Sen. Kevin Cramer

Maddy summaryThis bill allows physical therapists to use temporary replacement providers (locum tenens) under Medicare, aligning their coverage rules with those already available to physicians. It directly affects physical therapists and Medicare beneficiaries by enabling uninterrupted access to physical therapy services during provider shortages. The key change amends Medicare rules to treat outpatient physical therapy services the same as physician services for temporary staffing purposes. This policy shift takes effect after the bill's enactment, ensuring physical therapy care can continue without disruption during staffing gaps.

Maddy summaryThis concurrent resolution expresses Congress's support for the Local Radio Freedom Act by opposing new fees for local radio stations playing music over the air. It states that imposing performance fees would harm the longstanding relationship between radio stations and the music industry, jeopardize emergency broadcasts and local programming, and cause economic hardship for radio stations and small businesses (like bars and retail stores) that rely on free music licensing. The resolution specifically urges against any new fee, tax, or royalty related to radio stations' public performance of sound recordings. As a non-binding statement, it does not create new law but formally advocates for maintaining the current system.

Maddy summaryS 741, the Traveler's Gun Rights Act, amends federal gun law definitions to clarify where individuals are considered "residents" for background check purposes. It specifies that active-duty military members can use their duty station state or daily commute location as their "state of residence," and people without a physical home may use a mailbox address. The bill also requires background checks to include either a physical address or mailbox address for the buyer, ensuring consistent application across state lines. This directly affects travelers, military personnel, and individuals using mailboxes when purchasing firearms.

Maddy summaryThe Sustainable Budget Act of 2023 establishes a 18-member National Commission on Fiscal Responsibility and Reform to address federal budget challenges. The commission, with members appointed by the President and congressional leadership, must develop recommendations to balance the federal budget (excluding interest payments) within 10 years and improve long-term fiscal sustainability, particularly regarding entitlement spending. The bill requires the commission to submit a final report with specific recommendations and a proposed joint resolution to Congress, which would then be considered under expedited procedures without amendments. This commission directly affects federal budget policy and congressional procedures for handling fiscal recommendations. The commission would terminate 30 days after submitting its final report.

Maddy summaryThis bill amends U.S. Treasury regulations to require the Secretary of the Treasury to consider terrorism facilitation when designating foreign financial institutions as "of primary money laundering concern." It specifically directs the Treasury to evaluate whether institutions knowingly provide banking services to entities designated under federal anti-terrorism regulations or facilitate payments for acts of terrorism defined in the Taylor Force Act (22 U.S.C. 2378c-1). The measure targets foreign banks that maintain correspondent accounts with U.S. banks while allegedly enabling terrorist financing through dollar transactions. It directly affects foreign financial institutions operating with U.S. correspondent banking relationships. The policy change focuses on strengthening anti-terrorism financial oversight by expanding the criteria used in Treasury designations.

Maddy summaryThe RESTRICT Act (S 686) gives the Secretary of Commerce authority to identify and address information and communications technology (ICTS) products or services that pose undue national security risks, particularly those involving foreign adversaries like China, Russia, Iran, and others. It targets transactions or holdings by entities from designated foreign adversary countries or their controlled entities, with special focus on technology used by over 1 million U.S. users, including telecommunications, data services, and critical infrastructure systems. The Secretary can refer "covered holdings" to the President, who may then compel divestment or other mitigation measures to protect U.S. critical infrastructure, election security, and sensitive data. The bill establishes specific review procedures while limiting judicial review of these national security decisions.

Maddy summaryThis bill reauthorizes the Conrad State 30 program, which allows U.S. states to request waivers enabling foreign medical graduates (J-1 visa holders) to work in medically underserved areas without having to return to their home countries. It extends the program's expiration date, creates new mechanisms for physicians to maintain legal status after completing service requirements, and adds protections against non-compete clauses in employment contracts. The bill modifies requirements for foreign medical graduates to work in underserved areas, including clarifying the 3-year service requirement and establishing a process for states to recapture waiver slots when physicians move between states. It also requires annual reporting on program usage by state and includes provisions for academic medical centers to request waivers without geographic constraints. The bill directly affects foreign-trained physicians, U.S. states, and health care facilities in underserved areas.

Maddy summarySRES 57 is a Senate resolution honoring David Ferdinand Durenberger, a former U.S. Senator from Minnesota (served 1978-1989). It commemorates his life and career, highlighting his role as the lead Republican sponsor of the Americans with Disabilities Act and his work protecting Minnesota's natural resources like the Boundary Waters Canoe Area Wilderness. The resolution directs the Senate to formally recognize his passing and transmit a copy to his family. This is a ceremonial resolution with no policy changes or direct impact on constituents.

Maddy summaryThis bill authorizes the presentation of a Congressional Gold Medal to honor Navy pilot Everett Alvarez, Jr., for his service as a Vietnam War POW and subsequent public service. It directs the Speaker of the House and Senate President pro tempore to arrange for the medal's presentation, specifying it must bear his name and image. Bronze duplicates may be sold to cover production costs, with proceeds deposited into the U.S. Mint fund. The bill is purely ceremonial, recognizing Alvarez's 8+ years as a prisoner of war and his post-military career. It does not create new policies or affect any government programs.

Maddy summaryThe Safe Step Act requires health insurance plans and employer-sponsored health coverage to create a transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically mandate trying a lower-cost drug first before covering a more expensive alternative. Exceptions must be approved if previous treatments failed, delaying coverage would cause severe harm, the required drug is unsafe, or the patient is stable on the requested drug. Health plans must respond to requests within 72 hours (or 24 hours in emergencies) and make the process details available online.