Maddy summaryThe SMART Prices Act (S 1246) repeals a provision blocking states from negotiating Medicare drug prices and accelerates the Medicare Drug Price Negotiation Program. It increases the annual number of drugs eligible for negotiation from 10 to 40 starting in 2027, shortens the timeframes for qualifying drugs from 7 to 3 years, and adjusts price ceiling percentages (e.g., raising the maximum fair price cap for some drugs from 75% to 76%). These changes directly affect Medicare beneficiaries by potentially lowering drug costs and pharmaceutical companies by altering negotiation timelines and pricing rules. The bill aims to reduce Medicare drug spending through faster, more aggressive price negotiations.
Sponsored bills
Maddy summaryThe Do No Harm Act amends the Religious Freedom Restoration Act (RFRA) to clarify that RFRA does not apply when federal laws protect against discrimination (like the Civil Rights Act of 1964), guarantee workplace protections (such as the Family and Medical Leave Act), prevent child exploitation, or ensure health care access. It specifically prevents religious freedom claims from blocking enforcement of these existing laws. The bill directly affects individuals or entities attempting to use RFRA to challenge such federal protections in court. This amendment ensures that religious freedom arguments cannot override established civil rights, workplace, child safety, or health care regulations.
Maddy summaryS 1208, the Dignity for Detained Immigrants Act of 2023, establishes minimum standards for Department of Homeland Security detention facilities based on American Bar Association guidelines to protect detainees' health and safety. The bill requires annual unannounced inspections by the Inspector General, with public reporting of findings, and imposes fines on private facilities that fail to meet standards. It phases out private detention facilities over three years, requiring all facilities to be owned and operated by the Department, and prohibits solitary confinement for all detainees. The bill also creates new procedures to ensure detainees have access to legal counsel and makes custody determinations more transparent and individualized.
Maddy summarySRES 159 is a symbolic Senate resolution designating April 11-17, 2023, as "Black Maternal Health Week" to highlight the maternal health crisis affecting Black women and birthing persons in the U.S. It references data showing Black women are 2.6 times more likely to die from pregnancy-related causes than White women, with higher rates of complications and disparities across income and education levels. The resolution calls for national attention to address systemic racism and inequities in maternal care but does not create new laws, funding, or mandates. It serves solely as a recognition effort to amplify community-led solutions and policy discussions around racial disparities in maternal health.
Maddy summarySRES 161 is a symbolic Senate resolution designating April 22-30, 2023, as "National Park Week." It does not create new laws or affect specific groups, but formally recognizes the National Park System's significance. The resolution highlights the parks' historical value, visitor impact (312 million visits in 2022), and economic contributions ($42.5 billion in 2021). It encourages public engagement with national parks but contains no funding, regulatory changes, or policy mechanisms. As a procedural resolution, it serves purely to honor the parks' legacy.
Maddy summaryThis bill requires employers in healthcare and social service sectors to develop and implement workplace violence prevention plans for their workers. It applies to a wide range of facilities including hospitals, nursing homes, mental health clinics, and community care settings, affecting healthcare and social service workers who provide care in these environments. The plans must include risk assessments, hazard prevention measures, incident reporting procedures, and annual training for employees. Employers must maintain records of violent incidents, conduct annual evaluations of their prevention plans, and submit annual summaries of workplace violence data to the Secretary of Labor. The bill also prohibits retaliation against workers who report violence or safety concerns and ensures compliance with existing safety standards.
Maddy summaryThis bill creates a program allowing airports to seek federal funding for repairing or replacing deteriorated sound insulation in residential properties. It directly affects homeowners near airports who previously received federal assistance for sound insulation but now face damage or ineffective materials. The key mechanism requires airports to first exhaust insurance/warranty options and obtain an FAA-compliant auditor's report confirming the insulation's failure wasn't caused by owner negligence. Eligibility depends on meeting specific noise level standards (DNL 65) or proving the original insulation caused structural damage. The program also mandates periodic surveys to identify new eligible properties for funding.
Maddy summarySRES 154 is a symbolic Senate resolution supporting International Transgender Day of Visibility. It encourages the American public to observe this day through ceremonies and activities, celebrates transgender community achievements, and recognizes the community's fight for equality. The resolution has no legal effect or policy changes - it serves solely as a statement of support. It directly acknowledges transgender individuals' contributions and the ongoing challenges they face, including discrimination in employment, education, and healthcare. The resolution was introduced by multiple senators and refers to transgender representation in government and media as part of its context.
Maddy summarySRES 120 is a ceremonial Senate resolution designating March 23, 2023, as "National Women in Agriculture Day." It recognizes the significant contributions of women in U.S. agriculture, citing that they represent over one-third of agricultural producers and generated $148 billion in sales in 2017. The resolution encourages citizens to acknowledge women in the field and supports their roles as producers, educators, mentors, and leaders. As a symbolic gesture, it does not create new laws or funding but aims to highlight their impact on the agricultural workforce and food systems.
Maddy summaryS 1098, the Global Health, Empowerment and Rights Act, changes U.S. aid rules for foreign nongovernmental organizations (NGOs) receiving funding under the Foreign Assistance Act. It removes eligibility barriers for these NGOs if they provide health services (like counseling) using their own funds, as long as those services comply with local laws and would be legal in the U.S. It also eliminates extra restrictions on how foreign NGOs can use non-U.S. government funds for advocacy or lobbying, making these rules the same as those applied to U.S. NGOs receiving similar aid. This directly affects foreign health-focused NGOs working in international development and rights advocacy.