Rep. Adrian Smith

Maddy summaryHR 3108, the RPM Access Act, increases Medicare reimbursement for remote patient monitoring (RPM) in rural areas by setting a minimum reimbursement floor of 100% for practice expenses and malpractice costs starting in 2026. It requires that RPM services include real-time physician availability to address health issues, use data systems compatible with electronic health records, and mandates providers to report data on cost savings and adherence to medications. The bill directly affects rural Medicare beneficiaries with chronic conditions like heart failure and diabetes, as well as healthcare providers delivering RPM services in underserved rural communities. It also requires a 5-year report to Congress analyzing cost savings from RPM use, including reduced hospitalizations and medication adherence. The law aims to improve access to RPM in rural areas where healthcare shortages are most severe.

Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.

Maddy summaryThis bill directs the U.S. Secretary of State to create and execute a plan to end the operations of the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) across the Middle East. The legislation requires a detailed strategy that assesses current programs like education and healthcare, identifies new organizations to take over these services, and outlines how to fund and oversee the transition without interrupting aid. Once the plan is submitted to Congress, the State Department must begin implementing it within a year while coordinating with host countries and international partners. The bill emphasizes maintaining service continuity and ensuring that any successor groups meet strict standards for transparency and accountability.

Maddy summaryHR 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act, requires Veterans Affairs (VA) physicians or nurse practitioners to certify the death of a veteran who dies of natural causes within 48 hours of learning of the death. This directly affects veterans' families, who previously faced delays of up to eight weeks in burial and access to survivor benefits due to slow death certifications. The bill mandates annual reports to Congress on VA compliance with the 48-hour rule, including statistics on delays and their causes. The key change is establishing a strict timeline for death certification to prevent unnecessary delays in honoring veterans' final arrangements.

Maddy summaryThis bill, the Budgeting for a Better America Act, fundamentally changes how the federal government plans its spending by shifting the congressional budget process from an annual cycle to a biennial one, covering two consecutive fiscal years. It establishes a new National Commission on Fiscal Responsibility and Reform composed of 18 members from both political parties to propose specific policies that would reduce the federal deficit to 3% of the gross domestic product within a decade. The legislation also mandates that any joint resolution implementing the commission's recommendations be given expedited floor consideration in both the House and Senate without the possibility of amendment. Additionally, the bill requires the President to submit supplemental budget estimates annually, mandates a hearing on the nation's fiscal state, and ensures new members of Congress receive budgetary training before taking their seats.

Maddy summaryThis bill redesignates the existing National Parks and Public Land Legacy Restoration Fund as the America's Legacy Restoration Fund to address deferred maintenance on federal lands. It directs revenue from recreation fees and a portion of energy development income into the fund, which must be used primarily for repairing critical infrastructure like roads, trails, and buildings managed by agencies such as the National Park Service and the Forest Service. The legislation establishes strict rules requiring that most funds go toward non-transportation projects, mandates transparency through public dashboards tracking project status, and sets aside a small percentage for matching private donations. Additionally, the bill increases entrance fees for foreign visitors to ensure they contribute to the fund, while prohibiting the use of these specific funds for land acquisition or employee bonuses.

Repealing Big Brother Overreach Act This bill repeals the Corporate Transparency Act. The act requires existing companies and newly created companies to report beneficial ownership information to the Department of the Treasury’s Financial Crimes Enforcement Network for purposes of addressing the financing of terrorism and money laundering.

Maddy summaryHR 1468 establishes a new "CCP Initiative" within the Department of Justice's National Security Division to counter threats from the Chinese Communist Party. The initiative specifically targets intellectual property theft, economic espionage, and unauthorized technology transfers by Chinese entities, focusing on protecting U.S. businesses, academic institutions, and critical infrastructure. Key mechanisms include developing enforcement strategies, prioritizing cases involving trade secret theft and hacking, and requiring annual congressional reports on progress, resource use, and economic impacts. The initiative is designed to operate separately from other DOJ programs and will expire six years after enactment.

Maddy summaryThis bill, known as the Stopping Harmful and Outrageous Torts Act, expands legal protections for firearm manufacturers and sellers by strengthening their immunity from civil lawsuits. It requires courts to immediately dismiss any pending cases against these companies that are based on the criminal or unlawful misuse of a gun by a third party, while also clarifying that sellers are not liable for negligence in entrusting products to others. The legislation further restricts who can file such suits by prohibiting foreign governments from bringing these claims and adding a specific exception for victims under the age of 17, though it maintains immunity for cases involving design or manufacturing defects. Additionally, the bill allows companies to move these cases to federal court and grants them the right to appeal dismissal orders immediately, along with the ability to recover legal fees if they win. Finally, it preempts state and local laws that attempt to impose liability on these entities for the same types of misuse-related harms.

Maddy summaryHR 3429 establishes a formal US-Japan-ROK Inter-Parliamentary Dialogue to deepen trilateral cooperation. It creates a US delegation of up to 8 Congress members (2 each from House/Senate leadership, with committee requirements) to meet annually with Japanese and South Korean legislators. The bill mandates annual reports to the Foreign Affairs and Foreign Relations committees and requires the delegation to rotate leadership between House and Senate every two years. This legislation directly affects US congressional members appointed to the delegation and provides a structured mechanism for ongoing policy coordination among the three nations.