Maddy summaryThis bill amends Medicare reimbursement rules to cover emergency medical services provided on-scene without patient transportation. Starting January 1, 2025, ambulance providers will be eligible for payment for on-scene care, even if they do not offer transport services. It directly affects ambulance service providers and Medicare beneficiaries who receive emergency care at the scene. The policy expands Medicare coverage to include a previously unreimbursed service, ensuring payment for essential on-scene medical support.
Sponsored bills
Maddy summarySCONRES 7 is a Senate concurrent resolution condemning Russia’s detention of Vladimir Kara-Murza, a Russian opposition leader jailed for criticizing Vladimir Putin’s regime, the invasion of Ukraine, and advocating for democracy. It calls for his immediate release, urges Russia to free all political prisoners, and expresses solidarity with advocates for democratic values in Russia. The resolution specifically references Kara-Murza’s history of poisoning attempts, his arrest for "spreading false information" after speaking out, and his recent high treason charges. It does not create new laws or impose sanctions but formally expresses congressional opposition to his unjust detention.
Maddy summaryThis bill reauthorizes funding for the DNA Analysis Backlog Elimination Act program, extending the funding period from fiscal years 2019-2024 to 2024-2029. It directly affects law enforcement agencies and crime laboratories that process forensic DNA evidence to reduce backlogs. The key provision updates the timeframe for federal grants that help these agencies conduct DNA testing on unsolved cases. This ensures continued support for analyzing biological evidence in criminal investigations without creating new requirements.
Maddy summarySRES 448 is a symbolic Senate resolution supporting National Domestic Violence Awareness Month. It does not create new laws or programs, but formally commends domestic violence advocates, service providers, and survivors while urging Congress to continue raising awareness and supporting existing victim services. The resolution highlights statistics on domestic violence impacts (e.g., 3 women killed daily by intimate partners) as context for its support, but focuses solely on recognition and continued advocacy. It is a non-binding expression of congressional sentiment, not a policy change.
Maddy summaryThe Influenza Act sets national goals to improve influenza preparedness, including delivering first vaccine doses within 12 weeks of a pandemic strain's emergence and developing a universal vaccine within 10 years. It authorizes $335 million annually for pandemic influenza response and includes provisions to strengthen vaccine supply chains, improve diagnostics (including at-home testing), and address vaccine hesitancy through targeted communication strategies. The bill requires ensuring equitable access to vaccines and treatments for vulnerable populations, including racial and ethnic minorities, seniors, and those with chronic conditions. It mandates regular reporting on implementation progress and incorporates health equity considerations into all influenza planning and response efforts.
Maddy summaryThe Flu Vaccine Act (S 3215) directs the National Institute of Allergy and Infectious Diseases (NIAID) to conduct or fund research aimed at developing a universal influenza vaccine or preventative. It authorizes $200 million annually for fiscal years 2024 through 2029 to support this research effort. The bill directly affects NIAID scientists and research institutions receiving federal funding for influenza vaccine development. It establishes a specific funding mechanism for long-term research, without creating immediate public health programs or altering existing vaccine distribution.
Maddy summaryThis bill would change the federal budget process from an annual cycle to a biennial (every two years) cycle. It revises deadlines for key budget actions, requiring the President to submit a biennial budget by February 1st of odd-numbered years and Congress to complete budget resolutions by May 15th. The bill updates numerous references from "fiscal year" to "biennium" throughout budget-related laws, requiring budget resolutions and appropriations bills to cover two consecutive fiscal years. This change would directly affect the President, Congress, and federal agencies, which would need to adjust their budget planning and reporting processes to align with the new biennial cycle starting in 2026.
Maddy summaryThe Iranian Sanctions Enforcement Act of 2023 establishes the Iran Sanctions Enforcement Fund, initially funded with $150 million, to cover expenses related to seizures and forfeitures of property connected to sanctions violations by Iran or its designated proxies like Hezbollah and the Iranian Revolutionary Guard Corps. The fund will pay for law enforcement costs including investigations, detention, equipment, and rewards for informants, with priority given to seizing oil and petroleum products that fund terrorist activities. The bill also creates an Export Enforcement Coordination Center within Homeland Security to better coordinate federal agencies' efforts on sanctions enforcement. Annual reports to Congress will detail fund usage, seizures, and financial status, with the fund required to repay the Treasury $150 million by 2034 unless waived for national security reasons.
Maddy summaryThe TREATS Act (S 3193) modifies federal rules to allow telehealth visits for initial evaluations when prescribing certain medications to treat substance use disorders. It directly affects patients seeking medication-assisted treatment and healthcare providers prescribing FDA-approved medications for addiction (in schedules III-V). The bill replaces the requirement for a mandatory in-person medical evaluation with an option for a telehealth evaluation using approved video or audio systems. This change applies specifically to prescriptions for addiction treatment medications, expanding access for patients in remote or underserved areas. The policy change streamlines the process without altering medication approval or coverage requirements.
Maddy summaryThe Project Safe Childhood Act (S 1170) modernizes a federal program to combat online child sexual exploitation and abuse by establishing a nationwide initiative requiring coordination among federal, state, and local law enforcement agencies. It mandates the Attorney General to develop best practices for investigating and prosecuting cases involving child sexual abuse material, with specific protocols for identifying victims and serious offenders. The bill requires each U.S. Attorney to create district-specific strategic plans for coordinating investigations and prosecutions, and authorizes $28.55 million annually for 2023-2028 to support these efforts. It also establishes an annual Safer Internet Day to provide public education about online safety and reporting mechanisms. This legislation directly affects law enforcement agencies, prosecutors, and child protection services working to address online child sexual exploitation.