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U.S. Representative — Nebraska's 3rd District

Adrian Smith

Republican · Nebraska

Republican U.S. Representative for Nebraska's 3rd congressional district. Member of the 119th Congress in the U.S. House of Representatives.

Legislative Record

Recently sponsored bills (50 on record)

  • H.R.8528 — PI Post Acute Access Act (Introduced, Apr 27, 2026)
    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…
  • H.R.8313 — Trump Accounts for All Generations Act (Introduced, Apr 15, 2026)
  • H.R.7922 — Small Business Dependent Care FSA Opportunity Act (Introduced, Mar 12, 2026)
  • H.R.7666 — SOS: Sustaining Outpatient Services Act (Introduced, Feb 24, 2026)
    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…
  • H.R.6280 — Access to Genetic Counselor Services Act of 2025 (Introduced, Nov 21, 2025)
  • H.R.4864 — Ethanol for America Act of 2025 (Introduced, Aug 1, 2025)
  • H.R.4772 — Critical Minerals Investment Tax Modernization Act of 2025 (Introduced, Jul 25, 2025)
  • H.R.4773 — ACO Assignment Improvement Act of 2025 (Introduced, Jul 25, 2025)

Recent floor votes (100 on record)

  • Voted Yea on H.R.8884 — Removing Barriers to Work for Disabled Americans Act (Passed, Jul 23, 2026)
  • Voted Nay on H.Con.Res.89 — Directing the President, pursuant to section 5(c) of the War Powers Resolution, to remove United States Armed Forces from hostilities with Iran (Passed, Jul 23, 2026)
  • Voted Yea on H.Con.Res.113 — Establishing the congressional budget for the United States Government for fiscal year 2027 and setting forth the appropriate budgetary levels for fiscal years 2028 through 2036 (Passed, Jul 22, 2026)
  • Voted Yea on H.R.7008 — Stop Insider Trading Act (Passed, Jul 22, 2026)
  • Voted Nay on H.R.7008 — Stop Insider Trading Act (Failed, Jul 22, 2026)
  • Voted Yea on H.R.8800 — National Defense Authorization Act for Fiscal Year 2027 (Passed, Jul 22, 2026)
  • Voted Nay on H.R.8800 — National Defense Authorization Act for Fiscal Year 2027 (Failed, Jul 22, 2026)
  • Voted Aye on H.R.8800 — On Agreeing to the Amendment (Failed, Jul 22, 2026)

Recently cosponsored bills (12 on record)

  • H.R.2442 — Freedom from Unfair Gun Taxes Act of 2025 (Introduced, Jul 30, 2026)
  • H.R.5463 — Choice Arrangement (Introduced, Jul 20, 2026)
  • H.R.9187 — Bipartisan Social Security Commission Act of 2026 (Introduced, Jul 20, 2026)
  • H.R.8872 — Preventing Waste, Fraud, and Abuse in TANF Act (Introduced, May 19, 2026)
  • H.R.8700 — Protecting U.S. Farmland and Sensitive Sites From Foreign Adversaries Act (Introduced, May 19, 2026)
  • H.R.8837 — RISE Act (Introduced, May 14, 2026)
  • H.R.4673 — Save Our Bacon Act (Introduced, Jul 23, 2025)
  • H.R.4621 — 320th Barrage Balloon Battalion Gold Medal Act (Introduced, Jul 22, 2025)

Voting analysis

Adrian Smith has no departures at all. Across every roll call in this period where a Republican majority formed, he voted with it each time, without exception.

0.0%
Votes against the Republican majority
218
Roll calls where a party majority formed
218 of 218
Rank among House Republicans, most defections first

That is a different kind of result from a very low rate. Members at the loyal end of these rankings almost always have one or two votes that went the other way. His record has none, so where other pages carry a table of departures, this one has a sentence saying there were none to list.

Across every comparable roll call in this window, Adrian Smith voted with the House Republican majority. There are no departures to report.

What he legislates on

He chairs the Ways and Means trade subcommittee, and taxation dominates his classified filings — nearly twice the count of the next subject. The bills sit squarely in that lane: a preparer regulation measure, post-acute care access, a savings accounts bill, dependent care flexible spending for small businesses, and sustaining outpatient services. Health is the second theme, and the two meet in the tax treatment of medical costs.

Sponsored bills carry the Congressional Research Service's own subject classification. Adrian Smith's cluster into: Taxation (18), Health (11), Foreign Trade and International Finance (5), Government Operations and Politics (5), Environmental Protection (3), Social Welfare (2).

137
Bills sponsored
1798
Bills cosponsored

Of the 50 most recent of those, 43 currently sit at Introduced.

Among the Nebraska Republicans

Nebraska sends a small Republican group to the House. With a rate of zero, Smith is necessarily beneath its average — there is no lower place to be.

Among the 3 Republicans in the Nebraska delegation, the average rate of voting against the party majority is 3.2%. Adrian Smith is below that average at 0.0%.

Tenure and attendance

He has served since the second half of the two-thousands and is present for nearly all votes.

First elected in 2007, now serving across 10 terms. Adrian Smith falls in the veteran cohort.

0.9%
Roll calls recorded as not voting
220
Roll calls eligible to vote on
2
Recorded as not voting

By the numbers

In the 119th Congress, Adrian Smith has 137 bills sponsored, 1798 cosponsored, 100 recent floor votes recorded.

Committee assignments

  • House Committee on Ways and Means
  • Joint Committee on Taxation
  • House Committee on Ways and Means: Health
  • House Committee on Ways and Means: Trade (Chair)

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