Rep. Adam Smith

Maddy summaryHR 4667, the VISIBLE Act, requires U.S. Immigration and Customs Enforcement (ICE), U.S. Customs and Border Protection (CBP), and other authorized immigration officers to visibly display their agency name and either their last name or unique badge number during all public immigration enforcement activities (such as stops, arrests, raids, or checkpoints). This identification must be clearly legible from 25 feet away on outer clothing, not obscured by gear, and officers cannot wear face coverings that hide their face during public interactions unless for covert operations or hazardous conditions. The bill mandates DHS to discipline non-compliant officers and submit annual reports to Congress detailing enforcement activities, violations, and disciplinary actions. It also directs DHS’s Civil Rights Office to investigate public complaints about noncompliance.

Maddy summaryHR 4696 amends Section 249 of the Immigration and Nationality Act to update eligibility for a registry program that provides a pathway to legal status for long-term residents. It changes the requirement from entering the U.S. before January 1, 1972, to entering at least 7 years before the application date. This adjustment bases eligibility on a rolling 7-year window instead of a fixed historical cutoff, allowing more recent long-term residents to qualify. The bill directly affects individuals who entered the U.S. after 1972 but maintained continuous residence for at least seven years prior to applying.

Maddy summaryThe Healthy H2O Act creates a federal grant program to help rural households and small facilities (like child-care centers) install certified water filtration systems that remove health contaminants such as lead, arsenic, and PFAS. Eligible recipients must live in rural areas, have tested water containing contaminants, and meet income limits (under 150% of their state’s median nonmetropolitan household income). Grants cover the cost of purchasing, installing, maintaining, and testing certified point-of-use or point-of-entry filtration systems. The program requires annual reports to Congress analyzing water quality trends, filter effectiveness, and emerging needs in affected communities. This initiative addresses immediate drinking water safety gaps where long-term infrastructure projects cannot yet provide solutions.

Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Maddy summaryThe Facial Recognition Act of 2025 regulates law enforcement use of facial recognition technology by requiring court orders for most searches of reference photo databases, with limited exceptions for emergencies or specific situations like identifying victims or those in AMBER alerts. The bill mandates annual accuracy and bias testing of facial recognition systems by the National Institute of Standards and Technology, requires removal of photos from arrest databases for certain individuals (like minors or those not charged), and establishes detailed reporting requirements for all facial recognition use. It prohibits using facial recognition for immigration enforcement or to track people's constitutional rights, and creates civil remedies for violations. The bill applies to federal, state, and local law enforcement agencies, with potential funding reductions for states that fail to comply with its requirements.

Maddy summaryThe Urban Indian Health Parity Act (HR 4722) would amend the Social Security Act to extend full federal medical assistance to urban Indian health organizations. Currently, only tribal organizations receive this full federal funding level under Medicaid, but urban Indian organizations are excluded. The bill adds urban Indian organizations - defined under the Indian Health Care Improvement Act - to the list of entities eligible for full federal medical assistance when operating under a grant or contract with the Indian Health Service. This change would ensure urban Indian health organizations receive the same federal funding as tribal organizations for Medicaid services.

Maddy summaryH.J. Res. 108 proposes a constitutional amendment to remove legal immunity for federal officials, including the President, from criminal prosecution for actions taken while performing official duties. It would prohibit the President from granting pardons to themselves and eliminate the defense that "official authority" excuses violations of federal or state law (with limited exceptions for certain congressional actions). If ratified, this amendment would require Congress to pass implementing laws to enforce these changes. The proposal is currently in the House Judiciary Committee and requires approval by three-fourths of state legislatures to become part of the Constitution.

Maddy summaryHR 4606, the Ally’s Act, requires private health insurance plans (including employer-sponsored plans and individual coverage) to cover hearing implants and related services. It directly affects people with hearing loss who need cochlear implants, bone conduction devices, or external sound processors, as determined by a physician or audiologist. The bill mandates coverage for devices, maintenance, repairs, upgrades every 5 years, hearing assessments, surgery, and rehabilitation - without separate cost-sharing or stricter limits than other medical services. Insurers cannot deny coverage if a provider deems the service medically necessary. The law applies to all applicable health plans and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.