers offering health coverage to establish a clear, timely process for patients or doctors to request exceptions when step therapy protocols (where insurers require trying cheaper drugs first) would harm a patient. It mandates approval for exceptions if prior drugs failed, delay would cause severe harm, a drug is unsafe, or a patient is stable on their current medication. Plans must respond to requests within 72 hours (or 24 hours in emergencies) and cover the requested drug without extra cost-sharing. The bill also requires annual reports to the government on exception requests, approvals, denials, and trends by medical condition or specialty. This directly affects patients on health plans with step therapy, their doctors, and the insurers managing those plans.
Sponsored bills
Maddy summaryThe MAPS Act requires the Secretary of Health and Human Services to update and maintain an Essential Medicines List including drugs critical for national security, public health emergencies, chronic conditions, and military readiness. It mandates annual risk assessments identifying supply chain vulnerabilities, particularly drugs sourced over 50% from high-risk foreign suppliers like China, and compiles data on manufacturing locations and shortages. The bill directs HHS to map U.S. pharmaceutical supply chains from raw materials to finished products, using data analytics to identify national security threats, and report findings annually to Congress. This directly affects federal agencies (HHS, Defense), drug manufacturers, and supply chain stakeholders through mandatory reporting and transparency requirements.
Maddy summaryThis bill (S 1677, Ensuring Lasting Smiles Act) requires health insurance plans to cover medically necessary treatments for congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. It mandates coverage for reconstructive services, dental/orthodontic care, and related treatments during the course of medical treatment, while excluding purely cosmetic procedures not medically necessary. Plans may apply cost-sharing requirements similar to those for other medical services but must provide notice about these coverage requirements to participants by January 1, 2026. The bill also directs a study on provider network adequacy and cost impacts related to these coverage requirements, to be completed by December 2027.
Resident Education Deferred Interest Act or the REDI Act This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.
Maddy summaryS. Res. 650 is a Senate resolution that formally recognizes the heritage, culture, and contributions of American Indian, Alaska Native, and Native Hawaiian women in the United States. The resolution highlights their achievements in military service, business ownership, healthcare, science, arts, and civil rights advocacy through specific examples of individual women. It does not create new laws or funding but serves as a symbolic acknowledgment of their historical and ongoing contributions to American society.
Maddy summaryThis bill amends VA medical coverage to explicitly include adaptive prostheses and terminal devices designed for sports and recreational activities alongside standard artificial limbs. It directly affects eligible veterans using prosthetic devices who wish to participate in sports or recreational therapy. The key provision expands existing VA coverage under 38 U.S.C. §1701 to cover these specific adaptive devices without requiring separate authorization. This change ensures veterans can access equipment for recreational purposes through the VA's standard medical services. The bill does not create new benefits but clarifies and broadens existing coverage for a defined category of prosthetic devices.
Maddy summaryThis bill requires the Department of Veterans Affairs (VA) to improve coordination when veterans receive care from community providers. It directs the VA's Under Secretary for Health to develop guidance for VA medical centers on obtaining final medical documentation after community care referrals, set performance goals for this documentation, and mandate core training for community care providers. The bill also requires the VA to monitor provider training completion and ensure clear communication about training requirements. Finally, it mandates regular reports to Congress on implementation progress, starting 120 days after enactment.
Maddy summaryThis bill establishes a collaborative research initiative to study health conditions affecting descendants of veterans exposed to toxic substances during military service. Within 180 days, it requires an interagency task force (including the Agency for Toxic Substances and Disease Registry) to research diagnosis and treatment options for these health conditions. The task force must maintain a public website sharing research findings and evidence reviews on links between specific toxic exposures and health outcomes. It also mandates annual reports on research progress and strategic plan implementation for five years. The bill directly affects descendants of veterans with toxic exposure histories, focusing on evidence-based research rather than immediate healthcare benefits.
Automotive Support Services to Improve Safe Transportation Act of 2025 or the ASSIST Act of 2025 This bill expands the definition of medical services for purposes of veterans’ benefits to include additional medically necessary automobile adaptations. Under the bill, the Department of Veterans Affairs may provide funding for the following medically necessary automobile adaptations for driver or passenger use: ramp and kneeling systems, lowered floors, occupied and unoccupied mobility lifts, ingress or egress accessibility modifications, and adapted seating. The bill also extends the limitation on pension amounts for certain hospitalized or institutionalized veterans through September 30, 2032.
Maddy summaryThe Love Lives On Act of 2025 modifies veterans' and military survivors' benefit rules to prevent remarriage from automatically ending eligibility. It directly affects surviving spouses of veterans or military members who remarried, ensuring they retain access to key benefits. Key provisions include: (1) preventing termination of veterans' dependency compensation (under 38 U.S.C. §1311/1562) due to remarriage; (2) stopping termination of military Survivor Benefit Plan annuities solely for remarriage, with specific rules for those who remarried before age 55; and (3) expanding TRICARE coverage to include remarried widows/widowers whose subsequent marriage ended (via death, divorce, or annulment). These changes restore or maintain benefits that were previously lost upon remarriage.