Adrian Smith

Ensuring Community Access to Pharmacist Services Act

This bill would expand what pharmacists are allowed to do in healthcare settings, likely giving them more authority to provide services directly to patients without always requiring a doctor's approval first. The changes would probably affect how insurance companies reimburse pharmacists for their work and could make it easier for people to access basic healthcare services like vaccinations, medication reviews, or minor health screenings at their local pharmacy. Patients, pharmacists, and insurance companies would all be impacted by these new rules about what counts as a covered pharmacy service.

Nationwide Consumer and Fuel Retailer Choice Act of 2025

Nationwide Consumer and Fuel Retailer Choice Act of 2025 This bill amends the Clean Air Act to address the limitations on Reid Vapor Pressure (a measure of gasoline's volatility) that are placed on gasoline during the summer ozone season. Specifically, the bill applies the waiver for Reid Vapor Pressure requirements that is applicable to gasoline blended with 10% ethanol (E10) to gasoline blended with up to 15% ethanol (E15). This change allows gasoline that is blended with 10% to 15% ethanol to be sold year-round. Currently, states may be excluded from the waiver for Reid Vapor Pressure requirements by submitting documentation supporting that the waiver would increase air pollution. The bill nullifies existing state exclusions, but states may submit documentation after enactment of the bill to be excluded going forward. The bill also modifies the Renewable Fuel Standard Program, which requires transportation fuel sold or introduced into commerce in the United States to contain minimum volumes of renewable fuel. Under the existing program, obligated parties, such as small refineries, must satisfy the volume obligations by either blending renewable fuels into their gasoline or diesel fuel products or by acquiring credits that represent the required renewable fuel volume. The bill directs the Environmental Protection Agency to return compliance credits to small refineries under certain circumstances.

PI Post Acute Access Act

PI Post Acute Access Act This bill allows for separate payment under Medicare to skilled nursing facilities for items and services that are needed to administer intravenous immune globin (IVIG) to patients with primary immune deficiency diseases (rare genetic disorders that impair the immune system and increase vulnerability for other infections).

Trump Accounts for All Generations Act

This bill would make permanent a pilot program that allows certain workers to set aside pre-tax money in special savings accounts, similar to existing retirement or health savings accounts. The change would give more people access to these tax-advantaged accounts on a permanent basis rather than having the program expire. Workers and families would benefit by being able to save money with tax breaks, while the government would collect less tax revenue from these savings.

Small Business Dependent Care FSA Opportunity Act

This bill would allow small business owners to set up dependent care flexible spending accounts (FSAs), which let employees set aside pre-tax money to pay for childcare and other dependent care expenses. Currently, only larger employers can offer these accounts, so this change would give workers at small companies the same tax break that bigger company employees already get. The benefit would reduce how much employees pay in taxes while helping small businesses compete for workers by offering better benefits.

SOS: Sustaining Outpatient Services Act

SOS: Sustaining Outpatient Services Act This bill allows for payment under the Medicare prospective payment system for hospital outpatient department services of certain items and services that are furnished at off-campus outpatient departments. Specifically, the bill allows for payment of items and services for which payments to physician specialists (under the Medicare physician fee schedule) did not exceed $2 million during the previous year.

Access to Genetic Counselor Services Act of 2025

This bill would make it easier and more affordable for people to see genetic counselors—healthcare professionals who help patients understand their risk for inherited diseases and make informed medical decisions. The legislation likely aims to expand insurance coverage for genetic counseling services and remove barriers that currently prevent patients from accessing these specialists, particularly those who cannot afford to pay out of pocket. This would affect patients seeking genetic testing or counseling, insurance companies, and healthcare providers.

Ethanol for America Act of 2025

This bill would likely promote the use of ethanol fuel, a renewable fuel made from crops like corn, as a way to reduce dependence on oil and lower greenhouse gas emissions. The legislation would probably affect fuel producers, farmers who grow ethanol feedstock, and drivers by potentially increasing ethanol blending requirements in gasoline or providing incentives for ethanol production and use. Environmental groups and the fuel industry would have competing interests in how the bill is structured and implemented.

Critical Minerals Investment Tax Modernization Act of 2025

This bill would update tax rules to encourage investment in mining and processing of critical minerals like lithium, cobalt, and rare earths that are essential for batteries, electronics, and defense equipment. Companies that extract or refine these minerals in the United States would likely receive tax breaks or credits to make their operations more profitable and competitive. The changes aim to reduce American dependence on foreign sources for these materials while boosting domestic mining and manufacturing jobs.

IRA Charitable Rollover Facilitation and Enhancement Act of 2025

This bill would make it easier for people over 70½ years old to donate money directly from their retirement accounts (IRAs) to charities without having to pay taxes on those donations. Currently, there are limits on how much people can donate this way each year, and the bill would likely increase those limits or remove restrictions to encourage more charitable giving. The change would benefit both older Americans who want to support causes they care about and charities that receive these donations.

Targeting TANF to Families in Need Act

The proposal would change how Temporary Assistance for Needy Families (TANF) funds are distributed to ensure more money reaches families living in poverty rather than being used for other state purposes. Currently, states have flexibility in how they spend TANF dollars, but this bill would require a larger portion of the federal funding to go directly to cash assistance for low-income families. The change would primarily affect state welfare agencies and the families they serve who depend on these benefits.

Rural Veterinary Workforce Act

This bill would likely provide tax incentives or financial support to encourage veterinarians to work in rural areas where there is a shortage of animal medical services. The measure aims to address the challenge of getting qualified vets to practice in remote communities by making it more financially attractive through tax breaks or other tax-based incentives. This would benefit rural farmers, ranchers, and pet owners who currently have limited access to veterinary care.

Maintaining and Enhancing Hydroelectricity and River Restoration Act

Maintaining and Enhancing Hydroelectricity and River Restoration Act This bill establishes a new investment tax credit in the amount of 30% of the basis of any hydropower improvement property. The bill defines hydropower improvement property as property that adds or improves fish passage at a qualified dam; maintains or improves the quality of the water retained or released by a qualified dam; promotes downstream sediment transport and habitat maintenance; upgrades, repairs, or reconstructs a qualified dam to meet safety and security standards; improves public uses of, and access to, public waterways impacted by a qualified dam; removes an obsolete river obstruction; or places into service an approved remote dam. Further, written approval for hydropower improvement property must be obtained from the Federal Energy Regulatory Commission or state or local officials prior to January 1, 2032. The bill also allows an election to claim the investment tax credit for qualified progress expenses for some types of hydropower improvement property in advance of such property being placed into service. Any investment tax credit amount claimed for qualified progress expenses reduces the amount of the investment tax credit that may be claimed once the hydropower improvement property is placed into service. The bill authorizes certain entities, including tax-exempt and governmental entities, to treat the investment tax credit for hydropower improvement property as a payment of tax and receive a refund of any overpayment (also known as elective pay). Finally, the investment tax credit for hydropower improvement property may be transferred (i.e., sold).

North Platte Canteen Congressional Gold Medal Act

North Platte Canteen Congressional Gold Medal Act This bill provides for the award of a Congressional Gold Medal to recognize the individuals and communities that provided financial and other support for the North Platte Canteen in North Platte, Nebraska, during World War II.