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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
May 8, 2024 MO SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
May 7, 2024 LA HB 337 Prohibits Insurers from Being Named Initially in Lawsuits Involving an Injured Individual in a Car Wreck Bill Passed - Senate (39 - 0)
May 7, 2024 CO SB 24-168 Requires the Colorado Department of Health Care Policy and Financing to Provide Reimbursement for Telehealth Bill Passed - House (61 - 1)
May 7, 2024 DE HB 302 Requires Insurance Cover Prostate Exams Bill Passed - House (24 - 3)
May 5, 2024 CO SB 24-149 Amends State Worker Compensation Insurance Laws Bill Passed - House (43 - 19)
May 4, 2024 CO HB 24-1010 Prohibits Health Insurance Providers from Limiting Access to Certain Prescription Drugs Concurrence Vote Passed - House (50 - 10)
May 4, 2024 CO HB 24-1219 Expands State Funding for Firefighter Benefits to Include Part-Time and Volunteer Firefighters Bill Passed - House (56 - 3)
May 2, 2024 VT H 766 Repeals Prior Authorization for the Patients of Primary Care Doctors Concurrence Vote Passed - House (104 - 23)
April 30, 2024 RI S 2396 Requires Insurance Companies Cover, Diagnose, and Treat Infertility for Women Ages 25 to 42 Years Old Bill Passed - Senate (32 - 5)
April 29, 2024 LA HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Concurrence Vote Passed - House (82 - 15)
April 29, 2024 LA SB 323 Amends and Defines Certain Insurance Terms Concurrence Vote Passed - Senate (36 - 0)
April 29, 2024 MO SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
April 25, 2024 DE SB 249 Amends and Authorizes Additional Flexibility When Issuing Captive Insurance Bill Passed - Senate (19 - 1)
April 24, 2024 LA SB 295 Amends and Revises Property, Casualty, and Liability Rate Filing Requirements Bill Passed - House (93 - 3)
April 24, 2024 LA HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Bill Passed - Senate (26 - 9)
April 24, 2024 CO SB 24-149 Amends State Worker Compensation Insurance Laws Bill Passed - Senate (21 - 13)
April 11, 2024 NE LB 1017 Establishes Compensation for Injuries resulting in disability under the Nebraska Workers' Compensation Act Bill Passed - Senate (38 - 8)
April 11, 2024 NE LB 62 Requires Coverage of Translation and Interpretation Services Under the State Medical Insurance Program Bill Passed - Senate (34 - 6)
April 9, 2024 RI S 2082 Establishes a $25 Per Month Cap for Insured Individuals for Insulin Administration and Glucose Monitoring Equipment Bill Passed - Senate (33 - 0)
April 8, 2024 PA HB 1664 Amends Rules and Regulations for Insurance Payment Plans Bill Passed - House (201 - 0)
March 26, 2024 LA HB 120 Extends and Solidifies the Louisiana Fortify Homes Program Bill Passed - House (87 - 17)
March 26, 2024 VT H 721 Expands Access to Medicaid Bill Passed - House (92 - 39)
March 8, 2024 MD SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
March 6, 2024 GA SB 76 Authorizes Coverage for Insulin Medication at a Reduced Rate Bill Passed - Senate (52 - 2)
Feb. 28, 2024 OR SB 1506 Authorizes Pharmacists to Test for COVID-19 and Administer Treatments Covered by State Health Insurance Plans Bill Passed - House (51 - 3)
Feb. 22, 2024 MI HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
Feb. 22, 2024 CA AB 2435 Extends Healthcare Coverage Bill Passed - House (53 - 13)
Feb. 20, 2024 OR SB 1506 Authorizes Pharmacists to Test for COVID-19 and Administer Treatments Covered by State Health Insurance Plans Bill Passed - Senate (26 - 4)
Feb. 14, 2024 NM SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - House (38 - 24)
Feb. 12, 2024 NM SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - Senate (21 - 16)
Feb. 8, 2024 OK SB 60 Extends the Board of Chiropractic Examiners until July 1, 2026 Veto Override Passed - House (87 - 2)
Feb. 8, 2024 NM SB 135 Requires Doctors Ask Health Insurers to Cover Medication Costs Without Needing to Try Cheaper Versions First Bill Passed - Senate (38 - 2)
Jan. 31, 2024 MS SB 2140 Establishes an Online Portal for Physicians to Submit Prior Authorization Requests Bill Passed - Senate (52 - 0)
Jan. 30, 2024 CA AB 236 Amends Insurance Code in Relation to Coverage Bill Passed - House (59 - 9)
Dec. 11, 2023 National HR 5378 Lower Costs, More Transparency Act Bill Passed - House (320 - 71)
Oct. 26, 2023 MI SB 530 Amends the State No-Fault Insurance Policy Bill Passed - Senate (23 - 14)
Oct. 19, 2023 MI SB 531 Establishes Fee Schedules for Reimbursements to Health Care Providers Bill Passed - Senate (23 - 14)
Oct. 4, 2023 MI SB 483 Establishes the Prescription Drug Affordability Board to Set State Drug Prices Bill Passed - Senate (20 - 17)
July 18, 2023 LA HB 658 Increases Transparency in Health Care Pricing Veto Override Failed - House (69 - 29)
June 29, 2023 DE HB 185 Rescinds the Three Month Waiting Period for the State to Pay its Share of Premium Subscription Charges for Health Care Coverage Bill Passed - Senate (15 - 6)
June 27, 2023 OH HB 49 Requires Hospital Price Transparency Bill Passed - House (89 - 5)
June 23, 2023 OR SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - House (34 - 21)
June 22, 2023 OR HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - Senate (17 - 7)
June 21, 2023 ME LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - Senate (22 - 12)
June 20, 2023 ME LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - House (75 - 67)
June 20, 2023 OR SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - Senate (17 - 8)
June 16, 2023 RI S 575 Requires Epipens to be Covered by Insurance Bill Passed - House (61 - 0)
June 15, 2023 RI S 575 Requires Epipens to be Covered by Insurance Bill Passed - Senate (36 - 0)
June 3, 2023 NV SB 232 Requires State Plan for Medicaid to Include Postpartum Care Services Bill Passed - House (41 - 1)
May 24, 2023 TX SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - House (86 - 54)
Date No. Title Outcome
5/08 SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
5/07 HB 337 Prohibits Insurers from Being Named Initially in Lawsuits Involving an Injured Individual in a Car Wreck Bill Passed - Senate (39 - 0)
5/07 SB 24-168 Requires the Colorado Department of Health Care Policy and Financing to Provide Reimbursement for Telehealth Bill Passed - House (61 - 1)
5/07 HB 302 Requires Insurance Cover Prostate Exams Bill Passed - House (24 - 3)
5/05 SB 24-149 Amends State Worker Compensation Insurance Laws Bill Passed - House (43 - 19)
5/04 HB 24-1010 Prohibits Health Insurance Providers from Limiting Access to Certain Prescription Drugs Concurrence Vote Passed - House (50 - 10)
5/04 HB 24-1219 Expands State Funding for Firefighter Benefits to Include Part-Time and Volunteer Firefighters Bill Passed - House (56 - 3)
5/02 H 766 Repeals Prior Authorization for the Patients of Primary Care Doctors Concurrence Vote Passed - House (104 - 23)
4/30 S 2396 Requires Insurance Companies Cover, Diagnose, and Treat Infertility for Women Ages 25 to 42 Years Old Bill Passed - Senate (32 - 5)
4/29 HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Concurrence Vote Passed - House (82 - 15)
4/29 SB 323 Amends and Defines Certain Insurance Terms Concurrence Vote Passed - Senate (36 - 0)
4/29 SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
4/25 SB 249 Amends and Authorizes Additional Flexibility When Issuing Captive Insurance Bill Passed - Senate (19 - 1)
4/24 SB 295 Amends and Revises Property, Casualty, and Liability Rate Filing Requirements Bill Passed - House (93 - 3)
4/24 HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Bill Passed - Senate (26 - 9)
4/24 SB 24-149 Amends State Worker Compensation Insurance Laws Bill Passed - Senate (21 - 13)
4/11 LB 1017 Establishes Compensation for Injuries resulting in disability under the Nebraska Workers' Compensation Act Bill Passed - Senate (38 - 8)
4/11 LB 62 Requires Coverage of Translation and Interpretation Services Under the State Medical Insurance Program Bill Passed - Senate (34 - 6)
4/09 S 2082 Establishes a $25 Per Month Cap for Insured Individuals for Insulin Administration and Glucose Monitoring Equipment Bill Passed - Senate (33 - 0)
4/08 HB 1664 Amends Rules and Regulations for Insurance Payment Plans Bill Passed - House (201 - 0)
3/26 HB 120 Extends and Solidifies the Louisiana Fortify Homes Program Bill Passed - House (87 - 17)
3/26 H 721 Expands Access to Medicaid Bill Passed - House (92 - 39)
3/08 SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
3/06 SB 76 Authorizes Coverage for Insulin Medication at a Reduced Rate Bill Passed - Senate (52 - 2)
2/28 SB 1506 Authorizes Pharmacists to Test for COVID-19 and Administer Treatments Covered by State Health Insurance Plans Bill Passed - House (51 - 3)
2/22 HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
2/22 AB 2435 Extends Healthcare Coverage Bill Passed - House (53 - 13)
2/20 SB 1506 Authorizes Pharmacists to Test for COVID-19 and Administer Treatments Covered by State Health Insurance Plans Bill Passed - Senate (26 - 4)
2/14 SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - House (38 - 24)
2/12 SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - Senate (21 - 16)
2/08 SB 60 Extends the Board of Chiropractic Examiners until July 1, 2026 Veto Override Passed - House (87 - 2)
2/08 SB 135 Requires Doctors Ask Health Insurers to Cover Medication Costs Without Needing to Try Cheaper Versions First Bill Passed - Senate (38 - 2)
1/31 SB 2140 Establishes an Online Portal for Physicians to Submit Prior Authorization Requests Bill Passed - Senate (52 - 0)
1/30 AB 236 Amends Insurance Code in Relation to Coverage Bill Passed - House (59 - 9)
12/11 HR 5378 Lower Costs, More Transparency Act Bill Passed - House (320 - 71)
10/26 SB 530 Amends the State No-Fault Insurance Policy Bill Passed - Senate (23 - 14)
10/19 SB 531 Establishes Fee Schedules for Reimbursements to Health Care Providers Bill Passed - Senate (23 - 14)
10/04 SB 483 Establishes the Prescription Drug Affordability Board to Set State Drug Prices Bill Passed - Senate (20 - 17)
7/18 HB 658 Increases Transparency in Health Care Pricing Veto Override Failed - House (69 - 29)
6/29 HB 185 Rescinds the Three Month Waiting Period for the State to Pay its Share of Premium Subscription Charges for Health Care Coverage Bill Passed - Senate (15 - 6)
6/27 HB 49 Requires Hospital Price Transparency Bill Passed - House (89 - 5)
6/23 SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - House (34 - 21)
6/22 HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - Senate (17 - 7)
6/21 LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - Senate (22 - 12)
6/20 LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - House (75 - 67)
6/20 SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - Senate (17 - 8)
6/16 S 575 Requires Epipens to be Covered by Insurance Bill Passed - House (61 - 0)
6/15 S 575 Requires Epipens to be Covered by Insurance Bill Passed - Senate (36 - 0)
6/03 SB 232 Requires State Plan for Medicaid to Include Postpartum Care Services Bill Passed - House (41 - 1)
5/24 SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - House (86 - 54)
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