Maddy summaryThe SMART Prices Act changes how Medicare negotiates drug prices. It repeals a rule blocking Medicare from negotiating with drugmakers and accelerates the process, requiring negotiations for 40 drugs starting in 2027 (up from 10 annually). It shortens the time drugs must be single-source to qualify for negotiation (from 7 to 3 years) and adjusts price negotiation formulas, setting new caps like 76% of the drug's average price for some medications. This directly affects Medicare beneficiaries (by lowering their out-of-pocket costs) and pharmaceutical companies (by requiring price negotiations for more drugs faster).
Sen. Sheldon Whitehouse
Sponsored bills
Maddy summaryThe FISH Act of 2023 establishes a U.S. "black list" of foreign fishing vessels engaged in Illegal, Unreported, or Unregulated (IUU) fishing, including those using forced labor. Vessels on this list would be denied access to U.S. ports, services, and transshipment in U.S. waters, with sanctions imposed on their beneficial owners. The bill requires coordination between the National Oceanic and Atmospheric Administration, State Department, and Customs and Border Protection to implement the list, verify seafood imports, and share data to combat IUU fishing. It also authorizes $20 million annually for enforcement and includes provisions for technical assistance to help nations improve fisheries management. The law directly affects foreign fishing vessels, their owners, and U.S. agencies responsible for enforcement and import verification.
Maddy summaryS 1231 (SAD Act) prohibits crisis pregnancy centers (CPCs) from making deceptive claims about providing abortion services, contraception, or employing licensed medical staff. It directly affects CPCs that falsely represent themselves as reproductive health providers, which the bill states often target underserved communities. The law authorizes the Federal Trade Commission (FTC) to enforce this prohibition under existing consumer protection laws, imposing civil penalties of up to $100,000 or 50% of a CPC's revenue. The FTC must also submit biennial reports to Congress on enforcement actions. The bill aims to ensure patients receive accurate information about reproductive health services.
Maddy summaryThe First Step Implementation Act of 2023 implements key provisions from the First Step Act of 2018 by allowing courts to reduce sentences for certain drug offenses and creating new parole options for juveniles convicted as adults. It establishes automatic sealing of juvenile nonviolent offense records after three years of completing supervision and provides a process for expungement of certain juvenile records. The bill also requires the Attorney General to implement procedures for correcting inaccurate or incomplete criminal records used in employment background checks. These provisions directly affect individuals with past juvenile offenses, those with certain drug convictions, and people seeking employment who may have inaccurate criminal records.
Maddy summaryThe SMART Prices Act (S 1246) repeals a provision blocking states from negotiating Medicare drug prices and accelerates the Medicare Drug Price Negotiation Program. It increases the annual number of drugs eligible for negotiation from 10 to 40 starting in 2027, shortens the timeframes for qualifying drugs from 7 to 3 years, and adjusts price ceiling percentages (e.g., raising the maximum fair price cap for some drugs from 75% to 76%). These changes directly affect Medicare beneficiaries by potentially lowering drug costs and pharmaceutical companies by altering negotiation timelines and pricing rules. The bill aims to reduce Medicare drug spending through faster, more aggressive price negotiations.
Maddy summaryS 1202, the "Keep Our PACT Act," mandates increased annual federal funding for two key education programs. It requires specific minimum funding levels for Title I of the Elementary and Secondary Education Act (which supports schools in high-poverty areas) and the Individuals with Disabilities Education Act (IDEA, which funds specialized education for students with disabilities) from fiscal years 2024 through 2033. The bill sets annual dollar targets that increase each year, with IDEA funding eventually reaching 40% of national per-pupil spending for students with disabilities by 2033. These funds directly affect public schools serving low-income students and students with disabilities across all states. The bill does not change eligibility or program requirements but ensures specified funding levels are appropriated annually.
Maddy summaryThe Latonya Reeves Freedom Act of 2023 establishes a federally protected right for individuals with disabilities who require long-term services and supports (LTSS) to live in community-based settings rather than institutions. The bill defines specific requirements for "community-based" settings, including housing options that allow individuals to live in their own homes or shared residences with privacy rights, choice, and control over their services. It requires states to develop transition plans with measurable goals to move people from institutional settings to community-based supports within 12 years, along with annual reporting on progress. The Department of Justice and Department of Health and Human Services will enforce the law through investigations, compliance reviews, and the ability to seek injunctive relief for violations.
Maddy summaryThe Do No Harm Act amends the Religious Freedom Restoration Act (RFRA) to clarify that RFRA does not apply when federal laws protect against discrimination (like the Civil Rights Act of 1964), guarantee workplace protections (such as the Family and Medical Leave Act), prevent child exploitation, or ensure health care access. It specifically prevents religious freedom claims from blocking enforcement of these existing laws. The bill directly affects individuals or entities attempting to use RFRA to challenge such federal protections in court. This amendment ensures that religious freedom arguments cannot override established civil rights, workplace, child safety, or health care regulations.
Maddy summaryS.1190, the "End the Threat of Default Act," repeals the statutory debt ceiling (Section 3101 of Title 31, U.S. Code), eliminating the legal limit on federal borrowing. This directly affects how the U.S. Treasury manages debt issuance, as it removes the requirement for Congress to vote on raising the debt limit. The bill replaces all references to "debt subject to limit" with terms like "face value of obligations" to align with the repealed ceiling mechanism, preventing future government shutdowns or default risks tied to debt ceiling negotiations.