Sen. Shelley Moore Capito

Rural Hospital Closure Relief Act of 2023 This bill allows additional hospitals to qualify as critical access hospitals (CAHs) that receive special payment under Medicare. Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (or 15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. The bill allows a hospital to also qualify if the hospital is a small, rural hospital that (1) serves a health professional shortage area, or a high number of low-income individuals or Medicare or Medicaid beneficiaries; (2) has experienced financial losses for two consecutive years; and (3) attests to having a strategic plan to address financial solvency. The Government Accountability Office must study the effects of the bill's implementation. The Centers for Medicare & Medicaid Services must subsequently establish a mechanism and issue guidance on how newly designated CAHs may transition to different payment models under Medicare.

Maddy summaryThis bill, the "Back the Blue Act of 2023," strengthens federal protections for law enforcement officers by creating new criminal penalties for killing or assaulting them while on duty. It makes it a federal crime to kill or attempt to kill law enforcement officers, federal judges, or federally funded public safety officers (including firefighters and first responders) during official duties, with penalties ranging from 10 years to life in prison or death if the victim dies. The bill also establishes a new federal offense for fleeing interstate to avoid prosecution for killing law enforcement officers and adds a new aggravating factor for death penalty cases involving officers. Additionally, it expands law enforcement officers' rights to carry firearms in certain circumstances and limits federal habeas corpus relief for murder convictions involving law enforcement officers.

Maddy summaryS 1544, the Facilitating Innovative Nuclear Diagnostics Act of 2023, requires Medicare to make separate payments for certain high-cost diagnostic radiopharmaceuticals starting January 1, 2024. It applies to drugs meeting a $500 per day cost threshold (rising annually with inflation), defined as FDA-approved nuclear imaging drugs launched after 2008. Payments will use existing Medicare pricing mechanisms - either average sales price or wholesale acquisition cost - to ensure separate coverage without bundling. This directly affects Medicare beneficiaries receiving these specific nuclear diagnostics and the hospitals/providers billing Medicare for them. The bill does not change patient costs or coverage eligibility but alters Medicare's payment structure for these drugs.

Maddy summaryS 1542, the DRUG Act, prohibits pharmacy benefit managers (PBMs) from charging fees tied to drug prices or rebates for services provided to health plans or insurers, effective January 1, 2026. Instead, PBMs may only charge a fixed "flat service fee" agreed upon in writing, not linked to drug costs or patient usage. The bill also bans PBMs from reimbursing affiliated pharmacies more than independent ones, charging health plans different amounts than they pay pharmacies, or steering patients to affiliated pharmacies through higher out-of-pocket costs. Violations trigger $10,000 daily civil penalties enforced by the HHS Secretary with Labor and Treasury. This directly affects PBMs, health insurers, employer health plans, and pharmacies, aiming to reduce cost-shifting and promote fair reimbursement practices.

Maddy summaryThis bill creates the Office of Policy Development and Cybersecurity within the National Telecommunications and Information Administration (NTIA), establishing an Associate Administrator to lead it. The office will develop market-based policies to promote innovation, competition, and digital inclusion in communications technologies, conduct studies on internet access, and coordinate cybersecurity and privacy policies with stakeholders. It requires the NTIA to collaborate with security researchers, service providers, and small/rural businesses, while advising on cybersecurity policy impacts for the Department of Commerce and Congress. The bill directly affects the NTIA’s internal operations and its engagement with the communications industry, internet service providers, and cybersecurity stakeholders. It does not create new regulations but reorganizes existing NTIA functions to better address cybersecurity and policy coordination.

Maddy summaryThis is a symbolic Senate resolution (SRES 201) supporting National Nurses Week, observed annually from May 6-12. It recognizes nurses' contributions to healthcare, their role as patient advocates, and their status as the largest healthcare profession (over 4.5 million registered nurses in the U.S.). The resolution encourages the public to observe the week with recognition and activities but does not create new laws, funding, or requirements. It has no direct effect on policy or nursing practice.

Maddy summaryThis Senate resolution (SRES 200) expresses support for designating April 30-May 6, 2023, as "National Small Business Week" to honor small businesses and entrepreneurs across the United States. It recognizes that small businesses (over 33 million nationwide supporting 62 million jobs) are vital to the U.S. economy and highlights their resilience. The resolution specifically calls for celebrating their contributions, acknowledging challenges they face, and supporting efforts to improve access for underserved small businesses. As a symbolic gesture - not a law - it does not create new policies or funding but formally recognizes small business impact.

Maddy summarySenate Resolution 119 recognizes the 202nd anniversary of Greece's independence (celebrated March 25, 2023) and celebrates the shared democratic values between Greece and the United States. The resolution highlights historical ties, including U.S. support during Greece's 1821 independence struggle, Greece's role in World War II, and its current status as a U.S. NATO ally. It also commends Greece's contributions to global security and its support for Ukraine's sovereignty following Russia's invasion. This procedural resolution serves as a symbolic gesture to strengthen bilateral relations without enacting new laws.

Maddy summaryThe RESTART Act (S 1449) streamlines environmental reviews under the National Environmental Policy Act by setting page limits (150 pages for standard environmental impact statements, 300 for complex projects) and strict timelines (2 years for final environmental impact statements, 1 year for environmental assessments). It limits judicial review by requiring lawsuits to be filed within 60 days of publication and setting 180-day deadlines for courts to resolve cases. The bill also modifies Clean Water Act permitting requirements and includes specific provisions expediting approval for the Mountain Valley Pipeline project. These changes primarily affect federal agencies conducting environmental reviews, project sponsors seeking permits, and states involved in environmental permitting processes.

Maddy summaryS 1470, the Accountability in Women-Owned Small Business Contracting Act, changes how women-owned small businesses (WOSBs) qualify for federal contracts. It eliminates self-certification, requiring all WOSBs seeking to count toward federal contracting goals to obtain formal certification from the Small Business Administration (SBA) instead of claiming eligibility themselves. The bill gives currently self-certified businesses one year to apply for SBA certification, after which they lose eligibility if they don’t apply. Additionally, it mandates federal agencies that miss WOSB participation goals to report to Congress and testify on their remediation plans, while requiring an interagency report on barriers and recommendations to improve WOSB access to contracts and capital.