Sen. Tina Smith

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 Local Farms and Food Act of 2023 reforms the Local Agriculture Market Program to better support local food systems. It redefines "food hub" to include businesses coordinating local food distribution and creates simplified grant applications for projects under $100,000, such as farmers market staffing or equipment purchases. The bill increases annual funding for the program to $75 million (2024-2028) and expands the Seniors Farmers' Market Nutrition Program with $20.6 million annually for the same period. It also raises the federal share for nutrition incentive programs from 50% to 75% and adds a healthcare-experienced panel to review produce prescription applications. These changes directly affect local food hubs, farmers, seniors accessing nutrition benefits, and community food system projects.

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 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 summaryS 1212 establishes federal standards for remote and electronic notarizations, enabling notaries to perform these services across state lines for individuals not physically present. Key provisions require identity verification (using two methods or a credible witness), mandatory audio/video recording of remote notarizations (retained for 5-10 years), and secure attachment of electronic signatures to documents. The bill ensures courts and states recognize these notarizations as valid regardless of whether the notary used electronic records or served a remotely located individual. It does not require notaries to offer these services but creates a uniform baseline for interstate recognition, while allowing states to maintain stricter rules.

Maddy summaryS.1190, the "End the Threat of Default Act," repeals the statutory debt ceiling (Section 3101 of Title 31, U.S. Code), eliminating the legal limit on federal borrowing. This directly affects how the U.S. Treasury manages debt issuance, as it removes the requirement for Congress to vote on raising the debt limit. The bill replaces all references to "debt subject to limit" with terms like "face value of obligations" to align with the repealed ceiling mechanism, preventing future government shutdowns or default risks tied to debt ceiling negotiations.

Maddy summaryThe Social Security Caregiver Credit Act of 2023 would allow unpaid caregivers of dependent relatives to count their caregiving time toward Social Security retirement benefits. Specifically, it would treat months with at least 80 hours of unpaid care for a child under 12 or a chronically dependent relative (such as an elderly or disabled family member) as if the caregiver earned half the national average wage for that year. Caregivers would need to apply and provide documentation, like a physician’s note for non-child dependents, to verify chronic dependency. Only the last 60 qualifying months would count, and the change would apply to benefits starting after December 2023.

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 summaryThis bill requires employers in healthcare and social service sectors to develop and implement workplace violence prevention plans for their workers. It applies to a wide range of facilities including hospitals, nursing homes, mental health clinics, and community care settings, affecting healthcare and social service workers who provide care in these environments. The plans must include risk assessments, hazard prevention measures, incident reporting procedures, and annual training for employees. Employers must maintain records of violent incidents, conduct annual evaluations of their prevention plans, and submit annual summaries of workplace violence data to the Secretary of Labor. The bill also prohibits retaliation against workers who report violence or safety concerns and ensures compliance with existing safety standards.