Sen. Tina Smith

Maddy summaryThe State Public Option Act creates a new Medicaid buy-in option for state residents who are not enrolled in other health insurance plans, beginning January 1, 2026. It establishes limits on premiums (capped at 8.5% of family income) and cost-sharing, while allowing participants to enroll through state health insurance exchanges and access premium tax credits similar to those for private insurance. The bill also requires coverage of comprehensive sexual and reproductive health care services, including abortion services, starting in 2026. Additionally, it includes provisions to improve payment rates for primary care services provided under Medicaid.

Maddy summaryThis bill removes an age limit that previously restricted continuous Medicaid and CHIP coverage to children under 19. It changes the rules to apply 12-month continuous enrollment protections to all enrollees, regardless of age, by replacing "child" and age-specific language with "individual" throughout the program rules. The key mechanism is amending federal law to eliminate the requirement that beneficiaries must be under 19 to qualify for uninterrupted coverage. This directly affects all current and future Medicaid and CHIP participants, including adults and older children. The changes take effect in 2026.

Maddy summaryThe Choose Medicare Act would create a new Medicare Part E public health plan available in the individual, small group, and large group insurance markets. This plan would provide gold-level coverage with essential health benefits, including reproductive services, and would be offered through health insurance exchanges. The bill establishes premium rates based on market type and geographic area, and creates annual out-of-pocket cost limits starting in 2027 (initially set at $6,700 for 2027). It would directly affect individuals and employers seeking health coverage, particularly those currently in the individual market or small/large group plans who may choose this new public option.

Maddy summaryThe My Body, My Data Act of 2025 requires companies and services handling personal reproductive or sexual health information - such as health apps, clinics, or digital platforms - to only collect, retain, or share this data when strictly necessary for a service a person has requested. It gives individuals the right to access, correct, or delete their data easily (within 15 days, without fees), and mandates clear privacy policies explaining how data is used. The bill also prohibits companies from retaliating against people who exercise these rights, such as by charging higher prices or denying services. Enforcement will be handled by the Federal Trade Commission, with individuals able to sue for violations and seek penalties of up to $1,000 per violation per day.

Maddy summaryS 2028, the Supporting Apprenticeship Colleges Act of 2025, provides federal grants to colleges offering construction and manufacturing apprenticeships to expand student recruitment and support services. It creates two grant programs: (1) community outreach grants (max $500,000 per college) to connect with high schools, employers in rural areas, and workforce boards - prioritizing rural, first-generation, minority, and nontraditional students; and (2) student support grants (max $500,000 per college) for advising, mental health services, childcare, and career development to improve program retention and completion. The bill authorizes $5 million annually (2026-2030) for these programs, targeting colleges that sponsor registered apprenticeships in construction or manufacturing. It directly affects eligible apprenticeship colleges by funding specific activities to grow enrollment and support underrepresented students in these fields.

Maddy summaryThis bill expands Medicare coverage to include mental and behavioral health services provided via telehealth, removing geographic restrictions that previously limited these services to rural areas. It directly affects Medicare beneficiaries seeking remote mental or behavioral health care and healthcare providers billing Medicare for these services. The key change amends the Social Security Act to replace "mental health services" with "mental and behavioral health services furnished through telehealth" and eliminates outdated geographic limitations. This ensures Medicare beneficiaries in all areas can access covered telehealth mental/behavioral health services without location-based restrictions. The policy change takes effect retroactively as if implemented in 2021.

Maddy summaryS 2006, the Fit to Serve Act, prohibits the U.S. military from discriminating against service members or applicants based on gender identity. It directly affects all current and prospective members of the Armed Forces by banning specific discriminatory actions, including denying medically necessary health care, requiring service in a sex assigned at birth, or separating members due to gender identity (including gender dysphoria diagnosis). The bill amends Title 10 of the U.S. Code to add new protections, explicitly stating that the military cannot deny service, reenlistment, or health coverage based on gender identity. These changes apply uniformly across all branches and service statuses, ensuring equal treatment under military policy.

Maddy summaryThis bill amends the Communications Act to clarify that "franchise fee" means only monetary assessments paid to local authorities for cable or community television services. It removes the word "includes" and adds "other monetary" before "assessment" in the definition. This technical change ensures franchise fees are strictly defined as cash payments, not other types of fees or non-monetary obligations. It directly affects cable operators and local governments that collect these fees under existing law. The bill makes no new policy changes but refines the legal definition for clarity.

Maddy summaryThis bill prevents employers from dropping health insurance coverage for workers during strikes or lockouts. It amends the National Labor Relations Act to prohibit employers from terminating group health plan coverage for employees who are either locked out (during bargaining disputes) or participating in a lawful strike. Employers who violate this rule face civil penalties of up to $75,000 per violation for lockout-related actions (doubling to $150,000 for repeat offenses) or $50,000 for strike-related actions (doubling to $100,000 for repeat offenses). The law directly affects workers engaged in strikes or locked out by employers, ensuring their healthcare coverage continues during these labor disputes.

Protection for Reservation Occupants against Trafficking and Evasive Communications Today Act of 2025 or the PROTECT Act of 2025 This bill expands special tribal criminal jurisdiction (STCJ) to include certain controlled substance-related offenses and firearms offenses. It also allows tribal courts to execute warrants for electronic material. STCJ allows participating tribes to investigate, prosecute, convict, and sentence both Indian and non-Indian offenders who commit covered crimes in Indian country against Indian victims. Covered crimes currently include assault of tribal justice personnel, child violence, dating violence, domestic violence, obstruction of justice, sexual violence, sex trafficking, stalking, and a violation of a protection order. The bill expands STCJ to allow participating tribes to prosecute individuals for controlled substance-related offenses (i.e., drug trafficking, unlawful drug possession, or unlawful possession of drug paraphernalia) and firearms offenses (i.e., use or possession of a firearm in furtherance of a covered crime or by a person who has been convicted of domestic violence). Additionally, the bill allows participating tribes to exercise STCJ over a controlled substance-related offense or a firearms offense if neither the defendant nor the alleged victim is an Indian. (Currently, this exception only applies in cases of obstruction of justice or assault of tribal justice personnel.) The bill allows offenders convicted pursuant to STCJ to be incarcerated through the Bureau of Prisons Tribal Prisoner Program. The bill gives tribal courts the same authority as state courts to compel service providers to disclose stored electronic communication information through court-issued warrants, court orders, or administrative subpoenas.