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Prediction track record
How often we called David Kustoff's passage votes correctly, from their stated positions on each bill's tagged topics. Excludes “unclear” calls and abstentions.
A joint resolution to direct the removal of United States Armed Forces from hostilities within or against the Islamic Republic of Iran that have not been authorized by Congress.
A joint resolution to direct the removal of United States Armed Forces from hostilities within or against the Islamic Republic of Iran that have not been authorized by Congress.
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Crossing the aisle
Passage votes where David Kustoff broke ranks with ≥75% of Republicans. Threshold catches substantively partisan splits; unanimous-ish or close votes are excluded.
3
Cross-aisle votes
118-hr-3012·Nov 20, 2024·81% of R voted YES
North Korean Human Rights Reauthorization Act of 2023
Congressman David Kustoff Helps Secure a $20.3 Million Federal Grant for West Tennessee Railroad
Position: The release announces a $20.3 million federal CRISI grant for West Tennessee freight rail modernization and praises the investment as essential to regional economic success.
MEMPHIS – Congressman David Kustoff (R-TN-08) today applauded the announcement that the West Tennessee Railroad has been awarded $20.3 million for the West Tennessee Rail Modernization Project through the Federal Railroad Administration’s (FRA) Consolidated Rail Infrastructure and Safety Improvements (CRISI) Program.
“Reliable freight rail service is essential to the economic success of West Tennessee,” said Congressman Kustoff. “Our farmers and manufacturers depend on these rail connections to get their products to market, and this investment will make freight service safer and more efficient. I am pleased to have helped secure this significant funding for our region, and I thank Federal Railroad Administrator David Fink for recognizing the importance of this project to West Tennessee.”
The project will replace rail and ties, rehabilitate 25 at-grade crossings, replace turnouts, and extend an interchange siding. These improvements are expected to eliminate existing speed restrictions and reduce the risk of derailments. The project will improve rail infrastructure serving Obion, Weakley, Gibson, Madison, Chester, and McNairy counties, including lines through Milan, Jackson, Humboldt, Dyer, Trenton, and Henderson.
This funding builds on West Tennessee Railroad’s 2024 CRISI grant, which Congressman Kustoff also supported. The earlier project is now entering the construction phase. Together, these investments will help strengthen the long-term viability of freight rail service throughout West Tennessee.
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Issues:Transportation: Roads, Bridges, Airports, & Waterways
President Donald Trump Signs Congressman David Kustoff’s Identity Theft Bill into Law
Position: Announces the signing into law of H.R. 5345, which requires a single designated SSA point of contact for identity theft victims until their case is resolved, and expresses support for the measure as a commonsense reform.
WASHINGTON – Congressman David Kustoff (R-TN-08) announced that President Donald Trump signed H.R. 5345, the Improving Social Security’s Service to Victims of Identity Theft Act, into law on October 7, 2026. The bipartisan legislation will provide Social Security identity theft victims with a single point of contact at the Social Security Administration (SSA) until their case is resolved.
“Americans recovering from identity theft should not have to fight through layers of red tape to receive help,” said Congressman David Kustoff. “With President Trump’s signature, victims will have a trained Social Security Administration employee responsible for coordinating their case and seeing it through to resolution. I appreciate President Trump and my colleagues in both chambers for working with me to deliver this commonsense reform and create a more reliable recovery process.”
"The theft of someone's Social Security number can do real damage to that person's life. Cleaning up that mess should not require a call center scavenger hunt or being bounced from one Social Security official to the next. This law fixes that. It puts a dedicated team in charge of a victim's case from the first call to the last, so that families can now spend their energy getting their life back instead of repeating their story to a new stranger every time they call. I want to commend Representative Kustoff for identifying a simple, commonsense solution, and I thank President Trump for signing this into law and his continued leadership in cutting government red tape for the American people." -- Ways and Means Committee Chairman Jason Smith (MO-08)
Under the new law, trained SSA employees serving as points of contact will coordinate with other offices, maintain continuity of case records, and remain accountable until each case is resolved. The law will also apply when a Social Security card is lost in the mail.
Congressman Kustoff introduced H.R. 5345 on September 15, 2025. The House Committee on Ways and Means advanced the bill by a vote of 39–1, and the House passed it by unanimous consent on December 1, 2025. The Senate unanimously passed the legislation on September 17, 2026. Click here to read the bill text.
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Issues:Social Security
Congressman David Kustoff Co-Leads Bipartisan Motion Picture, Television, and Entertainment Revitalization Act
Position: The release describes Rep. Kustoff's co-leadership of H.R.10582, a bill establishing a federal tax credit for qualified film and television productions, with added incentives for rural and disaster-area productions, and states his support for the bill as a means of creating domestic jobs.
WASHINGTON – Congressman David Kustoff (R-TN-08) helped lead the introduction of H.R.10582, the bipartisan Motion Picture, Television, and Entertainment Revitalization Act. The bill would establish a federal tax credit for qualified film and television productions, with additional incentives for productions in qualifying rural communities and disaster areas.
“Film and television production supports workers and small businesses across the country, including in Tennessee,” said Congressman David Kustoff. “When productions are made in the United States, that work reaches far beyond the set. It supports the crews, local contractors, restaurants, hotels, and small businesses that bring a project to life. This bipartisan bill will help Americans compete for those jobs and keep more of that economic activity here at home.”
The Motion Picture, Television, and Entertainment Revitalization Act would:
Establish a 20 percent federal tax credit for qualified compensation paid or incurred for qualifying services performed in the United States in connection with film and television productions. The credit rate could increase by five percentage points under specified circumstances, subject to a 30 percent cap.
For a film, television pilot, or television season to qualify for the credit they must generally have total costs exceeding $1 million and at least 75 percent of its principal-photography days in the United States.
Encourage more production activity throughout the United States:
Producers that increase their domestic production activity relative to their prior foreign production activity could receive an additional five-percentage-point credit.
Producers that meet substantial production and payroll thresholds in at least 10 states could receive an additional five-percentage-point credit.
Increase the credit by five percentage points for productions that conduct at least 30 percent of their principal photography days in a rural qualified opportunity zone or eligible disaster area.
Increase the credit by five percentage points for productions completed by independent producers.
Extend the credit to qualifying traditional post-production and visual effects projects when at least 75 percent of the associated costs are incurred in the United States.
These projects could receive an additional five-percentage-point credit if completed by an independent producer or performed in a qualifying rural opportunity zone or disaster area.
Eligible labor costs would include work performed in the United States during pre-production, production, and post-production. Profit-sharing and residual payments would not qualify. Traditional post-production work would include editing, sound editing, scoring, music editing, and dubbing.
The federal credit would supplement, rather than replace, existing state production incentives.
Congressman Kustoff introduced the legislation alongside Reps. Nathaniel Moran (R-TX-01), Mike Carey (R-OH-15), Brian Jack (R-GA-03), Laura Friedman (D-CA-30), Linda Sánchez (D-CA-38), Judy Chu (D-CA-28), and Tom Suozzi (D-NY-03). Senators Tim Scott (R-SC) and Adam Schiff (D-CA) introduced companion legislation in the United States Senate.
Background
According to the Motion Picture Association, the American film and television industry supported 2.74 million jobs and paid $242 billion in wages in 2022. By 2024, those figures had declined to 2.01 million jobs and $202 billion in wages.
Tennessee established its Film/TV Incentive Fund in 2006 and adopted its current grant formula of up to 25 percent in 2012. In 2021, the state authorized a tax credit for qualified production payroll expenses. H.R.10582 would build on these programs with a federal incentive, helping Tennessee compete with countries that offer national production incentives.
The bill would apply to qualifying feature films, television pilots, and television seasons. News programs, live sporting events, talk shows, daytime dramas, social media content, advertising campaigns, and corporate productions would not qualify.
The credit would be available for eligible productions beginning in taxable years after December 31, 2026.
Click here to read the bill text.
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Issues:Economy and Jobs
Congressman David Kustoff’s Social Security Identity Theft Bill Advances in Senate, Now Heads to President Trump's Desk
Position: Supports H.R. 5345, which would assign identity theft victims involving Social Security numbers a single SSA point of contact throughout case resolution, and notes the bill has advanced to the President's desk for signature.
WASHINGTON – Congressman David Kustoff (R-TN-08) announced the United States Senate unanimously passed H.R. 5345, the Improving Social Security’s Service to Victims of Identity Theft Act, on September 17, 2026. The bill would provide victims of identity theft involving their Social Security numbers with a single point of contact at the Social Security Administration throughout the resolution of their case. It now heads to President Donald Trump’s desk for his signature.
“Victims of identity theft deserve clear, consistent support rather than getting lost in a maze of federal bureaucracy,” said Congressman David Kustoff. “The Senate’s passage of my bill brings us one step closer to cutting red tape and ensuring victims receive timely support from the Social Security Administration. I appreciate the bipartisan support this legislation received in both chambers and look forward to President Trump signing it into law.”
According to the Identity Theft Resource Center’s 2025 Annual Data Breach Report, the United States experienced a record 3,322 data compromises in 2025. Of those, 2,236 involved Social Security numbers. Federal Trade Commission identity-theft reports rose to 1.36 million in 2025, a 19.6 percent increase from 2024.
Under H.R. 5345, trained employees serving as the point of contact would coordinate with other SSA offices, maintain continuity of case records, and remain accountable until each case is resolved. The legislation would also apply when a Social Security card is lost in the mail.
Background:
Congressman Kustoff introduced H.R. 5345 on Sept. 15, 2025. It passed the House Committee on Ways and Means 39–1 and passed out of the House of Representatives by unanimous consent on Dec. 1, 2025.
The bill builds on Kustoff’s legislative record of combating fraud and streamlining federal bureaucracy:
- Introduced the bipartisan Recovery of Stolen Checks Act (H.R. 1155) and DO NOT Call Act (H.R. 6449) to support fraud victims.
- Introduced the Child Care Tax Benefit Outreach and Assistance Act (H.R. 10512) to create an IRS liaison assisting employers with child care tax benefits.
Click here to read the bill text.
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Issues:Social Security
Congressman David Kustoff Introduces Legislation to Strengthen Employer-Supported Child Care for Working Families
Position: The release describes introduction of H.R. 10512, which would establish a Business Child Care Liaison within the IRS to help employers learn about and use the Section 45F employer-provided child care tax credit and Dependent Care Flexible Spending Accounts. The release also highlights prior tax-credit expansions included in the One Big Beautiful Bill.
WASHINGTON – Congressman David Kustoff (R-TN-08) introduced H.R. 10512, the Child Care Tax Benefit Outreach and Assistance Act, the House companion to bipartisan legislation introduced by Senators Dan Sullivan (R-AK) and Maggie Hassan (D-NH). The bill would help employers navigate and access federal tax benefits that support child care for working families. Congressman Kustoff has led congressional efforts to strengthen the Section 45F employer-provided child care tax credit, including provisions enacted through the One Big Beautiful Bill.
“Reliable child care supports working families and helps West Tennessee businesses recruit and retain employees,” said Congressman David Kustoff. “I worked to deliver the first major expansion of the employer-provided child care tax credit in more than two decades through the One Big Beautiful Bill. This bipartisan, budget-neutral legislation builds upon that work by giving businesses a dedicated resource to take advantage of these benefits and connect their employees with available options.”
A 2022 Government Accountability Office (GAO) report found that relatively few businesses claimed the Section 45F employer-provided child care tax credit. The GAO cited limited awareness of the credit and the complexity of establishing and administering child care benefits as barriers to wider use.
The Child Care Tax Benefit Outreach and Assistance Act would establish a Business Child Care Liaison within the Internal Revenue Service (IRS) to help address these barriers. The liaison would educate businesses about the Section 45F credit and Dependent Care Flexible Spending Accounts, which allow employees to set aside pretax income for eligible care expenses. The liaison would also help employers utilize these benefits and strengthen coordination among the IRS, businesses, and the child care sector.
Background:
In May 2025, Congressman Kustoff introduced H.R. 3155, the Child Care for American Families Act, to strengthen the Section 45F employer-provided child care tax credit and make it more useful for employers, particularly small businesses.
Key provisions from Congressman Kustoff’s legislation were included in H.R. 1, the One Big Beautiful Bill, which President Donald Trump signed into law on July 4, 2025.
Through the One Big Beautiful Bill, Congressman Kustoff secured the following improvements to the Section 45F credit:
For most employers, the credit increased from 25 percent to 40 percent of qualified child care expenditures, and the annual cap increased from $150,000 to $500,000;
Eligible small businesses can receive a 50 percent credit with an annual cap of $600,000; and
Employers may partner with outside organizations or other businesses to provide child care.
Click here to read the bill text.
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Congressman David Kustoff's Rural Patient Monitoring Access Act Advances Ways & Means Committee
Position: The release supports advancing H.R. 3108, the Rural Patient Monitoring Access Act, which would expand Medicare access to remote physiologic monitoring services in rural and underserved communities and establish quality requirements for RPM providers.
WASHINGTON, D.C. — The Ways and Means Committee passed Congressman David Kustoff’s (R-TN-08) Rural Patient Monitoring (RPM) Access Act, H.R. 3108, with bipartisan support. Introduced by Reps. David Kustoff, Donald Davis (D-NC-01), Troy Balderson (R-OH-12), and Mark Pocan (D-WI-02) in April 2025, this bill enables Medicare beneficiaries in rural and underserved communities to gain access to high-quality remote physiologic monitoring services.
“Today’s committee passage brings us one step closer to helping more Medicare patients receive the care they need closer to home,” said Congressman David Kustoff. “The RPM Access Act will help more doctors and nurses monitor patients remotely, allowing them to manage complex chronic conditions in real time. I appreciate my colleagues’ support as we work to expand access to high-quality health care in rural West Tennessee and across the country.”
“Technological advancement has created new opportunities to deliver better health care, but those opportunities mean little if patients cannot access them,”said Ways and Means Committee Chairman Jason Smith (MO-08). “Remote patient monitoring gives physicians valuable insight into their patients’ health while allowing individuals to better manage chronic conditions from home. Unfortunately, rural communities that need these tools the most continue to face barriers that limit access, and as a result have a 33% lower rate of use of remote monitoring. Representative Kustoff’s Rural Patient Monitoring Access Act ensures Medicare beneficiaries in rural and underserved communities can benefit from innovative care models that improve health outcomes and strengthen access to care.”
Background:
Remote physiologic monitoring is the use of digital technologies to collect health data from patients in one location and electronically transmit that information securely to providers in a different location. Medicare patients living in rural areas face higher rates of heart failure, hypertension, and diabetes compared to patients in urban areas. However, Medicare reimbursement for remote physiologic monitoring is lowest in the rural areas it is needed most.
The RPM Access Act would create new requirements to ensure high-quality services for Medicare. These requirements include:
RPM providers must be capable of responding to data anomalies detected by the monitoring service.
RPM providers must be capable of promptly transmitting captured vitals and treatment management notes to the electronic health record of the supervising provider.
Centers for Medicare and Medicaid Services may require providers of RPM to report data to the Secretary of Health and Human Services in order to facilitate the evaluation of cost savings generated to the Medicare program through the proliferation of remote physiologic monitoring services.
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Congressman David Kustoff Introduces the Providing Analogous Rules for Digital Assets Act
Position: Supports H.R. 9176, the Providing Analogous Rules for Digital Assets Act, which would align the federal tax treatment of digital assets with comparable traditional financial instruments, including securities lending, mark-to-market accounting, and foreign-investor trading safe harbors.
WASHINGTON, D.C. — Congressman David Kustoff (R-TN-08) today announced the introduction of H.R. 9176, the Providing Analogous Rules for Digital Assets Act (PAR Act), legislation designed to modernize the Internal Revenue Code and ensure digital assets are treated consistently with comparable traditional financial instruments.
“As digital assets continue to play an increasingly important role in the global economy, it is critical that the United States tax code keeps pace,” said Congressman Kustoff. “The PAR Act takes an important step toward creating a fair tax framework that supports innovation and competitiveness in the digital asset space.”
“The tax code shouldn't pick winners and losers based on the type of asset someone owns,” said Ways and Means Committee Chairman Jason Smith (MO-08). “Today, taxpayers who use digital assets often face uncertainty because longstanding tax rules that apply to similar traditional assets don't clearly apply to them. The PAR Act brings greater fairness and consistency to the tax code by ensuring digital assets are treated more like comparable financial assets under existing rules. Representative Kustoff's legislation provides the clarity taxpayers deserve while helping keep investment, innovation, and jobs here in the United States.”
The PAR Act establishes three provisions to align the tax treatment of digital assets with traditional financial assets:
The bill modernizes existing tax rules for securities lending by extending them to traded digital assets. Lending these assets is treated like a straightforward loan rather than a taxable sale or exchange.
It gives dealers and traders in covered digital assets the option to use a clear, well‑established mark‑to‑market accounting framework, aligning them with securities and commodities and providing more predictable, consistent tax treatment for active trading businesses.
It strengthens the U.S. as a hub for digital asset activity by expanding the existing trading safe harbor so foreign investors can trade digital assets through U.S. intermediaries without being treated as engaged in a U.S. trade or business, encouraging that activity to stay in U.S. markets.
In addition, the PAR Act establishes clear statutory definitions for key terms such as ‘digital asset,’ ‘traded digital asset,’ and ‘widely traded digital asset,’ promoting regulatory clarity while giving the Treasury Department targeted authority to prevent abuse and adjust these rules as market conditions evolve.
The legislation applies prospectively and does not create inferences regarding the classification of digital assets under other areas of law or prior tax treatment.
You can read the bill text here.
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Congressman David Kustoff Introduces the Small Business Tax Cut Act to Support Main Street
Position: Congressman Kustoff and cosponsors introduced legislation to expand the Section 199A qualified business income deduction from 20 percent to 23 percent, reducing taxes for small businesses, farmers, and independent professionals.
WASHINGTON – Congressman David Kustoff (TN-08) introduced the Small Business Tax Cut Act (H.R. 8415). This legislation lowers taxes for millions of small businesses, farmers, and independent professionals by expanding the qualified business income deduction, also known as Section 199A. Reps. Greg Steube (FL-17), Claudia Tenney (NY-24), Mike Carey (OH-15), Carol Miller (WV-1), Michelle Fischbach (MN-07), and Blake Moore (UT-01) are original cosponsors.
“The Small Business Tax Cut Act sends a clear signal that Congress is serious about keeping Main Street competitive,” said Congressman David Kustoff. “Small businesses and family farms are central to West Tennessee's economy. By expanding the 199A deduction to 23 percent, we are giving local business owners the flexibility to hire more workers and invest in their operations.”
“I am proud to cosponsor the Small Business Tax Cut Act, which raises the section 199A deduction to 23 percent. By increasing the deduction, this bill directly supports small businesses and family farms in Western Minnesota by helping them secure the funds they need to hire more workers, increase wages, and upgrade their equipment. The Small Business Tax Cut helps keep our rural economies strong, so local employers can put their earnings back into their businesses and communities,” said Congresswoman Michelle Fischbach.
“West Virginia is built on the hard work of small businesses, manufacturers, and independent professionals who form the backbone of our communities. This is why this bill is so important. It keeps the focus on Main Street and ensures that our local job creators are not left behind. By strengthening and modernizing the small business deduction, this legislation gives entrepreneurs greater certainty and the ability to reinvest in their businesses so they can continue to serve their customers” said Congresswoman Carol Miller.
“Small businesses are the backbone of our economy, and the 199A Qualified Business Income Deduction has been one of the most successful tax policies to support them. I’m excited to introduce the Small Business Tax Cut Act to increase the deduction from 20% to 23% to allow Utah’s small businesses, farmers, and manufacturers to reinvest more of their income into their business. This will support new jobs and keep Utah’s economy thriving,” said Congressman Blake Moore.
“Upstate New York’s economy runs through Main Street,” said Congresswoman Claudia Tenney.“The Small Business Tax Cut Act builds on the success of the 199A deduction by allowing small businesses to keep more of what they earn, invest in their workers, and plan for the future with certainty. By strengthening and expanding this deduction, we are giving Main Street businesses, family farms, and local employers the tools they need to grow, compete, and continue driving economic growth across Upstate New York and the nation.”
The Small Business Tax Cut Act includes reforms to enhance the QBI deduction and expand eligibility to more small businesses:
Raises the pass-through deduction rate from 20 to 23 percent so sole proprietors, partnerships, S-corporations, farms, and family-owned businesses can keep more of what they earn to reinvest in operations;
Modernizes the income thresholds and phaseouts to create a smoother, more predictable structure as businesses grow, replacing the sharp “benefit cliff” many face under current law;
Fixes the treatment of “specified service trades or businesses” (SSTBs)—including professions such as doctors, accountants, and consultants—so more local professionals can continue to benefit from the deduction as income rises;
Extends the deduction to qualifying interest dividends from business development companies (BDCs), which specialize in providing growth capital to small and midsize businesses that cannot access public markets or large-bank financing;
Updates the inflation rules, including moving the base year from 2018 to 2025, so the small business deduction keeps pace with today’s costs.
More than 90 percent of U.S. businesses are structured as pass-through entities, making the Section 199A deduction a central component of tax relief for Main Street employers. The bill has earned support from small business and agriculture leaders:
“SBE Council is pleased to endorse the ‘Small Business Tax Cut Act,’” said Karen Kerrigan, President and CEO of the Small Business & Entrepreneurship Council. “Small business owners continue to face various cost and competitive pressures. In SBE Council’s most recent ‘Check Up’ survey, 61% of small business owners reported positive cash-flow effects in 2025 from the ‘Working Families Tax Cuts Act,’ with the 20% small business deduction and lower personal tax rates cited as the most beneficial provisions contributing to improved financial performance. Strengthening the deduction will provide vital capital to help them navigate such pressures, and continue to invest and grow.”
“Since 2017, the Small Business Tax Deduction has been vital for small businesses to remain competitive and grow their businesses,” said Dylan Rosnick, Principal of Federal Government Relations at the National Federation of Independent Business. “Congress saw these benefits and made the 20% Small Business Tax Deduction permanent through the Working Families Tax Cuts. Rep. Kustoff’s Small Business Tax Cut Act builds on this success and would provide 9 in 10 small businesses with tax cuts. The legislation would also expand the Small Business Tax Deduction to small businesses who are prevented from utilizing the deduction.”
“Tennessee Farm Bureau would like to thank Congressman Kustoff for introducing the Small Business Tax Cut Act,” said Kevin Hensley, Director of Public Policy for the Tennessee Farm Bureau Federation. “Increasing the qualified business income (QBI) deduction would allow Tennessee farmers to keep more of their hard-earned income and invest in their operations.”
“On behalf of the S Corporation Association, I write to express our strong support for the Small Business Tax Cut Act,” said Brian Reardon, President of the S Corporation Association. “Pass-through businesses are the backbone of the American economy and S corporations are the backbone of the pass-through community. Raising the deduction to 23 percent would improve competitiveness for Main Street businesses by narrowing the effective tax-rate gap with larger C corporations. It would increase the after-tax cash flow of these businesses, allowing greater reinvestment in hiring, capital improvements, and business expansion.”
“The National Association of Home Builders commends Rep. Kustoff for introducing the Small Business Tax Cuts Act, legislation that would ease the tax burden for small businesses and many home building firms by increasing the Section 199A qualified business income deduction to 23 percent,” said Bill
Owens, Chairman of the National Association of Home Builders. “This measure will help address the nation’s housing affordability crisis by enabling builders to invest more resources into multifamily rental construction, land development, and in building more single-family homes.”
“The Mortgage Bankers Association supports the Small Business Tax Cut Act, legislation that provides meaningful tax relief to America’s small businesses, including independent mortgage lenders, community banks, and mortgage brokers,” said Bill Killmer, SVP of Legislative and Political Affairs at the Mortgage Bankers Association. “By strengthening the Section 199A deduction, this bill helps ensure small businesses continue to invest in their employees, technology, and local communities. At a time when housing affordability and access to credit remain critical challenges, this targeted tax relief will enhance the stability and competitiveness of small and mid-sized mortgage businesses that serve borrowers in every market.”
Rep. Kustoff continues to focus on policies that support small businesses and strengthen domestic production. He will continue working to advance these provisions as Congress moves into the next round of reconciliation.
These provisions were included in the House-passed version of the One Big Beautiful Bill and remain part of ongoing efforts to strengthen the small business deduction.
Read the full bill text here.
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Congressman David Kustoff Introduces Bipartisan Save Struggling Hospitals Act
Position: Congressman Kustoff and Congresswoman Sewell support legislation to reform Medicare payment formulas to better account for cost pressures in rural and lower-wage hospitals, including permanent restoration of wage index adjustments to help struggling hospitals remain financially viable.
WASHINGTON — Congressman David Kustoff (R-TN) and Congresswoman Terri Sewell (D-AL) introduced the bipartisan Save Struggling Hospitals Act, legislation to fix Medicare payment formulas that do not account for the cost pressures facing hospitals in rural and lower-wage areas. Senator Marsha Blackburn (R-TN) and Senator Mark Warner (D-VA) are leading companion legislation in the Senate.
“Access to health care should not depend on a person’s ZIP code,” said Congressman Kustoff. “Many rural hospitals are held back by outdated payment policies that fail to account for the challenges they face. I am proud to introduce this legislation to support these hospitals so they can keep their doors open and continue serving patients who depend on them every day.”
“Alabama has endured some of the most devastating hospital closures in the nation. Each one leaves families traveling farther for care, mothers delivering babies without nearby maternity units, and seniors losing access to the doctors they’ve trusted for decades,” said Rep. Sewell. “The introduction of the Save Struggling Hospitals Act could not come at a more critical moment. By strengthening the financial foundation of vulnerable hospitals, this bill offers a lifeline to communities that have consistently been asked to do more with less. It will help hospitals keep their doors open so that patients get th e care they need, regardless of their ZIP code.”
Background:
Hospitals in West Tennessee and across the country serve as a critical point of care, but many continue to face challenges due in part to wage index calculations that do not reflect local economic conditions. Recent data shows over 40 percent of rural hospitals are operating at a loss, with more than 400 at risk of closure, underscoring the need for targeted, responsible reforms.
Under current law, Medicare’s payment structure can leave hospitals in certain regions at a disadvantage, undercutting its intent to support access to care across all
communities. From fiscal years 2020 through 2024, Medicare included a policy to help address this imbalance, but it has since been removed, creating renewed uncertainty for hospitals that rely on it. The Save Struggling Hospitals Act permanently restores the wage index adjustment, helping ensure these hospitals are treated more fairly within the system.
Click here to read the full text of the bill.
Issues:Healthcare
Congressman David Kustoff Welcomes President Donald J. Trump to Memphis While Aboard Air Force One
Position: The congressman supports the Memphis Safe Task Force's collaborative approach to reducing violent crime and credits the President's leadership for crime reduction results in the region.
WASHINGTON – Today, Congressman David Kustoff (TN-08) traveled on Air Force One and welcomed President Donald Trump to Memphis. While in Memphis, President Trump met with law enforcement to discuss the Memphis Safe Task Force’s efforts to reduce violent crime in Shelby County. Congressman Kustoff issued the following statement:
“I am proud to welcome President Trump to Memphis as he highlights the results of the Memphis Safe Task Force. Thanks to the President’s leadership, Memphis is seeing a reduction in violent crime,” said Rep. Kustoff. “People in Memphis and Shelby County deserve to feel safe in their neighborhoods, and the Memphis Safe Task Force shows what is possible when federal, state, and local law enforcement work together. I will continue to lead and support efforts with the President to make Memphis safer.”
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Articles from a curated list of national outlets that mention David Kustoff.
No recent news mentions yet.
Source: GDELT 2.0 GKG, filtered to a curated list of national outlets. Inclusion is not endorsement; opinion pieces and reported news are mixed.
Recent stock activity
Periodic transaction reports filed under the STOCK Act — disclosed by the rep, sourced from public filings.
No disclosed trades on record.
Source: open-data mirrors of the Senate eFD and House Clerk financial-disclosure systems. Disclosure within 30 days of trade is required by law (45 for spouse/dependent trades).
Top PAC donors · 2026 cycle
Political action committees that gave the most to this rep's principal campaign committee this cycle. PAC giving is direct organizational support — industry, ideological, or leadership.
1.COUNCIL OF INSURANCE AGENTS & BROKERS PACFinance1 contributionInsurance-industry trade association PAC — backs candidates supporting favorable regulatory treatment and business-friendly insurance policy.AI$10,000
2.MANUFACTURED HOUSING INSTITUTE PAC1 contribution$10,000
3.ANHEUSER-BUSCH COMPANIES INC. PAC2 contributions$10,000
4.COTCO-ACSA PAC2 contributions$10,000
5.MR. SOUTHERN MISSOURIAN IN THE HOUSE PAC (MR. SMITH PAC)Leadership2 contributionsMember-of-Congress leadership PAC — directs contributions to allied candidates, likely in Missouri and nationally.AI$10,000
6.NAIFA PAC2 contributions$10,000
7.NATIONAL ELECTRICAL CONTRACTORS ASSOCIATION (NECAPAC)3 contributions$10,000
8.MORTGAGE BANKERS ASSOCIATION PAC (MORPAC)2 contributions$10,000
9.PROTECTIVE LIFE CORPORATION PAC2 contributions$10,000
10.REGIONS FEDERAL ONLY PAC3 contributions$10,000
Source: OpenFEC (api.open.fec.gov) Schedule A receipts where contributor type is “committee.” Aggregated by contributing committee. Self-transfers from joint-fundraising / victory committees are excluded.
Top individual contributors · 2026 cycle
Itemized individual contributions over $200 to this rep's campaign committee, aggregated by donor employer. PAC giving is shown above; this section is people, not organizations.
1.BLACKSTONE$28,000
2.APOLLO GLOBAL MANAGEMENT$19,500
3.ADVANCE FINANCIAL$14,000
4.BASKIN TRUCK PARTS, LLC$14,000
5.THE SWAG$14,000
6.APOLLO$11,000
7.TODD STRATEGY GROUP$10,750
8.FOGELMAN MANAGEMENT GROUP$10,000
9.LEWIS THOMASON$9,000
10.ORGILL, INC.$8,000
Source: OpenFEC Schedule A receipts where contributor type is “individual,” aggregated by the donor's self-reported employer. This is a geographic / industry correlation, not a corporate endorsement.
