Sen. Ben Ray Luján

Protecting Air Ambulance Services for Americans Act of 2025 This bill authorizes payment changes under Medicare for air ambulance services based on certain collected data and requires additional reporting from providers of these services. Current law requires providers of air ambulance services to report certain information regarding general costs and utilization to the Department of Health and Human Services; private health insurers are also required to report information relating to coverage of these services. The bill authorizes the Centers for Medicare & Medicaid Services to revise payment rates under Medicare for air ambulance services based on this data, and it requires providers of air ambulance services to specifically report information relating to costs and utilization under Medicare. The bill also requires the Government Accountability Office to report on the data that is collected under current law requirements and to recommend changes to Medicare payment rates accordingly.

Maddy summaryThe John R. Lewis Voting Rights Advancement Act of 2025 strengthens voting rights protections by requiring preclearance for certain voting changes in jurisdictions with a history of discrimination. It establishes new preclearance requirements for changes to election methods, district boundaries, voter ID rules, and polling locations. The bill updates standards for determining when voting practices deny or abridge rights, particularly for racial, ethnic, and language minority groups. It also requires transparency about voting changes through public notices and strengthens enforcement mechanisms for voting rights violations. The bill directly affects states and localities with documented histories of voting discrimination, aiming to protect minority voters' rights.

Maddy summaryThe Restoring Essential Healthcare Act repeals a provision that blocked Medicaid payments to certain healthcare providers. Specifically, it removes a restriction from Public Law 119-21 that prevented Medicaid from paying "prohibited entities" for services provided between the law's enactment and this bill's effective date. Payments for those services will now be made retroactively, as if the restriction had never existed. This directly affects Medicaid programs and the healthcare providers previously excluded from receiving these payments.

Maddy summaryThis bill (S 2483) restricts the termination of members of the Advisory Committee on Immunization Practices (ACIP), requiring the Health Secretary to only remove members for serious reasons (like inefficiency, neglect, or misconduct) after providing notice and a hearing. It mandates that any termination must be justified in writing within one day and submitted to relevant congressional committees. The bill also requires immediate reinstatement of ACIP members as of June 8, 2025, and directs the Secretary to fill future vacancies using recommendations from the Comptroller General. This applies specifically to ACIP members and the Health Secretary’s appointment process.

Maddy summaryBill S 2468 updates a provision in the Immigration and Nationality Act that allows certain long-term residents to apply for a form of legal status (registry). Currently, this provision only applies to people who entered the U.S. before July 1, 1924, or January 1, 1972. The bill changes the requirement to mandate that applicants entered the U.S. at least seven years before submitting their application. This adjustment would expand eligibility to include more individuals who have lived in the U.S. continuously for seven years or longer. The changes take effect 60 days after the bill is enacted.

Maddy summaryThe Adjunct Faculty Loan Fairness Act of 2025 expands federal student loan forgiveness eligibility to include more adjunct faculty members. It amends the Higher Education Act to allow loan forgiveness for adjunct, contingent, or part-time faculty who teach at least 9 credit hours per semester (or equivalent weekly hours) at colleges, vocational schools, or Tribal Colleges, provided they are not full-time employees elsewhere. The bill directly affects non-tenured faculty in temporary teaching roles who meet these specific teaching hour requirements. This change modifies existing loan forgiveness criteria to explicitly include these faculty members under the Higher Education Act.

Maddy summaryThe Pay Teachers Act requires states to ensure public school teachers earn a minimum starting salary of $60,000 that increases with experience, and paraprofessionals and education support staff earn at least $45,000 annually or $30 per hour. The bill provides mandatory federal funding to support these salary increases and requires states to develop implementation plans within 4 years (with possible extensions for states facing financial challenges). It also establishes career ladder programs that allow teachers to earn additional compensation for taking on leadership roles and responsibilities. This legislation directly affects all public school teachers, paraprofessionals, and education support staff nationwide, as well as state and local education agencies responsible for implementing the changes.

Maddy summaryThis bill establishes minimum salary ($45,000 annually for full-time) and wage ($30/hour for part-time) standards for paraprofessionals and education support staff in public schools. It authorizes $25 billion in federal funding for fiscal year 2026 with annual increases tied to inflation or 2%, to help states meet these requirements. States must submit implementation plans to ensure full-time staff meet the minimum salary and part-time staff meet the minimum wage within four years, with 98% of funds going directly to local school districts. The legislation directly affects school support staff, school districts, and state education agencies across the country.

Maddy summaryThis bill repeals two specific provisions from the 2023 "Trump Sick Tax Act" (Public Law 119-21) that affected Medicaid and drug pricing. It restores previous Medicaid cost-sharing rules under Title XIX of the Social Security Act and reverts changes to orphan drug exclusions under the Drug Price Negotiation Program (Title XI). These changes directly affect Medicaid beneficiaries and pharmaceutical manufacturers by returning to the pre-2023 policy framework for cost-sharing and drug pricing negotiations. The bill does not create new programs but reverses specific cost-related provisions enacted in 2023.

Maddy summaryThis bill allows tribal law enforcement officers who contract with federal programs to enforce federal law within tribal lands after meeting specific training and certification standards set by the Bureau of Justice Services. It deems these officers as federal law enforcement officers for key legal protections under Titles 18, 5, and 28 of U.S. Code, including liability coverage and retirement benefits. Officers must complete training comparable to federal counterparts, pass background checks, and receive Bureau certification. The Department of Justice must establish certification procedures within two years and coordinate public safety oversight in tribal communities through the Attorney General’s office.