Carter has spent years focused on a few core fights. Each is tied to bills actually introduced or votes actually cast.
01
Supports restructuring federal health care cost systemsCarter has sponsored legislation targeting how drug costs are administered and passed to consumers. The HELP Copays Act (HR.830) addresses copay accumulator adjustment programs used by pharmacy benefit managers. The PBM Reform Act of 2025 (HR.4317) would restructure pharmacy benefit manager practices. Both bills drew substantial cosponsor support and address the same underlying concern: the role of intermediaries in determining patient out-of-pocket costs.
02
Supports expanding telehealth and provider accessCarter has introduced multiple bills to expand access to health care providers and remote care. The Telehealth Modernization Act (HR.5081) would update federal telehealth policy. The Health Care Provider Shortage Minimization Act of 2025 (HR.1160) addresses provider availability gaps. The DOC Access Act, introduced in both the 118th (HR.1385) and 119th (HR.1521) Congresses, also addresses access to care, with the 2025 version drawing over 100 cosponsors.
03
Supports replacing federal income tax with consumption taxCarter has sponsored the FairTax Act of 2025 (HR.25), legislation that would eliminate the federal individual income tax, corporate income tax, and payroll taxes and replace them with a national retail sales tax. The bill has been reintroduced across multiple Congresses, and Carter's continued sponsorship reflects a sustained position on fundamental federal tax restructuring.
04
Supports federal emergency medical services for childrenCarter sponsored the Emergency Medical Services for Children Reauthorization Act of 2024 (HR.6960), which was enacted into law. The legislation reauthorizes a federal program that supports pediatric emergency medical care infrastructure and training across the country. This enacted bill represents the highest-scoring item in Carter's citable legislative record.
05
Voted against the Social Security Fairness ActOn final passage of the Social Security Fairness Act of 2023 (HR.82), a bill that eliminated the Windfall Elimination Provision and Government Pension Offset affecting certain public employees' Social Security benefits, Carter voted no. The bill was enacted into law. Carter's vote placed him in the minority within his party on that roll call.
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01 · Background
Who they are, where they came from
Earl LeRoy "Buddy" Carter represents Georgia's 1st congressional district, a coastal district anchored by Savannah, and has held that seat since January 2015. He was elected following the decision of incumbent Jack Kingston to seek a Senate seat. Carter serves as a Republican member of the House.
His legislative record centers heavily on health care policy, where he has sponsored or co-sponsored a range of bills addressing pharmacy benefit manager practices (HR.4317), drug copay structures (HR.830), telehealth access (HR.5081), health care provider shortages (HR.1160), and Medicaid staffing flexibility (HR.6254). He also sponsored the Emergency Medical Services for Children Reauthorization Act of 2024, which was enacted into law (HR.6960), and a bill renaming a Department of Veterans Affairs outpatient clinic in his district, also enacted (HR.593). His interest in federal tax restructuring is reflected in his sponsorship of the FairTax Act of 2025 (HR.25), which would replace the current federal income and payroll tax system with a national consumption tax. Additional sponsored measures address Holocaust education (HR.6516), disaster reforestation (HR.262), FDA regulatory modernization (HR.2821), emergency medical preparedness (HR.1980), and poultry research infrastructure (HR.1596). On the House floor, Carter voted against final passage of the Social Security Fairness Act of 2023 (HR.82), a position that placed him in the minority within his party on that vote.
02 · Recent significant work
What they’ve done lately
Jan 11, 2024Sponsored
Emergency Medical Services for Children Reauthorization Act of 2024
Summary not yet generated.
Jan 27, 2023Sponsored
To rename the Department of Veterans Affairs community-based outpatient clinic in Hinesville, Georgia, as the "John Gibson, Dan James, William Sapp, and Frankie Smiley VA Clinic".
Every claim on this page links to a public source. We don’t tell you whether Buddy Carter is a good or bad official— that’s your call. We just make the facts easy to find.