Sen. Roger Marshall

Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.

Maddy summaryThis bill modifies Medicare payment calculations for rural hospitals to provide increased funding. It directly affects "sole community hospitals" and "Medicare-dependent hospitals" by rebasing their payment formulas using a 2016 cost reporting period as the new base, effective October 1, 2025. The key mechanism replaces the previous base period with 2016 data, potentially increasing payments if this change results in higher reimbursement. The bill also extends existing payment programs for these hospitals through future fiscal years and prohibits certain payment adjustments for rebased amounts. This is a technical adjustment to Medicare reimbursement rules, not a new eligibility program.

Maddy summaryThis bill (S 345, the SHUSH Act) removes federal barriers to state regulation of firearm silencers. It preempts state laws that impose taxes, registration, or recordkeeping requirements on silencers, meaning states cannot enforce such rules. The bill also amends tax code to treat silencers like firearms for registration purposes and excludes silencers from federal consumer safety regulations. It directly affects silencer manufacturers, sellers, and users by preventing federal interference with state-level rules governing these devices. The key change is making state laws the sole regulatory framework for silencers, not federal requirements.

Maddy summaryThis bill establishes tax credits for individuals and corporations who contribute to scholarship granting organizations that provide educational scholarships for eligible students. The individual tax credit is limited to 10% of adjusted gross income or $5,000, while corporate credits are capped at 5% of taxable income. The bill defines "eligible students" as those from households with income not exceeding 300% of the area median gross income, and specifies that scholarships can cover tuition, materials, tutoring, and educational therapies. The bill includes a $10 billion annual cap on tax credits, with a first-come, first-served allocation system, and requires scholarship organizations to meet specific financial and operational standards.

Laken Riley Act This act requires the Department of Homeland Security (DHS) to detain certain non-U.S. nationals ( aliens under federal law) who have been arrested for burglary, theft, larceny, shoplifting, assault of a law enforcement officer, or any crime that results in death or serious bodily injury to another person. The act also authorizes states to sue the federal government for decisions or alleged failures related to immigration enforcement. Under this act, DHS must detain an individual who (1) is unlawfully present in the United States or did not possess the necessary documents when applying for admission; and (2) has been charged with, arrested for, convicted of, or admits to having committed acts that constitute the essential elements of the above crimes. The act also authorizes state governments to sue for injunctive relief over certain immigration-related decisions or alleged failures by the federal government if the decision or failure caused the state or its residents harm, including financial harm of more than $100. Specifically, the state government may sue the federal government over a decision to release a non-U.S. national from custody; failure to fulfill requirements relating to inspecting individuals seeking admission into the United States, including requirements related to asylum interviews; failure to fulfill a requirement to stop issuing visas to nationals of a country that unreasonably denies or delays acceptance of nationals of that country; violation of limitations on immigration parole, such as the requirement that parole be granted only on a case-by-case basis; or failure to detain an individual who has been ordered removed from the United States.

Maddy summaryThis bill reauthorizes the Dr. Lorna Breen Health Care Provider Protection Act, extending mental health support programs for healthcare professionals through 2029. It updates existing provisions to require annual reporting on program implementation and expands funding eligibility to include organizations focused on reducing administrative burdens for healthcare workers. The bill directly affects healthcare providers by maintaining access to confidential mental health and substance use disorder services through federally supported initiatives. Key changes include extending the program period from 2022-2024 to 2025-2029 and adding specific criteria for grant recipients to address workplace stressors.

Maddy summaryThe Personalized Care Act of 2025 expands Health Savings Account (HSA) eligibility to include more types of health coverage, such as health care sharing ministries and certain government programs (like Medicaid, Medicare, and TRICARE). It significantly increases annual HSA contribution limits - from $2,250/$4,500 to $10,800/$29,500 for individuals/families - and allows HSA funds to pay for health plan premiums and medical care service arrangements (like fixed-fee physician contracts). The bill also explicitly treats health care sharing ministry fees as qualified medical expenses, removing barriers for members of these alternative coverage groups. These changes apply to taxable years beginning after December 31, 2025.

Maddy summaryThis Senate resolution (SRES 31) calls on Panama's government to end Chinese influence at key Panamanian ports, specifically demanding the termination of Chinese management at Balboa and Cristobal ports and the expulsion of Chinese officials from these facilities. It urges Panama to reaffirm the Panama Canal's neutrality under the 1977 Neutrality Treaty and reduce reliance on Chinese-affiliated entities. The resolution also directs the U.S. government to support Panama in transitioning away from Chinese infrastructure partnerships and to develop U.S.-led alternatives for canal operations. The resolution is non-binding but seeks to align Panama's infrastructure management with U.S. security interests and democratic values.

Maddy summaryThis bill prohibits federal funding for Planned Parenthood Federation of America and its affiliates. It directly affects Planned Parenthood by banning all federal money from being allocated to them under any circumstances. The key provision is a clear, explicit ban on using federal funds for these organizations, overriding any other existing laws that might allow such funding. This is a straightforward policy change that would immediately halt federal financial support to Planned Parenthood.

Maddy summaryThis bill amends immigration law to make non-citizens subject to deportation if convicted of assaulting a law enforcement officer, firefighter, or first responder while they were performing official duties, due to their duties, or because of their status. It defines "assault" under local law and expands "law enforcement officer" to include those preventing, investigating, or prosecuting crimes. The bill also requires the Department of Homeland Security to annually report the number of such deportations to Congress and the public. The policy directly affects non-citizens convicted of qualifying assaults against covered personnel, with no new enforcement mechanisms beyond existing deportation procedures.