Maddy summaryThe Expanding Access to Palliative Care Act (S 1935) creates a new 5-year Medicare model to provide community-based palliative care for beneficiaries with serious illnesses like cancer, heart disease, dementia, or kidney disease. It directly affects Medicare beneficiaries who need symptom management and care coordination, including those who previously used hospice care (who cannot be excluded). The bill requires 24/7 access via telehealth or in-person care, a team-based approach with certified palliative specialists, and aims to reduce unnecessary emergency visits and hospitalizations. Key provisions include eliminating hospice history barriers, requiring care coordination across settings (including homes and hospitals), and measuring outcomes like emergency department use and patient experience.
Sponsored bills
Maddy summaryThis resolution (SRES 255) is a ceremonial Senate measure honoring former U.S. Senator Christopher "Kit" Bond of Missouri, who died on May 13, 2025. It recognizes his 40+ years of public service, including his roles as Missouri Governor (1973-1977, 1981-1985) and U.S. Senator (1987-2011). The resolution directs the Senate to adjourn briefly as a mark of respect and transmit a copy to his family. It has no policy impact or direct effect on constituents, as it is purely commemorative.
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 summarySRES 241 is a symbolic Senate resolution supporting the designation of May 2025 as "National Beef Month" to highlight beef's economic and nutritional significance. It cites that cattle production generates $88.4 billion in annual agricultural receipts, notes the U.S. produces 19% of global beef, and emphasizes beef's nutritional value (e.g., high-quality protein, iron, vitamins B6/B12). The resolution does not create new laws or regulations but formally recognizes the industry's role in agriculture and consumer health. It directly affects no specific groups, serving only as a ceremonial acknowledgment.
Maddy summaryThis bill expands a pilot program allowing the Department of Veterans Affairs (VA) to accept donated facilities and related improvements. It specifically adds "minor construction or nonrecurring maintenance projects" to the types of donations the VA can accept, broadening the scope beyond just property. The program, originally set to expire in 2026, is extended through December 2031. This change directly affects the VA and potential donors (like community organizations) seeking to support veterans' facilities through donations of property or small-scale projects.
Maddy summaryThis bill requires Medicare Advantage plans to implement electronic prior authorization systems by 2028 and report detailed transparency data starting in 2027. Plans must publicly disclose approval/denial rates, average processing times (including for appeals), technology use, and other metrics for covered medical services. It mandates 24-hour response standards for expedited requests and routinely approved services, with data collection to analyze access patterns and potential disparities in rural/low-income communities. These changes directly affect Medicare Advantage plans, providers, and seniors enrolled in these plans by standardizing and increasing visibility into prior authorization processes.
Maddy summaryThis bill expands benefits for public safety officers (like police and firefighters) who develop certain cancers linked to their work. It creates a presumption that specific cancers - such as lung, bladder, or mesothelioma - were caused by job-related exposure to carcinogens, if the officer served at least 5 years, was diagnosed within 15 years of leaving active duty, and the cancer caused death or permanent disability. The list of covered cancers will be updated every 3 years based on medical evidence from agencies like the National Institute for Occupational Safety and Health. Claims must be filed within 3 years of the bill’s enactment, applying to cases involving deaths or disabilities occurring after January 1, 2020.
Maddy summaryThis resolution designates May 29, 2025, as "Mental Health Awareness in Agriculture Day" to raise public awareness about mental health challenges in farming and ranching. It directly affects farmers and farmworkers, who face significantly higher suicide rates (3.5x the general population for farmers, 1.4x for farmworkers) and unique stressors like weather, labor shortages, and market fluctuations. The resolution highlights existing USDA resources like the Farm and Ranch Stress Assistance Network and encourages the public to observe the day to reduce stigma and promote mental well-being in the agricultural workforce. As a ceremonial resolution, it does not create new programs but aims to foster awareness during National Mental Health Awareness Month.
Maddy summaryThe COUNTER Act (S 1793) amends U.S. military law to clarify and expand authorities for responding to drone threats. It allows the Secretary of Defense to delegate drone mitigation actions to combatant commanders and exempts related technology and protocols from public disclosure under federal and state laws. The bill specifies that certain federal laws (like those covering cybercrime and aviation) do not apply to military drone mitigation efforts conducted outside the United States. It also updates reporting deadlines and adds new definitions for military commands involved in drone threat response, with key provisions extending until 2030. This bill directly affects Department of Defense and Coast Guard operations related to unmanned aircraft system threats.
Maddy summaryThis bill (S 1779, the LOCOMOTIVES Act) amends the Clean Air Act to prevent states from setting their own emissions standards for locomotives and engines used in locomotives. It specifically removes exemptions for smaller nonroad engines and clarifies that all locomotives engaged in commercial railroad transportation (as defined by federal law) fall under federal emissions regulations, not state rules. The key provision eliminates state authority over emissions standards for locomotives used in commerce, making federal EPA regulations the exclusive standard. This directly affects railroad companies operating locomotives and the Environmental Protection Agency, which would enforce the uniform federal standards.