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In March 2019 Smith was one of 38 senators to sign a letter to United States Secretary of Agriculture Sonny Perdue warning that dairy farmers "have continued to face market instability and are struggling to survive the fourth year of sustained low prices" and urging his department to "strongly encourage these farmers to consider the Dairy Margin Coverage program."

In April 2019 Smith was one of 34 senators to sign a letter to President Trump asserting that Trump had "consistently expressed a flawed understanding of U.S. foreign assistance" since becoming president and that by preventing the use of Fiscal Year 2018 national security funding he was "personally undermining efforts to promote U.S. national security and economic prosperity". The senators argued that foreign assistance to Central American countries decreased migration to the U.S. by helping to improve conditions in those countries.

In January 2019, during the 2018–19 United States federal government shutdown, Smith was one of 34 senators to sign a letter to Commissioner of Food and Drugs Scott Gottlieb recognizing the efforts of the FDA to address the shutdown's effect on public health and employees while remaining alarmed "that the continued shutdown will result in increasingly harmful effects on the agency’s employees and the safety and security of the nation’s food and medical products."

In February 2019 Smith was one of 11 senators to sign a letter to insulin manufactures Eli Lilly and Company, Novo Nordisk, and Sanofi about their increased insulin prices having deprived patients of "access to the life-saving medications they need."

In April 2019 Smith was one of 41 senators to sign a bipartisan letter to the housing subcommittee praising the United States Department of Housing and Urban Development's Section 4 Capacity Building program as authorizing "HUD to partner with national nonprofit community development organizations to provide education, training, and financial support to local community development corporations (CDCs) across the country" and expressing disappointment that President Trump's budget "has slated this program for elimination after decades of successful economic and community development." The senators wrote of their hope that the subcommittee would support continued funding for Section 4 in Fiscal Year 2020.

In July 2019, following reports that the Trump administration intended to cease protecting spouses, parents and children of active-duty service members from deportation, Smith was one of 22 senators led by Tammy Duckworth to sign a letter arguing that the protection gave service members the ability "to fight for the United States overseas and not worry that their spouse, children, or parents will be deported while they are away" and that its termination would both cause service members personal hardship and negatively affect their combat performance.

In June 2019 Smith was one of eight senators to sponsor the Made in America Act, legislation that would designate federal programs that had funded infrastructure projects not currently subject to Buy America standards and mandate that the materials used in these programs be domestically produced. Bill cosponsor Tammy Baldwin said the bill would strengthen Buy America requirements and that she was hopeful both Democrats and Republicans would support "this effort to make sure our government is buying American products and supporting American workers."

In June 2019 Smith was one of ten senators to cosponsor the Safe Freight Act, a bill that would require freight trains to have one or more certified conductors and a certified engineer on board who can collaborate on how to protect the train and people living near the tracks. The legislation was meant to correct a Federal Railroad Administration rollback of a proposed rule intended to establish safety standards.

In 2019, while delivering a speech on the senate floor, Smith revealed her struggles with depression.

Dayton issued the official certificate of appointment following Franken's resignation on January 2, 2018.

With Vice President Mike Pence administering the oath of office, Smith was officially sworn in as a United States Senator on January 3, 2018, alongside Doug Jones of Alabama. She was accompanied by fellow Minnesota Senator Amy Klobuchar and former Vice President and former Minnesota Senator Walter Mondale.

Smith competed in the 2018 special Senate election in Minnesota. She won the August 14 Minnesota Democratic–Farmer–Labor Party primary with 76% of the vote. Richard Painter, a White House ethics lawyer during the George W. Bush administration, finished second with 14%. Smith defeated Republican nominee Karin Housley, a state senator from St. Marys Point, in the November 6 general election, with 53% of the vote to Housley's 42%.

In November 2018 Smith was one of 25 Democratic senators to cosponsor a resolution in response to findings of the Intergovernmental Panel On Climate Change report and National Climate Assessment. The resolution affirmed the senators' acceptance of the findings and their support for bold action to address climate change.

In December 2018 Smith voted for the First Step Act, legislation aimed at reducing recidivism rates among federal prisoners by expanding job training and other programs in addition to expanding early-release programs and modifying sentencing laws such as mandatory minimum sentences for nonviolent drug offenders, "to more equitably punish drug offenders."

In December 2018 Smith was one of 21 senators to sign a letter to Commissioner of Food and Drugs Scott Gottlieb stating their approval of the actions of the Food and Drugs Administration to hinder youth access to e-cigarettes and urging the FDA "to take additional, stronger steps to prevent and reduce e-cigarette use among youth."

In March 2018 Smith was one of ten senators to sign a letter to Chairman of the United States Senate Committee on Health, Education, Labor and Pensions Lamar Alexander and ranking Democrat Patty Murray requesting they schedule a hearing on the causes and remedies of mass shootings in the wake of the Stoneman Douglas High School shooting.

In the lead-up to the 2018 elections Smith said her record in the Senate showed she would fight pharmaceutical companies to improve people's lives, and that she would continue to fight to lower the cost of health care and prescription drugs in Minnesota, for example by making generic drugs more available, preventing people with preexisting conditions from being charged more, and allowing Minnesotans to buy in to Medicare if they are dissatisfied with their options on the insurance market.

In December 2018 Smith was one of 42 senators to sign a letter to Trump administration officials Alex Azar, Seema Verma, and Steve Mnuchin arguing that the administration was improperly using Section 1332 of the Affordable Care Act to authorize states to "increase health care costs for millions of consumers while weakening protections for individuals with preexisting conditions." The senators requested the administration withdraw the policy and "re-engage with stakeholders, states, and Congress."

In August 2018 Smith was one of 17 senators to sign a letter spearheaded by Kamala Harris to United States Secretary of Homeland Security Kirstjen Nielsen demanding that the Trump administration take immediate action in attempting to reunite 539 migrant children with their families, citing each passing day of inaction as intensifying "trauma that this administration has needlessly caused for children and their families seeking humanitarian protection." She also supports the extension of DACA, to shield "Dreamers" from deportation.

In October 2018 Smith was one of 20 senators to sign a letter to Secretary of State Mike Pompeo urging him to reverse the rolling back of a policy that granted visas to same-sex partners of LGBTQ diplomats who had unions that were not recognized by their home countries, writing that too many places around the world have seen LGBTQ individuals "subjected to discrimination and unspeakable violence, and receive little or no protection from the law or local authorities" and that refusing to let LGBTQ diplomats bring their partners to the US would be equivalent of upholding "the discriminatory policies of many countries around the world."

Despite widespread speculation to the contrary, Smith announced in March 2017 that she would not run for governor in the 2018 election.

On December 13, 2017, Governor Dayton announced Smith as his pick to fill the United States Senate seat held by Al Franken, who had announced he would resign amid allegations of sexual misconduct. While political observers initially speculated Smith might serve in a caretaker role, she announced her candidacy in the 2018 special election.

In 2016 Roll Call named Smith to its "America's Top 25 Most Influential Women in State Politics" list, citing her high-profile role in the Dayton administration.

Smith took office as lieutenant governor on January 5, 2015, and served until she was appointed to represent Minnesota in the U.S. Senate on January 2, 2018. During her tenure Smith was described by many political observers as having a much higher profile and playing a much more significant role in legislative negotiations than her predecessors. She spent a significant amount of time traveling the state in support of the priorities of Dayton's administration, including funding for optional preschool for all four-year-olds, transportation infrastructure, and rural broadband internet access. She also served as chair of the Destination Medical Center board until her resignation in December 2017.

When Lieutenant Governor Yvonne Prettner Solon announced she would not seek reelection, Governor Mark Dayton selected Smith as his running mate in the 2014 gubernatorial election. Dayton cited Smith's work on passing legislation for new Minnesota Vikings Stadium, as well as her support for the Destination Medical Center project with the Mayo Clinic in Rochester.

Smith left her job at Planned Parenthood to serve as chief of staff to Minneapolis Mayor R.T. Rybak in 2006. In 2010 she was picked to manage Rybak's gubernatorial campaign, which ended after Margaret Anderson Kelliher won the DFL endorsement. Smith then joined the campaign of Mark Dayton, who skipped the endorsing convention and eventually won the DFL primary. After Dayton defeated Republican Tom Emmer in the general election, Smith was named a co-chair of the transition. Dayton appointed Smith his chief of staff when he took office in 2011.

Smith first moved to Minnesota in 1984 for a marketing job at General Mills. She later started her own marketing firm, where she consulted with businesses and nonprofits. In the early 1990s Smith became involved in local politics, volunteering for DFL campaigns in Minneapolis. She managed Ted Mondale's unsuccessful 1998 campaign for governor. After Minnesota's U.S. Senator Paul Wellstone died in a plane crash weeks before the 2002 election, Smith managed former U.S. Vice President Walter Mondale's campaign for the seat. After Mondale lost a narrow election to Norm Coleman, Smith began working as the vice president of external affairs at Planned Parenthood of Minnesota, North Dakota, and South Dakota.

Christine Elizabeth "Tina" Flint Smith (born March 4, 1958) is an American politician and former businesswoman serving as the junior United States senator from Minnesota since 2018. She is a member of the Minnesota Democratic–Farmer–Labor Party (DFL), an affiliate of the Democratic Party. Smith served as the 48th lieutenant governor of Minnesota from 2015 to 2018 before being appointed to fill the United States Senate seat vacated by Al Franken. She won the 2018 special election to fill the remainder of Franken's term, defeating Republican Karin Housley, a Minnesota state senator.

Smith was born on March 4, 1958, in Albuquerque, New Mexico, the daughter of Christine, a teacher, and F. Harlan Flint, a lawyer. She mostly grew up on Cerro Gordo Road in Santa Fe, New Mexico, and attended Manderfield and Acequia Madre Elementary. She finished high school in Northern California. Before going to college she worked on the Trans-Alaskan Pipeline in Prudhoe Bay, Alaska. She graduated from Stanford University with a degree in political science, and later earned a master's degree in business administration from Tuck School of Business at Dartmouth College.