Sen. Jeanne Shaheen

Maddy summaryThe SMART Prices Act changes how Medicare negotiates drug prices. It repeals a rule blocking Medicare from negotiating with drugmakers and accelerates the process, requiring negotiations for 40 drugs starting in 2027 (up from 10 annually). It shortens the time drugs must be single-source to qualify for negotiation (from 7 to 3 years) and adjusts price negotiation formulas, setting new caps like 76% of the drug's average price for some medications. This directly affects Medicare beneficiaries (by lowering their out-of-pocket costs) and pharmaceutical companies (by requiring price negotiations for more drugs faster).

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 summaryThe Latonya Reeves Freedom Act of 2023 establishes a federally protected right for individuals with disabilities who require long-term services and supports (LTSS) to live in community-based settings rather than institutions. The bill defines specific requirements for "community-based" settings, including housing options that allow individuals to live in their own homes or shared residences with privacy rights, choice, and control over their services. It requires states to develop transition plans with measurable goals to move people from institutional settings to community-based supports within 12 years, along with annual reporting on progress. The Department of Justice and Department of Health and Human Services will enforce the law through investigations, compliance reviews, and the ability to seek injunctive relief for violations.

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 summaryThis bill establishes a new Special Envoy to the Pacific Islands Forum (PIF) position at the State Department. The envoy will represent the U.S. as a dialogue partner with PIF and coordinate U.S. policy with like-minded democracies in the region. The bill requires the President to appoint the envoy (with Senate confirmation) and mandates a 180-day report detailing plans to recruit and retain diplomatic staff for Pacific Island posts. It directly affects U.S. diplomatic operations in the Pacific and aims to strengthen engagement with PIF member nations, including the Freely Associated States.

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 summarySRES 161 is a symbolic Senate resolution designating April 22-30, 2023, as "National Park Week." It does not create new laws or affect specific groups, but formally recognizes the National Park System's significance. The resolution highlights the parks' historical value, visitor impact (312 million visits in 2022), and economic contributions ($42.5 billion in 2021). It encourages public engagement with national parks but contains no funding, regulatory changes, or policy mechanisms. As a procedural resolution, it serves purely to honor the parks' legacy.

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.

Maddy summarySRES 145 is a non-binding Senate resolution calling for the immediate release of Russian opposition leader Vladimir Kara-Murza, who was detained in April 2022 for criticizing Russia's invasion of Ukraine and advocating for democracy. The resolution condemns his unjust detention, expresses solidarity with him and other imprisoned Russian dissidents, and urges the U.S. government to work with allies to secure his release and increase support for democracy advocates in Russia. It does not impose new legal requirements but serves as a formal statement of the Senate's position to influence diplomatic efforts. The resolution directly affects U.S. foreign policy actions toward Russia and the welfare of Kara-Murza, who faces potential imprisonment for his public opposition to the war.

Maddy summarySRES 120 is a ceremonial Senate resolution designating March 23, 2023, as "National Women in Agriculture Day." It recognizes the significant contributions of women in U.S. agriculture, citing that they represent over one-third of agricultural producers and generated $148 billion in sales in 2017. The resolution encourages citizens to acknowledge women in the field and supports their roles as producers, educators, mentors, and leaders. As a symbolic gesture, it does not create new laws or funding but aims to highlight their impact on the agricultural workforce and food systems.