Sen. John Thune

PBM Reporting Transparency Act This bill requires the Medicare Payment Advisory Commission to report certain information about pharmacy benefit managers (PBMs) under the Medicare prescription drug benefit and Medicare Advantage. Specifically, the commission must report on trends in agreements between PBMs and prescription drug plans, the impact of any differences in agreements on out-of-pocket spending for enrollees and pharmacy reimbursements, and any appropriate recommendations. The commission must submit an updated report two years after its initial report.

Maddy summaryS 2477 (Equitable Community Access to Pharmacist Services Act) expands Medicare Part B coverage to include specific pharmacist services previously only covered when provided by physicians. It directly affects Medicare beneficiaries and pharmacists by allowing coverage for services like evaluating patients for COVID-19, flu, or respiratory illnesses, and addressing public health emergencies - provided pharmacists are licensed or operating under federal emergency authority. The bill establishes payment at 80% of the lesser of actual charge or 85% of physician payment rates (100% during federal emergencies) and prohibits balance billing for these services. It also clarifies that existing Medicare enrollment pathways for pharmacists remain available. This bill modifies Medicare Part B coverage under the Social Security Act without restricting current pharmacy reimbursement options.

Maddy summaryThis bill prohibits the Department of Defense from using military funds to cover travel, lodging, meals, or transportation expenses related to abortions for service members or their dependents, except in cases where the pregnancy endangers the mother’s life, results from rape, or results from incest. It also terminates a 2022 Department of Defense memo that allowed access to abortion-related care and bans using medical convalescent leave or administrative absences for abortion-related travel under the same limited exceptions. The bill directly affects active-duty military personnel, veterans, and their dependents who might seek abortion care. It modifies existing travel and leave regulations under U.S. Code titles 37 and 10 to restrict these benefits, aligning with existing federal law that limits abortion funding. The policy change removes prior allowances for abortion-related travel expenses and leave under military benefits programs.

Maddy summaryThe CRP Flexibility Act of 2023 (S 2412) allows farmers enrolled in the Conservation Reserve Program (CRP) to cut hay during the primary bird nesting season under specific emergency conditions. It directly affects CRP participants in counties facing severe drought (D2 or higher on the U.S. Drought Monitor), experiencing at least 40% forage loss, or when the Secretary determines emergency use won't damage habitat. The bill amends existing rules to permit emergency haying "during or outside" the nesting season in these situations, replacing previous restrictions. This change provides flexibility for farmers to access forage during natural disasters while maintaining habitat protections.

Maddy summaryThis bill (S 2405) requires Medicare Part D prescription drug plans to ensure seniors can access most covered drugs at any network pharmacy starting in 2026, unless a drug qualifies as a "limited access drug" (e.g., requiring special handling or FDA restrictions). Plans must document why a drug is designated "limited access," report details like dispensing channels to the government annually, and share this information with pharmacies upon request. It also mandates an annual report to Congress on how plans use "limited access" designations and their impact on senior access. The law directly affects Medicare beneficiaries, drug plans, and pharmacies participating in Medicare Part D.

Maddy summaryS 2430 amends the 1986 Emergency Planning and Community Right-To-Know Act to exclude certain air emissions from animal waste at farms from emergency notification requirements. This bill directly affects agricultural operations that handle animal waste, removing a requirement to report specific airborne emissions to emergency planners and the public. The key provision adds a new exception (B) to the notification rules, explicitly excluding "air emissions from animal waste (including decomposing waste) at a farm" as defined under related environmental law. This change simplifies reporting obligations for farms while maintaining other emergency planning requirements under the Act.

Maddy summaryThis bill streamlines mortgage processes for homes and businesses on tribal trust land. It sets strict deadlines for the Bureau of Indian Affairs (BIA) to review mortgage applications (10 days for preliminary checks, 20-30 days for final decisions) and requires timely certified title reports to verify land ownership. The bill creates a new "Realty Ombudsman" position within the BIA to monitor deadlines, handle complaints from tribes and lenders, and improve communication with federal agencies. It directly affects Native American individuals, tribes, and lenders seeking mortgages on trust land, aiming to reduce processing delays and increase transparency in the system.

Maddy summarySRES 269 is a symbolic Senate resolution designating July 22, 2023, as "National Day of the American Cowboy." It does not create new laws or affect specific groups, but encourages the general public to observe the day through ceremonies and activities. The resolution highlights the cultural significance of cowboys, citing their embodiment of values like honesty and work ethic, their economic contributions through ranching, and their role in American traditions and media. This is a ceremonial designation with no direct policy impact or funding changes.

Maddy summaryThis bill requires the Federal Housing Finance Agency (FHFA) to immediately revert to the previous mortgage pricing structure (effective April 30, 2023) by eliminating the "recalibrated" fee system for single-family mortgages. It directly affects lenders and borrowers by banning fees based on debt-to-income ratios and mandating that future fee adjustments must align with risk-based pricing principles. The bill also mandates a 14-month GAO study to analyze the previous pricing changes' methodology, economic impacts on borrowers and lenders, and effects on affordable housing. This reverses recent FHFA policy changes without altering the underlying regulatory framework for mortgage enterprises.

Maddy summaryThis bill mandates that the Air National Guard maintain at least 25 fighter squadrons, with each squadron having a minimum of 18 aircraft, to preserve its combat readiness. It requires the Air Force Secretary to create a detailed plan by 2024 for fully replacing all Air National Guard fighter aircraft by 2034 and integrating new Next Generation Air Dominance systems. The plan must ensure "one-for-one" replacement of aging aircraft while allowing limited waivers for extraordinary circumstances, subject to congressional review. The policy directly affects the Air National Guard's aircraft inventory, modernization schedule, and funding priorities.