Key Votes

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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.


results per page:
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)
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)

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