Rep. Maxine Dexter

Maddy summaryThe No Passes for Polluters Act of 2026 requires Congress to explicitly approve any exemptions from Clean Air Act regulations before the President or federal agencies can use them. Under this bill, the President must submit a detailed message to both houses of Congress explaining the reasons and facts behind any proposed exemption, which then triggers a special legislative process. To pass such an exemption, a joint resolution must be approved by a two-thirds vote in both the Senate and the House of Representatives, with limited debate and no amendments allowed. Additionally, the Comptroller General will review these proposals to ensure they have legal authority, and any unauthorized use of exemptions could lead to civil lawsuits. The legislation also mandates that the President reconsider certain executive branch emissions regulations every three years.

Maddy summaryThe Whale CHARTS Act of 2026 establishes a program to protect migratory whales and other large cetaceans through improved mapping, monitoring, and mitigation measures. It requires the creation of detailed, high-resolution maps of whale habitats, including calving grounds and migration routes, which will be integrated into vessel navigation systems to prevent collisions. The bill authorizes $8 million annually through 2030 for mapping, surveys, and a $10 million grant program to fund new detection technologies that reduce harmful interactions between whales and ocean users. It also mandates regular reporting to Congress on the program's effectiveness and progress in filling knowledge gaps about whale habitats.

Maddy summaryThe AADAPT Act reauthorizes and expands Project ECHO grants to improve Alzheimer’s and dementia care through technology-enabled training. It specifically funds grants for healthcare providers in rural, frontier, or medically underserved areas to enhance early diagnosis, quality care, and provider retention for dementia patients. The bill authorizes $1 million annually (2027-2032) for these dementia-focused training programs, requiring funds to supplement - not replace - existing resources. This directly supports primary care providers licensed to serve underserved communities, using collaborative online learning to address care gaps.

Maddy summaryThe Save MEDICARE Act of 2026 aims to improve the Medicare Advantage program by starting in 2028 with several changes to how health plans are paid and monitored. It requires the government to exclude diagnoses from chart reviews when calculating payments to prevent plans from inflating costs based on questionable data. The bill also speeds up audits and appeals to ensure faster resolution of coding disputes and introduces a new penalty system to recover overpayments from plans. Additionally, the law allows states to enforce Medicare rules within their borders and bans financial incentives for doctors based on how they code patient records. Finally, it establishes a mechanism for the Department of Veterans Affairs to recover costs when Medicare Advantage plans cover care that should have been paid for by the VA.

Maddy summaryOrlin's Law requires immigration officials to identify detained parents and prioritize family unity by limiting detention when possible. The bill mandates that parents be allowed to make free calls and visits with their children, participate in family court proceedings, and access necessary documents to care for their dependents. It also establishes a new office within U.S. Immigration and Customs Enforcement to coordinate these protections and provides for community-based alternatives to detention. Additionally, the law creates a presumption that parental rights remain intact even if a child is separated from a detained parent and outlines specific steps to facilitate reunification upon removal.

Maddy summaryThe Stop CHEATERS Act directs the Internal Revenue Service to increase its enforcement efforts against high-income individuals and large corporations by allocating billions of dollars in additional funding for tax audits, criminal investigations, and taxpayer services through fiscal year 2031. A significant portion of this funding is designated for modernizing the IRS's technology and business systems to improve its ability to detect fraud and noncompliance. The legislation also requires the IRS Commissioner to submit regular reports to Congress detailing plans to shift auditing resources toward wealthy taxpayers and analyzing how much unpaid tax is owed by different income groups.

Maddy summaryThe Drug Deal Disclosure Act requires the Department of Health and Human Services to publicly release records of specific agreements between the federal government and major drug manufacturers starting in 2025. These agreements must include provisions such as offering lower drug prices based on international rates, providing discounts through government platforms like TrumpRx, or receiving special exemptions from import duties and regulatory reviews. While the bill mandates that most documents be made available in a searchable format, it allows the government to withhold only specific confidential pricing details if legally required by foreign laws or court orders, provided a justification is published. Additionally, the law directs the Congressional Budget Office and the Government Accountability Office to analyze the economic and budgetary impacts of these deals, including effects on Medicare, Medicaid, and drug competition.

Maddy summaryThe Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Maddy summaryThis resolution expresses support for reproductive justice as the United States approaches its 250th anniversary. It defines reproductive justice as the right to have children, not have children, and raise them in safe communities, emphasizing that these rights should not depend on race, income, or location. The document calls for policies that ensure universal access to comprehensive healthcare, including abortion and contraception, while condemning the criminalization of pregnancy outcomes and forced sterilization. Additionally, it advocates for universal paid family leave, affordable childcare, and medically accurate sex education to support families. Ultimately, the resolution frames reproductive freedom as a fundamental human right and a cornerstone of democracy rather than a privilege.