Sen. Roger Marshall

Maddy summaryThe CHOICE Act creates a new type of employer-funded health benefit called a "CHOICE arrangement," allowing small employers to reimburse employees for individual health insurance costs. It directly affects small businesses (not large employers under ACA rules) and their employees who choose individual marketplace coverage or specific government health programs. Key provisions include employer tax credits ($100/month for the first year, $50/month for the second year per employee), strict rules to prevent discrimination in plan access, and requirements for employees to maintain qualifying health coverage. The law takes effect for plan years beginning after December 31, 2025, providing a new option for small employers to offer health benefits without traditional group plans.

Maddy summaryThis bill designates a National Day of Remembrance for 13 U.S. service members who died in the Abbey Gate bombing at Kabul's airport on August 26, 2021. It also expresses the nation's deepest condolences to their families and commemorates their service during the Afghanistan withdrawal. As a commemorative resolution, it has no policy or funding impact but formally honors these individuals' sacrifice through a designated day of remembrance.

Maddy summaryThis bill establishes a 6-year Medicare pilot program to provide medically tailored home-delivered meals to high-risk Medicare beneficiaries after hospital discharge. It requires selected hospitals (40 total, meeting quality ratings and program integrity standards) to screen eligible patients with diet-impacted conditions (like diabetes or heart failure), provide 2 tailored meals daily for 12+ weeks, and offer medical nutrition therapy. The program aims to improve health outcomes and reduce readmissions by covering costs without patient copays, using existing Medicare funding with budget-neutral adjustments to hospital payments. Hospitals must submit data on health outcomes and costs for evaluation by Medicare.

Maddy summaryThis bill requires hospitals to screen all infants under 21 days old for congenital cytomegalovirus (CMV), a common viral infection that can cause hearing loss and developmental delays. It directs state health officials to establish screening standards and procedures, with the federal Advisory Committee stepping in if states fail to act within two years of the law's enactment. The bill authorizes funding through the Health Resources and Services Administration, Centers for Disease Control and Prevention, and National Institutes of Health to support state screening programs, data systems, healthcare provider training, and research on CMV screening and treatments. These provisions directly affect newborns in hospitals, healthcare providers administering tests, and state public health agencies implementing the screening requirements.

Maddy summarySRES 391 is a symbolic Senate resolution condemning the assassination of Charlie Kirk, a conservative campus advocate and founder of Turning Point USA, who was killed on September 10, 2025, at Utah Valley University. The resolution expresses the Senate’s strongest condemnation of the killing, extends condolences to his family (including his wife Erika and two children), and honors his work promoting civil discourse on college campuses. As a non-binding resolution, it does not create policy changes or affect any individuals through legislative action.

Maddy summaryThe Fertilizer Research Act of 2025 requires the U.S. Department of Agriculture (specifically the Secretary and Economic Research Service) to publish a detailed report on the U.S. fertilizer industry within one year of the bill's enactment. The report must cover 25 years of market data - including fertilizer prices, import patterns (listing companies and countries), supply chain logistics, industry concentration, and emerging technologies - while excluding confidential business information. It also assesses regulatory burdens, price transparency needs, and recommends whether a mandatory industry price reporting system should be created. This research aims to inform agricultural producers, policymakers, and industry stakeholders about market dynamics and potential policy considerations.

Maddy summaryThis bill creates a federal tax credit for businesses purchasing retreaded tires made and bought in the U.S., offering up to $30 per tire (30% of cost, capped at $30) through 2028. It directly affects tire retreading businesses and companies buying tires for operations. Key provisions include requiring federal agencies to purchase retreaded tires instead of new ones when available on the GSA schedule, and mandating updates to federal procurement rules within one year of enactment. The credit expires for tires placed in service after December 31, 2028.

Maddy summaryThis bill establishes a pilot program providing monthly coupons to junior enlisted service members living in unaccompanied housing on military bases, allowing them to purchase food at commissaries. The coupons cannot be used for alcohol, tobacco, or certain deposits, and must supplement existing food benefits like the basic allowance for subsistence. The program will run for one year at up to two selected installations (chosen based on specific criteria like housing type and commissary food options), requiring a report on usage, member feedback, and impacts on commissary/dining facility use. The goal is to improve access to affordable, healthy food options for this specific group of service members.

Maddy summaryThe Healthcare Workforce Resilience Act creates 40,000 new immigrant visas for nurses and physicians by recapturing unused employment-based visas from fiscal years 1992 through 2024. It reserves 25,000 visas specifically for nurses and 15,000 for physicians, available to applicants who file petitions within three years of the bill's enactment. These visas are exempt from country-based limits, processed more quickly without additional fees, and require employers to attest that hiring foreign workers won’t displace U.S. healthcare workers.

Maddy summaryThe RESULTS Act (S 2761) changes how Medicare sets payment rates for clinical diagnostic laboratory tests by requiring the collection of final payment data from private payors through a qualifying comprehensive claims database. For widely available non-ADLT tests (non-Advanced Diagnostic Laboratory Tests), this new system will apply to data collection periods beginning January 1, 2027, with reporting for these periods starting January 1, 2028. If data isn't available for a test, the bill establishes a default payment rate equal to the previous year's rate adjusted for inflation. This affects Medicare, clinical laboratories, and private payors by creating more accurate, market-based payment rates that better reflect final payments made by private insurers.