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 First Step Implementation Act of 2023 implements key provisions from the First Step Act of 2018 by allowing courts to reduce sentences for certain drug offenses and creating new parole options for juveniles convicted as adults. It establishes automatic sealing of juvenile nonviolent offense records after three years of completing supervision and provides a process for expungement of certain juvenile records. The bill also requires the Attorney General to implement procedures for correcting inaccurate or incomplete criminal records used in employment background checks. These provisions directly affect individuals with past juvenile offenses, those with certain drug convictions, and people seeking employment who may have inaccurate criminal records.
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 1247, the Terry Technical Correction Act, clarifies that retroactivity provisions under the First Step Act of 2018 apply to crack-cocaine offenders sentenced before the Fair Sentencing Act of 2010, including low-level offenses under specific sections of the Controlled Substances Act (like 21 U.S.C. 841(b)(1)(C)). It amends the First Step Act to explicitly define "covered offense" to include 14 specific crack-related violations and their attempts/conspiracies. This technical correction ensures eligible offenders previously denied retroactive sentencing adjustments due to a Supreme Court interpretation can now seek review. The bill directly affects individuals convicted of certain crack offenses before 2010 who were excluded from retroactivity under prior court rulings. It makes no new policy changes but corrects an interpretation gap in existing law.
Maddy summaryS 1200 (SAVE Girls Act) creates a $50 million federal grant program to combat the smuggling and trafficking of children and young women aged 12-24. The program funds states, tribes, local governments, and nonprofit organizations to prevent cross-border smuggling of girls in this age group and support victims already trafficked or at risk of child sex trafficking. Grants prioritize prevention efforts along U.S. borders and provide direct services to affected youth. The bill amends the Trafficking Victims Protection Act of 2000 to establish this targeted funding mechanism, administered by the Attorney General and Health and Human Services Secretary. It directly affects vulnerable youth aged 12-24 and the organizations providing them with prevention and support services.
Maddy summaryS 1202, the "Keep Our PACT Act," mandates increased annual federal funding for two key education programs. It requires specific minimum funding levels for Title I of the Elementary and Secondary Education Act (which supports schools in high-poverty areas) and the Individuals with Disabilities Education Act (IDEA, which funds specialized education for students with disabilities) from fiscal years 2024 through 2033. The bill sets annual dollar targets that increase each year, with IDEA funding eventually reaching 40% of national per-pupil spending for students with disabilities by 2033. These funds directly affect public schools serving low-income students and students with disabilities across all states. The bill does not change eligibility or program requirements but ensures specified funding levels are appropriated annually.
Maddy summaryThe Latonya Reeves Freedom Act of 2023 establishes a federally protected right for individuals with disabilities who require long-term services and supports (LTSS) to live in community-based settings rather than institutions. The bill defines specific requirements for "community-based" settings, including housing options that allow individuals to live in their own homes or shared residences with privacy rights, choice, and control over their services. It requires states to develop transition plans with measurable goals to move people from institutional settings to community-based supports within 12 years, along with annual reporting on progress. The Department of Justice and Department of Health and Human Services will enforce the law through investigations, compliance reviews, and the ability to seek injunctive relief for violations.
Maddy summaryThe Do No Harm Act amends the Religious Freedom Restoration Act (RFRA) to clarify that RFRA does not apply when federal laws protect against discrimination (like the Civil Rights Act of 1964), guarantee workplace protections (such as the Family and Medical Leave Act), prevent child exploitation, or ensure health care access. It specifically prevents religious freedom claims from blocking enforcement of these existing laws. The bill directly affects individuals or entities attempting to use RFRA to challenge such federal protections in court. This amendment ensures that religious freedom arguments cannot override established civil rights, workplace, child safety, or health care regulations.
Maddy summarySRES 159 is a symbolic Senate resolution designating April 11-17, 2023, as "Black Maternal Health Week" to highlight the maternal health crisis affecting Black women and birthing persons in the U.S. It references data showing Black women are 2.6 times more likely to die from pregnancy-related causes than White women, with higher rates of complications and disparities across income and education levels. The resolution calls for national attention to address systemic racism and inequities in maternal care but does not create new laws, funding, or mandates. It serves solely as a recognition effort to amplify community-led solutions and policy discussions around racial disparities in maternal health.
Maddy summarySRES 163 is a symbolic Senate resolution supporting National Public Safety Telecommunicators Week. It honors public safety telecommunications professionals - such as 911 operators - who handle critical emergency calls, provide life-saving guidance during crises, and support investigations involving missing persons or crimes. The resolution encourages the public to recognize their vital role in emergency response and the emotional toll of their work. It does not create new laws or policies but formally acknowledges their contributions through Senate recognition.