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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
June 7, 2019 NJ S 2144 Amends State Insurance Laws on Fair Conduct Policies Bill Passed - Senate (21 - 14)
June 5, 2019 NH SB 279 Requires Health Insurers Cover Fertility Treatment "Ought to Pass as Amended" Report Adopted - House (210 - 147)
May 30, 2019 CA AB 1611 Limits What Hospitals Can Charge for Emergency Care Bill Passed - House (48 - 9)
May 29, 2019 CA AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - House (55 - 18)
May 29, 2019 CA AB 1246 Requires Large Group Health Plans to Cover Medically Necessary Prescription Drugs (58 - 19)
May 29, 2019 CA SB 29 Expands Medi-Cal Program Eligibility to Undocumented Immigrants Ages 19-25 or 65 and Older Bill Passed - Senate (24 - 11)
May 28, 2019 CA AB 4 Authorizes Medi-Cal Benefits for Undocumented Immigrants Bill Passed - House (51 - 17)
May 28, 2019 CA SB 65 Establishes Financial Assistance for Low Income Residents Buying Health Insurance Bill Passed - Senate (30 - 7)
May 24, 2019 TX HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
May 22, 2019 TX HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
May 21, 2019 VT S 37 Requires Corporate Compensation for Long-Term Health Monitoring Concurrence Vote Passed - Senate (19 - 11)
May 20, 2019 OR HB 3076 Establishes Standards for Non-Profit Hospitals Bill Passed - House (38 - 21)
May 16, 2019 VT S 37 Requires Corporate Compensation for Long-Term Health Monitoring Bill Passed - House (100 - 42)
May 16, 2019 National HR 987 MORE Health Education Act Bill Passed - House (234 - 183)
May 9, 2019 TX HB 1739 Prohibits Unfair Settlement Practice Regarding Motorist Insurance Coverage Bill Passed - House (105 - 32)
May 9, 2019 National HR 986 Protecting Americans with Preexisting Conditions Act of 2019 Bill Passed - House (230 - 183)
May 8, 2019 NH SB 4 Establishes Parts of the Affordable Care Act as State Law "Ought to Pass" Report Adopted - House (213 - 137)
May 3, 2019 CO HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Concurrence Vote Passed - House (45 - 19)
May 3, 2019 FL SB 322 Amends Health Insurance Options Concurrence Vote Passed - Senate (23 - 13)
May 2, 2019 CO SB 19-005 Authorizes the Import of Prescription Drugs from Canada Concurrence Vote Passed - Senate (20 - 15)
May 2, 2019 CO SB 19-005 Authorizes the Import of Prescription Drugs from Canada Bill Passed - House (41 - 22)
May 2, 2019 CO HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Bill Passed - Senate (24 - 11)
May 1, 2019 FL SB 322 Amends Health Insurance Options Bill Passed - House (70 - 42)
April 27, 2019 WA SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - Senate (27 - 21)
April 27, 2019 WA SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - House (56 - 41)
April 27, 2019 IA HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
April 25, 2019 CA AB 1063 Prohibits Covered California from Applying for a Waiver Without Approval from the Legislature and the Governor Bill Passed - House (62 - 13)
April 23, 2019 NV AB 469 Prohibits "Surprise Billing" for Emergency Care Bill Passed - House (38 - 3)
April 18, 2019 OR SB 250 Prohibits Health Benefit Plans from Discrimination Bill Passed - Senate (25 - 5)
April 17, 2019 CO HB 19-1004 Establishes an Affordable Health Coverage Option for Rural Areas Bill Passed - Senate (19 - 16)
April 16, 2019 TX SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
April 13, 2019 MT SB 160 Establishes Presumptive Health Care Coverage for Firefighters Concurrence Vote Passed - Senate (40 - 10)
April 11, 2019 CA SB 78 Requires Citizens Purchase Health Insurance Bill Passed - Senate (27 - 9)
April 10, 2019 PA HB 629 Requires Full Lyme Disease Coverage under Health Insurance Plans Bill Passed - House (158 - 34)
April 10, 2019 DE SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - Senate (16 - 5)
April 8, 2019 MD HB 814 Establishes the Maryland Easy Enrollment Health Insurance Program Concurrence Vote Passed - House (123 - 15)
April 3, 2019 VA SB 1027 Authorizes Catastrophic Health Plans Veto Override Failed - Senate (22 - 16)
April 3, 2019 VA SB 1240 Authorizes Short-Term, Limited-Duration Health Insurance Veto Override Failed - Senate (20 - 18)
March 29, 2019 GA HB 321 Amends Transparency Regulation Related To The Hospital Medicaid Financing Program Concurrence Vote Passed - House (107 - 61)
March 13, 2019 KY HB 396 Expands Health Insurance Options Concurrence Vote Passed - House (81 - 14)
Feb. 28, 2019 OR HB 2010 Authorizes the Continuation of Funding for the Oregon Reinsurance Program Bill Passed - Senate (23 - 7)
Feb. 20, 2019 KS SB 32 Authorizes The Farm Bureau To Offer Coverage Bill Passed - Senate (28 - 11)
Feb. 19, 2019 OR HB 2010 Authorizes the Continuation of Funding for the Oregon Reinsurance Program Bill Passed - House (44 - 15)
Feb. 13, 2019 VA SB 1027 Authorizes Catastrophic Health Plans Bill Passed - House (51 - 47)
Feb. 13, 2019 VA SB 1240 Authorizes Short-Term, Limited-Duration Health Insurance Bill Passed - House (51 - 46)
Jan. 22, 2019 WI AB 1 Requires State Health Insurers Cover Individuals With Pre-Existing Conditions Bill Passed - House (76 - 19)
June 27, 2018 OH HB 479 Amends Previous Prescription Drug Cost Laws Bill Passed - House (93 - 0)
June 20, 2018 National HR 5797 IMD CARE Act Bill Passed - House (261 - 155)
June 14, 2018 NY A 4738 Establishes New York Health Plan Bill Passed - House (91 - 46)
June 6, 2018 MI SB 897 Establishes Work Requirements for Medicaid Recipients Bill Passed - House (62 - 47)
May 31, 2018 IL HB 2617 Requires Coverage of Egg or Sperm Preservation Concurrence Vote Passed - House (76 - 30)
May 30, 2018 CA AB 2965 Authorizes Medicaid Benefits for Undocumented Children Bill Passed - House (47 - 25)
May 10, 2018 CA AB 1815 Authorizes Loan Repayment Assistance for Medicaid Providers Bill Passed - House (50 - 22)
May 2, 2018 OK HB 2932 Prohibits Individual from Receiving Medicaid Unless Working More than 20 hours a week Conference Report Adopted - House (53 - 23)
April 19, 2018 MI SB 897 Establishes Work Requirements for Medicaid Recipients Bill Passed - Senate (26 - 11)
April 12, 2018 NJ S 1878 Establishes a State Health Reinsurance Plan Bill Passed - House (46 - 22)
April 12, 2018 NJ A 2039 Establishes Regulations for Out-of-Network Billing Bill Passed - Senate (21 - 13)
April 12, 2018 NJ A 3380 Requires Individuals to Purchase Health Insurance Bill Passed - Senate (22 - 13)
April 12, 2018 NJ A 3380 Requires Individuals to Purchase Health Insurance Bill Passed - House (50 - 23)
April 12, 2018 NJ S 1878 Establishes a State Health Reinsurance Plan Bill Passed - Senate (24 - 13)
April 12, 2018 NJ A 2039 Establishes Regulations for Out-of-Network Billing Bill Passed - House (48 - 21)
April 7, 2018 KS HB 2028 Establishes the Kansas Telemedicine Act Conference Report Adopted - Senate (24 - 14)
April 3, 2018 RI S 2399 Prohibits Gender Discrimination in Insurance Premiums Bill Passed - Senate (32 - 2)
March 30, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
March 15, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - House (133 - 2)
March 5, 2018 UT HB 472 Expands State Medicaid Coverage Bill Passed - House (47 - 27)
Feb. 13, 2018 OR HJR 203 Specifies Proposal for Statewide Access to Healthcare Bill Passed - House (35 - 25)
Feb. 6, 2018 MS SB 2836 Authorizes Continued Medicaid Funding Bill Passed - Senate (31 - 16)
Nov. 3, 2017 National HR 3922 Community Health and Medical Professionals Improve Our Nation Act of 2017 (CHAMPION Act) Bill Passed - House (242 - 174)
Nov. 2, 2017 National HR 849 Protecting Seniors Access to Medicare Act Bill Passed - House (307 - 111)
July 28, 2017 National S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
July 26, 2017 National S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
July 25, 2017 National S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
July 5, 2017 OR HB 3391 Requires Coverage for Abortions and Contraceptives Bill Passed - Senate (17 - 13)
July 1, 2017 OR HB 3391 Requires Coverage for Abortions and Contraceptives Bill Passed - House (33 - 23)
Date No. Title Outcome
6/07 S 2144 Amends State Insurance Laws on Fair Conduct Policies Bill Passed - Senate (21 - 14)
6/05 SB 279 Requires Health Insurers Cover Fertility Treatment "Ought to Pass as Amended" Report Adopted - House (210 - 147)
5/30 AB 1611 Limits What Hospitals Can Charge for Emergency Care Bill Passed - House (48 - 9)
5/29 AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - House (55 - 18)
5/29 AB 1246 Requires Large Group Health Plans to Cover Medically Necessary Prescription Drugs (58 - 19)
5/29 SB 29 Expands Medi-Cal Program Eligibility to Undocumented Immigrants Ages 19-25 or 65 and Older Bill Passed - Senate (24 - 11)
5/28 AB 4 Authorizes Medi-Cal Benefits for Undocumented Immigrants Bill Passed - House (51 - 17)
5/28 SB 65 Establishes Financial Assistance for Low Income Residents Buying Health Insurance Bill Passed - Senate (30 - 7)
5/24 HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
5/22 HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
5/21 S 37 Requires Corporate Compensation for Long-Term Health Monitoring Concurrence Vote Passed - Senate (19 - 11)
5/20 HB 3076 Establishes Standards for Non-Profit Hospitals Bill Passed - House (38 - 21)
5/16 S 37 Requires Corporate Compensation for Long-Term Health Monitoring Bill Passed - House (100 - 42)
5/16 HR 987 MORE Health Education Act Bill Passed - House (234 - 183)
5/09 HB 1739 Prohibits Unfair Settlement Practice Regarding Motorist Insurance Coverage Bill Passed - House (105 - 32)
5/09 HR 986 Protecting Americans with Preexisting Conditions Act of 2019 Bill Passed - House (230 - 183)
5/08 SB 4 Establishes Parts of the Affordable Care Act as State Law "Ought to Pass" Report Adopted - House (213 - 137)
5/03 HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Concurrence Vote Passed - House (45 - 19)
5/03 SB 322 Amends Health Insurance Options Concurrence Vote Passed - Senate (23 - 13)
5/02 SB 19-005 Authorizes the Import of Prescription Drugs from Canada Concurrence Vote Passed - Senate (20 - 15)
5/02 SB 19-005 Authorizes the Import of Prescription Drugs from Canada Bill Passed - House (41 - 22)
5/02 HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Bill Passed - Senate (24 - 11)
5/01 SB 322 Amends Health Insurance Options Bill Passed - House (70 - 42)
4/27 SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - Senate (27 - 21)
4/27 SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - House (56 - 41)
4/27 HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
4/25 AB 1063 Prohibits Covered California from Applying for a Waiver Without Approval from the Legislature and the Governor Bill Passed - House (62 - 13)
4/23 AB 469 Prohibits "Surprise Billing" for Emergency Care Bill Passed - House (38 - 3)
4/18 SB 250 Prohibits Health Benefit Plans from Discrimination Bill Passed - Senate (25 - 5)
4/17 HB 19-1004 Establishes an Affordable Health Coverage Option for Rural Areas Bill Passed - Senate (19 - 16)
4/16 SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
4/13 SB 160 Establishes Presumptive Health Care Coverage for Firefighters Concurrence Vote Passed - Senate (40 - 10)
4/11 SB 78 Requires Citizens Purchase Health Insurance Bill Passed - Senate (27 - 9)
4/10 HB 629 Requires Full Lyme Disease Coverage under Health Insurance Plans Bill Passed - House (158 - 34)
4/10 SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - Senate (16 - 5)
4/08 HB 814 Establishes the Maryland Easy Enrollment Health Insurance Program Concurrence Vote Passed - House (123 - 15)
4/03 SB 1027 Authorizes Catastrophic Health Plans Veto Override Failed - Senate (22 - 16)
4/03 SB 1240 Authorizes Short-Term, Limited-Duration Health Insurance Veto Override Failed - Senate (20 - 18)
3/29 HB 321 Amends Transparency Regulation Related To The Hospital Medicaid Financing Program Concurrence Vote Passed - House (107 - 61)
3/13 HB 396 Expands Health Insurance Options Concurrence Vote Passed - House (81 - 14)
2/28 HB 2010 Authorizes the Continuation of Funding for the Oregon Reinsurance Program Bill Passed - Senate (23 - 7)
2/20 SB 32 Authorizes The Farm Bureau To Offer Coverage Bill Passed - Senate (28 - 11)
2/19 HB 2010 Authorizes the Continuation of Funding for the Oregon Reinsurance Program Bill Passed - House (44 - 15)
2/13 SB 1027 Authorizes Catastrophic Health Plans Bill Passed - House (51 - 47)
2/13 SB 1240 Authorizes Short-Term, Limited-Duration Health Insurance Bill Passed - House (51 - 46)
1/22 AB 1 Requires State Health Insurers Cover Individuals With Pre-Existing Conditions Bill Passed - House (76 - 19)
6/27 HB 479 Amends Previous Prescription Drug Cost Laws Bill Passed - House (93 - 0)
6/20 HR 5797 IMD CARE Act Bill Passed - House (261 - 155)
6/14 A 4738 Establishes New York Health Plan Bill Passed - House (91 - 46)
6/06 SB 897 Establishes Work Requirements for Medicaid Recipients Bill Passed - House (62 - 47)
5/31 HB 2617 Requires Coverage of Egg or Sperm Preservation Concurrence Vote Passed - House (76 - 30)
5/30 AB 2965 Authorizes Medicaid Benefits for Undocumented Children Bill Passed - House (47 - 25)
5/10 AB 1815 Authorizes Loan Repayment Assistance for Medicaid Providers Bill Passed - House (50 - 22)
5/02 HB 2932 Prohibits Individual from Receiving Medicaid Unless Working More than 20 hours a week Conference Report Adopted - House (53 - 23)
4/19 SB 897 Establishes Work Requirements for Medicaid Recipients Bill Passed - Senate (26 - 11)
4/12 S 1878 Establishes a State Health Reinsurance Plan Bill Passed - House (46 - 22)
4/12 A 2039 Establishes Regulations for Out-of-Network Billing Bill Passed - Senate (21 - 13)
4/12 A 3380 Requires Individuals to Purchase Health Insurance Bill Passed - Senate (22 - 13)
4/12 A 3380 Requires Individuals to Purchase Health Insurance Bill Passed - House (50 - 23)
4/12 S 1878 Establishes a State Health Reinsurance Plan Bill Passed - Senate (24 - 13)
4/12 A 2039 Establishes Regulations for Out-of-Network Billing Bill Passed - House (48 - 21)
4/07 HB 2028 Establishes the Kansas Telemedicine Act Conference Report Adopted - Senate (24 - 14)
4/03 S 2399 Prohibits Gender Discrimination in Insurance Premiums Bill Passed - Senate (32 - 2)
3/30 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
3/15 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - House (133 - 2)
3/05 HB 472 Expands State Medicaid Coverage Bill Passed - House (47 - 27)
2/13 HJR 203 Specifies Proposal for Statewide Access to Healthcare Bill Passed - House (35 - 25)
2/06 SB 2836 Authorizes Continued Medicaid Funding Bill Passed - Senate (31 - 16)
11/03 HR 3922 Community Health and Medical Professionals Improve Our Nation Act of 2017 (CHAMPION Act) Bill Passed - House (242 - 174)
11/02 HR 849 Protecting Seniors Access to Medicare Act Bill Passed - House (307 - 111)
7/28 S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
7/26 S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
7/25 S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
7/05 HB 3391 Requires Coverage for Abortions and Contraceptives Bill Passed - Senate (17 - 13)
7/01 HB 3391 Requires Coverage for Abortions and Contraceptives Bill Passed - House (33 - 23)
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