Sen. Jeff Merkley

Maddy summaryThe Choose Medicare Act would create a new Medicare Part E public health plan available in the individual, small group, and large group insurance markets. This plan would provide gold-level coverage with essential health benefits, including reproductive services, and would be offered through health insurance exchanges. The bill establishes premium rates based on market type and geographic area, and creates annual out-of-pocket cost limits starting in 2027 (initially set at $6,700 for 2027). It would directly affect individuals and employers seeking health coverage, particularly those currently in the individual market or small/large group plans who may choose this new public option.

Maddy summaryThe My Body, My Data Act of 2025 requires companies and services handling personal reproductive or sexual health information - such as health apps, clinics, or digital platforms - to only collect, retain, or share this data when strictly necessary for a service a person has requested. It gives individuals the right to access, correct, or delete their data easily (within 15 days, without fees), and mandates clear privacy policies explaining how data is used. The bill also prohibits companies from retaliating against people who exercise these rights, such as by charging higher prices or denying services. Enforcement will be handled by the Federal Trade Commission, with individuals able to sue for violations and seek penalties of up to $1,000 per violation per day.

Maddy summaryS 2035, the "Protect IVF Act," establishes federal rights to access and provide fertility treatment, including IVF, under widely accepted medical standards defined by the American Society for Reproductive Medicine. It directly affects patients seeking fertility care, health care providers offering IVF services, health insurance issuers covering such care, and manufacturers of fertility-related drugs or devices. The bill preempts state laws that restrict IVF access in ways inconsistent with medical standards - such as mandating unnecessary procedures, limiting telemedicine, or imposing discriminatory barriers - and allows federal court enforcement against violating state actions. This focuses on protecting existing access rather than creating new benefits or altering insurance coverage requirements.

Maddy summaryThe ENROLL Act of 2025 amends the Affordable Care Act to strengthen the navigator program that helps people enroll in health insurance. It requires state and federal exchanges to award grants to navigators based on their capacity to provide services, not whether they cover non-qualified health plans, and mandates annual grants to community-focused nonprofits. Navigators must now provide information about Medicaid and CHIP programs in plain language and maintain physical presence in their states for in-person assistance. The bill allocates $100 million annually from health insurer user fees to fund federal exchange navigators starting in fiscal year 2026. These changes directly affect navigators, state/federal health insurance exchanges, and consumers seeking coverage.

Maddy summaryThis bill requires federal agencies to clarify how they treat special districts (like water, fire, or sanitation districts with budget autonomy) as eligible recipients for federal grants and funding. Within 180 days of enactment, the OMB Director must issue guidance defining this eligibility, and agencies must implement the guidance within one year. Special districts directly affected include those created by state law to perform specific governmental functions separately from general local governments. The bill mandates agencies to align their policies with this guidance and report on implementation to Congress within two years.

Maddy summaryS 2006, the Fit to Serve Act, prohibits the U.S. military from discriminating against service members or applicants based on gender identity. It directly affects all current and prospective members of the Armed Forces by banning specific discriminatory actions, including denying medically necessary health care, requiring service in a sex assigned at birth, or separating members due to gender identity (including gender dysphoria diagnosis). The bill amends Title 10 of the U.S. Code to add new protections, explicitly stating that the military cannot deny service, reenlistment, or health coverage based on gender identity. These changes apply uniformly across all branches and service statuses, ensuring equal treatment under military policy.

Maddy summaryThe TRAPS Act establishes a federal Task Force on Payment Scams, chaired by the Treasury Secretary, to coordinate efforts across agencies and industry to combat electronic payment scams. The Task Force includes representatives from the FTC, FCC, DOJ, financial regulators, consumer groups, and industry experts to evaluate scam trends, develop prevention strategies, and improve consumer education. It must submit an initial report to Congress within one year and provide annual updates, with the Task Force terminating three years after the first report. This bill directly affects how federal agencies and industry collaborate to address scams targeting consumers through digital payment platforms.

Maddy summaryThis bill expands Medicare coverage to include audiology services (hearing and balance assessments, and treatment starting in 2027) for beneficiaries. It allows qualified audiologists to provide these services directly without requiring a physician referral or supervision, beginning January 1, 2027. Medicare will pay 80% of the lesser of the actual charge or the fee schedule amount for these services, and audiologists will be recognized as eligible providers in certain clinics. The changes apply to services furnished on or after January 1, 2027.

Maddy summaryThis bill amends the Communications Act to clarify that "franchise fee" means only monetary assessments paid to local authorities for cable or community television services. It removes the word "includes" and adds "other monetary" before "assessment" in the definition. This technical change ensures franchise fees are strictly defined as cash payments, not other types of fees or non-monetary obligations. It directly affects cable operators and local governments that collect these fees under existing law. The bill makes no new policy changes but refines the legal definition for clarity.

Maddy summaryS 1965, the "Protect Vulnerable Immigrant Youth Act," removes visa caps for special immigrant juveniles under U.S. immigration law. It directly affects vulnerable immigrant youth who qualify as "special immigrants" due to abuse, neglect, or abandonment by their parents. The bill amends two key sections of the Immigration and Nationality Act to add a new category "J" for these individuals, eliminating numerical limits that previously restricted their access to employment-based visas. This change allows them to bypass standard visa quotas, making it easier for them to legally work and remain in the U.S. without facing annual visa caps.