Sen. Peter Welch

Maddy summaryThe MORE Savings Act eliminates copays and deductibles for opioid treatment under Medicare, private health plans, and Medicaid. It requires Medicare beneficiaries to have no out-of-pocket costs for opioid treatment drugs, behavioral health services, and recovery support (like peer counseling and transportation). Private health plans must cover these services without cost-sharing starting in 2027, and Medicaid states get a 90% federal match for medication-assisted treatment. The bill directly affects Medicare beneficiaries, private insurance enrollees, and Medicaid recipients seeking opioid use disorder treatment.

Maddy summaryThe Keeping Obstetrics Local Act focuses on improving access to obstetric care in rural and underserved communities. It requires states to study costs of maternity services and mandates Medicaid payments for obstetric care at eligible hospitals to be at least 150% of Medicare rates (starting in 2027), with increased federal funding. The bill also requires 12-month continuous coverage for pregnant individuals under Medicaid and CHIP, establishes health homes for coordinated maternal care, and creates special payments for low-volume obstetric hospitals to prevent closures. Additionally, it requires hospitals to provide advance notice of obstetric unit closures and collects detailed data on labor and delivery services, directly affecting rural hospitals, pregnant individuals, and maternal health care providers.

Maddy summaryThis bill would add dental, vision, and hearing services to Medicare coverage for beneficiaries. It defines specific services including routine dental cleanings, eye exams, and hearing assessments, with coverage gradually increasing from 0% to 80% over eight years. The bill also establishes frequency limits, such as two dental cleanings per year and one eye exam annually. Medicaid would see increased federal funding (90% FMAP) for these services starting six months after enactment. This legislation directly affects Medicare beneficiaries, particularly seniors and people with disabilities, by expanding access to previously uncovered preventive health services.

Maddy summaryThis bill amends federal Medicaid rules to extend health coverage for former foster youth until age 26. It directly affects individuals who were in state foster care at age 18 (or left care via guardianship/emancipation before 18) and are under 26. The key provision removes the previous age cutoff by updating eligibility criteria in the Social Security Act, allowing these young adults to remain enrolled in Medicaid if they meet income requirements. The changes take effect January 1, 2026, for those turning 18 on or after that date, and require states to implement outreach programs by that date to help eligible individuals enroll.

Maddy summaryThe Insurrection Act of 2025 establishes specific conditions under which the President may deploy military forces domestically to address insurrections, rebellions, or widespread violence that overwhelm state and local authorities. It requires the President to consult Congress, issue a proclamation ordering lawbreakers to disperse, and submit a detailed report before deployment, with congressional approval needed within 7 days. The bill specifically protects voting rights by requiring that military deployment to address voting rights violations must comply with the Voting Rights Act of 1965. It also prohibits using National Guard members on training or other duty for domestic deployments. This legislation directly affects the President, Congress, state authorities, and military operations.

Maddy summaryThe HCBS Relief Act of 2025 increases federal funding for Medicaid home and community-based services (HCBS) by 10 percentage points (capped at 95%) for participating states during fiscal years 2026-2027. It directly affects states that submit approved applications, Medicaid beneficiaries receiving HCBS, and home health workers by requiring states to use funds to raise wages/benefits for HCBS workers, reduce waiting lists, support family caregivers, and improve service quality. Key provisions mandate that states detail specific activities (like wage increases, paid leave, and equipment purchases) in applications, ensure funds supplement rather than replace state spending, and report on outcomes by 2029. The bill aims to strengthen HCBS access and workforce stability without changing Medicaid eligibility rules.

Maddy summaryThe Disaster Relief Medicaid Act creates a new Medicaid program for survivors of major disasters declared after January 1, 2027. It provides simplified eligibility during a two-year relief coverage period (starting when the disaster is declared), allowing people in affected areas to access medical assistance without meeting standard income requirements. The law includes provisions for continuous eligibility, mental health services, home and community-based care, and 100% federal funding for these services. States must provide streamlined applications and issue special Medicaid cards valid for the entire relief period. It also includes specific protections for children born to survivors and pregnant individuals during the disaster period.

Maddy summaryThe Easy Enrollment in Health Care Act (S 2057) creates a system that allows taxpayers to use their federal tax returns to determine eligibility for health insurance programs and automatically enroll household members in coverage with no out-of-pocket costs (zero net premium) if eligible. The bill establishes a process where taxpayers can consent to sharing tax return information (with privacy protections) with health insurance exchanges to determine eligibility for Medicaid, CHIP, or subsidized marketplace plans, eliminating the need for separate applications. It creates a "single, streamlined application" that minimizes the information needed from taxpayers by leveraging existing tax data for eligibility determinations, with procedures for error correction and privacy safeguards. The program is designed to simplify enrollment in health insurance programs by using tax return information, with implementation required by January 1, 2028.

Maddy summaryThe ASSIST Act (S 2050) increases federal funding for mental health and substance use disorder services provided in schools and school-based health centers. It raises the federal medical assistance percentage (FMAP) for these services to 90% for states, starting one year after enactment, while ensuring this doesn’t reduce existing federal payments or count against territorial spending limits. The bill also creates a new grant program administered by the Health and Human Services Secretary to fund entities like school districts and universities in hiring more licensed mental health providers, requiring culturally competent care and annual reporting on provider numbers and service effectiveness. It prohibits using grant funds for threat assessment teams and mandates a report to Congress on the program’s effectiveness within 18 months.

Maddy summaryThe State Public Option Act creates a new Medicaid buy-in option for state residents who are not enrolled in other health insurance plans, beginning January 1, 2026. It establishes limits on premiums (capped at 8.5% of family income) and cost-sharing, while allowing participants to enroll through state health insurance exchanges and access premium tax credits similar to those for private insurance. The bill also requires coverage of comprehensive sexual and reproductive health care services, including abortion services, starting in 2026. Additionally, it includes provisions to improve payment rates for primary care services provided under Medicaid.