Sen. John Barrasso

Taxpayer Notification and Privacy Act of 2023 This bill modifies requirements for notifying a taxpayer of information that the Internal Revenue Service is seeking from third parties for tax administration purposes. Specifically it requires the notice to identify each specific item of information sought, extends the period during which the taxpayer must be notified, and gives the taxpayer a 45-days period during which the taxpayer may respond to the notice.

Improving Access to Transfusion Care for Hospice Patients Act of 2023 This bill requires the Center for Medicare and Medicaid Innovation (CMMI) to test a model under which blood transfusions furnished to an individual receiving hospice care are paid separately from the hospice all-inclusive per diem payment under Medicare. The CMMI must evaluate the model by comparing patients participating in the model with those outside of the model in relation to specified metrics, such as hospital utilization and days of hospice care before the end of life.

Maddy summaryS 2125 amends the Clean Air Act to change how the EPA establishes and reviews national air quality standards. It extends the review cycle for these standards from 5 to 10 years, sets specific deadlines (December 2030) for reviewing ozone and particulate matter standards, and requires the EPA to consider technological feasibility and economic impacts when setting standards. The bill also creates "Extreme Areas" for ozone nonattainment zones, exempting them from certain cleanup requirements, and mandates that EPA publish implementation guidance alongside new standards to help states and industries obtain permits for new facilities. Additionally, it requires the EPA to report on how foreign pollution affects U.S. air quality designations and the handling of interstate pollution petitions.

Maddy summaryS 2090, the *Preserving Choice in Vehicle Purchases Act of 2023*, modifies federal clean air rules to restrict state vehicle emission standards. It adds a new requirement that state rules cannot "directly or indirectly limit the sale or use of new gas-powered cars," effectively blocking states from enforcing policies that would phase out internal combustion engine vehicles. The bill also mandates the EPA to cancel existing state emission waivers (like California’s) if those waivers don’t meet this new standard. This directly affects states with their own vehicle emission rules and the EPA’s authority to approve them under the Clean Air Act.

Maddy summaryThis bill adds multi-cancer early detection screening tests to Medicare Part B coverage, directly affecting Medicare beneficiaries. It creates a new coverage category for FDA-approved blood tests (like those analyzing cell-free DNA) that screen for multiple cancer types simultaneously, as defined in the bill. Medicare would cover these tests once every 12 months, and the bill clarifies that this change does not impact existing coverage for standard cancer screenings like mammograms or colonoscopies. The policy change ensures beneficiaries can access these new screening options without unnecessary delays after FDA approval.

Maddy summaryThis bill freezes existing energy conservation standards for distribution transformers for five years after enactment. It prevents the Department of Energy from changing or implementing new requirements for these transformers, specifically blocking any rule different from the 2013 standard (78 Fed. Reg. 23336). The bill directly affects the Department of Energy (which administers the standards) and manufacturers of distribution transformers. It does not create new requirements but maintains the current regulatory framework for the next five years.

Maddy summaryThe CONNECT for Health Act of 2023 expands Medicare telehealth coverage by removing geographic restrictions, allowing services to be provided from home and other locations, and expanding who can offer telehealth services. The bill repeals the six-month in-person visit requirement for telemental health and allows telehealth use in hospice care recertification. It also includes program integrity measures to address inappropriate billing patterns and requires posting of telehealth service data to improve transparency. This legislation directly affects Medicare beneficiaries, healthcare providers, and telehealth technology vendors by making telehealth more accessible, particularly for rural and underserved populations, those with mobility challenges, and individuals in areas with healthcare workforce shortages.

Maddy summaryThe Noninsured Crop Disaster Assistance Program Enhancement Act of 2023 removes a longstanding exclusion that previously prevented crops and grasses used for grazing from receiving disaster aid. This change allows farmers who grow forage crops and grasses for livestock grazing to access program benefits if their crops are damaged by natural disasters like droughts or floods. The bill amends two specific sections of the existing law to eliminate the exclusion, making grazing crops eligible under the program. Regulations implementing this change must be issued by the Secretary of Agriculture within 90 days of the bill's enactment.

Maddy summaryThis bill authorizes the replacement of the aging Minuteman III nuclear missiles with the new Sentinel system at three specific bases: F.E. Warren (Wyoming), Malmstrom (Montana), and Minot (North Dakota). It grants the Air Force authority to enter multiyear contracts for up to 659 Sentinel missiles, including pre-priced options to reach the full quantity if needed. The bill also requires two reports: one assessing a dedicated fund for land-based deterrence costs, and another addressing supply chain stability for construction materials like concrete and steel. These provisions directly affect military bases, defense contractors, and the Department of Defense's nuclear modernization budget.

Maddy summaryThis Senate resolution condemns Russia's deportation and forcible transfer of Ukrainian children from occupied territories, calling these actions violations of the Genocide Convention and Fourth Geneva Convention. It specifically references Russia's breaches of international law, including the unlawful transfer of children to Russia and efforts to erase Ukrainian identity through forced adoptions. The resolution declares these acts constitute genocide, targeting Ukrainian children to undermine Ukraine's future cultural and national identity. It directly addresses the Russian government's actions, which have affected thousands of children separated from their families since Russia's 2022 invasion.