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 amends the tax code to allow employers to claim a work opportunity tax credit for hiring spouses of active-duty military members. It adds "qualified military spouse" as a new category for the credit, defined as an individual certified by a local agency as married to a military service member at the time of hire. Employers who hire such individuals after the bill's enactment date can claim this credit for their wages. The change directly affects employers seeking tax incentives and military spouses seeking employment opportunities. The provision applies to hiring that occurs after the bill becomes law.
Maddy summaryThis bill repeals two provisions that reduce Social Security benefits for certain public-sector retirees. It eliminates the government pension offset (GPO), which currently cuts Social Security checks for people with government pensions, and removes the windfall elimination provision (WEP), which reduces benefits for those with pensions from jobs not covered by Social Security. The changes directly affect public employees (like teachers, firefighters, and state/local government workers) who have pensions from jobs that didn't pay into Social Security. The bill takes effect for Social Security benefits paid after December 2023, restoring full benefits for eligible retirees.
Maddy summaryThe Gun Records Restoration and Preservation Act (S 598) would repeal the Tiahrt Amendments, which currently require background check records to be destroyed within 24 hours and prohibit federal requirements for annual inventory audits of gun shops. By removing these restrictions, the bill would allow law enforcement to retain background check records, conduct regular inventory checks of firearms dealers, and make ATF firearm trace data more accessible for research on gun trafficking. This change directly affects federal agencies (like ATF), state/local law enforcement, gun dealers, and researchers studying gun violence patterns. The bill aims to improve tracking of illegal firearms and inform evidence-based policy decisions, without altering gun laws or ownership rights.
Maddy summaryThe Air Carrier Access Amendments Act of 2023 updates the 1986 Air Carrier Access Act to improve air travel accessibility for people with disabilities. It requires airlines to provide accessible aircraft with features like wheelchair restraints, accessible seating, and proper stowage for assistive devices within seven years, and mandates new accessibility standards for airport facilities, digital interfaces, and in-flight communications. The bill creates a private right of action allowing individuals to sue airlines for discrimination, establishes a formal complaint process with 120-day investigation timelines, and sets civil penalties for specific violations like damaging assistive devices or denying boarding. These changes directly affect airlines and travelers with disabilities by strengthening enforcement mechanisms and modernizing accessibility requirements that have not been updated since the original law.
Maddy summaryS 557, the Opportunities for Fairness in Farming Act of 2023, regulates agricultural commodity checkoff programs - funded by farmers' fees to promote specific products like cotton, beef, or dairy. The bill prohibits these boards from using funds for lobbying, conflicts of interest, or unfair business practices that harm other agricultural producers. It requires full public disclosure of all spending, including recipient names and purposes, and mandates regular audits by the USDA Inspector General and the Comptroller General to ensure compliance. These changes aim to prevent misuse of funds and increase transparency in how commodity promotion programs operate.
Maddy summaryThis bill makes technical corrections to the World Trade Center Health Program to better support 9/11 responders and survivors. It expands eligibility to include federal workers who responded to the September 11 attacks at the Pentagon and Shanksville, Pennsylvania sites, with specific criteria for these responders. The bill adds flexibility for health care provider certifications, allowing more types of licensed health professionals to conduct evaluations. It also creates two new funding streams: a $1.78 billion Special Fund and a $257 million Pentagon/Shanksville Fund to cover health care costs through 2033.
Maddy summaryThe DAIRY PRIDE Act (S 549) amends federal food labeling rules to prevent plant-based products from using dairy-related terms like "milk," "yogurt," or "cheese" unless they meet the FDA's definition of dairy: derived from the lacteal secretion of hooved mammals (e.g., cows). It directly affects manufacturers of plant-based alternatives (e.g., almond, oat, or coconut milk) that currently label products with dairy terms. The bill requires the FDA to enforce this definition through new guidance within 180 days of enactment, clarifying that products not meeting the standard cannot be marketed as dairy. It does not change nutritional requirements but aims to reduce consumer confusion about product composition.
Maddy summaryThis bill expands a federal loan repayment program for mental health professionals working in underserved areas. It increases annual funding from $25 million to $50 million (2023-2032) and adds behavioral health professionals - including psychologists, social workers, and counselors - to the eligible group. Participants must agree to 1-6 years of full-time work in designated mental health shortage areas or counties with high overdose death rates, with no more than one year between service periods. The program repays student loans in exchange for service, targeting areas facing critical workforce shortages. It amends existing law to include specific geographic and demographic criteria for qualifying locations.
Maddy summaryThis bill requires background checks for most private firearm transfers between unlicensed individuals by mandating that such transfers occur through a licensed dealer. It directly affects unlicensed buyers and sellers of firearms who would otherwise transfer guns without checks, except for specific exceptions like family gifts, law enforcement transfers, temporary safety-related transfers, or transfers for hunting/shooting at designated locations. Key provisions include requiring licensed dealers to conduct background checks as if they were transferring the firearm themselves and adding a new requirement for written certification from the unlicensed transferee. The bill does not create a national gun registry and leaves state laws intact.