Sen. Thom Tillis

Maddy summaryS 626, the Comprehensive Care for Alzheimer’s Act, establishes a new Medicare model to provide coordinated care management for beneficiaries with Alzheimer’s disease or related dementia. It directly affects Medicare Part A/B enrollees (not in Part C or hospice) and their unpaid caregivers by requiring eligible entities like health systems or ACOs to deliver comprehensive services including continuous monitoring, personalized care plans, medication management, and caregiver support. Key provisions include assigning patients to care pathways based on health needs, requiring zero cost-sharing for beneficiaries, and paying providers via capitated payments with quality-based bonuses. The model aims to test whether this approach improves health outcomes, caregiver experience, and reduces Medicare spending without lowering care quality.

Maddy summaryThe Title X Abortion Provider Prohibition Act would bar federal funding under the Title X program (which supports family planning services like contraception and STD testing) from going to any health care provider that performs or funds abortions, except in cases of rape, incest, or when a physician certifies an abortion is necessary to prevent death or serious health harm. It requires clinics receiving Title X funds to certify they do not perform or fund abortions (with these exceptions), while hospitals are exempt from this certification if they do not fund non-hospital abortion providers. The bill also mandates annual reports to Congress detailing funded clinics, the number of abortions performed under exceptions, and any funds transferred to other entities. This policy would directly affect Title X-funded clinics that provide abortion services or fund such services, potentially limiting their access to federal funding.

Maddy summaryThis bill amends the tax code to allow employers to claim a work opportunity tax credit for hiring spouses of active-duty military members. It adds "qualified military spouse" as a new category for the credit, defined as an individual certified by a local agency as married to a military service member at the time of hire. Employers who hire such individuals after the bill's enactment date can claim this credit for their wages. The change directly affects employers seeking tax incentives and military spouses seeking employment opportunities. The provision applies to hiring that occurs after the bill becomes law.

Maddy summaryThis bill prohibits federally funded schools and athletic programs from allowing individuals assigned male at birth to participate in women's or girls' sports teams. It defines "sex" for this purpose solely based on biological sex assigned at birth, including reproductive anatomy and genetics. The law amends Title IX of the Education Amendments of 1972 to make such participation a violation of federal civil rights law. It directly affects all schools, colleges, and organizations receiving federal funds that operate athletic programs for women or girls.

Maddy summaryS 614, the *Protecting Americans from Fentanyl Trafficking Act of 2023*, adds "fentanyl-related substances" to Schedule I of the Controlled Substances Act. This directly affects individuals, businesses, and researchers handling new fentanyl variants not yet approved for medical use. The bill defines these substances broadly to include any structurally modified versions of fentanyl (e.g., changes to its chemical groups or rings), making them illegal without authorization. This expands the legal definition to target emerging synthetic fentanyl analogs created to evade current drug laws.

Maddy summaryThis bill (S 588) requires the U.S. President to impose sanctions on specific Chinese officials and block U.S. funding for joint research with China if China fails to allow a transparent international investigation into the origins of COVID-19 at Wuhan laboratories within 90 days of the bill’s enactment. It targets officials involved in concealing the outbreak or obstructing the investigation, including leaders of China’s Chinese Academy of Sciences (CAS) and agencies like the Ministry of Health. Key provisions include blocking assets of sanctioned individuals, denying visas to them, and banning U.S. federal-funded researchers from collaborating with China on certain virus-related research. The bill aims to compel China to grant unrestricted access to labs, data, and personnel for an independent origin investigation.

Maddy summaryThis bill changes how often federal credit unions must hold board meetings based on their performance ratings. For all federal credit unions, boards must meet at least monthly for the first 5 years after their charter is approved. After that, credit unions rated 1 or 2 (highest performance) must meet at least 6 times yearly (with one per quarter), while those rated 3-5 must meet monthly. The bill directly affects all federal credit unions by adjusting their board meeting requirements according to their Uniform Financial Institutions Rating System score. These changes aim to align meeting frequency with credit union performance and oversight needs.

Maddy summaryThis bill directs the Federal Trade Commission (FTC) to study and report on practices in the pharmaceutical supply chain, focusing on pharmacy benefit managers (PBMs) and their impact on drug pricing. The FTC must submit an interim report within 180 days and a full report within one year, examining issues like whether PBMs steer patients to pharmacies they own, use proprietary data for competitive advantage, or design formularies to favor higher-cost drugs. The reports will also assess competition in the supply chain, legal barriers to enforcement, and the FTC’s ability to address anticompetitive behavior by drug manufacturers. The goal is to identify transparency gaps and recommend policy changes to improve competition and ensure consumers benefit from cost savings.

Maddy summaryThis bill establishes a formal coordination framework between federal agencies to streamline patent applications and reduce duplication of efforts. It requires agencies to share information about their patent activities and creates a centralized system for tracking and managing intellectual property across the government. The legislation applies to all federal departments and agencies that file patents, aiming to improve efficiency and consistency in how the government protects its innovations.

Maddy summaryThis bill authorizes Congress to award a single gold medal to the First Rhode Island Regiment collectively, recognizing their service during the Revolutionary War. The medal, designed by the Treasury Secretary, will be permanently displayed at the Rhode Island State Library, with Congress encouraging its use for research and potential display at other historically significant locations. Bronze duplicates may be sold to cover production costs, and all medals are classified as national medals under U.S. law. The bill directly honors the regiment, which in 1778 became one of the first integrated units in American history by recruiting over 200 Black and Indigenous soldiers.