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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
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)
May 30, 2024 NY S 7114 Requires Health Insurance Plans Cap Epinephrine Auto-Injectors (Epipens) Costs at $100 Per Year Bill Passed - House (144 - 2)
May 25, 2024 IL HB 5395 Establishes New Controls on the State's Health Insurance Industry Concurrence Vote Passed - House (83 - 23)
May 25, 2024 IL HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Concurrence Vote Passed - House (72 - 35)
May 23, 2024 LA HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Concurrence Vote Passed - House (69 - 25)
May 22, 2024 RI S 2269 Prohibits Car Insurance Companies from Increasing Rates on Widows Concurrence Vote Passed - House (67 - 0)
May 22, 2024 IL SB 3203 Prohibits Health Insurers from Denying Coverage for Inhalers Bill Passed - House (87 - 21)
May 14, 2024 AK SB 134 Amends Insurance Law To Require Coverage for Mammograms and other Diagnostic Breast Exams Bill Passed - House (39 - 1)
May 9, 2024 MI HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Concurrence Vote Passed - House (67 - 40)
May 8, 2024 OH HB 81 Authorizes Certain Nurses to Sign Hospital Patient Documents Bill Passed - House (89 - 1)
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 29, 2024 LA HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Concurrence Vote Passed - House (82 - 15)
April 24, 2024 LA SB 295 Amends and Revises Property, Casualty, and Liability Rate Filing Requirements Bill Passed - House (93 - 3)
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)
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 CA AB 2435 Extends Healthcare Coverage Bill Passed - House (53 - 13)
Feb. 14, 2024 NM SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - House (38 - 24)
Feb. 8, 2024 OK SB 60 Extends the Board of Chiropractic Examiners until July 1, 2026 Veto Override Passed - House (87 - 2)
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)
July 18, 2023 LA HB 658 Increases Transparency in Health Care Pricing Veto Override Failed - House (69 - 29)
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 20, 2023 ME LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - House (75 - 67)
June 16, 2023 RI S 575 Requires Epipens to be Covered by Insurance Bill Passed - House (61 - 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)
May 17, 2023 MN SF 2744 Establishes New Protections Over Prescription Drug Costs Conference Report Adopted - House (69 - 59)
May 7, 2023 CO HB 23-1215 Prohibits Hospitals from Charging Facility Fees for Preventive Care Services Concurrence Vote Passed - House (47 - 17)
May 3, 2023 AK SB 58 Expands Medicaid Coverage for Postpartum Mothers Bill Passed - House (35 - 3)
April 28, 2023 MT SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Concurrence Vote Passed - House (72 - 26)
April 13, 2023 CO SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - House (43 - 20)
April 3, 2023 OR HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - House (34 - 25)
March 23, 2023 VT H 66 Expands Paid Family and Medical Leave Insurance Bill Passed - House (99 - 32)
March 21, 2023 RI H 5337 Prohibits Discrimination Against Widowed Individuals when Establishing Insurance Rates Bill Passed - House (71 - 0)
March 17, 2023 NM SB 273 Requires Health Insurance Companies Provide Reimbursement for Mental Health Coverage Bill Passed - House (52 - 13)
March 17, 2023 FL HB 837 Amends Various State Tort Reforms to Protect Health Insurance Companies from Liability Bill Passed - House (80 - 31)
March 1, 2023 WY SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Bill Passed - House (40 - 21)
Feb. 28, 2023 MS SB 2228 Authorizes the Sale of Pet Insurance Bill Passed - House (103 - 9)
Aug. 22, 2022 CA SB 951 Amends the Unemployment Insurance Code for New Benefits and Paid Family Leave Bill Passed - House (61 - 9)
June 3, 2022 LA SB 141 Prohibits Insurance Companies from Requiring a Certain Vaccination Status or Proof Thereof Bill Passed - House (70 - 23)
May 22, 2022 MN HF 1829 Prohibits Insurers from Discriminating Against Bone Marrow or Organ Donors Bill Passed - House (125 - 6)
May 22, 2022 MN HF 4065 Expands Health & Human Services Regulations Bill Passed - House (68 - 65)
May 10, 2022 CO HB 22-1122 Prohibits Certain Pharmacy Benefit Manager Practices Concurrence Vote Passed - House (45 - 20)
Date No. Title Outcome
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)
5/30 S 7114 Requires Health Insurance Plans Cap Epinephrine Auto-Injectors (Epipens) Costs at $100 Per Year Bill Passed - House (144 - 2)
5/25 HB 5395 Establishes New Controls on the State's Health Insurance Industry Concurrence Vote Passed - House (83 - 23)
5/25 HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Concurrence Vote Passed - House (72 - 35)
5/23 HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Concurrence Vote Passed - House (69 - 25)
5/22 S 2269 Prohibits Car Insurance Companies from Increasing Rates on Widows Concurrence Vote Passed - House (67 - 0)
5/22 SB 3203 Prohibits Health Insurers from Denying Coverage for Inhalers Bill Passed - House (87 - 21)
5/14 SB 134 Amends Insurance Law To Require Coverage for Mammograms and other Diagnostic Breast Exams Bill Passed - House (39 - 1)
5/09 HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Concurrence Vote Passed - House (67 - 40)
5/08 HB 81 Authorizes Certain Nurses to Sign Hospital Patient Documents Bill Passed - House (89 - 1)
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)
4/29 HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Concurrence Vote Passed - House (82 - 15)
4/24 SB 295 Amends and Revises Property, Casualty, and Liability Rate Filing Requirements Bill Passed - House (93 - 3)
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)
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 AB 2435 Extends Healthcare Coverage Bill Passed - House (53 - 13)
2/14 SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - House (38 - 24)
2/08 SB 60 Extends the Board of Chiropractic Examiners until July 1, 2026 Veto Override Passed - House (87 - 2)
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)
7/18 HB 658 Increases Transparency in Health Care Pricing Veto Override Failed - House (69 - 29)
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)
6/20 LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - House (75 - 67)
6/16 S 575 Requires Epipens to be Covered by Insurance Bill Passed - House (61 - 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)
5/17 SF 2744 Establishes New Protections Over Prescription Drug Costs Conference Report Adopted - House (69 - 59)
5/07 HB 23-1215 Prohibits Hospitals from Charging Facility Fees for Preventive Care Services Concurrence Vote Passed - House (47 - 17)
5/03 SB 58 Expands Medicaid Coverage for Postpartum Mothers Bill Passed - House (35 - 3)
4/28 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Concurrence Vote Passed - House (72 - 26)
4/13 SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - House (43 - 20)
4/03 HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - House (34 - 25)
3/23 H 66 Expands Paid Family and Medical Leave Insurance Bill Passed - House (99 - 32)
3/21 H 5337 Prohibits Discrimination Against Widowed Individuals when Establishing Insurance Rates Bill Passed - House (71 - 0)
3/17 SB 273 Requires Health Insurance Companies Provide Reimbursement for Mental Health Coverage Bill Passed - House (52 - 13)
3/17 HB 837 Amends Various State Tort Reforms to Protect Health Insurance Companies from Liability Bill Passed - House (80 - 31)
3/01 SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Bill Passed - House (40 - 21)
2/28 SB 2228 Authorizes the Sale of Pet Insurance Bill Passed - House (103 - 9)
8/22 SB 951 Amends the Unemployment Insurance Code for New Benefits and Paid Family Leave Bill Passed - House (61 - 9)
6/03 SB 141 Prohibits Insurance Companies from Requiring a Certain Vaccination Status or Proof Thereof Bill Passed - House (70 - 23)
5/22 HF 1829 Prohibits Insurers from Discriminating Against Bone Marrow or Organ Donors Bill Passed - House (125 - 6)
5/22 HF 4065 Expands Health & Human Services Regulations Bill Passed - House (68 - 65)
5/10 HB 22-1122 Prohibits Certain Pharmacy Benefit Manager Practices Concurrence Vote Passed - House (45 - 20)
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