Rep. Adrian Smith

Maddy summaryHR 2533, the EASE Act of 2025, requires Medicare and Medicaid to test a new telehealth model designed to improve specialty care access for rural and underserved Medicare/Medicaid beneficiaries. The bill mandates the Centers for Medicare & Medicaid Services (CMS) to partner with nonprofit provider networks - comprising at least 50 community health centers or rural clinics (half in rural areas) - to deliver specialty care via telehealth and coordinate with primary care providers. Eligible individuals must be enrolled in Medicare Part B, Medicaid, or CHIP and reside in designated rural or underserved areas. The model requires networks to collect and evaluate data on service delivery, with funding subject to existing program rules. This creates a structured pilot program focused on expanding remote specialty care access in underserved regions.

Maddy summaryThe FARMLAND Act of 2025 strengthens oversight of foreign ownership of U.S. agricultural land, particularly from countries like China and other "foreign entities of concern" as defined in the law. It requires agricultural land buyers to conduct due diligence and certify compliance, creates civil penalties for false or missing reports, and prohibits foreign persons from participating in Farm Service Agency programs. The bill mandates annual reports to Congress on foreign ownership of farmland by specific countries and requires development of a centralized database tracking foreign ownership. It also expands the Committee on Foreign Investment in the United States' authority to review certain real estate transactions involving foreign entities of concern.

Amplifying Processing of Livestock in the United States Act or the A–PLUS Act This bill directs the Department of Agriculture (USDA) to revise its regulations to allow certain packers to hold an ownership interest in, finance, or participate in the management or operation of a market agency selling livestock on a commission basis. The bill applies to packers that have a cumulative slaughter capacity of (1) less than 2,000 animals per day or 700,000 animals per year with respect to cattle or sheep, and (2) less than 10,000 animals per day or 3 million animals per year with respect to hogs. In addition, USDA must revise its regulations to include a disclosure requirement for a market agency that has an ownership interest in, finances, or participates in the management or operation of a packer. Specifically, the market agency must disclose the existence of such ownership interest, financial relationship, or participation.

Maddy summaryHJRES 82 disapproves the District of Columbia Council's approval of the Insurance Regulation Amendment Act of 2024 (D.C. Act 25-699), a local law that would have amended insurance regulations in Washington, D.C. This procedural resolution, submitted under the District of Columbia Home Rule Act, allows Congress to reject the District's legislative action. The bill itself does not change insurance regulations but formally expresses disapproval of the District's law, preventing it from taking effect.

Maddy summaryThe SHORT Act (HR 2395) redefines federal firearm definitions to exclude antique and collector firearms from being classified as firearms, and removes distinctions between short-barreled rifles and shotguns in federal regulations. It prevents state laws from imposing taxes or registration requirements on short-barreled rifles and shotguns, requiring state rules to align with federal compliance instead. The bill also mandates the federal government to destroy specific records related to these firearms within one year of enactment.

Maddy summaryThe Freedom from Unfair Gun Taxes Act of 2025 would prohibit states and local governments from imposing taxes on the sale of firearms, ammunition, or firearm parts during interstate or foreign commerce. This bill directly affects state tax policies and manufacturers or dealers selling these items across state lines. It explicitly states that the bill does not change the existing federal tax on firearms and ammunition that funds wildlife conservation programs. The key provision bans state-level taxes for these sales in interstate transactions while preserving current federal funding mechanisms.

Maddy summaryHR 2423, the Unfair Tax Prevention Act, amends the U.S. tax code to modify how the base erosion tax applies to certain foreign-owned businesses. It directly affects foreign-controlled entities operating under specific foreign tax systems that impose taxes based on ownership chains, such as those linked to foreign corporations. Key provisions include treating these entities as "applicable taxpayers" for tax purposes, changing a deadline from December 31, 2025, to the bill's enactment date, and counting 50% of their cost of goods sold as a tax benefit while excluding certain other tax rules. The changes apply to taxable years beginning after the bill becomes law.

Maddy summaryThe Targeting TANF to Families in Need Act would require states to use federal TANF funds exclusively for families with incomes below twice the federal poverty line. This amendment to the Social Security Act establishes a clear income threshold, meaning states must limit TANF assistance to households earning less than twice the official poverty guidelines (updated annually by the federal government). The policy change would take effect on October 1, 2026, directly affecting all families applying for TANF benefits and the states administering the program. It focuses on restricting eligibility to the most economically vulnerable households under the federal TANF framework.

Maddy summaryHR 2398, the Rural Veterinary Workforce Act, amends federal tax law to exempt certain student loan repayment or forgiveness assistance from income tax for veterinarians working in rural areas. It specifically expands existing tax exclusions to include programs under the National Agricultural Research, Extension, and Teaching Policy Act (7 U.S.C. 3151a) and similar state-level programs designed to increase rural veterinary access. This change directly affects veterinarians participating in qualifying loan repayment or forgiveness programs in states prioritizing rural veterinary services. The policy change modifies IRS tax treatment to reduce the financial burden on veterinarians serving underserved rural communities.

Maddy summaryThis bill adds Medicare coverage for home-based treatment of Alpha-1 Antitrypsin Deficiency Disorder (a rare genetic condition causing lung and liver damage). It specifically covers "augmentation therapy" (replacement protein therapy) delivered at home by qualified suppliers to Medicare Part A and B enrollees with this diagnosis who aren't in Medicare Advantage plans. The bill establishes payment for intravenous kits and up to 2 hours of nursing services per session, set at 80% of the lesser of actual cost or a defined rate. It amends Medicare rules to include this treatment under coverage, effective January 2027.