Adrian Smith

Born-Alive Abortion Survivors Protection Act

This bill establishes requirements for the degree of care a health care practitioner must provide in the case of a child born alive following an abortion or attempted abortion.

Specifically, a health care practitioner who is present must (1) exercise the same degree of care as would reasonably be provided to any other child born alive at the same gestational age, and (2) ensure the child is immediately admitted to a hospital. Additionally, a health care practitioner or other employee who has knowledge of a failure to comply with the degree-of-care requirements must immediately report such failure to law enforcement.

A health care practitioner who fails to provide the required degree of care, or a health care practitioner or other employee who fails to report such failure, is subject to criminal penalties—a fine, up to five years in prison, or both.

An individual who intentionally kills or attempts to kill a child born alive is subject to prosecution for murder.

The bill bars the criminal prosecution of a mother of a child born alive under this bill and allows her to bring a civil action against a health care practitioner or other employee for violations.

Regulations from the Executive in Need of Scrutiny Act of 2025

This bill revises provisions relating to congressional review of agency rulemaking.

Specifically, the bill establishes a congressional approval process for a major rule. A major rule may only take effect if Congress approves of the rule. A major rule is a rule that has resulted in or is likely to result in (1) an annual effect on the economy of $100 million or more; (2) a major increase in costs or prices for consumers, individual industries, government agencies, or geographic regions; or (3) significant adverse effects on competition, employment, investment, productivity, innovation, or the ability of U.S.-based enterprises to compete with foreign-based enterprises.

The bill generally preserves the current congressional review process for a nonmajor rule.

TCJA Permanency Act

This bill makes permanent multiple federal tax provisions enacted in 2017 by the Tax Cuts and Jobs Act.

The bill makes permanent the

• individual tax rates of 10%, 12%, 22%, 24%, 32%, 35%, and 37%;

• increased standard deduction;

• personal exemption allowance repeal;

• exclusion from income of student loans discharged due to death or disability;

• qualified business income tax deduction (199A tax deduction);

• allowance of ABLE account contributions in excess of the annual gift tax exclusion amount;

• base estate and gift tax exclusion amount of $10 million (adjusted annually); and

• alternative minimum tax exemption and phaseout amounts for noncorporate taxpayers.

The bill makes permanent the child tax credit amounts of $2,000 per child and $500 for dependents, the $200,000 phaseout threshold ($400,000 for joint filers), and the refundable portion of the tax credit.

The bill expands the expenses eligible for tax-free withdrawals from qualified tuition plans (529 plans) to include additional expenses associated with homeschool and elementary and secondary schools (e.g., instructional materials, tutoring, test and enrollment fees, and educational therapies).

The bill permanently eliminates certain miscellaneous itemized deductions and makes permanent the

• state and local tax deduction limit of $10,000 ($5,000 for married individuals filing separately),

• mortgage interest tax deduction limit of $750,000 ($375,000 for married individuals filing separately),

• limit on the deduction of cash charitable contributions to 60% of a taxpayer’s adjusted gross income, and

• certain limits on casualty loss tax deductions.

The bill also permanently eliminates the exclusion from income for employer-reimbursed bicycle commuting expenses.