Sen. Marsha Blackburn

This bill requires the Centers for Medicare & Medicaid Services to issue guidance for state Medicaid programs on best practices to support individuals with major depressive disorder or other mental health conditions, including options that include pharmacogenetic testing.

Maddy summaryS 723, the Access to Prescription Digital Therapeutics Act of 2023, requires Medicare and Medicaid to cover "prescription digital therapeutics" (PDTs) starting in 2024. PDTs are defined as FDA-cleared software-based treatments for medical conditions, such as apps for diabetes management or mental health therapy. The bill establishes new payment rules for these digital treatments, including setting payment rates based on actual market pricing and requiring manufacturers to report private payor pricing and usage data annually. This directly affects Medicare/Medicaid beneficiaries seeking digital health tools and manufacturers of PDTs, who must comply with reporting requirements and face penalties for noncompliance. The law aims to integrate evidence-based digital health solutions into mainstream coverage under federal health programs.

Maddy summaryThe Stopping Border Surges Act (S 685) makes significant changes to immigration policy affecting unaccompanied children and asylum seekers. It requires specialized interviews for unaccompanied children with officers trained in child trafficking cases, mandates custody transfers to Health and Human Services within 30 days for children not meeting certain criteria, and shortens the asylum application window from one year to six months. The bill also adds new requirements for credible fear interviews, creates penalties for asylum fraud including potential fines and up to 10 years in prison, and modifies family detention standards to limit release of minors with parents who are not lawfully present in the U.S. These provisions aim to streamline immigration processes while adding safeguards against potential fraud and abuse.

Maddy summaryThis bill, the VETT Act (VSO Equal Tax Treatment Act), amends the tax code to allow military members to deduct charitable contributions made to certain federally chartered veterans service organizations (VSOs). Specifically, it adds these organizations - described under Section 501(c)(19) and federally chartered - to the list of eligible recipients for tax-deductible contributions under Internal Revenue Code sections 170(c)(5) and 170(b)(1)(A). The change directly affects active-duty and veteran military members who contribute to qualifying VSOs, enabling them to claim these donations as tax deductions. The policy change takes effect for taxable years beginning after the bill's enactment date.

Maddy summaryThis bill authorizes the U.S. Mint to produce and sell commemorative coins honoring the 1865 Sultana steamboat disaster, the worst maritime tragedy in U.S. history. It specifies three coin types ($5 gold, $1 silver, and half-dollar) with surcharges ($35, $10, and $5 per coin, respectively) that will fund the Sultana Historical Preservation Society. The funds must be used to build, operate, and maintain a museum in Marion, Arkansas, to preserve the disaster’s history through exhibits, artifacts, and educational programs. The coins, sold only in 2023, are legal tender but will not circulate; the surcharge revenue directly supports the museum’s development and operations.

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 summaryThis bill requires the Attorney General to develop a report within 150 days of enactment, proposing programs to provide mental health care for public safety officers. It directly affects police officers, firefighters, EMTs, and 911 dispatchers - groups identified as having higher rates of PTSD and suicide risk than the general population. The report must outline evidence-based treatment options (including telehealth), confidentiality protections, and efficient state/local implementation methods, plus draft grant conditions and funding estimates. The bill does not fund programs directly but sets a process for creating them.

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 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.