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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
April 24, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
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 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 16, 2025 AR SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - House (82 - 13)
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)
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 25, 2025 PA HB 535 Prohibits Health Insurers From Placing Caps on Coverage Benefits Bill Passed - House (121 - 81)
March 25, 2025 PA HB 618 Prohibits Health Insurers From Denying Coverage Based on Pre-Existing Health Conditions Bill Passed - House (125 - 77)
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)
March 21, 2025 NM SB 88 Establishes a Medicaid Trust Fund and a State Supported Medicaid Fund Bill Passed - House (52 - 13)
March 21, 2025 NM SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - House (46 - 17)
March 21, 2025 NM SB 221 Prohibits Additional Unfair Claims Practices Under New Mexico Insurance Code Bill Passed - House (57 - 4)
March 18, 2025 NM SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - House (61 - 6)
March 17, 2025 PA HB 111 Prohibits Life Insurers From Discriminating Against Applicants Based on a Prescription for an Opioid Overdose Reversal Agent Bill Passed - House (153 - 49)
March 15, 2025 NM HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - House (36 - 28)
March 13, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Concurrence Vote Passed - House (58 - 9)
March 10, 2025 OK HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Bill Passed - House (95 - 0)
March 3, 2025 OK HB 1160 Amends State Insurance Laws to Protect Policyholders in the Event of an Insurance Company's Insolvency Bill Passed - House (93 - 2)
Feb. 28, 2025 CO HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Concurrence Vote Passed - House (50 - 10)
Feb. 24, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
Feb. 21, 2025 NM HB 56 Authorizes Medicaid Reimbursements for Birth Centers Bill Passed - House (62 - 1)
Feb. 20, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
Feb. 19, 2025 ID H 138 Requires Policy Changes to State Medicaid Bill Passed - House (38 - 32)
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. 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)
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)
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 27, 2024 NC SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
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 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)
Date No. Title Outcome
4/24 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
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 1626 Requires Health Insurance Companies to Notify Enrollees About Their Right to Dispute Surprise Out-of-Network Bills Bill Passed - House (50 - 5)
4/16 SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - House (82 - 13)
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)
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)
3/25 HB 535 Prohibits Health Insurers From Placing Caps on Coverage Benefits Bill Passed - House (121 - 81)
3/25 HB 618 Prohibits Health Insurers From Denying Coverage Based on Pre-Existing Health Conditions Bill Passed - House (125 - 77)
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)
3/21 SB 88 Establishes a Medicaid Trust Fund and a State Supported Medicaid Fund Bill Passed - House (52 - 13)
3/21 SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - House (46 - 17)
3/21 SB 221 Prohibits Additional Unfair Claims Practices Under New Mexico Insurance Code Bill Passed - House (57 - 4)
3/18 SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - House (61 - 6)
3/17 HB 111 Prohibits Life Insurers From Discriminating Against Applicants Based on a Prescription for an Opioid Overdose Reversal Agent Bill Passed - House (153 - 49)
3/15 HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - House (36 - 28)
3/13 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Concurrence Vote Passed - House (58 - 9)
3/10 HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Bill Passed - House (95 - 0)
3/03 HB 1160 Amends State Insurance Laws to Protect Policyholders in the Event of an Insurance Company's Insolvency Bill Passed - House (93 - 2)
2/28 HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Concurrence Vote Passed - House (50 - 10)
2/24 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
2/21 HB 56 Authorizes Medicaid Reimbursements for Birth Centers Bill Passed - House (62 - 1)
2/20 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
2/19 H 138 Requires Policy Changes to State Medicaid Bill Passed - House (38 - 32)
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)
2/11 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)
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)
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)
6/27 SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
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)
6/25 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)
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