Maddy summaryS 1542, the DRUG Act, prohibits pharmacy benefit managers (PBMs) from charging fees tied to drug prices or rebates for services provided to health plans or insurers, effective January 1, 2026. Instead, PBMs may only charge a fixed "flat service fee" agreed upon in writing, not linked to drug costs or patient usage. The bill also bans PBMs from reimbursing affiliated pharmacies more than independent ones, charging health plans different amounts than they pay pharmacies, or steering patients to affiliated pharmacies through higher out-of-pocket costs. Violations trigger $10,000 daily civil penalties enforced by the HHS Secretary with Labor and Treasury. This directly affects PBMs, health insurers, employer health plans, and pharmacies, aiming to reduce cost-shifting and promote fair reimbursement practices.
Sponsored bills
Maddy summaryThis bill, S 1515 (Retired Pay Restoration Act), allows military retirees with service-connected disabilities to receive both their retired pay and veterans' disability compensation simultaneously, starting January 1, 2024. It directly affects military retirees who are eligible for both benefits but were previously required to choose one due to a prior law. The key change eliminates a previous phase-in period and removes a requirement that forced retirees to forgo one benefit, instead establishing clear eligibility for concurrent receipt. The amendment applies to payments for months beginning on or after the effective date.
Maddy summaryThis bill extends full contraceptive coverage without out-of-pocket costs to military dependents and non-active duty service members under TRICARE. It amends TRICARE to eliminate cost-sharing for all FDA-approved contraceptive methods, related counseling, insertion/removal services, and sterilization procedures - aligning dependent coverage with existing active duty benefits under the Affordable Care Act. The bill also requires military medical facilities to provide comprehensive pregnancy prevention information and emergency contraception access to sexual assault survivors, and mandates standardized family planning education for all service members on topics like contraceptive options and confidentiality. These changes directly affect over 700,000 female spouses/dependents and transgender military families covered by TRICARE who currently face cost barriers.
Maddy summaryS 1536, the Tribal Gaming Regulatory Compliance Act, requires the Ysleta del Sur Pueblo and Alabama-Coushatta Tribes of Texas to comply with the Indian Gaming Regulatory Act (IGRA) for their gaming operations. This bill directly affects these two tribes, which currently operate gaming on tribal land without IGRA oversight due to a separate federal law. The key mechanism amends the Ysleta del Sur Pueblo and Alabama and Coushatta Indian Tribes of Texas Restoration Act to explicitly state that IGRA applies to them, and repeals provisions allowing gaming outside IGRA’s framework. The bill clarifies regulatory requirements without changing existing gaming rights or creating new tribal gaming opportunities.
Maddy summaryThe Access Technology Affordability Act of 2023 creates a new federal tax credit for individuals who purchase qualifying access technology for blind family members. It allows taxpayers to claim a credit of up to $2,000 per year (adjusted for inflation after 2024) for hardware, software, or IT that converts visual information into formats usable by blind individuals, such as screen readers or braille displays. The credit applies to the taxpayer, their spouse, or dependent blind family members, with a lifetime limit of $2,000 over any three consecutive years. The credit expires after 2028 and cannot be claimed for expenses already covered by other tax benefits.
Maddy summaryS 1473 would require immigration officers to immediately expel individuals entering the U.S. at the Mexico border without valid documents or by fraud, without a hearing or review, for a two-year period starting when the bill becomes law. Expulsion would typically occur to Mexico, but could be directed to the individual’s home country or another willing nation if Mexico refuses or expulsion to Mexico isn’t in U.S. national interest. The bill prohibits expulsion to countries where the individual would face persecution or torture, except for those convicted of serious crimes, involved in persecution, or posing national security threats. It also allows case-by-case exceptions for humanitarian reasons and mandates referrals to asylum officers if an individual fears harm in the destination country.
Maddy summaryThis bill allows the Federal Deposit Insurance Corporation (FDIC) to recover compensation from bank executives and directors who contributed to a bank's failure. It permits the FDIC to seek repayment of payments received in the two years prior to the bank's collapse (with no time limit for fraud), and to ban individuals from future financial roles for at least two years if they violated laws, breached fiduciary duties, or engaged in unsafe practices that caused the failure. The bill also requires liability insurance for these executives to exclude coverage for such recoupments. It directly affects senior bank leaders and their insurers, focusing on accountability for failures that required government intervention.
Maddy summarySRES 194 designates May 5, 2023, as National Day of Awareness for Missing and Murdered Native Women and Girls. The resolution directly addresses the disproportionate violence faced by Native American, Alaska Native, and Native Hawaiian women by calling for public commemoration of victims and solidarity with affected families. It uses May 5 - the birthday of Hanna Harris, a Northern Cheyenne woman whose case is cited in the resolution - as the designated date for awareness efforts. As a Senate resolution, it serves as a symbolic recognition of this issue rather than creating new legal obligations.
Maddy summaryThis bill amends a federal program supporting air service to small communities. It expands eligibility by redefining when air service is considered "significantly reduced" to include factors like passenger numbers, available seats, flight schedules, or routes - not just termination. The bill increases annual funding for the program from $10 million to $16 million (for fiscal years 2024-2028) and requires the Secretary of Transportation to solicit grant applications if over $5 million in available funds exists during a fiscal year. These changes directly affect small communities reliant on federal air service development funds to maintain or restore air connectivity.
Maddy summaryThe Educational Opportunity and Success Act of 2023 amends the Higher Education Act to strengthen TRIO programs that support low-income and first-generation college students. It increases minimum grant amounts for TRIO programs ($200,000 to $220,000 and $170,000 to $190,000), changes grant award criteria to focus on "prior success" rather than "prior experience," and adds new documentation requirements for low-income status. The bill also establishes new procedures for correcting technical errors in grant applications and requires programs to track completion of financial aid applications. These changes directly affect TRIO program grantees, low-income students, and first-generation college students by making federal funding more accessible and predictable. The legislation aims to improve educational access and outcomes through concrete policy changes to TRIO program administration.