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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
Feb. 19, 2025 MT SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
Feb. 19, 2025 ID H 138 Requires Policy Changes to State Medicaid Bill Passed - House (38 - 32)
Feb. 18, 2025 IN SB 2 Establishes State Medicaid Restrictions Bill Passed - Senate (40 - 9)
Feb. 17, 2025 MT HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
Feb. 13, 2025 MT HB 342 Prohibits Juries from Calculating Malpractice Damages Based on Anything Other than the Standard of Care Bill Passed - House (57 - 42)
Feb. 12, 2025 NC SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
Feb. 11, 2025 GA SB 39 Prohibits State Employees From Receiving Gender Affirming Health Care Services (32 - 18)
Feb. 11, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - House (58 - 11)
Jan. 30, 2025 SD SB 30 Repeals Outdated Provisions Within the Insurance Code Bill Passed - House (52 - 14)
Jan. 22, 2025 NY S 929 Establishes the Health Information Privacy Act Bill Passed - House (96 - 41)
Jan. 21, 2025 NY S 929 Establishes the Health Information Privacy Act Bill Passed - Senate (49 - 10)
Nov. 13, 2024 MI HB 5013 Requires Health Insurance Policies to Cover 12-Month Supply of Prescription Contraceptives Bill Passed - House (57 - 52)
Oct. 9, 2024 PA HB 2562 Prohibits Insurers from Setting Annual or Lifetime Limits on the Cost of Care Bill Passed - House (160 - 42)
Oct. 9, 2024 PA HB 2564 Prohibits Insurers from Denying or Excluding Coverage Due to Preexisting Conditions Bill Passed - House (174 - 28)
Oct. 9, 2024 PA HB 2563 Authorizes Adult Children to Remain on a Parent's Private Health Plan Up to Age 26 Bill Passed - House (163 - 39)
Sept. 30, 2024 NJ A 4447 Requires Healthcare Practitioner Referrals to Pharmacies be in Accordance with Certain Professional Standards Bill Passed - Senate (34 - 0)
Aug. 20, 2024 CA AB 2435 Extends Healthcare Coverage Bill Passed - Senate (32 - 8)
July 18, 2024 MA H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
July 12, 2024 PA HB 2339 Increases Hospital Pricing Transparency Bill Passed - House (168 - 34)
July 11, 2024 PA HB 1633 Prohibits Non-Compete Clauses in the Healthcare Industry Concurrence Vote Passed - House (155 - 46)
June 28, 2024 NJ A 3861 Establishes the Louisa Carman Medical Debt Relief Act Bill Passed - Senate (25 - 15)
June 28, 2024 NJ S 3452 Requires Health Insurance and Medicaid Coverage for Reproductive Health Care Services Bill Passed - Senate (23 - 14)
June 27, 2024 NC SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
June 26, 2024 OH SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Concurrence Vote Passed - Senate (22 - 9)
June 26, 2024 PA HB 1490 Amends and Modernizes Pennsylvania's Acupuncture Law Concurrence Vote Passed - House (119 - 83)
June 26, 2024 OH SB 144 Authorizes Pharmacy Technicians to Deliver Immunizations Bill Passed - House (75 - 21)
June 26, 2024 PA HB 2268 Requires Casualty Insurance Provide Speech Therapy Coverage for Stuttering Bill Passed - House (181 - 21)
June 26, 2024 MI HB 5027 Requires Michigan DHHS Establish Screening Availability Requirements for Individuals on Medicaid Bill Passed - House (91 - 18)
June 26, 2024 OH HB 24 Requires Health Plan and Medicaid Coverage of Biomarker Testing Bill Passed - House (77 - 17)
June 26, 2024 OH SB 196 Authorizes Global Signature Uses for Advanced Nurses Bill Passed - Senate (30 - 1)
June 25, 2024 PA HB 1140 Requires Insurance Programs to Provide Coverage for Contraception Bill Passed - House (133 - 69)
June 20, 2024 MI HB 5166 Establishes a State-Managed Perinatal Quality Collaborative Bill Passed - House (87 - 22)
June 12, 2024 OH SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Bill Passed - House (80 - 11)
June 12, 2024 OH HB 49 Requires Hospital Price Transparency Bill Passed - Senate (27 - 6)
June 7, 2024 NY A 2898 Requires Health Insurance Companies Cover Dyslexia Testing Bill Passed - Senate (60 - 0)
June 3, 2024 NY A 1696 Expands Health Insurance Coverage for Breast Imaging Bill Passed - Senate (60 - 0)
May 30, 2024 NY S 7114 Requires Health Insurance Plans Cap Epinephrine Auto-Injectors (Epipens) Costs at $100 Per Year Bill Passed - House (144 - 2)
May 25, 2024 IL HB 5395 Establishes New Controls on the State's Health Insurance Industry Concurrence Vote Passed - House (83 - 23)
May 25, 2024 IL HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Concurrence Vote Passed - House (72 - 35)
May 23, 2024 LA HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Concurrence Vote Passed - House (69 - 25)
May 23, 2024 NH HB 1593 Appropriates Funding for Recreational Activities for Individuals with Developmental Disabilities "Ought to Pass as Amended" Report Adopted - Senate (24 - 0)
May 23, 2024 IL HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Bill Passed - Senate (40 - 19)
May 23, 2024 IL HB 5395 Establishes New Controls on the State's Health Insurance Industry Bill Passed - Senate (45 - 14)
May 22, 2024 RI S 2269 Prohibits Car Insurance Companies from Increasing Rates on Widows Concurrence Vote Passed - House (67 - 0)
May 22, 2024 IL SB 3203 Prohibits Health Insurers from Denying Coverage for Inhalers Bill Passed - House (87 - 21)
May 21, 2024 LA HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Bill Passed - Senate (25 - 14)
May 14, 2024 AK SB 134 Amends Insurance Law To Require Coverage for Mammograms and other Diagnostic Breast Exams Bill Passed - House (39 - 1)
May 9, 2024 MI HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Concurrence Vote Passed - House (67 - 40)
May 8, 2024 OH HB 81 Authorizes Certain Nurses to Sign Hospital Patient Documents Bill Passed - House (89 - 1)
May 8, 2024 CO HB 24-1219 Expands State Funding for Firefighter Benefits to Include Part-Time and Volunteer Firefighters Bill Passed - Senate (31 - 2)
Date No. Title Outcome
2/19 SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
2/19 H 138 Requires Policy Changes to State Medicaid Bill Passed - House (38 - 32)
2/18 SB 2 Establishes State Medicaid Restrictions Bill Passed - Senate (40 - 9)
2/17 HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
2/13 HB 342 Prohibits Juries from Calculating Malpractice Damages Based on Anything Other than the Standard of Care Bill Passed - House (57 - 42)
2/12 SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
2/11 SB 39 Prohibits State Employees From Receiving Gender Affirming Health Care Services (32 - 18)
2/11 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - House (58 - 11)
1/30 SB 30 Repeals Outdated Provisions Within the Insurance Code Bill Passed - House (52 - 14)
1/22 S 929 Establishes the Health Information Privacy Act Bill Passed - House (96 - 41)
1/21 S 929 Establishes the Health Information Privacy Act Bill Passed - Senate (49 - 10)
11/13 HB 5013 Requires Health Insurance Policies to Cover 12-Month Supply of Prescription Contraceptives Bill Passed - House (57 - 52)
10/09 HB 2562 Prohibits Insurers from Setting Annual or Lifetime Limits on the Cost of Care Bill Passed - House (160 - 42)
10/09 HB 2564 Prohibits Insurers from Denying or Excluding Coverage Due to Preexisting Conditions Bill Passed - House (174 - 28)
10/09 HB 2563 Authorizes Adult Children to Remain on a Parent's Private Health Plan Up to Age 26 Bill Passed - House (163 - 39)
9/30 A 4447 Requires Healthcare Practitioner Referrals to Pharmacies be in Accordance with Certain Professional Standards Bill Passed - Senate (34 - 0)
8/20 AB 2435 Extends Healthcare Coverage Bill Passed - Senate (32 - 8)
7/18 H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
7/12 HB 2339 Increases Hospital Pricing Transparency Bill Passed - House (168 - 34)
7/11 HB 1633 Prohibits Non-Compete Clauses in the Healthcare Industry Concurrence Vote Passed - House (155 - 46)
6/28 A 3861 Establishes the Louisa Carman Medical Debt Relief Act Bill Passed - Senate (25 - 15)
6/28 S 3452 Requires Health Insurance and Medicaid Coverage for Reproductive Health Care Services Bill Passed - Senate (23 - 14)
6/27 SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
6/26 SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Concurrence Vote Passed - Senate (22 - 9)
6/26 HB 1490 Amends and Modernizes Pennsylvania's Acupuncture Law Concurrence Vote Passed - House (119 - 83)
6/26 SB 144 Authorizes Pharmacy Technicians to Deliver Immunizations Bill Passed - House (75 - 21)
6/26 HB 2268 Requires Casualty Insurance Provide Speech Therapy Coverage for Stuttering Bill Passed - House (181 - 21)
6/26 HB 5027 Requires Michigan DHHS Establish Screening Availability Requirements for Individuals on Medicaid Bill Passed - House (91 - 18)
6/26 HB 24 Requires Health Plan and Medicaid Coverage of Biomarker Testing Bill Passed - House (77 - 17)
6/26 SB 196 Authorizes Global Signature Uses for Advanced Nurses Bill Passed - Senate (30 - 1)
6/25 HB 1140 Requires Insurance Programs to Provide Coverage for Contraception Bill Passed - House (133 - 69)
6/20 HB 5166 Establishes a State-Managed Perinatal Quality Collaborative Bill Passed - House (87 - 22)
6/12 SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Bill Passed - House (80 - 11)
6/12 HB 49 Requires Hospital Price Transparency Bill Passed - Senate (27 - 6)
6/07 A 2898 Requires Health Insurance Companies Cover Dyslexia Testing Bill Passed - Senate (60 - 0)
6/03 A 1696 Expands Health Insurance Coverage for Breast Imaging Bill Passed - Senate (60 - 0)
5/30 S 7114 Requires Health Insurance Plans Cap Epinephrine Auto-Injectors (Epipens) Costs at $100 Per Year Bill Passed - House (144 - 2)
5/25 HB 5395 Establishes New Controls on the State's Health Insurance Industry Concurrence Vote Passed - House (83 - 23)
5/25 HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Concurrence Vote Passed - House (72 - 35)
5/23 HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Concurrence Vote Passed - House (69 - 25)
5/23 HB 1593 Appropriates Funding for Recreational Activities for Individuals with Developmental Disabilities "Ought to Pass as Amended" Report Adopted - Senate (24 - 0)
5/23 HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Bill Passed - Senate (40 - 19)
5/23 HB 5395 Establishes New Controls on the State's Health Insurance Industry Bill Passed - Senate (45 - 14)
5/22 S 2269 Prohibits Car Insurance Companies from Increasing Rates on Widows Concurrence Vote Passed - House (67 - 0)
5/22 SB 3203 Prohibits Health Insurers from Denying Coverage for Inhalers Bill Passed - House (87 - 21)
5/21 HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Bill Passed - Senate (25 - 14)
5/14 SB 134 Amends Insurance Law To Require Coverage for Mammograms and other Diagnostic Breast Exams Bill Passed - House (39 - 1)
5/09 HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Concurrence Vote Passed - House (67 - 40)
5/08 HB 81 Authorizes Certain Nurses to Sign Hospital Patient Documents Bill Passed - House (89 - 1)
5/08 HB 24-1219 Expands State Funding for Firefighter Benefits to Include Part-Time and Volunteer Firefighters Bill Passed - Senate (31 - 2)
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