OFFICIALS LEGISLATION INTEREST GROUPS PUBLIC STATEMENTS COMMITTEES VETOES

Key Votes

State

All States National Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana National Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Issue

All Issues Abortion Agriculture and Food Animals and Wildlife Arts, Entertainment, and History Budget, Spending and Taxes Business and Consumers Business, Consumers, and Employees Campaign Finance Civil Liberties and Civil Rights Conservative Constitution Criminal Justice Death Penalty Defense Drugs Economy and Fiscal Education Elections Employment and Affirmative Action Energy Entitlements and the Safety Net Environment Executive Branch Family Federal, State and Local Relations Finance and Banking Fiscally Conservative Fiscally Liberal Food Processing and Sales Foreign Affairs Foreign Aid Gambling and Gaming Government Budget and Spending Government Operations Guns Health Insurance Health and Health Care High Priority Higher Education Housing and Property Ideology Immigration Impartial/Nonpartisan Indigenous Peoples Industries Infrastructure Issues Judicial Branch K-12 Education Labor Unions Legal Legislative Branch Liberal Low Priority Marijuana Marriage Military Personnel Minors and Children Monetary Policy National Security Natural Resources Oil and Gas Populations Priorities Religion Reproduction Science Science, Technology and Communication Senior Citizens Sexual Orientation and Gender Identity Social Socially Conservative Socially Liberal Stem Cell Research Taxes Technology and Communication Trade Transportation Unemployed and Low-Income Veterans Women

Year

All Years 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1986 1901

Chamber

All House Senate

Keyword Search

Search string must be longer than 3 characters.

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.

Page 3 of 17
results per page:
100 75 50 25
Date State Bill No. Title Outcome
April 17, 2025 MI SB 37 Amends Provisions Related to Insurance Companies that Cover Gynecological and Pregnancy Services Bill Passed - Senate (27 - 9)
April 17, 2025 MI SB 32 Requires Certain Reviews of Insurance Policies Related to Perinatal Care to Be Provided to the Department of Insurance and Financial Services Bill Passed - Senate (36 - 0)
April 16, 2025 AZ HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Bill Passed - Senate (16 - 14)
April 16, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Bill Passed - House (55 - 37)
April 16, 2025 AR SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - House (82 - 13)
April 16, 2025 AZ SB 1626 Requires Health Insurance Companies to Notify Enrollees About Their Right to Dispute Surprise Out-of-Network Bills Bill Passed - House (50 - 5)
April 14, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - Senate (30 - 18)
April 9, 2025 AZ HB 2449 Establishes New Enrollment Verification Requirements and Presumptive Eligibility Determinations for Arizona Health Care Cost Containment System (AHCCCS) Bill Passed - Senate (17 - 13)
April 9, 2025 AZ HB 2076 Amends Statutes Related to Life Insurance Policies to Redefine the Term "Illustration" Bill Passed - Senate (28 - 2)
April 9, 2025 IL HB 35 Prohibits Health Insurance Companies from Relying Only on AI to Deny, Reduce, or Terminate Coverage for Patients Receiving Care Bill Passed - House (79 - 35)
April 8, 2025 IN SB 2 Establishes State Medicaid Restrictions Bill Passed - House (66 - 28)
April 8, 2025 IL HB 2805 Prohibits Insurance Co-Pays for Sexual Assault Exams Bill Passed - House (114 - 0)
April 6, 2025 CO HB 25-1309 Defines "Gender-Affirming Care" Into State Statute and Prohibits Health Insurance Providers from Denying or Limiting Such Care Bill Passed - House (40 - 20)
April 4, 2025 WA HB 1114 Authorizes Licensed Respiratory Care Practitioners to Practice in Any of the States Within the Compact Bill Passed - Senate (49 - 0)
April 3, 2025 AR SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - Senate (28 - 5)
April 2, 2025 OH SB 100 Exempts Nonprofit Agricultural Membership Organizations From Insurance Regulations Bill Passed - Senate (32 - 0)
March 27, 2025 MO SB 79 Exempts Certain Health Insurance Plans From Federal Protections Bill Passed - Senate (24 - 6)
March 26, 2025 KS SB 250 Establishes the Right to Try for Individualized Treatments Act Conference Report Adopted - House (119 - 3)
March 26, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - House (61 - 35)
March 26, 2025 IA HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
March 26, 2025 CO SB 25-071 Prohibits Pharmaceutical Companies from Restricting Hospitals' Use of the Federal 340B Prescription Drug Discount Program Bill Passed - Senate (30 - 4)
March 25, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
March 25, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
March 25, 2025 PA HB 755 Requires Health Insurers to Cover Preventative Care Without Cost Sharing Bill Passed - House (133 - 69)
March 25, 2025 PA HB 404 Authorizes Children to Remain on Their Parents' Health Insurance Until the Age of 26 Bill Passed - House (123 - 79)
March 25, 2025 PA HB 535 Prohibits Health Insurers From Placing Caps on Coverage Benefits Bill Passed - House (121 - 81)
March 25, 2025 PA HB 618 Prohibits Health Insurers From Denying Coverage Based on Pre-Existing Health Conditions Bill Passed - House (125 - 77)
March 25, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
March 21, 2025 NM SB 88 Establishes a Medicaid Trust Fund and a State Supported Medicaid Fund Bill Passed - House (52 - 13)
March 21, 2025 NM SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - House (46 - 17)
March 21, 2025 NM SB 221 Prohibits Additional Unfair Claims Practices Under New Mexico Insurance Code Bill Passed - House (57 - 4)
March 21, 2025 NM HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - Senate (26 - 14)
March 20, 2025 NH SB 134 Establishes Medicaid Work Requirements "Ought to Pass" Report Adopted - Senate (15 - 8)
March 20, 2025 CA SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Bill Passed - Senate (28 - 10)
March 18, 2025 NM SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - House (61 - 6)
March 17, 2025 PA HB 111 Prohibits Life Insurers From Discriminating Against Applicants Based on a Prescription for an Opioid Overdose Reversal Agent Bill Passed - House (153 - 49)
March 15, 2025 NM SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - Senate (19 - 14)
March 15, 2025 NM HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - House (36 - 28)
March 13, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Concurrence Vote Passed - House (58 - 9)
March 10, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - Senate (28 - 6)
March 10, 2025 OK HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Bill Passed - House (95 - 0)
March 8, 2025 NM SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - Senate (34 - 0)
March 7, 2025 WA SB 5041 Establishes Unemployment Insurance for Workers on Strike Bill Passed - Senate (28 - 21)
March 3, 2025 OK HB 1160 Amends State Insurance Laws to Protect Policyholders in the Event of an Insurance Company's Insolvency Bill Passed - House (93 - 2)
Feb. 28, 2025 CO HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Concurrence Vote Passed - House (50 - 10)
Feb. 26, 2025 CO HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Bill Passed - Senate (32 - 1)
Feb. 25, 2025 NM SB 92 Establishes the Horse Racing Integrity and Safety Authority and Jockey and Exercise Rider Insurance Fund Bill Passed - Senate (36 - 1)
Feb. 24, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
Feb. 21, 2025 NM HB 56 Authorizes Medicaid Reimbursements for Birth Centers Bill Passed - House (62 - 1)
Feb. 20, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
Date No. Title Outcome
4/17 SB 37 Amends Provisions Related to Insurance Companies that Cover Gynecological and Pregnancy Services Bill Passed - Senate (27 - 9)
4/17 SB 32 Requires Certain Reviews of Insurance Policies Related to Perinatal Care to Be Provided to the Department of Insurance and Financial Services Bill Passed - Senate (36 - 0)
4/16 HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Bill Passed - Senate (16 - 14)
4/16 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Bill Passed - House (55 - 37)
4/16 SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - House (82 - 13)
4/16 SB 1626 Requires Health Insurance Companies to Notify Enrollees About Their Right to Dispute Surprise Out-of-Network Bills Bill Passed - House (50 - 5)
4/14 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - Senate (30 - 18)
4/09 HB 2449 Establishes New Enrollment Verification Requirements and Presumptive Eligibility Determinations for Arizona Health Care Cost Containment System (AHCCCS) Bill Passed - Senate (17 - 13)
4/09 HB 2076 Amends Statutes Related to Life Insurance Policies to Redefine the Term "Illustration" Bill Passed - Senate (28 - 2)
4/09 HB 35 Prohibits Health Insurance Companies from Relying Only on AI to Deny, Reduce, or Terminate Coverage for Patients Receiving Care Bill Passed - House (79 - 35)
4/08 SB 2 Establishes State Medicaid Restrictions Bill Passed - House (66 - 28)
4/08 HB 2805 Prohibits Insurance Co-Pays for Sexual Assault Exams Bill Passed - House (114 - 0)
4/06 HB 25-1309 Defines "Gender-Affirming Care" Into State Statute and Prohibits Health Insurance Providers from Denying or Limiting Such Care Bill Passed - House (40 - 20)
4/04 HB 1114 Authorizes Licensed Respiratory Care Practitioners to Practice in Any of the States Within the Compact Bill Passed - Senate (49 - 0)
4/03 SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - Senate (28 - 5)
4/02 SB 100 Exempts Nonprofit Agricultural Membership Organizations From Insurance Regulations Bill Passed - Senate (32 - 0)
3/27 SB 79 Exempts Certain Health Insurance Plans From Federal Protections Bill Passed - Senate (24 - 6)
3/26 SB 250 Establishes the Right to Try for Individualized Treatments Act Conference Report Adopted - House (119 - 3)
3/26 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - House (61 - 35)
3/26 HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
3/26 SB 25-071 Prohibits Pharmaceutical Companies from Restricting Hospitals' Use of the Federal 340B Prescription Drug Discount Program Bill Passed - Senate (30 - 4)
3/25 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
3/25 HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
3/25 HB 755 Requires Health Insurers to Cover Preventative Care Without Cost Sharing Bill Passed - House (133 - 69)
3/25 HB 404 Authorizes Children to Remain on Their Parents' Health Insurance Until the Age of 26 Bill Passed - House (123 - 79)
3/25 HB 535 Prohibits Health Insurers From Placing Caps on Coverage Benefits Bill Passed - House (121 - 81)
3/25 HB 618 Prohibits Health Insurers From Denying Coverage Based on Pre-Existing Health Conditions Bill Passed - House (125 - 77)
3/25 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
3/21 SB 88 Establishes a Medicaid Trust Fund and a State Supported Medicaid Fund Bill Passed - House (52 - 13)
3/21 SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - House (46 - 17)
3/21 SB 221 Prohibits Additional Unfair Claims Practices Under New Mexico Insurance Code Bill Passed - House (57 - 4)
3/21 HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - Senate (26 - 14)
3/20 SB 134 Establishes Medicaid Work Requirements "Ought to Pass" Report Adopted - Senate (15 - 8)
3/20 SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Bill Passed - Senate (28 - 10)
3/18 SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - House (61 - 6)
3/17 HB 111 Prohibits Life Insurers From Discriminating Against Applicants Based on a Prescription for an Opioid Overdose Reversal Agent Bill Passed - House (153 - 49)
3/15 SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - Senate (19 - 14)
3/15 HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - House (36 - 28)
3/13 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Concurrence Vote Passed - House (58 - 9)
3/10 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - Senate (28 - 6)
3/10 HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Bill Passed - House (95 - 0)
3/08 SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - Senate (34 - 0)
3/07 SB 5041 Establishes Unemployment Insurance for Workers on Strike Bill Passed - Senate (28 - 21)
3/03 HB 1160 Amends State Insurance Laws to Protect Policyholders in the Event of an Insurance Company's Insolvency Bill Passed - House (93 - 2)
2/28 HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Concurrence Vote Passed - House (50 - 10)
2/26 HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Bill Passed - Senate (32 - 1)
2/25 SB 92 Establishes the Horse Racing Integrity and Safety Authority and Jockey and Exercise Rider Insurance Fund Bill Passed - Senate (36 - 1)
2/24 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
2/21 HB 56 Authorizes Medicaid Reimbursements for Birth Centers Bill Passed - House (62 - 1)
2/20 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
Page 3 of 17
arrow_upward