Maddy summaryS 3145, the CARE Act of 2025, creates a new Medicare payment model for ground ambulance services provided during emergencies without patient transport. It directly affects Medicare beneficiaries who receive emergency medical dispatch services (like on-site care) and ambulance providers who serve them. The bill requires Medicare to pay for these non-transport services at rates aligned with traditional transport payments, while allowing telehealth services provided alongside them to count as originating sites. The model will operate for five years, with a mandatory report after four years evaluating its impact on beneficiary access, outcomes, and regional variations in emergency services.
Sponsored bills
Maddy summaryThe Insurance Fraud Accountability Act (S 976) amends the Affordable Care Act to strengthen penalties for insurance agents and brokers who provide incorrect or fraudulent information during health plan enrollment. It imposes civil penalties of $10,000-$50,000 per violation for negligent errors and up to $200,000 for knowing fraud, with criminal penalties including up to 10 years in prison for willful violations. The bill requires new verification processes for agent- or broker-assisted enrollments by January 2029, including mandatory documentation, consent forms, and delayed commission payments until enrollment issues are resolved. These provisions directly affect agents, brokers, third-party marketing organizations, and consumers enrolled in qualified health plans through federal or state marketplaces.
Maddy summaryThis resolution (SRES 399) is a ceremonial Senate expression of goodwill. It congratulates North Macedonia on the 34th anniversary of its independence (September 8, 1991) and celebrates 30 years of formal diplomatic relations between North Macedonia and the United States (since 1995). The resolution does not create new laws or affect any individuals or groups; it solely recognizes the bilateral relationship, NATO partnership, and shared values. It was introduced by Senators Welch, Tillis, Shaheen, and Ricketts in the 119th Congress (2025).
Maddy summaryThis bill extends two key Affordable Care Act provisions. It delays the expiration of temporary subsidies that help lower-income people afford health insurance premiums, moving the deadline from 2026 to 2028 (affecting millions buying coverage through health insurance marketplaces). It also extends the open enrollment period for 2026 health plans until January 15, 2026. The changes apply to tax years beginning after December 31, 2025, ensuring continued access to subsidies and enrollment flexibility through 2028.
Maddy summarySRES 481 is a non-binding Senate resolution urging the Trump administration to use the USDA’s existing $4.5 billion contingency funds and interchange authority to fund the Supplemental Nutrition Assistance Program (SNAP) for November 2025. The resolution states that SNAP is an entitlement program requiring government funding, and the USDA legally has the authority to draw from these reserves to avoid benefit disruptions. This would directly support the 42 million Americans who rely on SNAP, including 16 million children, 8 million seniors, 4 million people with disabilities, and 1.2 million veterans. The resolution does not change the law but calls for immediate action to maintain food assistance during a potential funding gap.
This joint resolution terminates the national emergency declared by President Donald J. Trump on April 2, 2025, which imposed a 10% tariff on most imports to the United States and additional duties on specified trading partners.
Maddy summaryThis bill (SJRES 81) terminates a national emergency declared by the President on July 30, 2025, which authorized additional duties on goods imported from Brazil. It directly affects importers of Brazilian products by ending the emergency authority that allowed these extra tariffs to be imposed. The resolution formally ends the emergency status under the National Emergencies Act, removing the legal basis for the duties. The bill does not change existing tariff rates but stops the emergency designation that enabled them.
Maddy summaryThis joint resolution terminates a national emergency declared by the President on February 1, 2025, which authorized the imposition of import duties on goods from Canada. It directly affects Canadian importers and businesses exporting goods to the U.S. that were subject to these duties under the emergency authority. The bill formally ends the emergency declaration under the National Emergencies Act, removing the legal basis for the duties but not automatically eliminating the duties themselves. This is a procedural action to revoke the emergency status, not a change to trade policy.
Maddy summarySRES 409 is a symbolic Senate resolution commemorating the 74th anniversary of the 1951 U.S.-Philippines Mutual Defense Treaty. It expresses support for the U.S.-Philippines security alliance amid China's actions in the South China Sea, including territorial claims and confrontations with Philippine vessels. The resolution reaffirms the treaty's application to attacks on Philippine military assets and condemns China's "unprovoked aggression" in the region. As a non-binding resolution, it does not enact new policy but formally underscores the alliance's importance.
Maddy summaryThe Social Security Emergency Inflation Relief Act (S 3078) would provide an additional $200 monthly payment to Social Security beneficiaries, Supplemental Security Income (SSI) recipients, railroad retirement beneficiaries, and veterans receiving disability compensation or pension payments during the six-month period from January 1 to June 30, 2026. These payments would be delivered automatically through existing benefit channels and would not count as income for tax purposes or affect eligibility for other government assistance programs. The bill allocates $11 million for Treasury administrative costs and $83 million for the Social Security Administration to manage the payments, with funding covering the entire implementation period. This temporary measure aims to provide direct financial relief to vulnerable groups during a specified inflationary period.