Rep. Adrian Smith

Maddy summaryThis bill expands Medicare coverage to include genetic counseling services provided by licensed or certified genetic counselors, effective January 1, 2027. It defines "covered genetic counseling services" as those furnished by qualified counselors under state law or certification, with payments set at 80% of the lesser of the actual charge or 85% of the physician fee schedule. Medicare beneficiaries seeking genetic counseling will gain access to these services through covered providers, while preventing balance billing for these specific services. The bill does not restrict physicians from billing for similar services under existing Medicare rules.

Maddy summaryThis bill prohibits Medicare-approved medical residency programs from requiring residents to undergo abortion training without their voluntary consent. It specifically bans programs from making such training mandatory (requiring residents to "opt-in" rather than "opt-out") or from discriminating against residents who refuse this training or do not perform abortions. The law directly affects medical residents in Medicare-funded postgraduate training programs across the U.S., ensuring they cannot be forced into abortion-related clinical experiences or penalized for declining them.

Maddy summaryHR 5946, the "Stamp Out Veterans Medical Debt Act," creates a special postage stamp sold by the U.S. Postal Service to raise funds for paying veterans' outstanding medical debt. The bill requires all revenue from stamp sales to be transferred directly to the Department of Veterans Affairs (VA), where it is used to reduce unresolved copayments and coinsurance bills for veterans who received care through VA facilities or the Community Care Program. The stamp must be available by Veterans Day each year and has no sales limits, allowing public contributions to directly offset veterans' medical debt. This bill directly affects veterans with unpaid medical bills and enables the public to support debt relief through a simple postage purchase.

Maddy summaryHRES 891 is a ceremonial House resolution supporting the designation of National Rural Health Day, observed annually on the third Thursday of November (November 20, 2025, this year). It recognizes rural health care providers and the challenges rural communities face in accessing care, citing issues like hospital closures and workforce shortages. The resolution does not create new policies, funding, or requirements; it solely expresses the House's support for the day's goals and commitment to improving rural health accessibility. This is a non-binding acknowledgment, not a legislative action with concrete policy changes.

Maddy summaryThis bill (HR 5947) designates the U.S. Postal Service facility at 1201 Calvert Street in Lincoln, Nebraska, as the "Commodore Dixie Kiefer Memorial Post Office Building." It directly affects the Lincoln, Nebraska post office by changing its official name to honor Commodore Dixie Kiefer. The bill requires all official U.S. government references - such as laws, maps, and documents - to use the new name moving forward. This is a commemorative naming bill with no policy changes or financial impact.

Maddy summaryThis bill requires adding the names of 74 crew members of the USS Frank E. Evans (killed in a 1969 incident) to the Vietnam Veterans Memorial Wall within one year of enactment. It directly affects the memorial's inscription and honors the families of those lost. The Secretary of Defense must consult on placement due to space limits and is exempt from standard memorial rules under the Commemorative Works Act.

Maddy summaryThis is a procedural resolution (HRES 860), not a bill with legislative effect. It expresses the U.S. House of Representatives' support for former President Trump's 2020 decision to redesignate Nigeria as a "Country of Particular Concern" (CPC) under religious freedom laws. The resolution commends this action due to documented religious persecution in Nigeria, including violence against Christians and minority religious groups. It does not create new policy or alter U.S. assistance; it solely states congressional support for holding Nigeria accountable for religious freedom violations.

Maddy summaryHRES 855 is a non-binding House resolution expressing support for National Adoption Day (November 22, 2025) and National Adoption Month (November). It promotes awareness about children in foster care awaiting adoption - highlighting that 49,994 U.S. children were waiting for adoptive families in 2023 - and encourages the public to consider adoption. The resolution recognizes that every child deserves a permanent, loving family and urges Americans to support this goal throughout November and the year. As a symbolic gesture, it does not create new laws or policies.

Maddy summaryThis bill ensures that critical firearm-related government operations continue during federal shutdowns. It designates background checks (via the FBI's National Instant Criminal Background Check System), Bureau of Alcohol, Tobacco, Firearms and Explosives enforcement, and firearm export licensing (handled by Commerce and State Departments) as essential services that must remain operational. These functions would be treated as "excepted" under federal law, meaning their employees would continue working even if other government services halt. The bill affects how background checks and firearm export licenses are processed during shutdowns but does not change gun ownership laws or eligibility.

Maddy summaryThis bill would deny visas and immigration benefits to individuals who adhere to Sharia law, directly affecting immigrants and visa applicants. It allows officials to revoke existing immigration benefits, deport people found adhering to Sharia, and penalize false statements about Sharia adherence. Decisions under this law would be final and unreviewable by courts. The policy changes immigration eligibility based solely on adherence to Sharia law, with no judicial oversight.