Sen. John Boozman

Maddy summaryThe Ensuring Better Interest Treatment and Deductibility Act modifies how businesses calculate interest expense limits for tax purposes. It removes a specific exception related to adjusted taxable income calculations that was added in previous legislation. This change applies to tax years starting after December 31, 2025, affecting businesses that deduct interest expenses on their federal income tax returns. The bill aims to alter the rules governing Section 163(j) of the Internal Revenue Code without changing the overall cap on deductible interest.

Maddy summaryThis bill, known as the Save Struggling Hospitals Act, modifies Medicare reimbursement rules to provide additional financial support to hospitals in low-wage areas. It directly affects hospitals whose geographic area wage index falls below the 25th percentile, increasing their reimbursement rates by half the difference between their current index and the 25th percentile threshold. The adjustment applies to discharges occurring on or after October 1, 2019, and is designed to be budget neutral, meaning the total amount paid out remains unchanged while redistributing funds from higher-wage to lower-wage areas. The law also includes safeguards to prevent hospitals in the 75th percentile or higher from losing funding and ensures no hospital's reimbursement drops below 95 percent of the previous year's rate.

Maddy summaryThe FARM Stability Act proposes changes to wage requirements for H-2A temporary agricultural workers in the United States. It would require the Secretary of Labor to establish a two-tiered wage system based on skill levels, with higher pay for workers who have formal training or significant experience compared to entry-level workers. The bill also mandates that wages account for housing costs by calculating an hourly adjustment factor based on average fair market rent for four-bedroom units, limited to 30 percent of the base wage rate. These provisions would directly affect employers hiring H-2A workers and the workers themselves by modifying how minimum wages are determined and adjusted annually.

Maddy summaryThe Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for psychologists by raising payment percentages from 75 percent to 85 percent of the standard fee schedule. This change directly affects Medicare beneficiaries and psychologists who provide mental health services under the Medicare program. The higher payment rates apply to services furnished on or after January 1, 2027, aiming to improve access to mental health care by increasing provider compensation.

Maddy summaryThis resolution designates the third week of March 2026 as National CACFP Week to raise awareness of the Child and Adult Care Food Program. The bill directly affects child care centers, family day care homes, emergency shelters, after-school programs, and adult day care facilities across the United States. It recognizes the program's role in providing nutritious meals and snacks to over 4.5 million children and 120,000 adults while promoting nutrition education and supporting small businesses in child care. The resolution highlights how the program helps improve health outcomes and supports working families through public-private partnerships with state agencies and nonprofit organizations.

Maddy summaryThis resolution designates March 21, 2026, as "National Women in Agriculture Day" to recognize the contributions of women in the agricultural sector. The bill directly affects women working in farming, research, education, and related industries by formally acknowledging their roles as producers, leaders, and mentors. It highlights that women represent over one-third of U.S. agricultural producers and generated $222 billion in agricultural sales in 2022. The designation encourages citizens to celebrate and support women in agriculture during National Ag Week, which coincides with the date. This is a commemorative measure rather than a policy change that alters laws or programs.

Maddy summaryS 2903, the Safe Step Act, requires health insurance plans and employers offering health coverage to establish a clear, timely process for patients or doctors to request exceptions when step therapy protocols (where insurers require trying cheaper drugs first) would harm a patient. It mandates approval for exceptions if prior drugs failed, delay would cause severe harm, a drug is unsafe, or a patient is stable on their current medication. Plans must respond to requests within 72 hours (or 24 hours in emergencies) and cover the requested drug without extra cost-sharing. The bill also requires annual reports to the government on exception requests, approvals, denials, and trends by medical condition or specialty. This directly affects patients on health plans with step therapy, their doctors, and the insurers managing those plans.

Maddy summaryThe Supporting Our Seniors Act establishes a 12-member Commission on Long-Term Care to study and recommend improvements to senior care systems. The Commission, appointed by the President and congressional leaders with expertise in aging, healthcare, and caregiving, will issue annual recommendations on key issues like affordable long-term care coverage, support for family caregivers, home-based services, and access to comprehensive geriatric care. Federal agencies must respond to these recommendations within six months of receipt. The Commission will operate for 10 years, focusing on concrete policy changes to better serve seniors and their families.

Maddy summaryS 2287, the Palliative Care and Hospice Education and Training Act, establishes federal funding to expand training for health professionals in palliative and hospice care. The bill creates multiple programs including grants for education programs, fellowships for faculty to gain specialized training, and career incentive awards for students pursuing palliative care specialties. It prioritizes training in rural and underserved areas, for pediatric populations, and for racial and ethnic minorities. The bill authorizes $15 million annually through 2030 to build a more skilled palliative care workforce for patients with serious or life-threatening illnesses.

Maddy summaryThis bill, the Conscience Protection Act of 2025, strengthens protections for healthcare providers and organizations that refuse to participate in certain medical procedures (including abortion, assisted suicide, and sterilization) based on religious, moral, or ethical beliefs. It creates a private right of action allowing affected entities to seek legal remedies when their conscience rights are violated, addressing a gap in current law where victims could not defend their rights in court. The bill amends the Public Health Service Act to prohibit discrimination against such healthcare entities and establishes clearer enforcement mechanisms through the Department of Health and Human Services, including administrative investigations and civil actions. It directly affects healthcare providers, hospitals, insurers, and other health-related organizations operating under federal funding. The bill aims to address inconsistent enforcement of existing conscience protections like the Weldon Amendment, which has been challenged in cases such as California's abortion coverage mandate.