Sen. Mike Rounds

Maddy summarySRES 269 is a symbolic Senate resolution designating July 22, 2023, as "National Day of the American Cowboy." It does not create new laws or affect specific groups, but encourages the general public to observe the day through ceremonies and activities. The resolution highlights the cultural significance of cowboys, citing their embodiment of values like honesty and work ethic, their economic contributions through ranching, and their role in American traditions and media. This is a ceremonial designation with no direct policy impact or funding changes.

Maddy summaryThis bill creates a 3-year pilot program allowing enrolled veterans to choose any provider within the VA's "covered care system" (including VA facilities and contracted providers) for hospital, medical, and extended care - regardless of their local Veterans Integrated Service Network. It removes previous restrictions requiring veterans to first seek care at their local VA facility or prove non-VA care isn't "feasibly available." Veterans must select a primary care provider to coordinate their care, with specialty and mental health providers also chosen freely. After the pilot, the program's rules become permanent, requiring the VA to offer this choice universally without prior location or availability barriers.

Maddy summaryThis bill establishes specific eligibility standards for veterans to access community care through the Veterans Community Care Program, requiring the VA to provide care within defined timeframes (20 days for primary care, 28 days for specialty care) if VA facilities cannot schedule appointments within specified driving times (30 minutes for primary care, 60 minutes for specialty care). It requires the VA to notify veterans of eligibility, provide explanations for denials, discuss telehealth options, and document veteran preferences for scheduling appointments. The bill also mandates the VA to publish wait times for care at medical centers, develop a strategic plan for transitioning to value-based healthcare, and implement an online self-service module for veterans to manage appointments and appeals. These provisions aim to improve access, transparency, and efficiency of healthcare services for veterans through the Veterans Community Care Program.

Maddy summaryThis bill requires the Department of Veterans Affairs (VA) to certify improvements to its electronic health record system (EHR) before expanding its implementation. Specifically, the VA cannot start new EHR program activities or implement the system at new facilities until it provides written certification to Congress that: (1) the system meets minimum uptime/stability standards, and (2) workflow customization issues are resolved. The VA must also certify that staff and infrastructure at each facility are ready for the EHR, with this requirement ending once certification is achieved across all facility complexity levels. Additionally, the VA must submit detailed reports to Congress within 30 days and quarterly thereafter on system stability, readiness standards, and deviations from national workflow guidelines.

Maddy summaryS 2230, the Protecting Investors’ Personally Identifiable Information Act, prevents the Securities and Exchange Commission (SEC) from requiring financial exchanges and their members to report investors' personal details like names, addresses, or Social Security numbers under routine data reporting rules. The SEC may only request such information during an investigation into suspected securities law violations, and must destroy it within 24 hours after the investigation concludes. This directly affects national securities exchanges, associations, and their members who handle market participant data. The bill aims to limit unnecessary collection and retention of sensitive investor information while maintaining enforcement capabilities.

Maddy summaryThis bill creates federal grant programs to expand education and training for health professionals in palliative care and hospice services. It establishes requirements for training programs to emphasize interprofessional team-based care, patient and family engagement, and addressing gaps in care for individuals with serious or life-threatening illnesses. The bill prioritizes programs serving rural areas, medically underserved populations, pediatric patients, and racial/ethnic minorities, and authorizes $15 million annually for 2024-2028 to support these initiatives. It also includes provisions for disseminating palliative care information to patients, families, and health professionals through federal agencies.

Maddy summarySJRES 11 is a joint resolution seeking to cancel an Environmental Protection Agency (EPA) rule that set new emissions standards for heavy-duty vehicles, including trucks and buses. The rule, published in the Federal Register on January 24, 2023, would have required manufacturers to meet specific pollution control measures for new vehicles. This resolution uses a congressional disapproval process under the Congressional Review Act to nullify the EPA rule, meaning it would have no legal effect if enacted. If passed, the EPA's emissions standards for heavy-duty vehicles would be voided, removing requirements for manufacturers to comply with those specific pollution controls.

Maddy summaryS 2210, the Iran Sanctions Relief Review Act, requires the President to submit a detailed report to Congress before terminating, waiving, or significantly altering U.S. sanctions on Iran. Congress then has 30 days (or 60 days during summer months) to review the proposal through committee hearings and decide whether to approve or disapprove it via joint resolution. During this review period, the President cannot implement the sanction change without Congressional approval. The bill directly affects the executive branch's ability to modify Iran sanctions policy and gives Congress formal oversight authority over major foreign policy shifts related to Iran.

Maddy summaryThis bill raises the funding threshold for minor construction projects at VA medical facilities from $20 million to $30 million. It requires the VA Secretary to adjust this amount every two years based on inflation, construction costs, and other economic factors, using either existing or new calculation methods. Projects under $30 million will now qualify as "minor" construction, streamlining approval processes without changing the actual construction work. The adjustment mechanism ensures the threshold remains aligned with current construction market conditions.