Maddy summaryThis bill requires Medicare Part D prescription drug plans and Medicare Advantage plans with drug coverage (MA-PD plans) to obtain detailed annual reports from pharmacy benefit managers (PBMs) starting in 2026. PBMs must report specific data including drug pricing (like average acquisition costs and rebates), out-of-pocket spending by seniors, cost comparisons between brand-name and generic drugs, and financial relationships with affiliated pharmacies. Plans must also audit PBM compliance annually, and the reports must be provided in machine-readable format. The bill aims to increase transparency around PBM pricing practices and drug cost structures for Medicare beneficiaries and the government, with a separate requirement for the GAO to study existing reporting burdens.
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Maddy summaryThis bill requires the Department of Veterans Affairs (VA) to certify improvements to its electronic health record system (EHR) before expanding its implementation. Specifically, the VA cannot start new EHR program activities or implement the system at new facilities until it provides written certification to Congress that: (1) the system meets minimum uptime/stability standards, and (2) workflow customization issues are resolved. The VA must also certify that staff and infrastructure at each facility are ready for the EHR, with this requirement ending once certification is achieved across all facility complexity levels. Additionally, the VA must submit detailed reports to Congress within 30 days and quarterly thereafter on system stability, readiness standards, and deviations from national workflow guidelines.
Maddy summarySRES 284 is a Senate resolution expressing support for designating June 2023 as "National Dairy Month." It recognizes the dairy industry's role in providing essential nutrients like calcium and vitamin D for a healthy diet, its economic impact (supporting $793 billion in U.S. economic activity and 3.2 million jobs), and dairy producers' environmental stewardship. The resolution does not create new laws or policies but serves as a symbolic acknowledgment of the industry's contributions. It was introduced by multiple senators and refers to nutritional guidelines emphasizing dairy's health benefits.
Maddy summaryThis joint resolution (SJRES 36) seeks congressional disapproval of a Department of Labor rule (88 Fed. Reg. 12842, March 1, 2023) that would have removed religious exemption provisions from the Equal Opportunity Clause requirements for federal contractors. If approved, it would prevent the rule from taking effect, meaning federal contractors would continue to be required to comply with the Equal Opportunity Clause without the religious exemption previously allowed. The bill directly affects federal contractors subject to the Office of Federal Contract Compliance Programs' (OFCCP) regulations. It is a procedural disapproval measure under Title 5, U.S. Code, not a new policy change.
Maddy summarySJRES 11 is a joint resolution seeking to cancel an Environmental Protection Agency (EPA) rule that set new emissions standards for heavy-duty vehicles, including trucks and buses. The rule, published in the Federal Register on January 24, 2023, would have required manufacturers to meet specific pollution control measures for new vehicles. This resolution uses a congressional disapproval process under the Congressional Review Act to nullify the EPA rule, meaning it would have no legal effect if enacted. If passed, the EPA's emissions standards for heavy-duty vehicles would be voided, removing requirements for manufacturers to comply with those specific pollution controls.
Maddy summaryThe PLUS Act of 2023 amends federal labor law to address disruptions at U.S. ports. It defines "labor slowdown" as any intentional reduction in productivity by maritime workers (excluding safety-related actions) and prohibits unions from engaging in slowdowns or blocking port modernization efforts that interfere with supply chains. The bill adds new unfair labor practices under the National Labor Relations Act, with penalties including doubled damages plus attorney fees for violations. It directly affects labor organizations representing maritime workers at ports, making it unlawful to impede port upgrades or interfere with uncrewed vessel operations. The law aims to prevent economic disruptions by targeting specific union activities at ports.
Maddy summaryS 2210, the Iran Sanctions Relief Review Act, requires the President to submit a detailed report to Congress before terminating, waiving, or significantly altering U.S. sanctions on Iran. Congress then has 30 days (or 60 days during summer months) to review the proposal through committee hearings and decide whether to approve or disapprove it via joint resolution. During this review period, the President cannot implement the sanction change without Congressional approval. The bill directly affects the executive branch's ability to modify Iran sanctions policy and gives Congress formal oversight authority over major foreign policy shifts related to Iran.
Maddy summaryS 2090, the *Preserving Choice in Vehicle Purchases Act of 2023*, modifies federal clean air rules to restrict state vehicle emission standards. It adds a new requirement that state rules cannot "directly or indirectly limit the sale or use of new gas-powered cars," effectively blocking states from enforcing policies that would phase out internal combustion engine vehicles. The bill also mandates the EPA to cancel existing state emission waivers (like California’s) if those waivers don’t meet this new standard. This directly affects states with their own vehicle emission rules and the EPA’s authority to approve them under the Clean Air Act.
Maddy summaryThis bill adds multi-cancer early detection screening tests to Medicare Part B coverage, directly affecting Medicare beneficiaries. It creates a new coverage category for FDA-approved blood tests (like those analyzing cell-free DNA) that screen for multiple cancer types simultaneously, as defined in the bill. Medicare would cover these tests once every 12 months, and the bill clarifies that this change does not impact existing coverage for standard cancer screenings like mammograms or colonoscopies. The policy change ensures beneficiaries can access these new screening options without unnecessary delays after FDA approval.
Maddy summaryThis bill freezes existing energy conservation standards for distribution transformers for five years after enactment. It prevents the Department of Energy from changing or implementing new requirements for these transformers, specifically blocking any rule different from the 2013 standard (78 Fed. Reg. 23336). The bill directly affects the Department of Energy (which administers the standards) and manufacturers of distribution transformers. It does not create new requirements but maintains the current regulatory framework for the next five years.