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Simms started the 2019 AAF season opener against the Orlando Apollos, during which he completed 15 of 28 passes for 126 yards and two interceptions in the 40–6 loss.

On August 3, 2019, Simms was signed by the Atlanta Falcons to replace injured Kurt Benkert. He was placed on injured reserve on August 31, 2019.

On November 27, 2018, he was selected in the second round by the Atlanta Legends in the 2019 AAF QB Draft.

On May 15, 2017, Simms re-signed with the Falcons. He was waived/injured on September 2, 2017 and placed on injured reserve. He was released with an injury settlement on September 5, 2017.

The Buffalo Bills claimed Simms off waivers on May 29, 2015. Simms was not expected to compete in the three-way competition for the starting quarterback position (Tyrod Taylor, EJ Manuel, and Matt Cassel) but was in the mix as a potential backup quarterback and was given the start for the Bills' final preseason game against the Detroit Lions on September 3. Late in that game, Simms, while trying to break a tackle, inadvertently threw the ball 20 yards backward, creating a loose-ball situation and setting the Lions up for the game-winning score. Simms was released the next day.

On September 7, 2015, Simms was signed to the Atlanta Falcons' practice squad. On September 3, 2016, he was waived by the Falcons as part of final roster cuts and was signed to their practice squad the next day.

Simms, an exclusive rights free agent, was re-signed by the Jets on January 13, 2014. He was released on August 30, 2014 during the team's final roster cuts and signed to the team's practice squad a day later. He was promoted to the active roster on November 1, 2014. He appeared in one game, a 24–10 loss to the Kansas City Chiefs, with the Jets in the 2014 season. He was 3-of-8 for 39 yards.

Simms signed a one-year contract to remain with the Jets on December 30, 2014. However, after the team drafted Bryce Petty and signed undrafted rookie Jake Heaps, Simms requested his release and was granted it on May 28, 2015.

Simms received playing time during the preseason against the Jacksonville Jaguars on August 17, 2013. He completed all five of his passes for 73 yards. Simms played the following week against the New York Giants completing 6 of his 10 pass attempts for 120 yards and a touchdown. On August 29, the final preseason contest, Simms started and played the entire game against the Philadelphia Eagles. He completed 33 of his 44 pass attempts for 285 yards.

Simms threw his first career touchdown pass to tight end Jeff Cumberland in a Week 11 37–14 loss to the Buffalo Bills. During Week 13 against the Miami Dolphins, Simms came in relief of starter Geno Smith in the third quarter; he completed 9 of his 18 passes for 79 yards with an interception and a lost fumble in the Jets' 3–23 loss. Simms appeared in three games of the 2013 season and finished the year with 156 passing yards.

Simms was signed by the New York Jets on May 6, 2012. He was waived on August 31, 2012. Simms signed a future/reserve contract on December 31, 2012.

In the 2011 season, Simms appeared in seven games and started two. He was 27 of 62 for 319 passing yards and three interceptions.

Simms later left El Camino for the University of Tennessee. As a child, he always had a dislike for Tennessee's rival, the University of Florida. During the 2010 season, he played in ten games and threw for over 1,400 yards.

During the 2010 season, Simms was hampered by injuries to key receivers. He lost the starting job late in the season to Tyler Bray due to poor performance.

Matthew Phillip Simms (born September 27, 1988) is an American football quarterback who is currently a free agent. He played college football at Tennessee, before being signed by the New York Jets as an undrafted free agent in 2012. Simms is the son of former New York Giants quarterback and Super Bowl XXI MVP Phil Simms and younger brother of former NFL quarterback Chris Simms.