Rep. Adrian Smith

Maddy summaryThis bill adds Medicare coverage for multi-cancer early detection screening tests (blood or biological tests analyzing cell-free DNA) starting January 1, 2028. It directly affects Medicare beneficiaries aged 68 and older (starting in 2028, with the age limit increasing by 1 year annually), requiring tests to be FDA-cleared and deemed reasonable/necessary by the Secretary for early cancer detection across multiple organ sites. Payment will initially match current stool DNA test rates before 2031, then shift to a lower rate or new payment system after 2031, with limits preventing more than one test per year. The bill explicitly states it does not alter coverage for existing cancer screenings like breast, colorectal, or prostate cancer tests.

Maddy summaryThis bill would require all states to recognize valid concealed carry permits issued by other states, allowing permit holders to carry concealed handguns (excluding machine guns) in any state that either issues such permits or doesn't prohibit concealed carry. It directly affects law-abiding gun owners with valid permits from their home state, ensuring they can carry in states with similar permit systems or no prohibitions. Key provisions include treating valid permit documents as proof of legal carry (reducing officer stops), shifting the burden of proof to prosecutors if challenged, and allowing civil lawsuits for violations with attorney's fee awards. The bill does not override state laws restricting firearms on private property or government land, nor does it affect federal gun restrictions like those in section 922(q).

Maddy summaryHRES 719 is a House resolution honoring Charles "Charlie" James Kirk, the founder of Turning Point USA who was assassinated on September 10, 2025. The resolution condemns his assassination and all political violence, extends condolences to his family, and calls on Americans to reject violence while promoting civil discourse. It specifically recognizes Kirk's legacy as a defender of constitutional principles and his role in inspiring youth through free speech and faith-based civic engagement. As a commemorative resolution, it does not enact policy changes but formally expresses the House's stance on honoring his life and legacy.

Maddy summaryThis bill prohibits U.S. courts from enforcing judgments based on Shari'a or any foreign law if they conflict with constitutional rights, particularly in family law cases like divorce, child custody, or inheritance. It requires courts to apply only U.S. law when foreign legal systems would violate fundamental rights such as due process, equal protection, or freedom from coercion. Contracts may still reference foreign law, but enforcement is blocked if it infringes constitutional protections. The law aims to ensure all court decisions comply with U.S. constitutional standards nationwide.

Maddy summaryHR 5493, the USA Workforce Investment Act, creates a federal tax credit for individual taxpayers who donate cash to approved workforce development or apprenticeship training programs. It directly affects U.S. individual taxpayers who contribute to qualifying 501(c)(3) organizations listed under the Workforce Innovation and Opportunity Act. The bill allows a credit of up to $1,700 per year for such donations, with adjustments for state tax credits and a prohibition on double-deducting the same contribution. Unused credit can be carried forward for up to five years.

Maddy summaryThis bill, the Protect Adoptees and American Families Act (PAAF Act), automatically grants U.S. citizenship to certain internationally adopted children who meet specific criteria. It directly affects children adopted by U.S. citizen parents before age 18, who were living in the U.S. under legal custody before turning 18, and who were not already U.S. citizens. The key mechanism provides automatic citizenship for those already residing in the U.S. on the bill's effective date, and for those outside the U.S. upon lawful entry, subject to a criminal background check for visa issuance. It clarifies citizenship eligibility under immigration law without requiring additional naturalization steps for qualifying adoptees.

Maddy summaryThe Choice Arrangement Act creates a new type of employer-provided health benefit called a "CHOICE arrangement" that allows employees to use employer funds to pay for health care expenses. These arrangements must meet specific requirements including nondiscrimination rules, enrollment verification, and proper notice to employees. Employers offering CHOICE arrangements can claim a tax credit of $100 per month for the first year and $50 per month for the second year for each employee enrolled. Employees in CHOICE arrangements remain eligible to purchase health insurance through the marketplace. The changes apply to plan years beginning after December 31, 2025.

Maddy summaryHRES 695 is a commemorative resolution honoring Charlie Kirk, a conservative speaker and Turning Point USA leader, following his assassination on September 10, 2025, in Orem, Utah. The resolution condemns the attack, offers condolences to his family, and recognizes first responders. It reaffirms the First Amendment right to peaceful assembly and emphasizes that violence cannot silence democratic participation. This non-binding resolution does not create new laws or policies but serves as a symbolic tribute to Kirk's memory and the principles of democratic engagement.

Maddy summaryThis bill amends Medicare regulations to include "blood culture contamination" as a hospital-acquired condition starting in fiscal year 2026. It directly affects Medicare-participating hospitals, requiring them to maintain blood culture contamination rates below 1% to avoid penalties. The key provision establishes a specific 1% threshold for contamination rates that hospitals must meet under Medicare's quality reporting system. This change aims to improve diagnostic accuracy by holding hospitals accountable for preventing contamination in sepsis testing.

Maddy summaryThis bill amends the Social Security Act to remove an exclusion for rural facilities primarily treating mental health conditions from Medicare coverage. It specifically changes Section 1861(aa)(2) by deleting the phrase "or a facility which is primarily for the care and treatment of mental diseases," allowing these facilities to qualify for Medicare reimbursement. The change directly affects rural behavioral health centers specializing in mental health care that were previously excluded. The amendment takes effect on January 1, 2027, enabling these facilities to access federal Medicare funding for services.