Maddy summaryThis bill amends the Indian Health Care Improvement Act to clarify and improve reimbursement for patients who pay directly for authorized "purchased/referred care" services. It changes liability protections so patients are not liable for payments made to providers or third-party debt collectors, and requires the Indian Health Service to establish procedures within 120 days for patients to submit documentation (electronically or in person) to receive reimbursement within 30 days. The bill directly affects Native American patients who paid out-of-pocket for care authorized under the program. Key provisions include replacing "contract health care" with "purchased/referred care" throughout the law and creating a clear, time-bound reimbursement process.
Sponsored bills
Maddy summarySRES 554 is a non-binding Senate resolution calling on the Biden administration to urgently increase humanitarian aid delivery to Gaza. It directly addresses the crisis affecting approximately 2.2 million civilians in Gaza, who face acute food insecurity, potential starvation, and collapsed infrastructure. The resolution demands specific actions: streamlining truck inspections, expanding aid access points, ensuring fuel for hospitals, improving safety for aid workers, and restoring water systems. It emphasizes the need for immediate, concrete steps to prevent starvation and disease in Gaza, where only 16 hospitals function and 96% of water is unsafe. As a symbolic resolution, it does not create new law but urges coordinated international action.
Maddy summarySRES 547 is a symbolic Senate resolution commemorating the two-year anniversary of Russia's full-scale invasion of Ukraine (launched February 24, 2022). It expresses U.S. support for Ukraine's territorial integrity and sovereignty, condemns Russian actions including war crimes (like the Bucha massacre), and reaffirms congressional backing for Ukraine's defense against aggression. The resolution has no binding effect or policy changes - it serves as a formal statement of solidarity with Ukraine, acknowledging the humanitarian crisis and international aid efforts. It was introduced by 31 Senators and does not alter laws, funding, or military commitments.
Maddy summarySRES 548 designates the week of February 5-9, 2024, as "National School Counseling Week." The resolution encourages the public to observe this week with activities that raise awareness of school counselors' roles in supporting students' academic, social, and emotional development. It highlights counselors' contributions to mental health support, career preparation, and creating safe school environments, without imposing new requirements or funding. This is a symbolic, non-binding designation to promote recognition of school counseling services.
Maddy summarySRES 550 is a symbolic Senate resolution designating February 2024 as "Career and Technical Education (CTE) Month" to recognize the value of CTE programs. It does not create new laws or funding but formally supports CTE's role in preparing students for high-demand careers through secondary and postsecondary training. The resolution encourages educators and parents to promote CTE as a respected educational pathway, aligning with the Senate's recognition of CTE's importance for workforce development and economic competitiveness. As a procedural resolution, it has no binding effect but expresses bipartisan support for CTE initiatives.
Maddy summarySRES 551 is a symbolic Senate resolution (not a law) introduced by multiple senators on February 8, 2024, to formally celebrate Black History Month. It acknowledges the historical contributions of African Americans to U.S. society and encourages the public to reflect on their legacy during February. The resolution contains no new policies or requirements - it simply expresses the Senate's recognition of Black History Month as an opportunity to honor these contributions and learn from history. It does not affect any individuals, groups, or government programs. This is a standard annual commemorative resolution, consistent with similar resolutions passed each February.
Maddy summaryThis resolution (SRES 542) supports observing "National Girls & Women in Sports Day" on February 7, 2024. It does not create new laws or allocate funds but formally encourages the Senate to recognize and celebrate the achievements of girls and women in sports. The resolution references ongoing efforts to address gender equity, such as protecting Title IX and advancing equal pay for female athletes, as noted in the preamble. It directly affects the Senate's public acknowledgment of these issues, aiming to raise awareness rather than change policy. (This is a ceremonial resolution, so the summary is concise as permitted.)
Maddy summaryThis bill requires the Secretary of Defense to submit a comprehensive report on maternal health care access for military families within two years. The report will analyze staffing shortages (like obstetricians and nurses), challenges in accessing care (including wait times and travel), and continuity issues during military relocations. It will also track funding and out-of-pocket costs over a decade, identifying gaps in facilities located in "maternity care deserts." The bill directly affects military service members' spouses and dependents who rely on TRICARE or military medical facilities for prenatal, birthing, and postpartum care. Its key mechanism is mandating this detailed assessment to inform future improvements.
Maddy summaryThe GRACE Act establishes a minimum annual refugee admission level of 125,000, requiring the U.S. to admit at least that many refugees each fiscal year unless the President sets a higher number (with 125,000 automatically applying if no determination is made). It mandates that the President consider the United Nations High Commissioner for Refugees' global resettlement needs when setting annual numbers and allocate refugees regionally, including an unallocated reserve for unexpected regional needs after notifying Congress. The bill also requires quarterly reports to Congress on refugee admissions, including regional breakdowns, security clearance rates, processing times, and plans to meet annual goals, enhancing transparency in the refugee admissions process.
Maddy summaryThis bill amends the Energy Employees Occupational Illness Compensation Program to allow nurse practitioners and physician assistants to prescribe, recommend, or order medical services for energy workers with job-related illnesses. It directly affects energy workers enrolled in the program who receive medical benefits under the existing law. The key change adds a new provision permitting these healthcare providers to issue such orders when working within their state-authorized scope and following federal regulations. The bill does not create new benefits but expands who can provide medical recommendations within the current compensation framework.