Sen. Edward J. Markey

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.

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 Protect American Values Act of 2026 prohibits the use of federal funds to implement or enforce a specific Department of Homeland Security rule regarding the "Public Charge" ground of inadmissibility. This legislation directly affects immigrants and their families by preventing the government from using financial resources to carry out policies that could restrict access to essential services like food, medical care, and housing. The bill includes a statement of congressional intent arguing that the targeted rule would harm community health, increase poverty, and circumvent established immigration laws. By blocking funding for this specific regulatory action, the act aims to maintain current eligibility standards for public assistance without altering the underlying statutory framework.

Maddy summaryThe Fairness to Freedom Act of 2026 establishes a new independent Office of Immigration Representation to guarantee government-funded legal counsel for individuals who cannot afford an attorney in immigration proceedings. This right applies broadly to removal, exclusion, and bond hearings, requiring that legal representation be appointed within 24 hours of detention or before any proceeding begins. The bill creates a decentralized system involving local boards and public defender organizations to manage case assignments, while ensuring that appointed attorneys receive compensation comparable to federal prosecutors. Additionally, the legislation mandates minimum funding levels for the new office based on a specific ratio relative to federal immigration enforcement budgets and prevents the use of seeking this legal aid as a factor in "public charge" determinations.

Maddy summaryThe HCBS Access Act would require states to cover home and community-based services (HCBS) as a mandatory benefit under Medicaid, effectively eliminating waiting lists for individuals with disabilities and older adults who need support to live in their communities rather than institutions. To fund this expansion, the bill provides a 100% federal matching rate for these services if states meet specific requirements, such as improving workforce wages, removing access barriers, and establishing infrastructure to support self-directed care models. Additionally, the legislation creates a national technical assistance center and authorizes grants to recruit, train, and retain direct care workers, while also prohibiting states from placing liens on the assets of Medicaid recipients for medical assistance correctly paid.

Maddy summaryThe PROTECT Act directs the Centers for Disease Control and Prevention to launch a new initiative aimed at reducing e-cigarette and tobacco use among youth and young adults. The bill authorizes $100 million annually from 2027 through 2031 to fund research on product usage patterns, health impacts, and cessation behaviors, as well as the development of guidance for healthcare providers and schools. Additionally, it requires the creation of public education campaigns and continued funding for state and local health departments to improve access to quit services.

Maddy summaryThe Cabin Air Safety Act of 2026 mandates that commercial airlines install real-time air quality monitoring equipment on their aircraft to detect engine oil or hydraulic fluid fumes, while also requiring annual safety training for pilots, flight attendants, and mechanics. The bill establishes a standardized reporting system for these events, allowing the Federal Aviation Administration (FAA) to investigate incidents where medical attention is required and to share aggregated data with the public through a searchable website. Additionally, it requires aircraft manufacturers to include procedures for responding to air quality alerts in their flight manuals and directs the FAA to continue researching technologies that prevent cabin air contamination.

Maddy summaryThe Fairness for Farm Workers Act amends the Fair Labor Standards Act to extend overtime protections to agricultural workers, who are currently largely exempt from these requirements. The bill establishes a phased schedule requiring employers to pay farm workers time-and-a-half for hours worked beyond a threshold that decreases from 55 hours per week in 2027 to the standard 40 hours by 2030. Small farms with 25 or fewer employees are granted an additional three-year grace period, reaching full compliance by 2033. Additionally, the legislation removes several existing exemptions that allow agricultural employers to bypass federal wage and hour standards, ensuring broader coverage for workers in the sector.

Maddy summaryThe Supporting Our Farm and Food System Workforce Act establishes a new Office of the Farm and Food System Workforce within the U.S. Department of Agriculture to improve access to federal programs for workers involved in food production, processing, and related services. This office will be led by a Coordinator who works with an Advisory Committee composed of farmworkers, labor unions, civil rights representatives, and nonprofit organizations to ensure worker perspectives are integrated into departmental policies. Additionally, the bill creates an Interagency Council that includes representatives from ten other federal departments to coordinate cross-agency efforts addressing worker safety, health, and economic opportunities. The legislation mandates annual reports to Congress in multiple languages and authorizes appropriations for these new initiatives through fiscal year 2031.

Maddy summaryThe Voice for Farm Workers Act expands the role of the Farmworker Coordinator within the Department of Agriculture to better support agricultural employees and rural communities. The bill authorizes the Coordinator to hire necessary staff and extend their term of service through 2031. Key provisions require the Coordinator to assess the effectiveness of federal outreach programs, coordinate services across various USDA agencies, and publicize information about available benefits for farmworkers. Additionally, the legislation directs the Coordinator to identify research priorities focused on workforce stability and economic resilience while recommending new initiatives to the Secretary of Agriculture.