Sen. Thom Tillis

Maddy summaryThe Stop Forced Organ Harvesting Act of 2023 requires the U.S. government to address forced organ harvesting by mandating annual reports on the issue in foreign countries and allowing passport denial or revocation for individuals convicted of organ trafficking. It directs the President to impose sanctions - including asset blocking and visa bans - on individuals or entities involved in forced organ harvesting, with exceptions for humanitarian aid. The bill defines "forced organ harvesting" as organ removal by coercion, deception, or abuse of power, and "trafficking" as recruiting or transporting people for organ removal through similar means. These provisions aim to hold accountable those exploiting vulnerable individuals for organ removal.

Maddy summaryThis bill amends U.S. immigration law to add specific criminal offenses as grounds for denying entry or deporting foreign nationals. It expands inadmissibility (under Section 212(a)(2)(F)) and deportation (under Section 237(a)(2)(D)(i)) to include convictions for kidnapping (Title 18, Chapter 55) or sexual abuse (Title 18, Chapter 109A). These changes directly affect immigrants or non-citizens convicted of these specific federal crimes. The policy change requires immigration authorities to bar entry or remove individuals with such convictions, without altering other immigration pathways or creating new penalties.

Maddy summaryThis bill authorizes the U.S. Mint to produce commemorative coins honoring working dogs, including $5 gold, $1 silver, and half-dollar coins, to be sold starting January 1, 2025. A surcharge of $35 per gold coin, $10 per silver coin, and $5 per half-dollar coin will be added to the sale price, with all surcharge funds directed to America’s VetDogs to support its service dog programs for veterans and people with disabilities. The coins are legal tender but will only be issued for one year (2025), with production limited to specified quantities (50,000 gold, 500,000 silver, 750,000 half-dollars). The bill does not create new government programs but uses commemorative coin sales to fund existing service dog initiatives.

Maddy summaryS 716, the "Solving the Border Crisis Act," directs the immediate resumption of border wall construction along the U.S.-Mexico border, requiring completion by September 30, 2024, using existing funds. It mandates minimum staffing levels for border operations, including 10,000 full-time employees in enforcement, 25,000 Border Patrol agents, and 25,000 CBP officers. The bill also requires mandatory detention funding through DHS fees, terminates pandemic-related border entry suspensions after a 120-day window, and modifies asylum processing to prioritize returning aliens to Mexico or detaining them for credible fear assessments. These provisions directly affect border security operations, immigration enforcement, and the processing of individuals arriving at the southern border.

Maddy summaryThis bill authorizes the U.S. Mint to produce and sell commemorative coins honoring the 1865 Sultana steamboat disaster, the worst maritime tragedy in U.S. history. It specifies three coin types ($5 gold, $1 silver, and half-dollar) with surcharges ($35, $10, and $5 per coin, respectively) that will fund the Sultana Historical Preservation Society. The funds must be used to build, operate, and maintain a museum in Marion, Arkansas, to preserve the disaster’s history through exhibits, artifacts, and educational programs. The coins, sold only in 2023, are legal tender but will not circulate; the surcharge revenue directly supports the museum’s development and operations.

Maddy summaryThe RESTRICT Act (S 686) gives the Secretary of Commerce authority to identify and address information and communications technology (ICTS) products or services that pose undue national security risks, particularly those involving foreign adversaries like China, Russia, Iran, and others. It targets transactions or holdings by entities from designated foreign adversary countries or their controlled entities, with special focus on technology used by over 1 million U.S. users, including telecommunications, data services, and critical infrastructure systems. The Secretary can refer "covered holdings" to the President, who may then compel divestment or other mitigation measures to protect U.S. critical infrastructure, election security, and sensitive data. The bill establishes specific review procedures while limiting judicial review of these national security decisions.

Maddy summaryThis bill reauthorizes the Conrad State 30 program, which allows U.S. states to request waivers enabling foreign medical graduates (J-1 visa holders) to work in medically underserved areas without having to return to their home countries. It extends the program's expiration date, creates new mechanisms for physicians to maintain legal status after completing service requirements, and adds protections against non-compete clauses in employment contracts. The bill modifies requirements for foreign medical graduates to work in underserved areas, including clarifying the 3-year service requirement and establishing a process for states to recapture waiver slots when physicians move between states. It also requires annual reporting on program usage by state and includes provisions for academic medical centers to request waivers without geographic constraints. The bill directly affects foreign-trained physicians, U.S. states, and health care facilities in underserved areas.

Maddy summarySRES 57 is a Senate resolution honoring David Ferdinand Durenberger, a former U.S. Senator from Minnesota (served 1978-1989). It commemorates his life and career, highlighting his role as the lead Republican sponsor of the Americans with Disabilities Act and his work protecting Minnesota's natural resources like the Boundary Waters Canoe Area Wilderness. The resolution directs the Senate to formally recognize his passing and transmit a copy to his family. This is a ceremonial resolution with no policy changes or direct impact on constituents.

Maddy summaryThis bill authorizes the presentation of a Congressional Gold Medal to honor Navy pilot Everett Alvarez, Jr., for his service as a Vietnam War POW and subsequent public service. It directs the Speaker of the House and Senate President pro tempore to arrange for the medal's presentation, specifying it must bear his name and image. Bronze duplicates may be sold to cover production costs, with proceeds deposited into the U.S. Mint fund. The bill is purely ceremonial, recognizing Alvarez's 8+ years as a prisoner of war and his post-military career. It does not create new policies or affect any government programs.

Maddy summaryThe Safe Step Act requires health insurance plans and employer-sponsored health coverage to create a transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically mandate trying a lower-cost drug first before covering a more expensive alternative. Exceptions must be approved if previous treatments failed, delaying coverage would cause severe harm, the required drug is unsafe, or the patient is stable on the requested drug. Health plans must respond to requests within 72 hours (or 24 hours in emergencies) and make the process details available online.