Maddy summaryThe SMART Prices Act changes how Medicare negotiates drug prices. It repeals a rule blocking Medicare from negotiating with drugmakers and accelerates the process, requiring negotiations for 40 drugs starting in 2027 (up from 10 annually). It shortens the time drugs must be single-source to qualify for negotiation (from 7 to 3 years) and adjusts price negotiation formulas, setting new caps like 76% of the drug's average price for some medications. This directly affects Medicare beneficiaries (by lowering their out-of-pocket costs) and pharmaceutical companies (by requiring price negotiations for more drugs faster).
Sponsored bills
Maddy summaryThe SMART Prices Act (S 1246) repeals a provision blocking states from negotiating Medicare drug prices and accelerates the Medicare Drug Price Negotiation Program. It increases the annual number of drugs eligible for negotiation from 10 to 40 starting in 2027, shortens the timeframes for qualifying drugs from 7 to 3 years, and adjusts price ceiling percentages (e.g., raising the maximum fair price cap for some drugs from 75% to 76%). These changes directly affect Medicare beneficiaries by potentially lowering drug costs and pharmaceutical companies by altering negotiation timelines and pricing rules. The bill aims to reduce Medicare drug spending through faster, more aggressive price negotiations.
Maddy summaryS 1250, the Drug-price Transparency for Consumers Act of 2023, requires pharmaceutical companies to disclose the wholesale acquisition cost (WAC) for a 30-day supply of prescription drugs in direct-to-consumer advertisements. This applies to drugs covered by Medicare or Medicaid, excluding those with a WAC under $35 per 30-day supply. The bill mandates clear display of the list price in ads, with manufacturers facing $100,000 penalties for noncompliance. It aims to give consumers upfront price information before they discuss prescriptions with doctors, helping them compare costs and make informed choices.
Maddy summaryThe Community Broadband Act of 2023 prohibits states from banning local governments, cooperatives, or public-private partnerships from providing broadband services. It ensures these community-based providers (like city-run networks or utility cooperatives) can offer internet access without state restrictions, while requiring them to apply rules fairly to competing private providers. Key provisions define "public provider" (e.g., a city or county), "cooperatively organized provider" (tax-exempt co-ops), and "public-private partnership," with anti-discrimination safeguards to prevent favoritism. The bill does not override existing federal or state regulations governing all broadband providers. It directly affects communities seeking to build local broadband infrastructure, particularly in underserved areas.
Maddy summaryThis bill enhances training programs at Civilian Conservation Centers operated by the Interior and Agriculture Departments, focusing on wildfire response, forestry, and conservation careers. It requires specialized training in fields like firefighting logistics, forest restoration, and equipment operation, prioritizing facilities serving underserved youth. The bill mandates hiring 300 graduates annually for wildland firefighting roles, allows direct hiring without standard civil service rules, and creates a housing pilot program using covered students to renovate federal properties for firefighters. It directly affects underserved youth completing training programs and federal agencies managing public lands. The bill also requires annual reports assessing center capacity and workforce needs.
Maddy summarySRES 161 is a symbolic Senate resolution designating April 22-30, 2023, as "National Park Week." It does not create new laws or affect specific groups, but formally recognizes the National Park System's significance. The resolution highlights the parks' historical value, visitor impact (312 million visits in 2022), and economic contributions ($42.5 billion in 2021). It encourages public engagement with national parks but contains no funding, regulatory changes, or policy mechanisms. As a procedural resolution, it serves purely to honor the parks' legacy.
Maddy summarySRES 148 is a ceremonial Senate resolution (not a law) passed in March 2023 that formally recognizes the heritage, culture, and contributions of American Indian, Alaska Native, and Native Hawaiian women. It highlights their historical and ongoing achievements in areas like military service, business ownership, healthcare, arts, and civil rights through specific examples (e.g., veterans, entrepreneurs, activists). The resolution has no policy or funding mechanisms - it solely expresses the Senate's intent to honor these contributions and acknowledge the need to address barriers they face. It was introduced by Senators Murkowski, Schatz, and others with bipartisan support.
Maddy summarySRES 120 is a ceremonial Senate resolution designating March 23, 2023, as "National Women in Agriculture Day." It recognizes the significant contributions of women in U.S. agriculture, citing that they represent over one-third of agricultural producers and generated $148 billion in sales in 2017. The resolution encourages citizens to acknowledge women in the field and supports their roles as producers, educators, mentors, and leaders. As a symbolic gesture, it does not create new laws or funding but aims to highlight their impact on the agricultural workforce and food systems.
Maddy summaryThis bill establishes a federal grant program to support states that have joined interstate compacts allowing mental health professionals to practice across state lines. It provides $4 million annually (2024-2027) to incentivize counselors to work in participating states and help develop the commissions managing these compacts. The program directly affects licensed mental health counselors and states participating in interstate licensure agreements, aiming to expand the workforce by reducing licensing barriers. Key provisions include funding for states to maintain compacts and support commissions that coordinate mutual recognition of professional licenses between states.
Maddy summaryS 1098, the Global Health, Empowerment and Rights Act, changes U.S. aid rules for foreign nongovernmental organizations (NGOs) receiving funding under the Foreign Assistance Act. It removes eligibility barriers for these NGOs if they provide health services (like counseling) using their own funds, as long as those services comply with local laws and would be legal in the U.S. It also eliminates extra restrictions on how foreign NGOs can use non-U.S. government funds for advocacy or lobbying, making these rules the same as those applied to U.S. NGOs receiving similar aid. This directly affects foreign health-focused NGOs working in international development and rights advocacy.