Maddy summaryS 626, the Comprehensive Care for Alzheimer’s Act, establishes a new Medicare model to provide coordinated care management for beneficiaries with Alzheimer’s disease or related dementia. It directly affects Medicare Part A/B enrollees (not in Part C or hospice) and their unpaid caregivers by requiring eligible entities like health systems or ACOs to deliver comprehensive services including continuous monitoring, personalized care plans, medication management, and caregiver support. Key provisions include assigning patients to care pathways based on health needs, requiring zero cost-sharing for beneficiaries, and paying providers via capitated payments with quality-based bonuses. The model aims to test whether this approach improves health outcomes, caregiver experience, and reduces Medicare spending without lowering care quality.
Sponsored bills
Maddy summaryThe Title X Abortion Provider Prohibition Act would bar federal funding under the Title X program (which supports family planning services like contraception and STD testing) from going to any health care provider that performs or funds abortions, except in cases of rape, incest, or when a physician certifies an abortion is necessary to prevent death or serious health harm. It requires clinics receiving Title X funds to certify they do not perform or fund abortions (with these exceptions), while hospitals are exempt from this certification if they do not fund non-hospital abortion providers. The bill also mandates annual reports to Congress detailing funded clinics, the number of abortions performed under exceptions, and any funds transferred to other entities. This policy would directly affect Title X-funded clinics that provide abortion services or fund such services, potentially limiting their access to federal funding.
Maddy summaryThis bill changes how often federal credit unions must hold board meetings based on their performance ratings. For all federal credit unions, boards must meet at least monthly for the first 5 years after their charter is approved. After that, credit unions rated 1 or 2 (highest performance) must meet at least 6 times yearly (with one per quarter), while those rated 3-5 must meet monthly. The bill directly affects all federal credit unions by adjusting their board meeting requirements according to their Uniform Financial Institutions Rating System score. These changes aim to align meeting frequency with credit union performance and oversight needs.
Maddy summaryThe FOCA Act (S 537) requires federal agencies and recipients of federal construction funds to prohibit bid specifications or project agreements from mandating or banning contractor agreements with labor organizations (like unions), or discriminating against contractors based on such affiliations. It applies to all federal construction contracts and subcontracts awarded after the law's enactment, aiming to ensure open competition, reduce costs, and expand opportunities for small and disadvantaged businesses. Federal agencies must update their regulations within 60 days to implement these rules, with limited exemptions only for urgent public health, safety, or national security threats - not labor disputes. This law directly affects contractors, subcontractors, and federal construction projects funded by the government.
Maddy summaryThis bill proposes a constitutional amendment to limit the Supreme Court to no more than 9 justices. It would directly affect the composition of the Supreme Court by preventing future expansions beyond the current 9-justice structure. The key provision requires a constitutional amendment, which would need ratification by 38 state legislatures (three-fourths of states) within seven years of congressional submission. Congress would also gain authority to pass laws enforcing this limit. The amendment does not change the current court size but aims to restrict future changes to the Court's membership.
Maddy summarySRES 72 is a non-binding Senate resolution passed on February 16, 2023, declaring that Russia’s actions in Ukraine meet the legal definition of genocide under the 1948 Genocide Convention. It cites specific atrocities, including mass killings of civilians, deliberate destruction of infrastructure (like hospitals and farmland), forced displacement of Ukrainians, and systematic sexual violence, as evidence of intent to destroy the Ukrainian people. The resolution calls on the U.S. government to support Ukraine, back international accountability efforts, and urges the President to impose sanctions under the Global Magnitsky Act on those responsible. As a symbolic resolution, it does not create new laws but formally recognizes the Senate’s position on Russia’s conduct.
Maddy summaryThis bill requires any U.S. agreement with Iran regarding its nuclear program to be treated as a treaty, mandating Senate approval by a two-thirds vote before it can take effect. It directly affects the President, who cannot bypass this requirement to waive or reduce sanctions related to Iran's nuclear activities. The key provision blocks the President from granting sanctions relief or taking related actions under any Iran nuclear deal - including joint plans, side agreements, or future documents - without first securing Senate treaty approval. This applies to all forms of agreements, whether legally binding or not, and covers all related materials like annexes or technical understandings.
Maddy summaryThis bill repeals specific provisions from the Affordable Care Act (sections 6001 and 10601) and the 2010 Health Care Reconciliation Act (section 1106), which had limited Medicare exceptions for physician referrals to hospitals. It restores the prior rules that allowed physicians to refer patients to hospitals without triggering certain restrictions. The bill directly affects hospitals and physicians participating in Medicare by removing these referral limitations. This is a procedural change to revert to pre-2010 law regarding physician-hospital relationships under Medicare.
Maddy summarySRES 67 is a symbolic Senate resolution designating February 2023 as "Career and Technical Education (CTE) Month" to recognize CTE's role in preparing students for high-demand careers. It does not create new policies or funding but expresses Senate support for CTE programs that connect students with workforce skills in fields like healthcare, technology, and construction. The resolution encourages educators and parents to promote CTE as a valuable educational pathway, referencing the 106th anniversary of the foundational Smith-Hughes Vocational Education Act. As a procedural resolution, it has no direct impact on legislation or affected individuals.
Maddy summaryThis symbolic Senate resolution (SRES 69) designates February 18-25, 2023, as "National FFA Week" to celebrate the 95th anniversary of the National FFA Organization. It recognizes FFA’s role in developing future agricultural leaders through its educational programs, which serve over 850,000 students across all 50 states and territories. The resolution has no legal effect - it is a ceremonial expression of support, not a policy change. It directly affects the FFA organization and its members by highlighting their educational mission during a designated week.