Sen. Debbie Stabenow

Maddy summaryThe Safe Step Act requires health insurance plans and employer-sponsored health coverage to create a transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically mandate trying a lower-cost drug first before covering a more expensive alternative. Exceptions must be approved if previous treatments failed, delaying coverage would cause severe harm, the required drug is unsafe, or the patient is stable on the requested drug. Health plans must respond to requests within 72 hours (or 24 hours in emergencies) and make the process details available online.

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.

Maddy summaryThe Child Labor Prevention Act amends the Fair Labor Standards Act to clarify that child labor protections apply to all work arrangements, including those involving independent contractors. It updates definitions by replacing terms like "employee" with "worker" and explicitly stating that "employer" includes anyone engaging a worker (including independent contractors) for remuneration. The bill also increases civil penalties for violations (with annual inflation adjustments) and adds criminal penalties for repeated or willful violations of child labor laws. These changes ensure existing child labor rules cover modern work structures without altering core prohibitions, such as age limits for employment.

Maddy summaryThis bill amends the tax code to allow employers to claim a work opportunity tax credit for hiring spouses of active-duty military members. It adds "qualified military spouse" as a new category for the credit, defined as an individual certified by a local agency as married to a military service member at the time of hire. Employers who hire such individuals after the bill's enactment date can claim this credit for their wages. The change directly affects employers seeking tax incentives and military spouses seeking employment opportunities. The provision applies to hiring that occurs after the bill becomes law.

Maddy summaryThe DRIVE Act of 2023 updates the mileage reimbursement rate for veterans using Department of Veterans Affairs (VA) travel benefits. It requires the VA to set its mileage rate equal to the federal government's standard for employee travel in privately owned vehicles (currently 41.5 cents per mile, as set by the General Services Administration). This change directly affects veterans receiving VA travel allowances for medical appointments or other official purposes. The bill amends existing VA law to align the reimbursement rate with the federal government's established rate, ensuring veterans are compensated at the same level as federal employees on similar travel.

Maddy summaryThis bill repeals two provisions that reduce Social Security benefits for certain public-sector retirees. It eliminates the government pension offset (GPO), which currently cuts Social Security checks for people with government pensions, and removes the windfall elimination provision (WEP), which reduces benefits for those with pensions from jobs not covered by Social Security. The changes directly affect public employees (like teachers, firefighters, and state/local government workers) who have pensions from jobs that didn't pay into Social Security. The bill takes effect for Social Security benefits paid after December 2023, restoring full benefits for eligible retirees.

Maddy summaryThis resolution designates February 6-10, 2023, as "National School Counseling Week" in the U.S. Senate. It symbolically recognizes the role of school counselors in supporting students' academic, social, and emotional development. The resolution encourages public awareness of counselors' contributions to student success and school safety but does not create new policies, funding, or requirements. It directly affects school counselors and communities by highlighting their work during this designated week.

Maddy summaryThis bill authorizes Congress to award a single gold medal to the First Rhode Island Regiment collectively, recognizing their service during the Revolutionary War. The medal, designed by the Treasury Secretary, will be permanently displayed at the Rhode Island State Library, with Congress encouraging its use for research and potential display at other historically significant locations. Bronze duplicates may be sold to cover production costs, and all medals are classified as national medals under U.S. law. The bill directly honors the regiment, which in 1778 became one of the first integrated units in American history by recruiting over 200 Black and Indigenous soldiers.

Maddy summaryThe Medicaid Dental Benefit Act of 2023 requires states to provide Medicaid coverage for dental and oral health services to adults beginning January 1, 2025, including preventive care, emergency treatment, dentures, implants, and services to address oral disease. It defines "dental and oral health services" to cover a comprehensive range of care and provides 100% federal funding for these services during the first 12 quarters after implementation. The bill also mandates states to develop quality and equity measures for adult oral health care, report annually on these measures, and implement outreach programs to improve access for underserved populations. This legislation directly affects low-income adults who currently face significant barriers to receiving comprehensive dental services through Medicaid.

Maddy summaryS 566, the "Charitable Act," modifies tax deductions for charitable contributions for individuals who do not itemize their deductions on federal income taxes. It allows these taxpayers to deduct up to one-third of their standard deduction amount for 2023 and 2024 tax years, instead of the usual itemized deduction. The bill also removes references to a repealed penalty provision (Section 6662(b)(10)) and adjusts related penalty language in the tax code. This directly affects non-itemizing taxpayers who make charitable contributions, providing a new deduction option for those years only. The changes apply to tax years beginning after December 31, 2022.