Sen. Thom Tillis

Maddy summaryThis bill prohibits public colleges and universities receiving federal funding from denying religious student groups access to campus facilities or official recognition solely because of their religious beliefs, practices, or standards. It directly affects public higher education institutions and religious student organizations seeking equal treatment alongside secular groups. The key mechanism requires institutions to provide religious groups with the same rights, benefits, and privileges - such as meeting space, event scheduling, and official status - as non-religious student organizations. This policy change ensures religious groups cannot be discriminated against in campus activities through the threat of withheld federal funding.

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 National Nursing Workforce Center Act of 2025 establishes a two-year federal pilot program to create or enhance state-based nursing workforce centers. These centers, funded through $1.5 million annually (2026-2027), will analyze nursing workforce data, address shortages, and develop strategies for recruitment and retention - using matching funds requiring $1 non-Federal for every $4 federal dollar. Eligible entities like state nursing boards, schools of nursing, and nonprofits will use grants to conduct statewide research on education gaps, clinical staffing challenges, and strategies to improve rural access and workforce diversity. Centers must report annually on outcomes, including demographic data and best practices for reducing shortages across specialties and regions.

Resident Education Deferred Interest Act or the REDI Act This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

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 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 summaryThis bill allows Purple Heart veterans who served after September 11, 2001, to transfer unused Post-9/11 GI Bill education benefits to family members. Specifically, veterans can transfer up to 36 months of benefits to eligible dependents (like spouses or children) without affecting their own remaining benefits. It sets rules for when dependents can use transferred benefits - children must complete high school or turn 18 first, and benefits expire by age 26 unless used for caregiving or due to school closures. The bill also ensures transferred benefits aren’t treated as marital property and includes special provisions for caregivers of injured veterans or emergency school closures.

Living Donor Protection Act of 2025 This bill prohibits life insurance, disability insurance, and long-term insurance carriers from denying or otherwise restricting coverage for living organ donors. Specifically, carriers may not deny, cancel, vary premiums, or otherwise impose conditions on policies based on an individual's status as a living organ donor. The bill also expressly specifies that recovery from organ-donation surgery constitutes a serious health condition that entitles eligible employees to job-protected medical leave. In addition, the Department of Health and Human Services must update educational materials on living organ donation to include information about the benefits and risks of living organ donation and the impact of donation on insurance access, particularly with respect to the bill's changes.

Maddy summaryThis bill establishes a new Fiscal Commission within Congress to analyze the nation's long-term fiscal health and propose reforms to reduce the federal debt and deficit. The commission will be composed of 16 members appointed by Senate and House leadership, including outside experts, and will have two co-chairs representing opposing political parties to ensure balanced oversight. Its primary duties include educating the public about fiscal risks, developing policies to achieve a sustainable debt-to-GDP ratio of 100 percent by 2039, and producing a final report with legislative recommendations by November 2026. If the commission approves its recommendations, the resulting implementing bills would receive expedited consideration in both chambers with limited debate and no amendments allowed. The commission would operate for approximately two years before terminating, with funding provided through existing Senate accounts.

Maddy summaryThis bill reauthorizes the Tropical Forest and Coral Reef Conservation Act of 1998, which provides funding to protect tropical forests and coral reefs around the world. It directly affects the U.S. government agencies responsible for implementing conservation programs, primarily through the Department of State. The key provision allocates $20 million annually for fiscal years 2028 through 2032 to support ongoing conservation efforts. This legislation extends existing funding authority without changing the underlying conservation goals or program structure.