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.
Sponsored bills
Maddy summaryThis bill increases the federal tax credit for rehabilitating historic buildings, specifically boosting the credit rate from 20% to 30% for small projects (defined as those with qualified rehabilitation costs under $3.75 million and no prior credit). The total credit for any single project is capped at $750,000. It also expands eligibility by changing how building basis is calculated and adjusts rules for tax-exempt properties to simplify compliance. These changes directly benefit small-scale developers and owners rehabilitating certified historic structures.
Maddy summaryThe IRS Whistleblower Program Improvement Act of 2023 updates the IRS program that compensates individuals for reporting tax fraud. It requires the Tax Court to review award decisions from the start (not as an appeal) using all available evidence, exempts whistleblower awards from automatic budget cuts, and mandates court confidentiality for whistleblowers unless a strong public interest outweighs privacy concerns. The bill also requires the IRS to publish an annual list of the top tax avoidance schemes reported by whistleblowers and adds interest to delayed payments beyond 12 months. These changes directly affect whistleblowers, the IRS, and the Tax Court by strengthening protections, transparency, and timely compensation.
Maddy summaryThe Title X Abortion Provider Prohibition Act would bar federal funding under the Title X program (which supports family planning services like contraception and STD testing) from going to any health care provider that performs or funds abortions, except in cases of rape, incest, or when a physician certifies an abortion is necessary to prevent death or serious health harm. It requires clinics receiving Title X funds to certify they do not perform or fund abortions (with these exceptions), while hospitals are exempt from this certification if they do not fund non-hospital abortion providers. The bill also mandates annual reports to Congress detailing funded clinics, the number of abortions performed under exceptions, and any funds transferred to other entities. This policy would directly affect Title X-funded clinics that provide abortion services or fund such services, potentially limiting their access to federal funding.
Maddy summaryThe Finn Sawyer Access to Cancer Testing Act requires Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) to cover specific cancer diagnostic tests, including genetic sequencing (like DNA and RNA tests) and their interpretation, for individuals diagnosed with cancer. It defines these tests to include advanced genetic analysis methods and limits coverage to once at initial diagnosis, once at recurrence, and as needed for treatment planning or monitoring. The bill mandates that these tests be covered without a deductible under Medicare and requires states to include them in Medicaid and CHIP coverage starting January 1, 2025. Additionally, it establishes a federal education program to inform healthcare providers and the public about genomic testing for cancer care.
Maddy summaryThis bill prohibits federally funded schools and athletic programs from allowing individuals assigned male at birth to participate in women's or girls' sports teams. It defines "sex" for this purpose solely based on biological sex assigned at birth, including reproductive anatomy and genetics. The law amends Title IX of the Education Amendments of 1972 to make such participation a violation of federal civil rights law. It directly affects all schools, colleges, and organizations receiving federal funds that operate athletic programs for women or girls.
Maddy summaryThis bill extends a 100% bonus depreciation tax incentive for U.S. companies investing in space launch infrastructure. It applies to property like launch vehicles, payloads, and equipment used for U.S.-based space launches (including aircraft-launched systems meeting U.S. manufacturing requirements) placed in service between 2024 and 2032. The key change modifies tax law to extend the deadline for qualifying property from 2027 to 2033 and maintains full depreciation for eligible investments during that period. This directly benefits domestic space launch businesses by reducing their upfront costs for qualifying equipment.
Maddy summaryThis bill, the COMETS Act, allows NASA to enter agreements with private companies and state governments to provide them with supplies, support, and services related to their space activities on NASA-owned property. It directly affects private space companies and state governments operating at NASA facilities. The key provision permits NASA to include these services in its own procurement requirements if the Administrator determines it benefits the government, doesn't interfere with NASA's needs, and avoids competing with other commercial entities, provided the requesting entity fully reimburses NASA upfront. The bill creates a formal mechanism for NASA to collaborate with commercial and state partners on shared infrastructure.
Maddy summaryThis bill (S 588) requires the U.S. President to impose sanctions on specific Chinese officials and block U.S. funding for joint research with China if China fails to allow a transparent international investigation into the origins of COVID-19 at Wuhan laboratories within 90 days of the bill’s enactment. It targets officials involved in concealing the outbreak or obstructing the investigation, including leaders of China’s Chinese Academy of Sciences (CAS) and agencies like the Ministry of Health. Key provisions include blocking assets of sanctioned individuals, denying visas to them, and banning U.S. federal-funded researchers from collaborating with China on certain virus-related research. The bill aims to compel China to grant unrestricted access to labs, data, and personnel for an independent origin investigation.
Maddy summaryThis resolution establishes a procedural requirement for the U.S. Senate to review international pandemic agreements negotiated under the World Health Organization (WHO). It mandates that any WHO agreement on pandemic prevention, preparedness, or response - where the U.S. would make significant commitments - must be submitted to the Senate as a treaty requiring approval before implementation. The resolution requires the President to submit such agreements to the Senate within 60 days of signing, with the Senate declaring it "not in order" to fund or implement any such agreement without prior Senate ratification. This affects how the executive branch handles WHO pandemic agreements, ensuring Senate consultation and approval aligns with constitutional treaty procedures.