Sen. Roger Marshall

Maddy summaryThis bill requires the Medicare program to audit prior authorization rules for high-cost items and drugs by 2027, identifying those needing excessive paperwork steps. By 2028, it mandates standardized prior authorization rules across all Medicare Advantage plans for these specific items and drugs. The law exempts providers in certain risk-based care models (like accountable care organizations) from these standardized requirements. It directly affects Medicare Advantage enrollees and plans by simplifying paperwork for certain treatments and medications. The bill aims to reduce administrative burdens for providers and patients without changing coverage decisions.

Maddy summarySRES 593 is a Senate resolution honoring the 67 victims of the January 29, 2025 mid-air collision between a U.S. Army Black Hawk helicopter and American Airlines Flight 5342 over the Potomac River. It specifically recognizes the lives of all victims, including 11 U.S. figure skating athletes, their families, and 3 Army soldiers, as well as the 1,700+ first responders who assisted in the recovery efforts. The resolution offers condolences to affected families, acknowledges the bravery of emergency personnel, and commits the Senate to using safety lessons from the crash to prevent future incidents. As a commemorative resolution, it does not create new laws or provide direct benefits but serves to formally memorialize the tragedy and honor those impacted.

Maddy summaryThe PBM Reporting Transparency Act requires the Medicare Payment Advisory Commission (MedPAC) to produce two reports analyzing pharmacy benefit manager (PBM) agreements with Medicare prescription drug plans. The first report, due 2 years after data becomes available, must detail trends in PBM contracts, their impact on beneficiaries' out-of-pocket costs and pharmacy reimbursement rates, and include recommendations. A second report, due 2 years after the first, will track changes in this data over time and provide updated recommendations. This legislation directly affects Medicare drug plan participants by increasing transparency around PBM practices that influence prescription drug costs.

Safeguard American Voter Eligibility Act or the SAVE America Act This bill requires individuals to provide documentary proof of U.S. citizenship when registering to vote, and requires photo identification to vote, in federal elections. Specifically, the bill prohibits states from accepting and processing an application to register to vote in a federal election unless the applicant presents documentary proof of U.S. citizenship. The bill specifies what documents are considered acceptable proof of U.S. citizenship, such as identification that complies with the REAL ID Act of 2005 that indicates U.S. citizenship. Further, the bill (1) prohibits states from registering an individual to vote in a federal election unless, at the time the individual applies to register to vote, the individual provides documentary proof of U.S. citizenship; and (2) requires states to establish an alternative process to demonstrate U.S. citizenship. Each state must take affirmative steps on an ongoing basis to ensure that only U.S. citizens are registered to vote, which shall include establishing a program to identify individuals who are not U.S. citizens using information supplied by certain sources. Additionally, states must remove noncitizens from their official lists of eligible voters. The bill (1) provides for a private right of action for certain violations, and (2) establishes criminal penalties for certain offenses. Individuals voting in federal elections must present an eligible photo identification document. An individual who votes by absentee ballot must submit a copy of their identification document with both the request for, and the submission of, the absentee ballot.

Maddy summaryThis bill requires the U.S. Senate to provide advice and consent for any international climate agreement that involves legally binding domestic emissions reductions (like the Paris Agreement), treating such agreements as treaties under the Constitution. It directly affects the executive branch and federal agencies by blocking the use of federal funds to implement or comply with these agreements unless Senate approval is first obtained. The key mechanism is changing the process for entering climate agreements from executive action to a formal treaty ratification process. This would prevent the U.S. government from joining or rejoining international climate deals without Senate confirmation. The bill does not alter the content of climate agreements but changes how they are approved and funded.

Maddy summaryThe SAVE Moms and Babies Act of 2026 prohibits the FDA from approving new abortion drugs or granting investigational exemptions for them. It requires existing approved abortion drugs to be dispensed only in-person by certified healthcare providers in clinics or hospitals (not pharmacies), mandates providers to verify pregnancy duration and handle complications, and enforces strict adverse event reporting to the FDA. The bill directly affects healthcare providers prescribing abortion drugs, patients seeking these medications, and the FDA’s regulatory authority over such drugs. Key provisions include banning use after 70 days gestation, requiring provider certification for specific medical capabilities, and mandating documentation of risks to patients.

Maddy summaryS 3627, the Pregnant Students’ Rights Act, requires colleges and universities participating in federal student aid programs to provide clear information about pregnancy-related resources and accommodations to all enrolled students. The bill mandates annual email notifications, inclusion in student handbooks and orientations, and availability at health centers and websites, detailing campus/community resources, available accommodations, and how to file Title IX complaints. It specifically covers students planning to or currently pregnant who wish to carry a baby to term. The law focuses solely on disseminating existing information and does not create new rights or accommodations. (Bill text amended under Section 485 of the Higher Education Act.)

Maddy summarySRES 585 is a commemorative resolution honoring Ben Nighthorse Campbell, a former U.S. Senator from Colorado and the first Native American to chair the Senate Committee on Indian Affairs. It recognizes his military service, Olympic judo career, legislative work (including authoring the National Museum of the American Indian Act), and advocacy for tribal communities. The resolution has no policy impact - it formally expresses the Senate’s respect for his legacy, requests transmission to his family, and directs a moment of silence. It directly affects Campbell’s legacy and family, not any current policy or population. (Note: This is a procedural resolution, not a bill with legislative provisions.)

Maddy summaryThe WALZ Act requires the Inspector General of the Department of Health and Human Services to investigate state programs receiving federal funding when payments to service providers increase by 10% or more over a six-month period compared to the prior six months. This applies to all state health and human services programs funded through federal assistance administered by HHS. The bill establishes a specific trigger for investigations based solely on payment growth thresholds, without changing how payments are structured or delivered. It directly affects state programs and their service providers by mandating oversight for significant payment fluctuations.

Maddy summaryThe ACE Agriculture Act of 2026 amends USDA research programs to expand their focus on water conservation, greenhouse gas reduction, and resilience against climate impacts like drought and pests. It increases annual funding for the Agriculture Advanced Research and Development Authority (AGARDA) from $50 million to $100 million (2027-2031) and requires the program to prioritize water conservation, emissions mitigation, and protection from diseases and pests. The bill redesignates a former "Pilot" program as a permanent initiative, clarifies the Director’s role to work directly with the Chief Scientist (without reporting to other USDA program heads), and allows use of unobligated funds for implementation. This primarily affects USDA research operations and agricultural producers adopting new technologies for sustainability and climate adaptation.