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.
Sponsored bills
Maddy summaryThis bill amends federal education funding rules to prioritize civics and American history education in K-12 schools. It changes eligibility criteria for certain grants under the Elementary and Secondary Education Act by requiring programs to: (1) improve teaching of American history, civics, or government; (2) focus on underserved students and demonstrate innovation; (3) include hands-on civic activities; and (4) teach the Constitution and Bill of Rights. The changes directly affect schools applying for these federal grants by setting new standards for funding approval. The bill modifies existing law without creating new programs or funding streams.
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 summaryS. Res. 650 is a Senate resolution that formally recognizes the heritage, culture, and contributions of American Indian, Alaska Native, and Native Hawaiian women in the United States. The resolution highlights their achievements in military service, business ownership, healthcare, science, arts, and civil rights advocacy through specific examples of individual women. It does not create new laws or funding but serves as a symbolic acknowledgment of their historical and ongoing contributions to American society.
Maddy summaryThis bill requires the U.S. Secretary of State to work with the Secretary of Defense and submit a report to Congress within 180 days on emerging threats facing Estonia, Latvia, and Lithuania. The report will examine military, cyber, and political dangers from countries like Russia, Belarus, China, and Iran, while also assessing current U.S. and NATO security presence in the region. It includes recommendations for improving defense cooperation, cybersecurity, and democratic resilience in the Baltic states, and highlights opportunities to strengthen bilateral and multilateral partnerships. The legislation reflects Congress's view that supporting these NATO allies aligns with U.S. national security interests.
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 summaryThis bill reauthorizes conservation programs for the Delaware River Basin by extending the program's funding period through 2033. It officially adds Maryland as a fifth state to the basin, expanding the geographic scope of the program beyond the original four states. The legislation also allows the Secretary to prioritize funding for projects that benefit small, rural, or disadvantaged communities. These changes amend the existing Water Infrastructure Improvements for the Nation Act to provide continued support for water conservation efforts in the region.
Maddy summarySRES 629 is a ceremonial Senate resolution honoring Reverend Jesse Louis Jackson, Sr., recognizing his lifelong leadership in the Civil Rights Movement and advocacy for justice, equality, and human rights. It specifically commemorates his work founding organizations like Operation PUSH and the National Rainbow Coalition, his presidential campaigns, and his role as a civil rights leader from the 1960s until his death on February 17, 2026. The resolution expresses the Senate's tribute to his legacy, commends his contributions to American society, and extends condolences to his family. As a non-binding resolution, it contains no policy changes or direct effects on legislation or constituents.
Maddy summaryThis bill, known as the Fair Wages for Home Care Workers Act, would change federal labor rules to require overtime pay and minimum wage protections for certain babysitters who currently do not receive these benefits. It specifically targets casual babysitting jobs that are irregular or intermittent and not performed by individuals whose primary occupation is babysitting. The law would also clarify that trained medical professionals like nurses and home health aides remain exempt from these new requirements, ensuring the changes apply only to casual domestic caregivers. By amending the Fair Labor Standards Act of 1938, the bill aims to extend wage protections to a specific group of home care workers while maintaining existing exemptions for professional medical staff.
Maddy summaryThis bill requires the Secretary of State to investigate and report to Congress about the January 29, 2024, attack in Gaza City that killed 5-year-old Hind Rajab and two paramedics, specifically examining whether the incident involved war crimes and the use of U.S.-origin weapons. It mandates that if credible evidence suggests the attack constituted war crimes involving U.S. weapons, personnel, or training, the Secretary must refer the matter to the Attorney General for potential prosecution under U.S. law. The legislation also directs the State Department to compile a detailed report within 45 days covering the identities of involved Israeli units, their motivations, any U.S. actions taken, and whether the incident meets the legal threshold for a gross human rights violation that could affect U.S. military aid. Additionally, the bill expresses congressional support for compensation to the victims' families from the Israeli government and the U.S. government if U.S. weapons were involved.