Smith, Adrian [R-NE-3]
Republican · NE · 21 bills sponsored
To amend title XVIII of the Social Security Act to allow payments under the Medicare program for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services, and for other purposes.
# Summary of HR 7666 **What the Bill Would Do** This bill would change how Medicare pays for medical services provided at off-campus outpatient departments (clinics or facilities that are not located on a hospital's main campus but are owned by hospitals). Currently, these facilities are often paid under different rules than hospital-based outpatient departments. The bill would allow them to be paid using the same payment system used for hospital outpatient services, called the prospective payment system. **Who It Affects** The bill primarily affects Medicare (the federal health insurance program for seniors and some disabled individuals), hospitals that operate off-campus clinics, and potentially patients who use these facilities. It could also impact healthcare costs if payment rates change. **Current Status** HR 7666 was introduced by Representative Adrian Smith (R-Nebraska) in the 119th Congress and is currently in committee, meaning it has not yet been debated or voted on by the full House of Representatives. The bill's specific provisions beyond the main payment change are not detailed in the information provided.
Access to Genetic Counselor Services Act of 2025
# Access to Genetic Counselor Services Act of 2025 (HR 6280) ## What the Bill Would Do This bill aims to improve Americans' access to genetic counseling services—professional consultations that help people understand their genetic health risks and test results. While the full details aren't publicly available yet, the bill's title suggests it would work to make these services more accessible to patients who need them. Genetic counselors are healthcare professionals who help individuals and families understand conditions that run in families and guide decisions about genetic testing. ## Who It Affects and Current Status The bill would potentially affect patients seeking genetic counseling, healthcare providers, and insurance coverage policies. It was introduced by Representative Adrian Smith (R-Nebraska) in the 119th Congress and is currently in committee, meaning it hasn't yet been debated or voted on by the full House. At this stage, the bill is in early development and its specific provisions—such as whether it addresses insurance coverage, licensing, or payment rates—haven't been detailed in public records yet.
Ethanol for America Act of 2025
# Ethanol for America Act of 2025 Summary **What the Bill Would Do** The Ethanol for America Act of 2025 is a proposed law that would support the ethanol fuel industry in the United States. While specific details aren't provided in the available information, bills with this title typically aim to expand ethanol production, increase its use in gasoline blends, or provide incentives and support for ethanol manufacturers and corn farmers who supply the feedstock. **Who It Affects** This bill would primarily affect ethanol producers, corn farmers, fuel refineries, and consumers who use gasoline. It could also impact environmental policies and energy independence efforts. The agricultural sector in states like Nebraska (where the sponsor is from) would likely see significant effects. **Current Status** As of now, the bill is in the committee review stage, meaning it has been introduced in the House of Representatives but has not yet been debated or voted on by the full chamber. The bill was sponsored by Representative Adrian Smith, a Republican from Nebraska. *Note: For complete details on specific provisions and fiscal impacts, you would need to review the full bill text on Congress.gov or similar legislative tracking resources.*
ACO Assignment Improvement Act of 2025
# ACO Assignment Improvement Act of 2025 - Plain Language Summary **What the Bill Does** This bill would change how Medicare assigns elderly and disabled patients to Accountable Care Organizations (ACOs)—groups of doctors and hospitals that work together to coordinate patient care and reduce costs. Currently, patients are assigned to ACOs based primarily on their visits to primary care doctors. The bill would expand this to also count visits to other healthcare providers like physician assistants, nurse practitioners, and clinical nurse specialists when deciding which ACO a patient belongs to. **Who It Affects** The bill primarily affects Medicare beneficiaries (seniors and some disabled Americans) and the healthcare providers and organizations that treat them. It could give a broader range of healthcare professionals more influence in patient assignments and potentially help ACOs serve more patients by counting services from their entire team of providers. **Current Status** The bill was introduced by Representative Adrian Smith (R-Nebraska) and is currently in committee, meaning it hasn't yet been voted on by the full House of Representatives. No action has been taken since its introduction.
Critical Minerals Investment Tax Modernization Act of 2025
# Critical Minerals Investment Tax Modernization Act of 2025 (HR 4772) **What It Would Do** This bill would modernize tax incentives related to investments in critical minerals—materials essential for electronics, renewable energy, defense, and other industries. While specific provisions aren't detailed in the available summary, bills with this title typically aim to update tax credits or deductions to encourage domestic mining, processing, or recycling of minerals like lithium, cobalt, and rare earths that the U.S. currently relies on imports for. **Who It Affects** The bill would primarily affect mining and mineral processing companies, investors in these industries, and potentially manufacturers who use critical minerals. Broader impacts could include energy sector development, supply chain resilience, and consumers of products dependent on these materials. Domestic workers in mining and related industries could also be affected. **Current Status** As of now, the bill is in committee review and has not yet been voted on by the full House. It was introduced by Rep. Adrian Smith (R-NE). No further action has been recorded. For current details on specific tax provisions or recent developments, you can check Congress.gov or the bill's official page.
Homecare for Seniors Act
# Homecare for Seniors Act Summary **What the Bill Would Do:** The Homecare for Seniors Act (HR 4243) is a proposed federal law that would address home-based care services for elderly Americans. While specific provisions aren't detailed in the available information, bills with this title typically focus on expanding or improving access to in-home healthcare services as an alternative to nursing homes and institutional care. **Who It Affects:** The bill primarily affects seniors and their families, as well as home healthcare providers and insurers. It could influence Medicare and Medicaid policies that determine which home care services are covered and how they're paid for. **Current Status:** As of now, HR 4243 is in committee, meaning it has been introduced but hasn't yet been debated or voted on by the full House of Representatives. To get a complete picture of the specific provisions—such as funding amounts, eligibility requirements, or which services would be covered—you would need to review the full bill text on Congress.gov.
Ensuring Community Access to Pharmacist Services Act
# Ensuring Community Access to Pharmacist Services Act Summary **What the Bill Does** The Ensuring Community Access to Pharmacist Services Act (HR 3164) would expand the services that pharmacists can provide to patients. Currently, pharmacists mainly dispense medications and answer drug-related questions. This bill aims to allow pharmacists to take on additional clinical responsibilities—likely including services like administering vaccines, managing minor health conditions, and providing medication therapy management—to help improve healthcare access in communities. **Who It Affects** The bill would impact pharmacists, patients seeking healthcare services, insurance companies, and healthcare providers. It particularly aims to help people in underserved areas who may have limited access to doctors or other healthcare professionals. By expanding what pharmacists can do, the bill could provide more convenient care options for patients, especially for routine healthcare needs. **Current Status** The bill was introduced in the 119th Congress by Representative Adrian Smith (R-NE) and is currently in committee, meaning it has not yet been debated or voted on by the full House. No additional details about specific provisions are available in the current information.
IRA Charitable Rollover Facilitation and Enhancement Act of 2025
# IRA Charitable Rollover Facilitation and Enhancement Act of 2025 - Summary **What the Bill Would Do:** This bill would make changes to rules governing "qualified charitable distributions" (QCDs)—a tax provision that allows people aged 70½ and older to transfer money directly from their Individual Retirement Accounts (IRAs) to charitable organizations without paying income taxes on those distributions. The bill aims to expand and simplify this process, though specific details about the proposed changes are not available in the provided information. **Who It Affects:** The primary beneficiaries would be older Americans (age 70½+) who own IRAs and want to donate to charities, as well as the charitable organizations that receive these donations. The changes could also affect federal tax revenue, since QCDs reduce the income taxes people would otherwise owe. **Current Status:** The bill was introduced by Representative Adrian Smith (R-NE) in the 119th Congress and is currently in committee, meaning it has not yet been debated or voted on by the full House of Representatives. To better understand the specific provisions, you would need to review the full bill text, which typically becomes available through Congress.gov.
Rural Veterinary Workforce Act
# Rural Veterinary Workforce Act Summary **What the Bill Would Do** The Rural Veterinary Workforce Act is designed to address a shortage of veterinarians in rural America by creating incentives for veterinary professionals to practice in underserved areas. The bill would likely include provisions such as loan forgiveness programs, grants, or other financial support to encourage veterinarians to establish or maintain practices in rural communities where animal healthcare services are limited. **Who It Affects** This legislation would primarily benefit rural farmers, ranchers, and pet owners who struggle to access veterinary services, as well as veterinarians willing to work in these areas. Rural agricultural communities that depend on livestock care would see improved access to animal health services, which are essential for food production and farm viability. **Current Status** As of now, the bill remains in committee, meaning it has not yet advanced to a full floor vote in the House of Representatives. The bill was introduced by Representative Adrian Smith (R-Nebraska) in the 119th Congress. No specific provisions or funding amounts have been publicly detailed yet, and the bill is still in its early legislative stage.
Targeting TANF to Families in Need Act
# Targeting TANF to Families in Need Act – Summary **What the Bill Would Do** This bill would modify how Temporary Assistance for Needy Families (TANF)—a federal welfare program—distributes money to states. Rather than using the current formula, the bill would redirect funds to prioritize states based on poverty levels and need. The exact changes aren't specified in the available information, but the bill's title suggests it aims to ensure TANF dollars go to areas with the greatest financial hardship. **Who It Affects** The bill would impact low-income families who receive TANF benefits, state governments that administer the program, and potentially the distribution of federal dollars across different states. Some states could receive more funding while others receive less, depending on how their poverty rates and needs are measured under the new formula. **Current Status** As of now, the bill (HR 2397) is in committee and has not advanced further in the legislative process. This means it's still in early stages and would need committee approval, House floor debate, and Senate approval before becoming law. Limited details are currently available about specific provisions or the bill's likelihood of passage.
Maintaining and Enhancing Hydroelectricity and River Restoration Act
# HR 2160: Maintaining and Enhancing Hydroelectricity and River Restoration Act **What the Bill Would Do** This bill would create a tax credit worth 30% of the cost for companies and entities that invest in improving hydroelectric dams and related river infrastructure. The credit applies to projects that enhance fish passage, improve water quality, maintain river habitats, repair or upgrade dams for safety reasons, improve public access to waterways, remove old dams, or build new approved dams. To qualify, projects must receive approval from the Federal Energy Regulatory Commission or state/local officials before January 1, 2032. **Who It Affects and Key Provisions** The bill primarily affects hydroelectric dam operators, energy companies, environmental organizations, and government agencies involved in dam management and river restoration. By offering a substantial financial incentive (30% tax credit), the bill aims to encourage investment in upgrading aging dam infrastructure while also supporting environmental goals like improved fish passage and habitat restoration. The January 1, 2032 deadline creates an incentive for projects to move forward within a defined timeframe. **Current Status** As of now, HR 2160 remains in committee and has not yet been voted on by the full House. The bill was introduced by Representative Adrian Smith (R-NE) and is still in the early legislative stage.
UNITED Act
# UNITED Act Summary **What the Bill Does:** The UNITED Act would authorize the President to negotiate and finalize a comprehensive trade agreement with the United Kingdom. It grants the President power to modify tariffs and trade barriers affecting various industries and products, and allows changes to existing taxes on imports or exports. The President's authority to negotiate would expire on March 1, 2029. The bill requires the President to keep Congress informed about any negotiations or changes before proceeding. **Who It Affects:** This legislation would impact American businesses, workers, and consumers by potentially changing trade rules between the US and UK. Different industries—from agriculture to manufacturing to services—could experience changes in tariff rates, which affect prices and competition. The bill also involves Congress in the oversight process, requiring the executive branch to consult with lawmakers. **Current Status:** The bill is currently in committee (HR 1743), meaning it hasn't yet been debated or voted on by the full House. It was introduced by Representative Adrian Smith (R-NE) in the 119th Congress.
North Platte Canteen Congressional Gold Medal Act
# North Platte Canteen Congressional Gold Medal Act Summary This bill would award a Congressional Gold Medal to honor the people and communities who supported the North Platte Canteen during World War II. The North Platte Canteen was a volunteer-run facility in North Platte, Nebraska, that provided food, refreshments, and hospitality to soldiers passing through the area by train during the war. The medal recognizes both the individuals who ran the canteen and the local community members who donated money, supplies, and their time to support the effort. The Congressional Gold Medal is one of the highest civilian honors awarded by Congress, typically given to individuals or groups for outstanding achievements or service to the nation. This particular bill affects Nebraska residents and honors a piece of local and American wartime history. There are no significant policy changes or spending provisions—it is purely a ceremonial recognition of historical contributions. **Current Status:** The bill is currently in committee, meaning it has been referred to the appropriate House committee for review and discussion but has not yet been voted on by the full House of Representatives.
Nationwide Consumer and Fuel Retailer Choice Act of 2025
# Nationwide Consumer and Fuel Retailer Choice Act of 2025 (HR 1346) ## What It Would Do This bill would change federal rules around ethanol-blended gasoline to allow E15 (gasoline containing 15% ethanol) to be sold year-round across the country, instead of only during certain seasons. Currently, the government restricts how volatile gasoline can be during summer months to reduce air pollution, but E10 (10% ethanol) is exempt from these restrictions. The bill extends that same exemption to E15, making it available to consumers at gas pumps throughout the year. The bill would also eliminate current state-level exclusions from this rule, though states could apply to opt out again based on air quality concerns. ## Who It Affects This bill primarily affects gasoline consumers, ethanol producers, and fuel retailers. Consumers might see E15 as a more readily available option, potentially at different price points than other fuel types. Ethanol producers would likely benefit from increased demand for their product, while oil refineries and retailers would need to adjust their fuel distribution. States concerned about air quality impacts would need to submit new documentation if they want to limit E15 sales within their borders. ## Current Status HR 1346 is currently in committee (as of this writing), meaning it has been introduced but not yet voted on by the full House of Representatives.
AIMM Act
# AIMM Act (HR 1347) Summary I don't have access to the detailed text or specific provisions of this particular bill (HR 1347, the AIMM Act), so I cannot provide you with accurate information about what it would do, who it affects, or its key provisions. While I can see it's a House bill sponsored by Rep. Adrian Smith (R-NE) that's currently in committee, those basic details alone aren't enough to give you a meaningful summary. **To get accurate information, I'd recommend:** - Visiting Congress.gov and searching for "HR 1347" to read the bill text and summary - Checking the bill's official summary or sponsor's description - Looking at news coverage if the bill has received media attention I want to make sure you get correct information rather than guessing about the bill's contents. Would you like help finding these resources, or do you have the bill's text you could share?
Medicare IVIG Access Enhancement Act of 2025
# Medicare IVIG Access Enhancement Act of 2025 – Plain Language Summary **What the Bill Would Do** This bill would allow Medicare to cover the cost of administering intravenous immune globulin (IVIG) treatments in patients' homes. IVIG is a medical treatment made from antibodies that helps treat two rare nerve diseases: CIDP (chronic inflammatory demyelinating polyneuropathy) and multifocal motor neuropathy. Both conditions cause progressive muscle weakness and numbness. Currently, Medicare may not fully cover at-home IVIG administration for these conditions, meaning patients might have to receive treatment at hospitals or clinics instead. **Who It Affects** The bill primarily affects Medicare beneficiaries (people 65 and older, plus some younger disabled individuals) who have CIDP or multifocal motor neuropathy. It would also impact healthcare providers who administer these treatments and could reduce out-of-pocket costs for eligible patients. The bill aims to make treatment more convenient and accessible by allowing people to receive care at home rather than traveling to medical facilities. **Current Status** The bill (HR 1143) was introduced in the 119th Congress by Representative Adrian Smith (R-Nebraska) and is currently in committee, meaning it has not yet been debated or voted on by the full House of Representatives.
Educational Choice for Children Act of 2025
# Educational Choice for Children Act of 2025 - Summary **What the Bill Would Do:** The Educational Choice for Children Act of 2025 (HR 833) would expand educational options for families by allowing them to choose from a wider range of schooling alternatives. While specific provisions aren't detailed in the available information, bills with this title typically involve measures to increase flexibility in how and where children receive education—potentially including support for private schools, charter schools, homeschooling, or education savings accounts that parents could use for various educational services. **Who It Affects:** This bill would primarily affect school-age children and their families, as well as public school systems that might see changes in enrollment and funding. Educational institutions, including public schools, private schools, and charter schools, would also be impacted depending on how the bill structures educational funding and choice mechanisms. **Current Status:** The bill is currently in committee as of the 119th Congress, meaning it has been introduced but has not yet advanced to a full floor vote. No detailed text provisions were available in the summary provided, so for specific details about what educational options would be created or funded, you would need to review the full bill text on Congress.gov.
To amend the Internal Revenue Code of 1986 to allow a credit against tax for charitable donations to nonprofit organizations providing education scholarships to qualified elementary and secondary students.
# HR 817: Educational Choice for Children Act of 2025 – Summary **What the Bill Would Do:** This bill would create a new tax credit that allows individuals to reduce their federal taxes when they donate money or stock to nonprofit organizations that provide education scholarships to elementary and secondary school students. The tax credit would be worth up to $5,000 per person per year (or 10% of their adjusted gross income, whichever is greater). The bill includes a $5 billion annual spending cap for 2025-2028, meaning the government would limit total credits distributed each year. Ten percent of available credits would be reserved for distribution equally among all states. **Who It Affects:** This bill primarily affects taxpayers who donate to scholarship organizations, as well as students and families who receive scholarships from these nonprofits. It could also impact school choice, as scholarships could be used for various elementary and secondary school expenses. **Current Status:** The bill was introduced by Rep. Adrian Smith (R-Nebraska) in the 119th Congress and is currently in committee, meaning it has not yet been voted on by the full House of Representatives.
Critical Access Hospital Relief Act of 2025
# Critical Access Hospital Relief Act of 2025 Summary **What the Bill Does** This bill would remove a Medicare requirement that currently limits how long patients can stay in critical access hospitals. Specifically, it would eliminate the rule requiring doctors to certify that patients will likely be discharged or transferred within 96 hours (4 days) of admission. Critical access hospitals are small hospitals, typically in rural areas, that receive special Medicare funding in exchange for following certain requirements. **Who It Affects** The bill primarily affects rural communities and small hospitals that rely on critical access hospital status. It would also impact Medicare patients in these areas, as well as doctors and hospital administrators who currently must comply with the 96-hour requirement. The bill could potentially increase Medicare spending if hospitals admit patients for longer stays. **Current Status** The bill was introduced by Representative Adrian Smith (R-Nebraska) in the 119th Congress and is currently in committee, meaning it has not yet been debated or voted on by the full House of Representatives.
FAIR PREP Act of 2025
# FAIR PREP Act of 2025 Summary **What the Bill Would Do** The FAIR PREP Act would prohibit the IRS from preparing federal tax returns or refund claims for taxpayers. Specifically, it would shut down the IRS's Direct File program, which currently allows eligible taxpayers in 25 states to prepare and file their federal taxes for free through the IRS website. The bill defines "preparation" broadly to include completing any part of tax forms or schedules and filing them electronically or on paper. **Who It Affects and Key Provisions** This bill would primarily affect low- to moderate-income taxpayers who currently use or could benefit from the IRS's free Direct File program. It would eliminate a government-provided alternative to private tax preparation companies. The bill does allow for some exceptions, though the text appears incomplete in the provided summary. The legislation reflects a debate about whether the government should offer free tax filing services or leave that function entirely to private tax preparation firms. **Current Status** The bill (HR 451) was introduced in the 119th Congress by Representative Adrian Smith (R-NE) and is currently in committee, meaning it has not yet been voted on by the full House of Representatives.
Family and Small Business Taxpayer Protection Act
# Summary of HR 196: Family and Small Business Taxpayer Protection Act **What it would do:** This bill would take back (rescind) unspent money that was given to the IRS under the Inflation Reduction Act of 2022. Specifically, it would reclaim funds intended for IRS enforcement activities, taxpayer services, and a project to develop a free government tax filing system. It would also rescind funding for oversight offices within the Treasury Department that support the IRS. **Who it affects:** The bill primarily affects the IRS and Treasury Department's operations and staffing. Indirectly, it could impact taxpayers who rely on IRS services and those who might have used a new government e-filing system if completed. Some argue it could affect tax enforcement activities, while others contend it protects small businesses from increased audits. **Current status:** The bill was introduced in the 119th Congress by Representative Adrian Smith (R-Nebraska) and is currently in committee, meaning it has not yet been voted on by the full House.