Sen. Roger Marshall

Maddy summaryThe Provider Reimbursement Stability Act of 2026 aims to create more predictable payment amounts for physicians by modifying how the Centers for Medicare & Medicaid Services calculates fee schedules. It raises the financial threshold for certain budget adjustments from $20 million to $57.64 million starting in 2028 and requires these amounts to be adjusted every five years based on inflation data. The bill also mandates that the government update the costs of staff wages and medical supplies used to calculate payments at least once every five years and limits how much the overall payment rate can change from one year to the next to no more than 2.5 percent. These changes directly affect doctors and healthcare providers who receive Medicare payments, ensuring their reimbursement rates remain more stable and better aligned with actual costs.

Maddy summaryThe Rural Emergency Hospital Designation Improvement Act expands eligibility for facilities to convert into rural emergency hospitals by relaxing certain operational requirements and clarifying rules for units providing psychiatric, rehabilitation, or obstetric care. It establishes a new payment structure that increases reimbursement by 5 percent for diagnostic laboratory tests starting in 2027 and allows these hospitals to use swing beds for extended care services. The legislation also ensures that rural emergency hospitals are recognized as health professional shortage areas to attract medical staff and includes their services in Medicaid coverage plans. Additionally, the bill permits facilities that revert to critical access hospital status to regain their previous necessary provider designation and makes them eligible for specific improvement grants.

Maddy summaryThe RESULTS Act of 2026 provides federal funding to help states build and modernize systems that connect data across education and workforce sectors, from early childhood programs to employment outcomes. These grants require states to create secure databases that link records from schools, colleges, and job training programs while protecting student privacy and allowing for data analysis by researchers and policymakers. The bill also mandates that states establish specific leadership roles, such as a Chief Data Officer, and use the funds to improve how they report on student success and labor market trends. Additionally, the legislation updates existing rules to allow states to use national wage records for measuring job placement outcomes and encourages the adoption of standardized data formats to ensure information can be easily shared across different states.

Maddy summaryThe Retirement Simplification and Clarity Act allows employees aged 50 and older to roll over their employer-contributed retirement funds directly into an annuity. It also requires retirement plans to provide clear, plain-language explanations to participants about distribution options, including details on taxes, deadlines, and what types of funds cannot be rolled over. These changes aim to make the retirement process easier to understand by standardizing the information given to workers and clarifying the rules for moving money between accounts. The provisions will take effect for taxable years starting after December 31, 2026.

Maddy summaryThis bill, titled the Falun Gong and Victims of Forced Organ Harvesting Protection Act, authorizes the President to impose sanctions on foreign individuals and entities accused of participating in or facilitating forced organ harvesting in China. The sanctions include blocking property and interests in property within the United States and making listed individuals inadmissible to the United States or ineligible for visas. The bill requires the President to submit lists of sanctioned persons to congressional committees and mandates a report on China's organ transplant policies and practices, including an assessment of whether forced organ harvesting constitutes an atrocity. The sanctions authority includes exemptions for humanitarian assistance and national security activities, and the entire provision expires five years after enactment.

Maddy summaryThe Patients Deserve Price Tags Act requires hospitals, clinical diagnostic laboratories, imaging services providers, and ambulatory surgical centers to publicly disclose detailed pricing information for healthcare services in machine-readable formats. This includes standard charges, discounted cash prices, payer-specific negotiated rates, and other relevant pricing data that consumers can easily access and compare. The law applies to all facilities that provide services to Medicare beneficiaries, with implementation dates starting in 2026 for hospitals and 2027 for other providers. Non-compliant facilities face daily civil monetary penalties ranging from $300 to $10,000 per day, depending on facility size and duration of non-compliance.

Maddy summaryThis resolution designates July 25, 2026, as "National Day of the American Cowboy" to honor the historical and cultural contributions of cowboys to the United States. It encourages citizens to observe the day with ceremonies and activities that recognize the cowboy's role in establishing the American West and its enduring presence in literature, media, and the economy. The measure highlights values associated with the cowboy archetype, such as integrity, hard work, and environmental stewardship, while noting that the role transcends gender, ethnicity, and political affiliation.

Maddy summaryThe State of Men's Health Act aims to address rising health risks and premature death among men by establishing a new Office of Men's Health within the Department of Health and Human Services. Before creating this office, the bill requires the Government Accountability Office to conduct a study on men's health disparities and recommend ways to improve federal coordination and awareness. Once established, the new office will coordinate screening programs for conditions like prostate cancer and diabetes, maintain a database of best practices, and report its findings to Congress. The legislation does not authorize new funding, meaning the office must operate using existing budget resources.

Maddy summaryThe Connected Vehicle Security Act of 2026 restricts the importation, sale, and use of connected vehicles and related technology from China, Russia, Iran, and North Korea to protect national security. Starting in 2027, the bill generally bans these vehicles if they originate from or are controlled by these countries, with separate restrictions on software and hardware taking effect in 2030. The Secretary of Commerce is authorized to issue specific exemptions for items that do not pose a security risk and must publish a list of approved products. The law also requires companies to submit declarations confirming their vehicles comply with the rules and imposes heavy fines for violations.

Maddy summaryThis resolution honors the life and legacy of the late Senator Lindsey Olin Graham from South Carolina. It formally acknowledges his extensive career in the military, state government, and Congress, noting his service as a Senator and his roles as Chairman of the Judiciary and Budget committees. The Senate expresses its sorrow over his death and requests that this tribute be shared with the House of Representatives and Graham's family.