Sen. Thom Tillis

Maddy summaryS 1164, the "Increasing Access to Dental Insurance Act," removes a barrier preventing people from purchasing standalone dental insurance through health insurance marketplaces. The bill amends the Affordable Care Act to prohibit the Secretary from blocking enrollment in dental plans offered via exchanges simply because a person isn't also enrolled in a separate health insurance plan. This change directly affects individuals seeking dental coverage who may not have comprehensive health insurance. The key mechanism is eliminating a prior restriction that required dental plan enrollment to be tied to a health insurance plan.

Maddy summarySRES 141 is a symbolic Senate resolution recognizing March 25, 2025, as the 204th anniversary of Greece's independence. It celebrates the historical and ongoing democratic partnership between Greece and the United States through historical references and current bilateral ties, including NATO membership and energy cooperation. The resolution does not create new laws, policies, or obligations; it solely expresses the Senate's formal recognition of Greece's independence day and reaffirms shared democratic values. It directly affects no individuals or groups, serving only as a ceremonial gesture to honor the U.S.-Greece relationship.

Maddy summaryThis bill creates a new tax deduction for individual performing artists (such as actors, musicians, and dancers) to deduct work-related expenses directly from their taxable income. It includes a phaseout that reduces the deduction by 10% for every $2,000 earned above $100,000 annually (or $200,000 for joint filers). The bill also raises the threshold for small employer tax breaks from $200 to $500 per year and clarifies that commissions paid to an artist’s manager or agent count as deductible expenses. These changes apply to tax years beginning after December 31, 2024.

Maddy summaryThis bill prohibits the Federal Reserve System from developing, testing, or issuing any central bank digital currency (CBDC) or similar digital assets. It bans the Federal Reserve from offering direct products/services to individuals, maintaining personal accounts, or issuing CBDCs either directly or through financial intermediaries. The bill also explicitly prevents the Federal Reserve Board and Federal Open Market Committee from using digital assets for monetary policy. It includes an exception for physical U.S. currency, preserving its privacy protections, and states Congress believes the Fed lacks authority to issue CBDCs without constitutional amendment.

Financial Integrity and Regulation Management Act or the FIRM Act This bill prohibits the consideration of reputational risk by federal banking agencies when regulating, examining, or supervising a depository institution or credit union. The bill defines reputational risk as the potential for negative publicity or public attention to decrease confidence in the institution, lead to litigation, reduce revenues, or result in other adverse impacts to the institution.  Agencies must report on the implementation of this bill.

Rebuild America’s Health Care Schools Act of 2025 This bill allows hospitals to receive reimbursement under Medicare for certain costs associated with training nursing and allied health students in settings other than the hospital itself.  Currently, hospitals may receive reimbursement under Medicare for the reasonable costs associated with training nursing and allied health students if certain conditions are met; the criteria vary depending on whether the students are enrolled in an educational program that is operated by the hospital or another entity. If the students are part of a program that is operated by another entity, the training must occur at the hospital itself or in areas immediately surrounding the hospital in order to qualify for reimbursement (among other requirements). The bill allows hospitals to receive reimbursement for these costs if the training is conducted at an entity that is related to the hospital (i.e., common ownership or control). The bill requires the Centers for Medicare & Medicaid Services (CMS) to update regulations to reflect these changes. Additionally, the CMS may not recoup or reduce payments to hospitals with respect to costs that are allowed under the bill and must refund any such recoupments or reductions that occurred during the six-year period prior to the bill's enactment.

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.

Maddy summaryS 1043 extends the federal tax credit for qualified fuel cell property by changing the expiration date in the tax code from January 1, 2025, to January 1, 2033. This extension directly affects businesses and individuals investing in eligible fuel cell technology by allowing them to claim the credit for projects starting after December 31, 2024. The bill modifies Section 48(c)(1)(E) of the Internal Revenue Code to maintain this incentive for a longer period. It does not create new requirements but prolongs an existing tax benefit for clean energy investments.

Maddy summaryThe One Agency Act (S 1059) would transfer primary responsibility for enforcing U.S. antitrust laws from the Federal Trade Commission (FTC) to the Department of Justice (DOJ). It would transfer all FTC antitrust actions, employees, assets, and funding to the DOJ during a transition period of up to 18 months, during which the FTC could no longer initiate new antitrust investigations or enforcement actions. The bill would also make technical amendments to various laws to replace references to the FTC with references to the DOJ in antitrust contexts. This consolidation aims to eliminate overlapping enforcement jurisdiction between the two agencies and improve efficiency in antitrust enforcement.

Maddy summaryThe FOCA Act (S 1064) requires federal agencies to ensure open competition on construction projects by prohibiting them from mandating or banning contractors from entering into labor agreements (like union contracts) or discriminating against contractors based on such agreements. It directly affects federal contractors, subcontractors, and agencies awarding construction contracts or grants for projects involving federal funds. Key provisions ban specific bid specifications or project documents from requiring labor affiliations, apply to all contracts after enactment, and mandate updates to federal procurement rules within 60 days. The bill aims to reduce taxpayer costs, expand opportunities for small businesses, and maintain federal neutrality in labor relations for construction projects.