Sen. Roger Marshall

Maddy summaryThe Pathways to Prosperity Act creates a new grant program to strengthen workforce development at community colleges. It provides competitive grants to community colleges to develop programs that prepare students for high-skill, high-wage jobs through partnerships with employers in growing industries. The bill requires colleges to use proven methods, create credentials that can be used across different jobs or built upon for further training, and track outcomes like program completion and job advancement. It also establishes performance metrics for program evaluation and requires transparent public reporting of results. This legislation primarily affects community colleges, students, and workers seeking career advancement in specific industry sectors.

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 summaryThis bill directs the U.S. Department of Health and Human Services to fund research on early detection and treatment of uterine fibroids (non-cancerous uterine tumors) and to award grants to states. The grants will support state programs that increase early detection through screening (like advanced imaging), patient navigation services, public education campaigns, and implementing research-backed strategies. It also requires additional research on disparities in pain management during fibroid surgery and conditions like Asherman’s Syndrome. States receiving grants must report on program outcomes and research findings to Congress every two years. The bill directly affects healthcare systems, providers, and patients - particularly those facing disparities in gynecological care - by expanding access to early detection services.

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 (S 1677, Ensuring Lasting Smiles Act) requires health insurance plans to cover medically necessary treatments for congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. It mandates coverage for reconstructive services, dental/orthodontic care, and related treatments during the course of medical treatment, while excluding purely cosmetic procedures not medically necessary. Plans may apply cost-sharing requirements similar to those for other medical services but must provide notice about these coverage requirements to participants by January 1, 2026. The bill also directs a study on provider network adequacy and cost impacts related to these coverage requirements, to be completed by December 2027.

Maddy summaryThe HELP Copays Act requires that financial assistance from non-profit organizations or prescription drug manufacturers counts toward patients' annual out-of-pocket cost-sharing limits (like deductibles and copays) for certain prescription drugs. It directly affects individuals enrolled in group health plans or individual insurance who receive such assistance, ensuring payments from these sources reduce their total out-of-pocket spending. The bill amends key healthcare laws to include these payments in calculating cost-sharing thresholds, specifically for specialty drugs and drugs subject to utilization management (like prior authorization). It takes effect for plan years beginning in 2026 and does not change how utilization management tools are applied.

Maddy summaryThis bill, titled the Stop Insider Trading Act, would restrict Members of Congress and their spouses and dependents from purchasing stocks in publicly traded companies. It requires these individuals to provide advance public notice at least seven days before selling any covered investments, with the notice filed with the Clerk of the House or Secretary of the Senate. The law includes exceptions for certain occupational transactions and reinvested dividends, and establishes penalties including fees and mandatory sales for violations.

Maddy summaryThis bill requires VA-employed physicians or nurse practitioners to sign a veteran's death certificate within 48 hours of learning of their death (for natural causes), addressing delays that have lasted up to eight weeks. It directly affects veterans' families and survivors who face blocked burial arrangements and delayed access to benefits due to these certification delays. The bill also mandates annual VA reports to Congress on compliance, including the percentage of timely certifications and reasons for delays. Key provisions focus on setting a clear 48-hour deadline for VA providers and creating transparency through mandatory reporting. It does not override state medical certification laws or require VA staff to violate their licensing requirements.

Maddy summaryThe Love Lives On Act of 2025 modifies veterans' and military survivors' benefit rules to prevent remarriage from automatically ending eligibility. It directly affects surviving spouses of veterans or military members who remarried, ensuring they retain access to key benefits. Key provisions include: (1) preventing termination of veterans' dependency compensation (under 38 U.S.C. §1311/1562) due to remarriage; (2) stopping termination of military Survivor Benefit Plan annuities solely for remarriage, with specific rules for those who remarried before age 55; and (3) expanding TRICARE coverage to include remarried widows/widowers whose subsequent marriage ended (via death, divorce, or annulment). These changes restore or maintain benefits that were previously lost upon remarriage.

Maddy summaryThe Southwestern Power Administration Fund Establishment Act creates a new fund within the U.S. Treasury to consolidate the Southwestern Power Administration's (SPA) existing receipts, unspent balances from prior appropriations, and future funding. This fund will directly support the SPA - a federal agency managing hydroelectric power marketing - by covering operational costs for power transmission systems, electricity marketing, infrastructure construction, and related administrative expenses. The bill transfers unspent balances from three specific past funds into this new account and updates budget laws to redirect future SPA funding to it. The fund remains available until spent, with excess amounts annually returned to the U.S. Treasury.