Maddy summaryThis bill prohibits the implementation of the WISeR model under Medicare, specifically blocking the Secretary of Health and Human Services from adopting the "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model" or any similar model. It directly affects Medicare beneficiaries and providers by preventing a new payment and service delivery approach that would require prior authorization for certain services. The key provision is a direct ban on the WISeR model's rollout, as outlined in the July 1, 2025, federal notice. This change would maintain current Medicare approval processes for affected services without creating new requirements. The bill does not establish new benefits or alter existing Medicare coverage rules.
Sponsored bills
Maddy summaryThis bill amends federal law to remove a specific deadline for completing background checks on firearm purchases. It deletes the requirement that background checks must be completed within 10 business days, as previously established under the Brady Handgun Violence Prevention Act. The change directly affects firearm sellers (such as licensed dealers) who conduct these checks, removing a strict timeline for completing the process. The bill focuses on technical adjustments to existing background check procedures without altering the underlying requirements for the checks themselves.
Maddy summaryThis bill creates a new federal grant program to fund public transit improvements in cities. It provides 80% federal funding for urban transit systems to cover operating costs (like vehicle service), security enhancements (including personnel), and safety projects identified by safety committees. Recipients must certify they will maintain or increase their own funding levels for these services and cannot use funds to switch to third-party on-demand transit providers. The grants are allocated based on each city's reported transit operating expenses from the previous year.
Maddy summaryThis bill amends the Safe Drinking Water Act to extend support for small water systems and underserved communities. It updates technical assistance deadlines for small public water systems from 2026 to 2031 (Section 1442(e)(5)) and expands eligibility for assistance to include "unincorporated communities" identified by states with county coordination (Section 1459A). The changes directly affect small water systems and communities lacking municipal status, particularly in rural or disadvantaged areas. The bill provides longer-term funding certainty and broadens access to federal resources for water infrastructure improvements.
Maddy summaryThe REPAIR Infrastructure Act (S 3413) reauthorizes a federal program providing $3 billion annually (2027-2031) from the Highway Trust Fund to fund infrastructure projects that restore community connectivity and improve resilience. It allocates $750 million yearly for planning grants and $2.25 billion for capital construction grants, directly affecting state, local, and tribal governments applying for these funds. Key provisions require projects to avoid increasing highway travel lanes and prioritize affordable transportation access, community engagement, and preventing displacement in low-income areas - such as creating safe mobility options to jobs, healthcare, and housing. The program specifically targets "divisive roadway infrastructure" (e.g., highways separating neighborhoods) and mandates applicants demonstrate how projects address historic barriers and support underserved communities.
Maddy summaryS 3400, the Ally’s Act, requires most private health insurance plans and group health plans to cover hearing implants and related services for eligible individuals. It mandates coverage for cochlear implants, bone conduction devices, maintenance, repairs, upgrades every five years, hearing assessments, pre- and post-surgery care, and aural rehabilitation. Insurers cannot impose stricter cost-sharing or treatment limits for these services than for other medical care, and cannot deny coverage based on medical necessity determinations by a physician or audiologist. The law applies to plans covering individuals with hearing loss (including unilateral or bilateral) who meet medical criteria, effective for plan years starting January 1, 2026.
Maddy summarySRES 533 is a non-binding Senate resolution condemning white supremacy, hate, and antisemitism, with specific focus on the promotion of these ideologies by white supremacist Nick Fuentes and his platforming by Tucker Carlson. It highlights Fuentes' Holocaust denial, antisemitic conspiracy theories (like the "Great Replacement" myth), and use of dog whistles, while criticizing Carlson for hosting Fuentes without challenge and Heritage Foundation's Kevin Roberts for defending such views. The resolution urges all elected officials and leaders to reject these ideologies whenever they occur, and affirms condemnation of Nazism and the Holocaust. As a formal expression of Senate opinion, it does not create new laws but serves as a public stance against harmful rhetoric.
Maddy summarySRES 531 is a non-binding Senate resolution celebrating the 50th anniversary of the Individuals with Disabilities Education Act (IDEA) on November 29, 2025. It recognizes IDEA's historical role in guaranteeing children with disabilities access to free appropriate public education in inclusive settings, transforming educational opportunities for millions. The resolution honors students, families, educators, and advocates who advanced IDEA's principles since its 1975 enactment. It does not create new policy but formally acknowledges the law's enduring impact on educational equity.
Maddy summaryThe PBM Price Transparency and Accountability Act requires pharmacy benefit managers (PBMs) to be more transparent about drug pricing and ensure accurate payments to pharmacies. It establishes national average drug acquisition cost benchmarks for Medicaid, prohibits PBMs from keeping excessive profits through "spread pricing," and mandates detailed reporting of drug pricing, rebates, and fees. The bill affects Medicaid programs, Medicare Part D plans, and the PBMs that negotiate drug prices on behalf of insurers. It includes enforcement mechanisms like civil penalties for non-compliance and requires PBMs to report detailed pricing information to the Secretary of Health and Human Services.
Maddy summaryThe Restoring Patient Protections and Affordability Act of 2025 extends enhanced premium tax credits through 2028, making health insurance more affordable for lower- and middle-income individuals. It extends the 2026 open enrollment period through May 1, 2026, and restores funding for navigator programs that help people enroll in health insurance plans. The bill requires health insurance issuers to notify enrollees about changes to premium assistance and establishes $1,000 daily penalties for failing to comply with these notification requirements. Additionally, it limits surprise premium increases for people with household incomes below 400% of the poverty line and prevents premium spikes for those with ACA or employer coverage. These changes directly affect millions of people enrolled in health insurance plans through the Affordable Care Act marketplaces.