Sen. James Lankford

Maddy summaryS 722, the Freedom To Invest in Tomorrow's Workforce Act, allows individuals to use funds from 529 college savings accounts to cover career training and credentialing expenses. It expands the definition of "qualified higher education expenses" to include tuition, fees, and exam costs for recognized postsecondary credential programs (like industry certifications) that meet specific standards under the Workforce Innovation and Opportunity Act. This directly affects workers seeking job-focused training or certifications instead of traditional college degrees, enabling them to use existing 529 savings for these expenses. The bill takes effect for expenses paid after its enactment date.

Maddy summaryS 675, the REVIEW Act of 2023, requires federal agencies to delay implementing major regulations until after judicial review is complete. It defines "high-impact rules" as those potentially costing the economy $1 billion or more annually, mandating agencies submit such rules to the Office of Information and Regulatory Affairs (OIRA) for review before publication. Agencies must postpone a high-impact rule's effective date until all judicial review actions are resolved, unless no challenge is filed within 60 days of publication. This bill directly affects federal agencies creating significant economic regulations, adding a pre-implementation review step for major rules.

Maddy summaryThis bill redefines "guidance" issued by entities with presidential authority (like task forces) to require Congressional review, similar to formal agency rules. It directly affects non-agency entities (e.g., presidential task forces) that issue operational guidance on policy or regulations. Key provisions expand the definition of "guidance" to include memoranda, letters, and directives, and mandate that these entities follow the same Congressional review process as federal agencies. The change ensures such guidance must undergo the same scrutiny as agency rules before taking effect.

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 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 ATF Transparency Act requires the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) to provide applicants with background check transaction numbers when firearm transfer applications are denied, allow appeals of denials (with attorney fee reimbursement for successful cases), and automatically approve applications if decisions aren’t made within 90 days. It directly affects firearm buyers and manufacturers whose applications face delays or denials under the National Instant Criminal Background Check System (NICS). The bill also mandates reports on unresolved background checks and improvements to NICS processing, including a joint agreement between the ATF and FBI. These changes aim to reduce processing delays and errors in firearm transfer approvals.

Primary Care Enhancement Act of 2023 This bill allows a medical expense tax deduction for direct primary care service arrangements and provides that participation in such arrangements does not disqualify patients from making tax deductible contributions to health savings accounts.

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.

Maddy summaryThe Protecting Minors from Medical Malpractice Act of 2023 creates a legal right for minors (or their legal guardians) to sue medical practitioners who perform gender-transition procedures on them (as defined) and cause harm, with a 30-year window to file a lawsuit after the minor turns 18. It defines gender-transition procedures as the use of puberty blockers, cross-sex hormones, or surgery to align the body with gender identity, excluding exceptions for intersex conditions, treating complications, or life-threatening medical needs. The bill also prohibits states requiring such procedures from receiving federal health funding and clarifies that no federal law mandates medical practitioners to perform them. This law applies when the procedure involves interstate commerce or affects interstate commerce.