Sen. Martin Heinrich

Maddy summaryS 2903, the Safe Step Act, requires health insurance plans and employers offering health coverage to establish a clear, timely process for patients or doctors to request exceptions when step therapy protocols (where insurers require trying cheaper drugs first) would harm a patient. It mandates approval for exceptions if prior drugs failed, delay would cause severe harm, a drug is unsafe, or a patient is stable on their current medication. Plans must respond to requests within 72 hours (or 24 hours in emergencies) and cover the requested drug without extra cost-sharing. The bill also requires annual reports to the government on exception requests, approvals, denials, and trends by medical condition or specialty. This directly affects patients on health plans with step therapy, their doctors, and the insurers managing those plans.

Maddy summaryThis bill (S 1677, Ensuring Lasting Smiles Act) requires health insurance plans to cover medically necessary treatments for congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. It mandates coverage for reconstructive services, dental/orthodontic care, and related treatments during the course of medical treatment, while excluding purely cosmetic procedures not medically necessary. Plans may apply cost-sharing requirements similar to those for other medical services but must provide notice about these coverage requirements to participants by January 1, 2026. The bill also directs a study on provider network adequacy and cost impacts related to these coverage requirements, to be completed by December 2027.

Maddy summaryThe HELP Copays Act requires that financial assistance from non-profit organizations or prescription drug manufacturers counts toward patients' annual out-of-pocket cost-sharing limits (like deductibles and copays) for certain prescription drugs. It directly affects individuals enrolled in group health plans or individual insurance who receive such assistance, ensuring payments from these sources reduce their total out-of-pocket spending. The bill amends key healthcare laws to include these payments in calculating cost-sharing thresholds, specifically for specialty drugs and drugs subject to utilization management (like prior authorization). It takes effect for plan years beginning in 2026 and does not change how utilization management tools are applied.

Maddy summaryS. Res. 650 is a Senate resolution that formally recognizes the heritage, culture, and contributions of American Indian, Alaska Native, and Native Hawaiian women in the United States. The resolution highlights their achievements in military service, business ownership, healthcare, science, arts, and civil rights advocacy through specific examples of individual women. It does not create new laws or funding but serves as a symbolic acknowledgment of their historical and ongoing contributions to American society.

Maddy summaryThis bill reauthorizes funding for the Federal Lands Access Program, which provides financial assistance to build and maintain roads connecting communities to federal lands like national parks and forests. It directly affects state and local governments, transportation agencies, and communities that rely on these roads for access to public lands. The legislation appropriates specific amounts from the Highway Trust Fund for each fiscal year from 2027 through 2031, with funding increasing slightly each year. The program supports infrastructure projects that improve transportation routes to federal lands, facilitating recreation, tourism, and emergency access.

Maddy summaryThe Love Lives On Act of 2025 modifies veterans' and military survivors' benefit rules to prevent remarriage from automatically ending eligibility. It directly affects surviving spouses of veterans or military members who remarried, ensuring they retain access to key benefits. Key provisions include: (1) preventing termination of veterans' dependency compensation (under 38 U.S.C. §1311/1562) due to remarriage; (2) stopping termination of military Survivor Benefit Plan annuities solely for remarriage, with specific rules for those who remarried before age 55; and (3) expanding TRICARE coverage to include remarried widows/widowers whose subsequent marriage ended (via death, divorce, or annulment). These changes restore or maintain benefits that were previously lost upon remarriage.

Maddy summarySRES 629 is a ceremonial Senate resolution honoring Reverend Jesse Louis Jackson, Sr., recognizing his lifelong leadership in the Civil Rights Movement and advocacy for justice, equality, and human rights. It specifically commemorates his work founding organizations like Operation PUSH and the National Rainbow Coalition, his presidential campaigns, and his role as a civil rights leader from the 1960s until his death on February 17, 2026. The resolution expresses the Senate's tribute to his legacy, commends his contributions to American society, and extends condolences to his family. As a non-binding resolution, it contains no policy changes or direct effects on legislation or constituents.

Maddy summaryThe Children and Teens' Online Privacy Protection Act (S 836) extends COPPA protections to teens aged 13-17 by requiring websites, apps, and online services to obtain verifiable consent from parents for children or from teens themselves before collecting or using their personal information for purposes beyond the service. It defines "personal information" broadly to include biometric data, voice recordings, persistent identifiers, and geolocation information, and prohibits using such information for individual-specific advertising without consent. The bill mandates clear notice about data practices and gives children and teens rights to access, correct, and delete their personal information. Additionally, it requires the FTC to conduct studies on mobile app oversight and the GAO to study teen privacy in financial technology products.

Maddy summaryThis bill, titled the Habitat Connectivity on Working Lands Act of 2026, amends the Food Security Act of 1985 to expand federal conservation funding and technical support for wildlife habitat connectivity and migration corridors on private working lands. It defines native big game species such as deer, elk, and pronghorn to ensure conservation efforts prioritize these animals and increases payment limits for land enrolled in the Conservation Reserve Program. The legislation also authorizes cost-share payments for habitat restoration projects on grasslands and mandates that conservation practice standards include nonstructural methods like virtual fencing to manage livestock distribution while protecting wildlife corridors. Additionally, it directs the Secretary of Agriculture to provide technical assistance for implementing these practices and establishes virtual fencing as a high-priority research area to study its effects on natural resources and wildlife habitats.

Maddy summaryThis bill, known as the Diabetes Foot Health Access and Modernization Act of 2026, makes two main changes to federal health insurance programs. First, it allows podiatric physicians to provide covered physician services under Medicaid, ensuring patients have access to specialized foot and ankle care. Second, it updates Medicare rules to clarify documentation requirements for diabetic shoes, specifying that a physician must confirm a patient has diabetes and related foot conditions before these shoes are covered. The changes take effect on January 1, 2026 for Medicaid podiatry services and January 1, 2028 for Medicare diabetic shoe documentation.