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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
March 10, 2022 OK SB 1085 Establishes the Insurance Department Pharmacy Benefits Manager Revolving Fund Bill Passed - House (84 - 7)
March 10, 2022 WV SB 25 Establishes the Medical Professional Liability Act Bill Passed - House (58 - 40)
March 8, 2022 VA HB 297 Prohibits Healthcare Providers From Engaging in Certain Medical Debt Collection Activities Concurrence Vote Passed - Senate (22 - 17)
March 8, 2022 HI HB 2405 Prohibits Health Insurers from Applying Cosmetic or Blanket Exclusions to Gender Affirming Treatments Bill Passed - House (49 - 2)
March 7, 2022 VA HB 297 Prohibits Healthcare Providers From Engaging in Certain Medical Debt Collection Activities Bill Passed - House (91 - 7)
March 7, 2022 OK SB 1085 Establishes the Insurance Department Pharmacy Benefits Manager Revolving Fund Bill Passed - Senate (35 - 11)
Feb. 11, 2022 WV SB 25 Establishes the Medical Professional Liability Act Bill Passed - Senate (25 - 7)
Sept. 10, 2021 CA SB 510 Requires Health Insurers to Cover the Cost of COVID-19 Testing Concurrence Vote Passed - Senate (27 - 8)
Sept. 9, 2021 CA SB 510 Requires Health Insurers to Cover the Cost of COVID-19 Testing Bill Passed - House (55 - 17)
Sept. 2, 2021 CA AB 570 Requires Health Insurance Plans to Make Coverage Available to their Members' Dependent Parents Concurrence Vote Passed - House (54 - 15)
Sept. 1, 2021 CA AB 570 Requires Health Insurance Plans to Make Coverage Available to their Members' Dependent Parents Bill Passed - Senate (30 - 9)
June 30, 2021 NJ S 3733 Requires Health Insurance Carriers to Offer Cost Share Plans for Individuals Bill Passed - Senate (27 - 6)
June 26, 2021 OR HB 3352 Expands Insurance Eligibility to Undocumented Immigrants Not Covered by Medicaid Bill Passed - Senate (17 - 11)
June 24, 2021 OR HB 3352 Expands Insurance Eligibility to Undocumented Immigrants Not Covered by Medicaid Bill Passed - House (37 - 21)
March 22, 2021 NE LB 100 Extends Insurance Coverage and Medicaid Access to Prescribed Contraceptives Amendment Adopted - Senate (25 - 11)
March 16, 2021 CO HB 21-1097 Expands Affordability and Accessibility of Behavioral Health Services Bill Passed - House (52 - 8)
Feb. 16, 2021 VA SB 1276 Repeals the Abortion Prohibition in Virginia Health Insurance Plans Bill Passed - House (54 - 45)
Feb. 5, 2021 MT HB 229 Prohibits Insurance Policies from Covering Abortion Services with Few Exceptions Bill Passed - House (70 - 28)
Jan. 22, 2021 VA SB 1276 Repeals the Abortion Prohibition in Virginia Health Insurance Plans Bill Passed - Senate (20 - 17)
Oct. 1, 2020 National S 4653 A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act Cloture Not Invoked - Senate (51 - 43)
Aug. 30, 2020 CA SB 855 Expands Health Insurance Coverage for Mental Health Treatment Concurrence Vote Passed - Senate (31 - 7)
Aug. 27, 2020 NJ A 1263 Prohibits Stranger-Originated Life Insurance Policy Arrangements Bill Passed - Senate (38 - 0)
July 30, 2020 NJ A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - Senate (21 - 16)
July 30, 2020 NJ A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - House (43 - 30)
July 14, 2020 PA HB 1459 Establishes a Mental Health Wellness and Stress Management Program for Emergency First Responders Bill Passed - Senate (49 - 0)
July 6, 2020 HI HB 2502 Authorizes COVID-19 Health Screenings of Travelers At Ports of Entry Bill Passed - Senate (21 - 4)
July 1, 2020 NH HB 1623 Authorizes Healthcare Providers to Prescribe Substance Abuse Treatment via Telehealth Services Concurrence Vote Passed - House (204 - 117)
July 1, 2020 NH HB 685 Requires Maternity Insurance Benefits to Include Abortion Services Concurrence Vote Passed - House (196 - 132)
June 30, 2020 NH HB 1639 Establishes the Opioid Abatement Trust Fund, Among Other Provisions Concurrence Vote Passed - House (201 - 121)
June 29, 2020 NJ S 2273 Amends Teacher Health Benefits Concurrence Vote Passed - Senate (38 - 0)
June 29, 2020 National HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
June 16, 2020 NH HB 685 Requires Maternity Insurance Benefits to Include Abortion Services "Ought to Pass as Amended" Report Adopted - Senate (14 - 10)
June 16, 2020 NH HB 250 Requires Dental Coverage Under State Medicaid Plans Bill Passed - Senate (19 - 5)
June 13, 2020 CO SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Concurrence Vote Passed - Senate (23 - 12)
June 12, 2020 CO SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Bill Passed - House (48 - 17)
May 15, 2020 MO HB 1963 Authorizes Licensed Motorcyclists to Ride without a Helmet Concurrence Vote Passed - House (121 - 31)
May 13, 2020 MI HB 5416 Extends Medicaid Coverage to At-Home or In-School Telehealth Services Bill Passed - House (105 - 0)
April 21, 2020 PA SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Concurrence Vote Passed - Senate (29 - 21)
April 15, 2020 WI AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - Senate (32 - 0)
April 14, 2020 WI AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - House (97 - 2)
March 16, 2020 MD HB 959 Establishes Permanence of Certain Consumer Protections Under the Affordable Care Act Bill Passed - Senate (31 - 14)
March 14, 2020 CO HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Concurrence Vote Passed - House (40 - 17)
March 14, 2020 CO HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Bill Passed - Senate (21 - 9)
March 13, 2020 CO HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Concurrence Vote Passed - House (44 - 18)
March 12, 2020 CO HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Bill Passed - Senate (24 - 10)
March 11, 2020 FL SB 82 Amends Medicaid Program for Individuals with Disabilities Bill Passed - House (78 - 37)
March 11, 2020 NH HB 1280 Establishes a $100 Insulin Copayment "Ought to Pass" Report Adopted - House (223 - 121)
March 9, 2020 WA SB 6088 Establishes a Prescription Drug Affordability Board Concurrence Vote Passed - Senate (31 - 17)
March 9, 2020 WY HB 119 Establishes Medicaid Billing Process for School-Based Services Concurrence Vote Passed - House (44 - 14)
March 6, 2020 WV SB 797 Authorizes Hospitals to Employ Police Officers Bill Passed - House (76 - 23)
Date No. Title Outcome
3/10 SB 1085 Establishes the Insurance Department Pharmacy Benefits Manager Revolving Fund Bill Passed - House (84 - 7)
3/10 SB 25 Establishes the Medical Professional Liability Act Bill Passed - House (58 - 40)
3/08 HB 297 Prohibits Healthcare Providers From Engaging in Certain Medical Debt Collection Activities Concurrence Vote Passed - Senate (22 - 17)
3/08 HB 2405 Prohibits Health Insurers from Applying Cosmetic or Blanket Exclusions to Gender Affirming Treatments Bill Passed - House (49 - 2)
3/07 HB 297 Prohibits Healthcare Providers From Engaging in Certain Medical Debt Collection Activities Bill Passed - House (91 - 7)
3/07 SB 1085 Establishes the Insurance Department Pharmacy Benefits Manager Revolving Fund Bill Passed - Senate (35 - 11)
2/11 SB 25 Establishes the Medical Professional Liability Act Bill Passed - Senate (25 - 7)
9/10 SB 510 Requires Health Insurers to Cover the Cost of COVID-19 Testing Concurrence Vote Passed - Senate (27 - 8)
9/09 SB 510 Requires Health Insurers to Cover the Cost of COVID-19 Testing Bill Passed - House (55 - 17)
9/02 AB 570 Requires Health Insurance Plans to Make Coverage Available to their Members' Dependent Parents Concurrence Vote Passed - House (54 - 15)
9/01 AB 570 Requires Health Insurance Plans to Make Coverage Available to their Members' Dependent Parents Bill Passed - Senate (30 - 9)
6/30 S 3733 Requires Health Insurance Carriers to Offer Cost Share Plans for Individuals Bill Passed - Senate (27 - 6)
6/26 HB 3352 Expands Insurance Eligibility to Undocumented Immigrants Not Covered by Medicaid Bill Passed - Senate (17 - 11)
6/24 HB 3352 Expands Insurance Eligibility to Undocumented Immigrants Not Covered by Medicaid Bill Passed - House (37 - 21)
3/22 LB 100 Extends Insurance Coverage and Medicaid Access to Prescribed Contraceptives Amendment Adopted - Senate (25 - 11)
3/16 HB 21-1097 Expands Affordability and Accessibility of Behavioral Health Services Bill Passed - House (52 - 8)
2/16 SB 1276 Repeals the Abortion Prohibition in Virginia Health Insurance Plans Bill Passed - House (54 - 45)
2/05 HB 229 Prohibits Insurance Policies from Covering Abortion Services with Few Exceptions Bill Passed - House (70 - 28)
1/22 SB 1276 Repeals the Abortion Prohibition in Virginia Health Insurance Plans Bill Passed - Senate (20 - 17)
10/01 S 4653 A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act Cloture Not Invoked - Senate (51 - 43)
8/30 SB 855 Expands Health Insurance Coverage for Mental Health Treatment Concurrence Vote Passed - Senate (31 - 7)
8/27 A 1263 Prohibits Stranger-Originated Life Insurance Policy Arrangements Bill Passed - Senate (38 - 0)
7/30 A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - Senate (21 - 16)
7/30 A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - House (43 - 30)
7/14 HB 1459 Establishes a Mental Health Wellness and Stress Management Program for Emergency First Responders Bill Passed - Senate (49 - 0)
7/06 HB 2502 Authorizes COVID-19 Health Screenings of Travelers At Ports of Entry Bill Passed - Senate (21 - 4)
7/01 HB 1623 Authorizes Healthcare Providers to Prescribe Substance Abuse Treatment via Telehealth Services Concurrence Vote Passed - House (204 - 117)
7/01 HB 685 Requires Maternity Insurance Benefits to Include Abortion Services Concurrence Vote Passed - House (196 - 132)
6/30 HB 1639 Establishes the Opioid Abatement Trust Fund, Among Other Provisions Concurrence Vote Passed - House (201 - 121)
6/29 S 2273 Amends Teacher Health Benefits Concurrence Vote Passed - Senate (38 - 0)
6/29 HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
6/16 HB 685 Requires Maternity Insurance Benefits to Include Abortion Services "Ought to Pass as Amended" Report Adopted - Senate (14 - 10)
6/16 HB 250 Requires Dental Coverage Under State Medicaid Plans Bill Passed - Senate (19 - 5)
6/13 SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Concurrence Vote Passed - Senate (23 - 12)
6/12 SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Bill Passed - House (48 - 17)
5/15 HB 1963 Authorizes Licensed Motorcyclists to Ride without a Helmet Concurrence Vote Passed - House (121 - 31)
5/13 HB 5416 Extends Medicaid Coverage to At-Home or In-School Telehealth Services Bill Passed - House (105 - 0)
4/21 SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Concurrence Vote Passed - Senate (29 - 21)
4/15 AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - Senate (32 - 0)
4/14 AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - House (97 - 2)
3/16 HB 959 Establishes Permanence of Certain Consumer Protections Under the Affordable Care Act Bill Passed - Senate (31 - 14)
3/14 HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Concurrence Vote Passed - House (40 - 17)
3/14 HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Bill Passed - Senate (21 - 9)
3/13 HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Concurrence Vote Passed - House (44 - 18)
3/12 HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Bill Passed - Senate (24 - 10)
3/11 SB 82 Amends Medicaid Program for Individuals with Disabilities Bill Passed - House (78 - 37)
3/11 HB 1280 Establishes a $100 Insulin Copayment "Ought to Pass" Report Adopted - House (223 - 121)
3/09 SB 6088 Establishes a Prescription Drug Affordability Board Concurrence Vote Passed - Senate (31 - 17)
3/09 HB 119 Establishes Medicaid Billing Process for School-Based Services Concurrence Vote Passed - House (44 - 14)
3/06 SB 797 Authorizes Hospitals to Employ Police Officers Bill Passed - House (76 - 23)
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