Sen. Roger Marshall

Maddy summaryThis bill requires pharmacy benefit managers (PBMs) to provide detailed annual reports to health plan sponsors about drug pricing, spending, and rebates for plans covering large employers (50+ employees). It mandates full pass-through of rebates from drug manufacturers to health plans, prohibits PBMs from charging patients more than pharmacies are paid for drugs (spread pricing), and requires detailed reporting on drug costs, formulary decisions, and comparative pricing data between in-house and independent pharmacies. The reports must include information about drug spending, out-of-pocket costs for patients, wholesale acquisition costs, and pricing differences across pharmacy channels. These requirements apply to group health plans and health insurance issuers for plan years beginning in 2025, with some provisions for small employers as well.

Maddy summaryThis bill prohibits the Administrator of General Services from considering the legality or availability of abortion when making decisions about federal buildings. Specifically, it amends federal law to ban the GSA from factoring abortion laws into building acquisitions, construction projects, or lease agreements for government properties. The key provision adds explicit language to multiple sections of Title 40, stating the Administrator "shall not consider the legality or availability of abortion" in these decisions. It directly affects how the federal government manages its physical infrastructure, ensuring building-related decisions are not influenced by state abortion laws. The bill does not change abortion policy but restricts one specific federal agency's decision-making criteria.

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 amends federal rail service law to require rail carriers to meet shippers' reasonable service needs. It specifies factors carriers must consider - like crew availability, equipment maintenance, and delivery timelines - when fulfilling service requests. Disputes over service violations must be resolved within 180 days, and regulators can set enforceable service standards like delivery times if carriers fail to comply. The law directly affects rail carriers and their business customers using rail transport for shipping goods.

Maddy summaryThis bill amends the Agricultural Act of 2014 to expand disaster assistance for livestock producers. It adds unweaned cattle to the definition of livestock, includes leaseholders as eligible producers, and adjusts payment calculations for the Livestock Forage Disaster Program based on national corn prices and county grazing seasons (e.g., 8+ months of grazing triggers 8 monthly payments). The Emergency Assistance program now explicitly covers drought and includes transportation costs for feed/water, while clarifying coverage for winter grazing losses. These changes directly affect ranchers and farmers facing weather-related disasters by expanding eligibility and tailoring payments to regional conditions.

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 summaryThe CONNECT for Health Act of 2023 expands Medicare telehealth coverage by removing geographic restrictions, allowing services to be provided from home and other locations, and expanding who can offer telehealth services. The bill repeals the six-month in-person visit requirement for telemental health and allows telehealth use in hospice care recertification. It also includes program integrity measures to address inappropriate billing patterns and requires posting of telehealth service data to improve transparency. This legislation directly affects Medicare beneficiaries, healthcare providers, and telehealth technology vendors by making telehealth more accessible, particularly for rural and underserved populations, those with mobility challenges, and individuals in areas with healthcare workforce shortages.

Maddy summaryThis bill prohibits state and local governments from imposing additional production standards on agricultural products grown in another state but sold in interstate commerce, unless those standards already apply under federal law or the state where production occurs. It directly affects farmers, distributors, and businesses operating across state lines by preventing states from creating new barriers to interstate agricultural trade. Key provisions include creating a federal legal right for affected parties to challenge such state regulations in court, with automatic preliminary injunctions to halt enforcement pending resolution. The law also sets a 10-year limit for filing lawsuits and specifies where cases can be heard.

This resolution celebrates the 246th anniversary of the creation of the U.S. flag, recognizes that the Pledge of Allegiance has been a valuable part of life for the people of the United States for generations, and defends the constitutionality of the pledge.

Maddy summaryThis bill prohibits displaying any flag other than the U.S. flag on the exterior of public buildings or in their hallways. It directly affects all federal, state, and local government buildings, including courthouses, libraries, and military installations. Exceptions allow specific flags, such as POW/MIA flags, visiting diplomats' national flags, state flags for congressional offices, military unit flags, tribal flags, and local jurisdiction flags. The bill is procedural, focusing solely on flag display rules without altering other policies.