Sen. Mike Rounds

Maddy summaryThis bill amends a Department of Veterans Affairs transportation grant program to improve healthcare access for rural veterans. It expands eligibility to include tribal organizations and Native Hawaiian organizations, and increases grant amounts (up to $50,000, with a potential 50% increase for counties with five or more off-road communities) to cover transportation costs. The changes apply to grants for rural veterans needing transportation to healthcare services, particularly in areas with limited road access. Funding is adjusted from fixed annual amounts to "such sums as may be necessary" for fiscal years 2025-2029.

Precision Brain Health Research Act of 2025 This bill expands the Scott Hannon Initiative for Precision Mental Health, a program at the Department of Veterans Affairs (VA). Specifically, the bill expands the scope of the initiative by requiring the identification and validation of brain and mental health biomarkers among veterans for repetitive low-level blast exposure, dementia, and other such brain conditions. Currently, the initiative addresses several other conditions such as depression and post-traumatic stress disorder. The VA must work with the Department of Defense to establish a data-sharing partnership under the initiative. The bill requires the VA to conduct various research studies about repetitive low-level blast exposure under the initiative. The VA must seek to enter into a contract with the National Academies of Sciences, Engineering, and Medicine to work in tandem with the initiative on validation of brain and mental health biomarkers among veterans and report on the findings at least once every two years. The VA must assess all in progress and planned translational research studies under the initiative and report to Congress on the assessment. Additionally, the VA must report to Congress on the initiative at least once every two years and include recommendations for immediate administrative and legislative action to improve the initiative. The bill authorizes the initiative through FY2034.

Veterans' Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 This bill addresses the administration of the Veterans Community Care Program (VCCP) and other Department of Veterans Affairs (VA) health care matters. Among other provisions regarding the VCCP, the bill establishes in statute access standards that determine when a veteran is eligible to receive non-VA care through the VCCP, requires the VA to notify veterans regarding their eligibility for care within two business days after the VA is aware the veteran is seeking care, and extends the deadline for the submittal of claims under the VCCP by health care entities and providers. The VA must address its mental health treatment programs by establishing a standardized screening process to determine whether a veteran satisfies criteria for priority or routine admission to a mental health residential rehabilitation treatment program or a program for residential care for mental health and substance abuse disorders, tracking the performance of medical facilities and Veterans Integrated Service Networks in meeting the requirements for mental health treatment screenings and timely admission to treatment programs under such screenings, and establishing an appeal process for when a veteran is denied admission to a covered treatment program or is accepted into a program but not offered bed placement in a timely manner. Additionally, the VA must establish an online self-service module for veterans to request and manage appointments, track referrals, and appeal and track decisions related to requests for care.

Maddy summaryThis resolution (SRES 342) is a symbolic gesture honoring small firearm manufacturers in the U.S., recognizing their economic contributions and role in recreational shooting traditions. It specifically designates August 2025 as "National Shooting Sports Month" and commends these businesses for supporting 380,000 jobs and $91 billion in annual economic output. The resolution does not create new laws or funding but formally acknowledges small manufacturers’ role in preserving Second Amendment-related activities and outdoor culture. It is a commemorative statement with no binding policy impact.

Maddy summaryThis bill establishes that food products cannot use dairy product names like "yogurt," "milk," or "cheese" unless they meet specific U.S. Food and Drug Administration (FDA) standards for dairy. It directly affects food manufacturers who currently market non-dairy products (e.g., plant-based milks) using traditional dairy names. The bill amends federal law to require that any food using such names must be made primarily from mammal milk (lacteal secretion), not plant-based ingredients, and clarifies that the FDA will enforce this rule through new guidance. The FDA must issue enforcement guidance within 180 days and report on enforcement actions to Congress within two years.

Maddy summaryThe Unleashing AI Innovation in Financial Services Act creates a new pathway for financial institutions to test AI-powered financial products with regulatory flexibility. Financial institutions can apply to their regulatory agency for an "alternative compliance strategy" that would temporarily waive or modify certain regulations for a limited time, provided they demonstrate how the AI test project serves the public interest, improves consumer access, and manages risks. Regulatory agencies must review applications within 120 days and report annually to Congress on outcomes of these AI test projects without disclosing proprietary information. This law directly affects banks, brokerages, investment firms, and other financial institutions regulated by agencies like the SEC, CFPB, and FDIC.

Maddy summaryThis bill (S 2425) makes it unlawful to access property under the jurisdiction of U.S. intelligence agencies if the property is clearly marked as closed or restricted, without authorization. It directly affects individuals who enter or access such marked facilities or property, including unauthorized visitors, trespassers, or potentially journalists. The key provision requires clear marking of restricted areas and imposes escalating penalties: up to 180 days in jail or a fine for a first offense, up to 3 years for a second offense, and up to 10 years for third or subsequent offenses. The law amends the National Security Act of 1947 to add this specific security measure for intelligence community property.

Maddy summaryThis bill expands Medicare Part B coverage to include specific pharmacist services, directly affecting Medicare beneficiaries and pharmacists who provide these services. It defines "pharmacist services" as evaluations and treatments for illnesses like COVID-19, flu, RSV, or strep throat, or services addressing public health emergencies, requiring collaboration with physicians as state law permits. Medicare would pay 80% of the lower of the actual charge or 85% of the physician payment rate (100% for public health emergencies), and prohibits balance billing for these services. The changes take effect January 1, 2026.

Maddy summaryThis bill streamlines environmental reviews for certain housing projects under the National Environmental Policy Act (NEPA). It reclassifies HUD-funded housing activities into three categories: some (like tenant assistance) become fully exempt from review, others (like rehabbing small buildings) get simplified "categorical exclusion" status if they don’t alter environmental conditions, and infill projects (new construction on previously disturbed urban land surrounded by development) receive streamlined review. The bill directly affects HUD housing programs, developers of infill projects, and local governments managing housing approvals. It aims to reduce review times and administrative costs, with HUD required to report annually on these impacts, particularly for affordable housing.

Maddy summaryThe BUILD Housing Act streamlines environmental review processes for federal housing assistance programs. It allows the Department of Housing and Urban Development (HUD) to designate certain HUD-funded housing projects as "special projects" for environmental review under the National Environmental Policy Act (NEPA), reducing administrative steps. This directly affects HUD housing programs, particularly enabling federally recognized tribes to assume environmental review responsibilities instead of relying solely on states or local governments. The bill modifies existing law to include tribes as eligible entities for these reviews, using the federal definition of "Indian Tribe" from the Native American Housing Act.