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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

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Date State Bill No. Title Outcome
April 25, 2025 CO SB 25-144 Establishes 12 Additional Weeks for Families of Infants who have to Stay in the Neonatal Intensive Care Unit Bill Passed - House (42 - 21)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
April 24, 2025 IN HB 1004 Establishes a Fee Excise Tax for Nonprofit Hospitals Conference Report Adopted - Senate (37 - 13)
April 24, 2025 IN SB 475 Prohibits Noncompete Agreements for Physicians Conference Report Adopted - House (65 - 21)
April 24, 2025 IN SB 475 Prohibits Noncompete Agreements for Physicians Conference Report Adopted - Senate (46 - 4)
April 24, 2025 IN HB 1004 Establishes a Fee Excise Tax for Nonprofit Hospitals Conference Report Adopted - House (67 - 23)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - Senate (39 - 10)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - Senate (39 - 10)
April 24, 2025 WA SB 5390 Increases the Discover Pass Price from $30 to $45 Concurrence Vote Passed - Senate (27 - 21)
April 24, 2025 TX SB 5 Establishes the Dementia Prevention and Research Institute of Texas (DPRIT) Bill Passed - House (121 - 23)
April 24, 2025 NE LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (34 - 0)
April 24, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
April 24, 2025 NE LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (34 - 0)
April 24, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
April 24, 2025 AZ HB 2945 Appropriates Funding for the State's Disability Services Program Bill Passed - Senate (28 - 1)
April 24, 2025 TX SB 1257 Requires Health Benefit Plans That Provide Coverage for Gender Transition Procedures to Additionally Cover All Possible Adverse Consequences of the Procedure, Follow-Up Testing, and Any Procedures to Reverse the Procedure Bill Passed - Senate (20 - 11)
April 23, 2025 WA SB 5284 Reduces Waste Going into Landfills and Creates a Uniform State Recycling System Concurrence Vote Passed - Senate (27 - 21)
April 23, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
April 23, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
April 23, 2025 CO SB 25-045 Requires the School of Public Health at the University of Colorado to Analyze Implementation of a Single-Payer Health Care System Bill Passed - House (39 - 25)
April 23, 2025 AZ HB 2945 Appropriates Funding for the State's Disability Services Program Bill Passed - House (48 - 11)
April 23, 2025 TX HB 1644 Authorizes Individuals to Possess and Purchase Fentanyl Test Strips Bill Passed - House (147 - 0)
April 23, 2025 MI HB 4256 Increases Opioid Trafficking Penalties and Establishes Criminal Procedures Bill Passed - House (65 - 41)
April 23, 2025 MI HB 4255 Increases Opioid Trafficking Penalties Bill Passed - House (66 - 40)
Date No. Title Outcome
4/25 SB 25-144 Establishes 12 Additional Weeks for Families of Infants who have to Stay in the Neonatal Intensive Care Unit Bill Passed - House (42 - 21)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
4/24 HB 1004 Establishes a Fee Excise Tax for Nonprofit Hospitals Conference Report Adopted - Senate (37 - 13)
4/24 SB 475 Prohibits Noncompete Agreements for Physicians Conference Report Adopted - House (65 - 21)
4/24 SB 475 Prohibits Noncompete Agreements for Physicians Conference Report Adopted - Senate (46 - 4)
4/24 HB 1004 Establishes a Fee Excise Tax for Nonprofit Hospitals Conference Report Adopted - House (67 - 23)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - Senate (39 - 10)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - Senate (39 - 10)
4/24 SB 5390 Increases the Discover Pass Price from $30 to $45 Concurrence Vote Passed - Senate (27 - 21)
4/24 SB 5 Establishes the Dementia Prevention and Research Institute of Texas (DPRIT) Bill Passed - House (121 - 23)
4/24 LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (34 - 0)
4/24 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
4/24 LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (34 - 0)
4/24 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
4/24 HB 2945 Appropriates Funding for the State's Disability Services Program Bill Passed - Senate (28 - 1)
4/24 SB 1257 Requires Health Benefit Plans That Provide Coverage for Gender Transition Procedures to Additionally Cover All Possible Adverse Consequences of the Procedure, Follow-Up Testing, and Any Procedures to Reverse the Procedure Bill Passed - Senate (20 - 11)
4/23 SB 5284 Reduces Waste Going into Landfills and Creates a Uniform State Recycling System Concurrence Vote Passed - Senate (27 - 21)
4/23 HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
4/23 HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
4/23 SB 25-045 Requires the School of Public Health at the University of Colorado to Analyze Implementation of a Single-Payer Health Care System Bill Passed - House (39 - 25)
4/23 HB 2945 Appropriates Funding for the State's Disability Services Program Bill Passed - House (48 - 11)
4/23 HB 1644 Authorizes Individuals to Possess and Purchase Fentanyl Test Strips Bill Passed - House (147 - 0)
4/23 HB 4256 Increases Opioid Trafficking Penalties and Establishes Criminal Procedures Bill Passed - House (65 - 41)
4/23 HB 4255 Increases Opioid Trafficking Penalties Bill Passed - House (66 - 40)
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