House Ways and Means · Member dossier
Adrian Smith
Republican of Nebraska's 3rd District. In the House since 2007. Sits on the Health Subcommittee.
- Chairman, Trade Subcommittee
2026 election
Re-elected
Smith led Democrat Becky Stille 71 percent to 20 percent with 98.5 percent of the expected vote counted.
Source: NBC News, Nebraska House District 3 General Election Results 2026 (updated Nov. 6)
Who funds the campaign
Healthcare PAC money, 2026 cycle.
Contributions from political action committees in healthcare to the Smith campaign committee. Individual donations are not counted.
By sector
- Pharmaceuticals$106,000
- Health Professionals$89,500
- Health Services/HMOs$40,000
- Insurance$29,000
- Hospitals & Nursing Homes$13,000
156 contributions. Sector labels are the Rojas Report's.
Largest healthcare PACs
- American Association of Nurse Anesthetists Separate Segregated Fund (Crna-PAC)Health Professionals$10,000
- American Association of Orthodontists Political Action CommitteeHealth Professionals$10,000
- Elevance Health, INC. Political Action Committee (Elevance Health PAC)Insurance$10,000
- American Hospital Association PACHospitals & Nursing Homes$8,500
- Humana INC. Political Action CommitteeHealth Services/HMOs$8,000
- American Nurses Association PACHealth Professionals$7,500
- American Chiropractic Association Political Action CommitteeHealth Professionals$7,500
- Abbott Laboratories Employee Political Action CommitteePharmaceuticals$7,500
- American Academy of Physician Associates Political Action Committee (Pa PAC)Health Professionals$7,500
- Davita INC. Political Action Committee (DAPAC)Health Services/HMOs$7,000
The record
How Smith voted on 13 health bills.
The key health votes on the House floor in 2025 and 2026. Each links to the full roll call.
| Date | Bill | Vote | House |
|---|---|---|---|
| March 11, 2025 | H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025Full-year CR for FY2025 with Medicare telehealth and other health extenders | Yes | Passed |
| May 22, 2025 | H.R. 1, One Big Beautiful ActOne Big Beautiful Bill Act, House passage (Medicaid, ACA and HSA provisions; rural hospital fund) | Yes | Passed |
| June 4, 2025 | H.R. 2483, SUPPORT for Patients and Communities Reauthorization ActSUPPORT for Patients and Communities Reauthorization Act (opioid programs) | Yes | Passed |
| July 3, 2025 | H.R. 1, One Big Beautiful Bill ActOne Big Beautiful Bill Act, final passage (concur in Senate amendment); became Public Law 119-21 | Yes | Passed |
| September 19, 2025 | H.R. 5371, Continuing Appropriations and Extensions Act, 2026Continuing Appropriations and Extensions Act, 2026, House passage (health extenders) | Yes | Passed |
| November 12, 2025 | H.R. 5371, Continuing Appropriations and Extensions Act, 2026Continuing Appropriations and Extensions Act, 2026, final passage ending the shutdown; became Public Law 119-37 | Yes | Passed |
| December 17, 2025 | H.R. 6703, Lower Health Care Premiums for All Americans ActLower Health Care Premiums for All Americans Act | Yes | Passed |
| December 18, 2025 | H.R. 498, Do No Harm in Medicaid ActDo No Harm in Medicaid Act | Yes | Passed |
| January 22, 2026 | H.R. 7148, Consolidated Appropriations Act, 2026Consolidated Appropriations Act, 2026, House passage | Yes | Passed |
| February 3, 2026 | H.R. 7148, Consolidated Appropriations Act, 2026Consolidated Appropriations Act, 2026, final passage; became Public Law 119-75 | Yes | Passed |
| April 21, 2026 | H.R. 2493, Improving Care in Rural America Reauthorization ActImproving Care in Rural America Reauthorization Act | Yes | Passed |
| July 21, 2026 | H.R. 9770, Making continuing appropriations for fiscal year 2027, and for other purposesContinuing appropriations for FY2027 (H.R. 9770), House passage | Yes | Passed |
| September 1, 2026 | H.R. 6500, AGOA Extension ActH.R. 6500 as the vehicle for the Continuing Appropriations and Extensions Act, 2027; became Public Law 119-103 | Yes | Passed |
Source: Clerk of the House, roll-call vote XML, 2025 and 2026.
Stock trades
Healthcare stocks bought and sold.
4 periodic transaction reports filed in 2025 and 2026. None lists a trade in a healthcare company's stock. Bonds and funds are not counted.
On the committee
Seats and subcommittees.
- Full committeeMember
- Health SubcommitteeMember
- Trade SubcommitteeChair