Maddy summaryS 475, the Alternatives to PAIN Act, changes Medicare Part D coverage to make non-opioid pain management drugs more accessible and affordable for beneficiaries. It requires Medicare plans to cover qualifying non-opioid pain drugs without deductibles and place them on the lowest cost-sharing tier (meaning patients pay the least out-of-pocket) starting in 2026. The bill also prohibits plans from requiring step therapy (forcing patients to try opioids first) or prior authorization for these specific drugs. Qualifying drugs must treat acute pain (like post-surgery), not work on opioid receptors, have no equivalent alternatives, and meet cost thresholds. This directly affects Medicare Part D beneficiaries needing pain management and the plans that cover them.
Sponsored bills
Maddy summaryThis bill creates a new "Director of Foreign Assistance" position within the U.S. Department of State, requiring Senate confirmation and mandating that the Director report directly to the Deputy Secretary of State. The Director's duties include coordinating all U.S. foreign aid programs across agencies (like USAID and the Treasury), aligning aid with national security goals, tracking results through data analysis, and improving transparency in spending. The bill also requires all foreign aid funds to be obligated (committed for spending) within 90 days of congressional appropriations. This position directly affects how the State Department and other federal agencies manage and report on foreign assistance programs.
Maddy summaryThe "No Tax Breaks for Outsourcing Act" (S 409) amends U.S. tax rules to prevent corporations from avoiding taxes through foreign operations. It changes the definition of taxable foreign income from "global intangible low-taxed income" to "net CFC tested income" and requires country-by-country reporting of income for tax purposes. The bill also limits interest deductions for certain corporations in international financial reporting groups and modifies rules for "inverted corporations" (foreign companies that acquire U.S. companies to avoid taxes). These changes aim to close tax loopholes that allow companies to outsource operations to foreign jurisdictions while reducing their U.S. tax burden. The bill's provisions would generally apply to taxable years beginning after December 31, 2024.
Maddy summaryS 422, the Right to Contraception Act, establishes a federal statutory right for individuals to access contraceptives and for healthcare providers to offer contraceptive services, free from state restrictions. It directly affects all Americans seeking or providing contraception, particularly protecting historically marginalized groups like people of color, immigrants, LGBTQ+ individuals, and low-income or rural residents who face barriers to care. The bill overrides state laws that restrict access - such as bans on specific contraceptives, provider refusal policies based on personal beliefs, or Medicaid restrictions - and prohibits government actions that impede this right. Enforcement allows the Attorney General or affected individuals to challenge violations in court, with courts required to strike down restrictive laws.
Maddy summaryThe Caring for All Families Act expands family medical leave eligibility under the FMLA to include domestic partners, in-laws, grandparents, grandchildren, siblings, and others with a "close association equivalent to a family relationship." It adds a new provision allowing employees to take up to 24 hours per year for school activities, routine medical care for family members, or care for elderly individuals considered family. The bill specifies that this new leave can be taken intermittently, may be substituted with accrued paid leave, and requires employees to provide at least 7 days' notice for scheduled leave. This policy change directly affects private employers covered by FMLA and federal employees who qualify for leave under these expanded provisions.
Maddy summarySRES 55 is a Senate resolution designating January 2025 as "National Mentoring Month." It formally recognizes the value of mentoring relationships in supporting youth development, highlighting benefits like improved academic outcomes, mental health, career exploration, and reduced juvenile delinquency. The resolution encourages expanding mentoring programs in communities, schools, and workplaces to address the "mentoring gap" where one-third of U.S. youth lack consistent mentorship. As a symbolic measure, it aims to raise public awareness and promote cross-sector collaboration without creating new laws or funding.
Maddy summaryS 383 (the JOBS Act of 2025) expands Federal Pell Grant eligibility to students enrolled in certain short-term job training programs at eligible institutions of higher education. The bill creates a "job training Federal Pell Grant" for programs meeting specific criteria: 150-600 clock hours over 8-15 weeks, aligned with high-demand industry sectors, and leading to recognized postsecondary credentials that meet employer hiring requirements or licensure prerequisites. It also lowers the minimum Pell Grant award from 10% to 5% of the full annual amount. This directly affects students seeking career-focused training and institutions offering qualifying programs that validate industry partnerships.
Maddy summaryS 391, the Access to Counsel Act of 2025, requires U.S. Customs and Border Protection to provide certain immigrants access to legal counsel during immigration inspections at ports of entry or during deferred inspection. It directly affects individuals including lawful permanent residents returning from travel, visa holders, refugees, asylees, and parolees. The bill mandates that immigration officers ensure a meaningful opportunity for counsel consultation within one hour of inspection starting, including phone access, and allows counsel to present evidence to officers. Special rules require lawful permanent residents to receive legal advice before signing a form abandoning their status, unless they voluntarily waive this right in writing. The law takes effect 180 days after enactment and does not override existing rights to counsel under other immigration laws.
Maddy summaryThe NO BAN Act (S.398) amends U.S. immigration law to prohibit discrimination based on national origin, religion, or other protected categories when processing nonimmigrant visas or immigration benefits. It explicitly bans entry restrictions that target specific nationalities or religions, requiring the President to justify any such restrictions with specific evidence, narrow tailoring, and congressional notification under Section 212(f). The bill mandates detailed public reporting on visa denials, waivers, and refugee admissions for affected countries, and requires ongoing 30-day updates if entry restrictions are implemented. This directly affects nonimmigrant visa applicants, refugees, and commercial airlines subject to enforcement provisions.
Maddy summarySRES 51 is a symbolic Senate resolution expressing that the United States Agency for International Development (USAID) is essential for advancing U.S. national security. It states USAID helps mitigate foreign threats before they reach U.S. shores, promotes global stability, addresses the root causes of migration and extremism, and counters China's influence. The resolution does not change laws or funding - it only affirms the Senate’s view on USAID’s role. It was introduced by 38 Senators and refers to existing laws requiring congressional input for USAID changes.