Maddy summaryThis bill amends Medicare payment rules to allow certain outpatient services provided by off-campus hospital departments to be paid under the hospital outpatient department system starting in 2027. It specifically targets services in physician specialties where the total Medicare payments for all such services in the previous year were less than $2 million. This change directly affects hospitals operating off-campus outpatient departments serving lower-volume physician specialties. The key provision shifts payment methodology for these specific services to align with hospital outpatient department rates, aiming to stabilize funding for smaller specialty programs. The bill does not alter existing Medicare coverage or create new benefits.
Sponsored bills
Maddy summaryThis bill terminates a specific tax rate (the Hazardous Substance Superfund financing rate) used to fund hazardous waste cleanup efforts after December 31, 2025, with the change taking effect January 1, 2026. It also modifies how the government repays advances from the Superfund, requiring quarterly payments from unobligated funds until fully repaid, effective upon the bill's enactment. The bill directly affects the federal government's funding mechanisms for the Superfund program, not consumers or businesses. It makes concrete changes to tax code provisions and repayment procedures without altering the program's core purpose or directly impacting gasoline prices (despite the misleading bill title).
Maddy summaryThe FUTURES Act (S 3855) establishes a formal U.S.-Israel Defense Technology Cooperation Initiative to accelerate joint development and integration of defense technologies. It directs the U.S. Secretary of Defense to identify Israeli-origin technologies for rapid adoption into American military systems, focusing on areas like counter-drone systems, missile defense, AI, cyber security, and directed energy. The bill authorizes $150 million annually (2027-2029) for this initiative, requiring regular reports to Congress on progress, technology transitions, and industry partnerships. This policy directly affects U.S. defense contractors, Israeli defense firms, and military acquisition programs by creating new pathways to incorporate Israeli innovations into U.S. systems.
Maddy summarySRES 606 is a U.S. Senate resolution condemning the Iranian government for violently suppressing peaceful protests and the right to assemble, which has resulted in at least 6,126 reported deaths and 41,800 arrests since December 2025. It highlights Iran's use of internet blackouts, extrajudicial killings, arbitrary detentions, and censorship to crush nationwide demonstrations sparked by economic hardship. The resolution calls on Iran to hold free elections, allow citizens to determine their future, and hold human rights violators accountable, while commending protesters' courage. As a symbolic resolution (not a law), it expresses the Senate's stance without imposing new legal requirements.
Maddy summaryThis bill directs U.S. agencies to prioritize facilitating U.S. liquefied natural gas (LNG) exports to Taiwan and strengthen Taiwan's energy infrastructure resilience. It requires the State, Commerce, and Energy Departments to identify barriers to LNG exports, support Taiwan's grid cybersecurity, physical security, and emergency planning, and establish a U.S.-Taiwan Energy Security Center. The bill mandates annual reports to Congress on implementation progress, barriers to exports, and the effectiveness of resilience programs. It directly affects U.S. LNG exporters, Taiwan's energy infrastructure operators, and U.S. federal agencies coordinating with Taiwan. The legislation does not authorize new funding but directs existing agencies to prioritize these activities under the Taiwan Enhanced Resilience Act.
Maddy summaryThis Senate resolution (SRES 601) designates the week beginning February 2, 2026, as "National Tribal Colleges and Universities Week" to recognize these institutions' role in serving Native communities and their economic contributions. It highlights that tribal colleges serve students from over 250 federally recognized tribes, offer culturally grounded education, and contribute $3.8 billion annually to the U.S. economy. As a symbolic resolution (not a law), it has no binding effect but calls for public observance through community activities. The resolution focuses on honoring tribal colleges' mission and achievements, citing their open enrollment and economic impact statistics.
Purchased and Referred Care Improvement Act of 2025 This bill specifies that the Indian Health Service (IHS) must reimburse patients for their out-of-pocket costs for authorized purchased/referred care services within 30 days. (The IHS provides medical and dental services directly to American Indian and Alaska Native patients whenever possible. However, when services are not available, IHS beneficiaries may be referred to private providers. This is called purchased/referred care.) Specifically, the bill requires the Department of Health and Human Services (HHS) to establish and implement procedures to allow a patient who paid out of pocket for purchased/referred care services authorized by the IHS to be reimbursed by the IHS for that payment no later than 30 days after the patient submits required documentation. Additionally, the bill requires HHS to update applicable provisions of and exhibits to the Indian Health Manual, contracts with providers, and other relevant documents and administrative authorities to incorporate the provisions of the bill. The bill also replaces statutory references to contract health service with purchased/referred care .
This resolution supports the designation of 2026 as the International Year of the Woman Farmer and recognizes the critical role of women in agriculture. The resolution also encourages citizens to celebrate the impact these women have on the food systems and agricultural workforce of the United States by encouraging and empowering women to pursue careers in agriculture and cultivate leadership opportunities.
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.