Sen. Thom Tillis

Maddy summaryThis bill requires Medicare Advantage plans (private insurance plans that cover Medicare benefits) to implement electronic systems for prior authorization requests by 2027, replacing outdated methods like fax. Starting in 2026, these plans must publicly report detailed data on prior authorization decisions - including approval/denial rates, appeal outcomes, and processing times - to the government. The government will publish this data online so seniors and providers can see how plans handle requests. These changes aim to reduce delays in care for seniors by making the process more transparent and timely.

Ensuring Nationwide Access to a Better Life Experience Act or the ENABLE Act This bill makes permanent three tax provisions relating to ABLE (Achieving a Better Life Experience) Accounts established to assist disabled individuals, specifically provisions allowing increased contributions to such accounts, the allowance of a retirement savings contribution tax credit up to $1,000, and allowing a tax-free rollover from a qualified tuition (529 plan) to an ABLE account.

Maddy summarySenate Joint Resolution 96 seeks to block a Department of Education rule that prohibits sex-based discrimination in federally funded schools (e.g., colleges, K-12 programs receiving federal aid). If approved, it would invalidate the rule published April 29, 2024 (89 Fed. Reg. 33474), preventing it from taking effect under a congressional disapproval process. This would maintain existing nondiscrimination standards for education programs instead of implementing the new rule. The resolution directly affects all schools and programs receiving federal education funding.

Maddy summaryThis bill (S 4521) changes how the Consumer Financial Protection Bureau (CFPB) is funded by requiring it to seek annual appropriations through Congress, rather than receiving automatic funding from the Federal Reserve's budget. It also modifies civil penalty handling: if the CFPB collects fines and pays victims, any leftover funds must be transferred to the U.S. Treasury's general fund. These changes directly affect the CFPB's budget process and financial management, shifting oversight to Congress. The provisions take effect October 1, 2025.

Maddy summaryThis Senate concurrent resolution (SCONRES 18) calls for the immediate release of Marc Fogel, a 62-year-old U.S. citizen and former teacher detained in Russia since 2021. It demands Russia release Fogel, who was sentenced to 14 years for carrying medical marijuana (legal in his home state of Pennsylvania) in his luggage, calling the sentence "unjust and disproportionate" compared to typical Russian penalties for similar nonviolent offenses. The resolution urges the U.S. government to press Russia for his release and condemns the detention of U.S. citizens for political reasons, also referencing other detained Americans like Paul Whelan. It focuses on humanitarian concerns, noting Fogel’s declining health and the State Department’s unheeded request for his release.

Maddy summaryS 3237 amends the Camp Lejeune Justice Act to require individuals filing lawsuits over water contamination at Camp Lejeune to acknowledge free legal guidance options from veterans services, Congress, and the Navy. Attorneys must disclose their fee structure (whether based on case outcome or paid upfront) and file written confirmations with the Navy. Law firms receiving veteran data from advertising agencies must reduce attorney fees by the data cost amount. These requirements apply to all pending and new cases under the Act, affecting veterans and families seeking compensation for health issues linked to Camp Lejeune's contaminated water.

Maddy summaryThis joint resolution (SJRES 92) seeks to block an Environmental Protection Agency (EPA) rule that established new greenhouse gas emission standards for fossil fuel power plants and repealed an earlier rule. It targets the EPA's specific rule (published May 9, 2024), which set performance standards for new/modified plants, emission guidelines for existing plants, and removed the Affordable Clean Energy Rule. The resolution uses a procedural mechanism under the Congressional Review Act to disapprove the rule, meaning it would prevent the EPA rule from taking effect. If passed, the rule would have no legal force, directly affecting how power plants regulate emissions under federal law.

Maddy summaryThis joint resolution (SJRES 93) seeks to block a specific rule proposed by the Department of Commerce. It targets the rule titled "Revision of Firearms License Requirements" (published April 30, 2024, in the Federal Register), which would have changed requirements for firearms licenses. If passed, the resolution would prevent this rule from taking effect by invoking a congressional disapproval process under Title 5, U.S. Code. The resolution directly affects the implementation of the Commerce Department's proposed firearms licensing changes, not the licensing requirements themselves.

Maddy summaryThis bill (SJRES 94) seeks to block a proposed rule from the Department of Health and Human Services that would have changed regulations for the Unaccompanied Children Program. The rule, published in the Federal Register on April 30, 2024, aimed to update how unaccompanied alien children are placed, cared for, and provided services. If approved, this resolution would prevent the rule from taking effect, keeping existing regulations in place. It directly affects the federal program that handles minors entering the U.S. without parents or guardians. The bill does not change the program's operations but stops the proposed regulatory changes.

Maddy summaryS 4447, the "Allowing Greater Access to Safe and Effective Contraception Act," would require the FDA to prioritize review of applications for oral contraceptives intended for routine use (excluding emergency contraception or abortion-related drugs), potentially enabling over-the-counter access for adults 18 and older. It includes a fee waiver for these applications and maintains prescription requirements for individuals under 18. The bill also mandates a GAO study on federal funding for contraception across programs like Medicaid, Medicare, and Title X over the past 15 years. These provisions aim to streamline approval for accessible birth control while clarifying funding patterns.