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.
Sponsored bills
Maddy summaryThis bill establishes the Office of Native American Affairs within the Small Business Administration (SBA) to better support Native American entrepreneurs. The Office will connect Indian Tribes and Native Hawaiian Organizations to existing SBA programs focused on business development, contracting, and capital access, particularly in economically disadvantaged areas of Indian Country. It authorizes funding for 2024-2028 and requires an Associate Administrator with cultural expertise to coordinate outreach, recommend policies, and serve as an ombudsman for Native American business needs. The bill directly affects tribal nations, Native Hawaiian organizations, and small businesses owned by Native Americans seeking federal support.
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 Indian Programs Advance Appropriations Act of 2023 requires the Department of the Interior and Indian Health Service to include advance funding for the next fiscal year in their budget requests for specific tribal programs. It affects the Bureau of Indian Affairs (e.g., Operation of Indian Programs, Contract Support Costs), Bureau of Indian Education (e.g., Operation of Indian Education Programs), and Indian Health Service (e.g., Indian Health Services, Contract Support Costs) by mandating that budget authority for these "covered accounts" must be available for the current year and include funds for the following year, starting in fiscal year 2024. The bill also requires the Secretary to submit detailed funding estimates for the next year and an annual report by July 31, including workload and demand data. This aims to improve budget predictability for tribal programs by ensuring funding needs for the next fiscal year are addressed in the current budget process.
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 460, the "Urban Indian Health Confer Act," amends existing law to require federal health agencies to consult with urban Indian organizations when implementing Indian health care programs. The bill directly affects urban Indian organizations and the Department of Health and Human Services (specifically the Indian Health Service). Its key provision mandates that the Secretary ensure agencies "confer, to the maximum extent practicable," with these organizations on all health care provisions under the Indian Health Care Improvement Act. This creates a formal process for urban Indian organizations to provide input on federal health care policies affecting their communities. The bill does not create new funding or programs but changes how existing services are coordinated.
Maddy summaryThis resolution (SRES 304) formally congratulates the University of Oklahoma women's softball team for winning the 2023 Women's College World Series, marking their seventh national championship. It recognizes the team's achievement as the third consecutive title and highlights their historic season, including a record 53-game winning streak and NCAA-leading statistics. The resolution was adopted by the U.S. Senate to honor Coach Patty Gasso, the players, and the university, with a copy sent to university leadership. As a ceremonial resolution, it has no legal effect or policy impact.
This resolution (1) supports the designation of July 14, 2023, as Collector Car Appreciation Day, (2) recognizes the collection and restoration of historic and classic cars as an important part of preserving the technological achievements and cultural heritage of the United States, and (3) encourages engagement in Collector Car Appreciation Day events.
Maddy summaryS 2327, the Afghan Adjustment Act, creates a pathway to permanent residency for Afghans who directly supported U.S. missions in Afghanistan between October 1, 2001, and September 1, 2021. The bill allows eligible individuals already in the U.S. (or paroled into the U.S.) to adjust their status to lawful permanent residents without being subject to visa numerical limits. It establishes a new category of special immigrant visas for at-risk Afghan allies and their relatives, requiring a vetting process equivalent to refugee vetting. The bill prohibits application fees, provides benefits similar to those for refugees, and sets a deadline for applications with authorized funding for implementation.
Maddy summaryThis bill authorizes the U.S. Mint to produce commemorative coins for the 2028 Los Angeles Olympic and Paralympic Games. It specifies four coin types ($5 gold, $1 silver, half-dollar clad, and proof silver $1) with set mintage limits, design requirements (including "2028" and "Liberty" inscriptions), and a 1-year issuance window starting January 1, 2028. All coins include surcharges ($5-$50 per coin) that fund the U.S. Olympic and Paralympic Committee for the Games and legacy programs like youth sports promotion. The coins are legal tender but sold at face value plus surcharge and production costs, with no net cost to the federal government.