Sen. Thom Tillis

Care for Military Kids Act This bill requires a state Medicaid program to consider active-duty members of the Armed Forces and their dependents who are receiving home- and community-based services to be residents of that state even if they are relocated to another state because of their military service, unless the member chooses not to be considered as such. The requirement applies beginning in 2028. The bill provides funds through FY2030 for the Centers for Medicare & Medicaid Services to implement the bill.

Maddy summaryThis bill redefines "private duty nursing services" under Medicaid as "continuous skilled nursing services" requiring licensed nurses (RNs or LPNs) for complex-care patients needing multiple hours of daily nursing. It directly affects Medicaid beneficiaries, particularly "full-benefit dual eligible individuals" (those qualifying for both Medicare and full Medicaid benefits), who rely on these services. Key mechanisms include mandating licensed providers, establishing a working group to develop national quality standards within 180 days, and updating Medicaid program guidelines to include these services by 18 months. The bill also requires states to incorporate these standards into their Medicaid programs and quality measure sets.

Maddy summaryThe Crime Victims Fund Stabilization Act of 2025 amends the law governing deposits into the Crime Victims Fund, adding two new sources: funds from declined criminal prosecutions (without conviction) and certain False Claims Act recoveries (from 2025 through 2030). It specifically excludes two types of False Claims Act funds from these deposits: payments to whistleblowers (qui tam plaintiffs) and reimbursements for government fraud damages. This bill directly affects the Crime Victims Fund, which provides support to victims of crime, and adjusts how federal agencies handle False Claims Act cases. The changes aim to modify the fund's funding sources without altering the False Claims Act itself.

Maddy summaryS 1878, the ATTAIN Mental Health Act, requires the U.S. Department of Health and Human Services to create a public online dashboard within two years of enactment. This dashboard will list all federal mental health and substance use disorder grant programs, including current application status (open/closed/awarded) and deadlines, and allow users to search by location or topic. It will integrate state-level grant information where available and link directly to application pages, making it easier for schools, clinics, tribal organizations, nonprofits, and other potential applicants to find funding opportunities. The dashboard must comply with accessibility standards and be updated continuously to reflect current grant opportunities.

Maddy summaryThis bill creates a new tax credit for businesses that sell products containing U.S.-grown cotton. Manufacturers can claim a credit equal to 18-24% of the value of certified U.S. cotton used in products sold to consumers, depending on whether the cotton was processed only in the U.S. or in countries with U.S. trade agreements. The credit requires digital tracing of cotton from U.S. origin through the supply chain to the final product, with higher rates (24%) for cotton processed entirely in the U.S. or in designated trade agreement countries. It directly affects textile manufacturers and retailers selling cotton-based products like clothing or fabric, reducing their tax liability when using domestically sourced cotton. The credit applies to the first sale to an unrelated consumer and takes effect January 20, 2025.

Maddy summaryThis bill requires the Securities and Exchange Commission (SEC) to establish rules allowing financial firms (like investment companies, brokers, and advisers) to deliver regulatory documents electronically to investors. Covered entities must provide initial paper copies to investors not using electronic delivery, offer a 180-day transition period, and send annual paper reminders for two years about the option to opt out of electronic delivery. Investors can always choose paper versions, and firms must ensure electronic documents are secure, readable, and reliably delivered. The SEC must finalize these rules within one year of the bill's enactment, with firms permitted to use electronic delivery immediately if the SEC misses the deadline. This changes how investors receive financial disclosures but does not alter the content or timing of required documents.

Maddy summaryS 1843, the Second Chance Reauthorization Act of 2025, extends funding for existing federal reentry programs through 2030 instead of 2023. It updates timeframes across multiple programs, including state reentry demonstration projects (adding substance use disorder treatment and housing services), family-based substance abuse grants, prison education evaluations, career training for incarcerated individuals, and community mentoring programs. These programs directly support people returning from incarceration by providing critical services like recovery support, job training, and transitional housing. The bill makes no new policy changes but continues current federal funding mechanisms for reentry assistance.

Maddy summaryThe Healthcare Cybersecurity Act of 2025 requires the Cybersecurity and Infrastructure Security Agency (CISA) and the Department of Health and Human Services (HHS) to improve coordination on cybersecurity for healthcare facilities and systems. It mandates a new agency liaison to the HHS, updates a sector-specific risk management plan within one year (focusing on rural and small providers), and establishes a process to identify "high-risk" healthcare assets for prioritized support. The bill also requires CISA to provide cybersecurity training for healthcare owners/operators and report on support efforts to Congress. This directly affects hospitals, clinics, and health systems - especially smaller or rural facilities - by creating new coordination mechanisms and risk assessment requirements to address rising cyber threats.

Maddy summarySRES 238 is a non-binding Senate resolution congratulating charter school students, parents, teachers, and leaders for their contributions to education during the 26th Annual National Charter Schools Week (May 11-17, 2025). It formally recognizes charter schools as public schools that provide diverse educational options, citing their role in improving student achievement and closing achievement gaps, particularly for disadvantaged students. The resolution has no policy impact - it solely expresses support through symbolic recognition and encourages public observance during the designated week. It directly affects the charter school community nationwide, as acknowledged in the resolution’s text.

Maddy summaryThis bill imposes a new tax on entities receiving funding for civil lawsuits through litigation financing agreements. It requires a 3.8% surcharge (added to regular income tax rates) on profits from such funding, applied at the entity level for businesses like partnerships. The tax applies to third parties (e.g., corporations, individuals) who receive funds for lawsuits but excludes small agreements under $10,000 and standard loans with interest capped at 7% or 2x Treasury rates. The tax takes effect for 2026 taxable years, with 50% of the tax withheld directly from settlement payments.