Sen. Jeanne Shaheen

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 summaryThe AFTER Act of 2023 requires U.S. federal research facilities to develop adoption programs for animals no longer needed for research and deemed suitable for retirement (excluding rats and mice). It mandates these facilities to create regulations within 90 days of enactment, prioritizing placement with animal rescue organizations, sanctuaries, or shelters that meet specific non-commercial, non-breeding standards. The bill explicitly preserves stricter state animal welfare laws and ensures chimpanzees used in federal research can still access existing sanctuary programs. This directly affects federally funded research institutions and the animals they have used in studies, shifting policy toward adoption over euthanasia or indefinite holding.

Maddy summaryS 723, the Access to Prescription Digital Therapeutics Act of 2023, requires Medicare and Medicaid to cover "prescription digital therapeutics" (PDTs) starting in 2024. PDTs are defined as FDA-cleared software-based treatments for medical conditions, such as apps for diabetes management or mental health therapy. The bill establishes new payment rules for these digital treatments, including setting payment rates based on actual market pricing and requiring manufacturers to report private payor pricing and usage data annually. This directly affects Medicare/Medicaid beneficiaries seeking digital health tools and manufacturers of PDTs, who must comply with reporting requirements and face penalties for noncompliance. The law aims to integrate evidence-based digital health solutions into mainstream coverage under federal health programs.

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 summaryThis bill eliminates waiting periods for disability benefits and Medicare coverage for people diagnosed with metastatic breast cancer. It amends two sections of the Social Security Act to add "metastatic breast cancer" to the list of conditions (alongside ALS) that qualify for immediate access to disability insurance benefits and Medicare coverage, bypassing the standard 24-month waiting period. Specifically, it modifies eligibility under Section 223(a) for disability benefits and Section 226(h) for Medicare coverage. The changes apply to applications or benefits filed/beginning after the bill's enactment date.

Maddy summarySRES 91 is a non-binding Senate resolution expressing support for negotiating a tax treaty between the United States and Taiwan. It recognizes Taiwan as the U.S.'s eighth-largest trading partner (supporting over 188,000 American jobs) and notes the U.S. lacks an income tax treaty with Taiwan despite having agreements with 66 other countries. The resolution encourages the President to begin negotiations and work with Congress on a formal agreement, while also promoting broader U.S.-Taiwan trade and investment ties. This resolution directly affects U.S. economic relations with Taiwan but does not create new law or policy.

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 summaryS 622, the Helping Heroes Act of 2023, creates a new Family Support Program to provide services for children of disabled veterans. It directly affects veterans with service-connected disabilities rated at 70% or higher and their children under 18. The bill requires the VA to place full-time Family Coordinators at each medical center to assess family needs, connect them to services like mental health support, educational assistance, and after-school programs, and coordinate with non-VA providers. The program mandates annual reporting on participants and outcomes, including demographic data and service effectiveness, and requires VA to include family support resources in military transition programs.

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.