Sen. Deb Fischer

Maddy summaryThis bill amends the Public Health Service Act to prohibit the Secretary from requiring any State, clinic, or provider to counsel or refer for abortions as a condition for receiving Title X family planning funding. It directly affects Title X-funded clinics and health centers that provide reproductive health services. The key provision explicitly adds that no entity receiving Title X funds may be compelled to offer or facilitate abortion services. This changes existing requirements by removing mandatory abortion counseling or referral as a condition for federal funding under Title X. The bill focuses on clarifying funding rules without altering other Title X program requirements.

Maddy summaryThe Promotion and Expansion of Private Employee Ownership Act of 2023 aims to increase employee ownership in S corporations by making it easier for companies to adopt Employee Stock Ownership Plans (ESOPs). Key provisions include extending tax deferral for sales of company stock to ESOPs, creating a Treasury Department office to provide technical assistance for ESOPs, and amending small business laws to ensure ESOP-owned businesses remain eligible for small business programs. The bill also establishes a dedicated Advocate for Employee Ownership within the Department of Labor to promote ESOP adoption, provide education, and help resolve disputes related to ESOPs. This legislation directly affects S corporations considering employee ownership transitions, their employees who would become partial owners, and small businesses that want to maintain eligibility for small business programs after an ESOP transition. The bill seeks to expand a model that studies show provides employees with retirement savings and greater job stability compared to traditional companies.

Maddy summaryThe LAST ACRE Act of 2023 establishes a federal program to provide grants and loans to broadband providers for connecting agricultural land that lacks high-speed internet access. The program targets "unserved" land (with less than 25 Mbps downstream/3 Mbps upstream) and "underserved" land (with less than 100 Mbps downstream/20 Mbps upstream), prioritizing remote areas. It requires providers to offer connectivity with at least 100 Mbps downstream and 20 Mbps upstream speeds specifically designed for precision agriculture applications like farm equipment, sensors, and data collection. The program includes cybersecurity requirements for recipients and mandates annual reporting to Congress on program outcomes.

This resolution recognizes the 30th anniversary of the founding of the Department of Defense State Partnership Program and its outsized influence in developing and supporting enduring relationships around the world. The resolution also expresses deep gratitude for the service of members of the National Guard to the program.

Maddy summaryS 2477 (Equitable Community Access to Pharmacist Services Act) expands Medicare Part B coverage to include specific pharmacist services previously only covered when provided by physicians. It directly affects Medicare beneficiaries and pharmacists by allowing coverage for services like evaluating patients for COVID-19, flu, or respiratory illnesses, and addressing public health emergencies - provided pharmacists are licensed or operating under federal emergency authority. The bill establishes payment at 80% of the lesser of actual charge or 85% of physician payment rates (100% during federal emergencies) and prohibits balance billing for these services. It also clarifies that existing Medicare enrollment pathways for pharmacists remain available. This bill modifies Medicare Part B coverage under the Social Security Act without restricting current pharmacy reimbursement options.

Maddy summaryThis bill prohibits the Department of Defense from using military funds to cover travel, lodging, meals, or transportation expenses related to abortions for service members or their dependents, except in cases where the pregnancy endangers the mother’s life, results from rape, or results from incest. It also terminates a 2022 Department of Defense memo that allowed access to abortion-related care and bans using medical convalescent leave or administrative absences for abortion-related travel under the same limited exceptions. The bill directly affects active-duty military personnel, veterans, and their dependents who might seek abortion care. It modifies existing travel and leave regulations under U.S. Code titles 37 and 10 to restrict these benefits, aligning with existing federal law that limits abortion funding. The policy change removes prior allowances for abortion-related travel expenses and leave under military benefits programs.

Maddy summaryThe ATTAIN Mental Health Act requires the U.S. Department of Health and Human Services to create a public online dashboard that makes federal mental health and substance use disorder grant information easier to find. The dashboard will list grant names, show current application status (open, closed, or awarded), and provide direct links to apply, while being accessible under the Americans with Disabilities Act. It will help schools, health providers, tribal organizations, community groups, and other potential applicants quickly locate funding opportunities by location and program type. The dashboard must be updated regularly to reflect current grant openings and be designed with input from diverse stakeholders like hospitals and tribal entities.

Maddy summaryThe Motor Carrier Safety Selection Standard Act of 2023 requires businesses like shippers, brokers, and freight forwarders to verify that motor carriers they select for transporting goods or household goods are registered, have adequate insurance, and meet Federal Motor Carrier Safety Administration (FMCSA) safety standards. This verification must occur within 45 days before shipment, using public FMCSA confirmation statements indicating compliance or non-compliance. The bill mandates the Secretary of Transportation to issue new safety fitness regulations within one year, which will replace this verification standard. Individual shippers (not businesses) are exempt from these requirements.

Maddy summaryS 2430 amends the 1986 Emergency Planning and Community Right-To-Know Act to exclude certain air emissions from animal waste at farms from emergency notification requirements. This bill directly affects agricultural operations that handle animal waste, removing a requirement to report specific airborne emissions to emergency planners and the public. The key provision adds a new exception (B) to the notification rules, explicitly excluding "air emissions from animal waste (including decomposing waste) at a farm" as defined under related environmental law. This change simplifies reporting obligations for farms while maintaining other emergency planning requirements under the Act.

Maddy summaryS 2372, the Accelerating Kids’ Access to Care Act, streamlines enrollment for out-of-state healthcare providers who treat Medicaid-eligible children under 21 with medically complex conditions. It requires states to adopt a process allowing these providers to join state Medicaid/CHIP programs without extra state-level screening, provided they already meet federal Medicare or home-state program requirements and pose low fraud risk. The bill establishes a 5-year enrollment period for eligible providers, directly affecting children needing specialized care across state lines and the providers serving them. Key provisions remove barriers to interstate care coordination while maintaining federal oversight standards.