Sen. Markwayne Mullin

Maddy summaryThis bill amends federal rules governing physician self-referral to improve access for rural hospitals. It creates a new exemption for "covered rural hospitals" (defined as rural facilities meeting specific criteria) from certain referral restrictions, while clarifying they aren't required to meet additional criteria. It also removes a prohibition on expanding existing physician-owned hospitals, allowing such expansions to begin immediately upon enactment. The changes directly affect rural hospitals qualifying under the new definition and physician-owned hospitals seeking to expand. The bill modifies existing Social Security Act provisions without creating new programs or funding.

Maddy summaryThis resolution (SRES 159) is a ceremonial Senate measure honoring the late Senator John Bennett Johnston, Jr. (1932-2024), who represented Louisiana in the U.S. Senate from 1972 to 1997. It commemorates his career, including his work on energy policy, flood control, and Louisiana conservation efforts, and requests the Senate adjourn in his memory while sending condolences to his family. As a non-binding resolution, it has no policy impact or direct effect on any individuals or laws.

Maddy summarySRES 156 is a Senate resolution commemorating the 50th anniversary of the Indian Self-Determination and Education Assistance Act (ISDEAA), signed into law on January 4, 1975. It recognizes how ISDEAA has enabled federally recognized tribes to administer federal programs - including healthcare, education, and public safety - for their communities, with 92% of tribes using its authorities as of 2024. The resolution is purely ceremonial and does not create new policy or alter existing law, instead affirming congressional support for tribal self-governance.

Maddy summarySenate Joint Resolution 45 seeks to block an Environmental Protection Agency (EPA) rule that would have allowed California to enforce its Advanced Clean Cars II vehicle emission standards. The resolution uses the congressional disapproval process under federal law to declare the EPA rule invalid, preventing California from implementing its stricter pollution controls for cars and trucks. If passed, this resolution would stop the rule from taking effect, meaning California could not override federal vehicle emission standards with its own requirements. The bill directly affects California's ability to set state-level environmental regulations for motor vehicles and the EPA's regulatory authority.

Maddy summarySJRES 46 is a joint resolution seeking congressional disapproval of an Environmental Protection Agency (EPA) rule concerning California's vehicle emission standards. The rule, submitted in 2023, relates to California's pollution control requirements for motor vehicles, including advanced clean trucks, zero-emission airport shuttles, and heavy-duty engine emissions. This resolution would block the rule from taking effect using a specific federal disapproval process under Title 5 of the U.S. Code. If passed, the rule would have no legal force, meaning California's current standards would remain without the EPA's formal approval for these specific provisions.

Maddy summaryThis bill (SJRES 47) seeks congressional disapproval of an Environmental Protection Agency (EPA) rule that approved California's stricter vehicle pollution standards. Specifically, it targets the EPA's "Omnibus Low NOx Regulation" for motor vehicles and nonroad engines, which California had submitted for federal approval under waiver authority. If passed, the resolution would block this EPA rule from taking effect, preventing California's state-level pollution controls from being implemented under federal oversight.

Maddy summaryThis bill amends the National Labor Relations Act to explicitly include Indian Tribes and their enterprises operating on tribal lands under federal labor law. It defines "employer" to cover tribal governments and tribal-owned businesses on Indian lands, directly affecting tribal governments and their workplaces. Key provisions add specific definitions for "Indian Tribe," "Indian," and "Indian lands" to clarify which entities and locations fall under the law. This change brings tribal employers on reservation or trust lands under the same federal labor protections as other employers, expanding the scope of the National Labor Relations Act.

Maddy summaryThis bill requires all new passenger vehicles sold in the U.S. (including domestically manufactured, imported, or shipped vehicles) to include AM radio as standard equipment, meaning it must be built into the vehicle at no extra cost to buyers. It mandates that manufacturers install AM radio receivers that can access both traditional and digital AM broadcast stations, with compliance deadlines set 2-4 years after the rule is issued. During a transition period before the rule takes effect, manufacturers must clearly label vehicles without AM radio but cannot charge extra for AM access. The bill also prohibits states from creating their own requirements about AM radio access in vehicles, aiming to ensure consistent emergency alert capabilities through AM radio in cars.

Maddy summaryThe EASE Act (S 1248) creates a new Medicare and Medicaid model to improve access to specialty health care for beneficiaries in rural or underserved areas. It requires the Centers for Medicare & Medicaid Services to partner with nonprofit provider networks (comprising at least 50 rural clinics or health centers) to deliver specialty care via telehealth and remote technologies, coordinated with primary care providers. Eligible individuals include Medicare Part B beneficiaries or Medicaid/CHIP enrollees living in designated rural or underserved areas. The model mandates that selected provider networks must have proven experience serving rural communities and the capacity to track health data for evaluation.

Maddy summaryThe CONNECT for Health Act of 2025 expands Medicare coverage for telehealth services by removing geographic restrictions that previously limited where patients could receive telehealth care. It allows more healthcare providers to offer telehealth services, including expanding eligibility for practitioners and removing the six-month in-person visit requirement for telemental health. The bill also includes specific provisions for Federally Qualified Health Centers, rural health clinics, and Native American health facilities to better integrate telehealth into their services. Additionally, it establishes program integrity measures to address billing patterns and requires the posting of telehealth service data to improve transparency and quality measurement. These changes aim to make telehealth more accessible for Medicare beneficiaries, particularly in rural areas and for underserved populations.