Smith has held congressional hearings and has proposed bills regarding human rights violations, specifically around women's sexual health, activism and religious groups, in China. He staunchly opposes the forced sterilization and forced abortions being implemented by the Chinese government towards women regarding China's one-child policy. Regarding the victimization of these women, Smith stated that "the agony that those women carry with them is beyond words. They talk about the pain that they carry for their child and for the violation by the state." In response, Smith wrote a bill, which was put into law in 1999, making it illegal for the U.S. to issue visas to foreign nationals who have been involved in forced abortion or sterilization.