Sen. Susan M. Collins

Maddy summaryThis bill extends the funding authorization for the Accelerating Access to Critical Therapies for ALS Act from 2026 to 2031, ensuring continued financial support for research into treatments for amyotrophic lateral sclerosis. It requires the Food and Drug Administration to review clinical trial data more rigorously by assessing patient enrollment numbers and requesting interim results from drug manufacturers before renewing research grants. Additionally, the legislation clarifies that clinical trials in phase 3 include combined phase 2/3 studies and planned trials that have not yet started enrolling participants. The bill also mandates the FDA to publish a report within a year of enactment detailing its progress on rare neurodegenerative disease action plans and how it coordinates with broader disease communities. Finally, it adjusts the timeline for a Government Accountability Office report to cover a five-year period instead of four.

Maddy summaryThis bill amends the Public Safety Officers' Benefit Program to improve processing of claims for officers injured or killed in the line of duty. It establishes clear timelines for the Bureau to notify claimants about missing information (90 days) and make determinations (270 days), with automatic interim benefits issued if deadlines aren't met. The bill requires regular outreach to public safety officers and underserved agencies, mandates annual audits of backlogged claims, and strengthens subpoena authority to obtain necessary information. It also creates a pathway for expedited processing when claims are approved by the 9/11 Victim Compensation Fund or World Trade Center Health Program. The bill does not change benefit amounts but aims to make the claims process more efficient and transparent for public safety officers and their families.

Maddy summaryThis bill extends two existing public health programs focused on tick-borne diseases through 2030. It updates the funding timeline for national vector-borne disease centers and health department support from 2021-2025 to 2026-2030. The bill does not change program content or eligibility but ensures continued funding for efforts addressing tick-related illnesses. It directly affects public health agencies administering these programs, not specific individuals.

Maddy summaryThis bill amends the existing Northern Border Security Review Act to update reporting requirements for U.S. Customs and Border Protection. It mandates a threat analysis of northern border apprehensions (including sector-level data) by September 2, 2025, and every three years thereafter, and requires the DHS Secretary to update the border security strategy by September 2, 2026, and every five years, incorporating the latest analysis. The bill also adds a requirement for classified briefings to Congress within 30 days of each threat analysis submission. No new funding is authorized for these changes.

National Plan for Epilepsy Act This bill requires the Department of Health and Human Services (HHS) to establish a national plan, form an advisory council, and take other actions to address epilepsy. The requirements sunset on December 31, 2035. Specifically, the bill requires HHS to carry out a National Plan for Epilepsy to prevent, diagnose, treat, and cure epilepsy. In carrying out the plan, HHS must implement activities such as coordinating research and services across all federal agencies and soliciting public comments. Also, HHS must establish an Advisory Council on Epilepsy Research, Care, and Services. The advisory council must report to HHS and Congress every two years with an evaluation of federally funded efforts. Additionally, HHS must annually report to Congress with recommended actions based on its assessments of the nation’s progress on epilepsy.

Maddy summaryThe INSULIN Act of 2026 requires health insurance plans to limit insulin copayments to $35 per 30-day supply starting in 2027, with plans choosing to cap costs at 25% of the negotiated price after 2028. The bill also mandates that pharmacy benefit managers pass all rebates and discounts related to insulin directly to health plans rather than retaining them. Additional provisions include measures to speed up the approval process for generic and biosimilar insulin products, establish a pilot program to provide affordable insulin to uninsured individuals in 10 states, and create a resource center and hotline to help uninsured people access assistance programs.

Maddy summaryThis Senate resolution commemorates the 35th anniversary of Ukraine’s independence from the Soviet Union and recognizes the resilience of the Ukrainian people in pursuing sovereignty and democracy. The text affirms U.S. support for Ukraine’s territorial integrity, specifically rejecting the annexation of Crimea, while condemning Russia’s 2022 military invasion. It encourages the U.S. government to provide strong security guarantees to facilitate a lasting peace agreement and to integrate lessons from Ukraine’s defense innovations into American military readiness. Additionally, the resolution urges Ukraine to continue implementing reforms related to anti-corruption measures, free markets, and the rule of law.

Maddy summaryThis resolution designates the week of August 22 through August 30, 2026, as "National Park Week." It directly affects the public by encouraging responsible visits and support for the National Park System, which includes parks, battlefields, and historical sites located across the United States and its territories. The measure serves as a formal declaration to highlight the parks' role in recreation, education, and economic activity without altering any laws or funding.

Maddy summaryThe Strengthening Coast Guard Communities Act of 2026 transfers specific intergovernmental support agreement authorities from the Secretary of Defense to the Commandant of the Coast Guard. This change allows the Commandant to directly manage agreements that provide services and infrastructure support to Coast Guard communities, rather than requiring approval through the Department of Defense. To ensure transparency, the bill requires the Commandant to notify the relevant Senate and House committees in writing within 60 days of exercising this new authority.

Maddy summaryThis bill expands access to workers' compensation for injured federal employees by adding nurse practitioners and physician assistants to the list of healthcare providers eligible to treat them under the Federal Employees' Compensation Act. It amends the law to define "other eligible provider" as these professionals practicing within their state-authorized scope, replacing outdated references to "physician" with "physician or other eligible provider" throughout the relevant sections. The changes ensure injured federal workers can receive care from these providers without requiring a physician referral, streamlining access to treatment. The Secretary of Labor must finalize implementing regulations within six months of the bill's enactment.