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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 3, 2022 CT SB 358 Expands Health Insurance Requirements for Treatment Used to Diagnose Breast Cancer Bill Passed - House (145 - 3)
April 22, 2022 CO HB 22-1122 Prohibits Certain Pharmacy Benefit Manager Practices Bill Passed - House (44 - 20)
April 4, 2022 MN HF 4065 Expands Health & Human Services Regulations Bill Passed - House (132 - 1)
April 4, 2022 National HR 1916 Ensuring Lasting Smiles Act Bill Passed - House (310 - 110)
March 10, 2022 WV SB 25 Establishes the Medical Professional Liability Act Bill Passed - House (58 - 40)
March 10, 2022 OK SB 1085 Establishes the Insurance Department Pharmacy Benefits Manager Revolving Fund Bill Passed - House (84 - 7)
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)
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)
June 24, 2021 OR HB 3352 Expands Insurance Eligibility to Undocumented Immigrants Not Covered by Medicaid Bill Passed - House (37 - 21)
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)
July 30, 2020 NJ A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - House (43 - 30)
July 1, 2020 NH HB 685 Requires Maternity Insurance Benefits to Include Abortion Services Concurrence Vote Passed - House (196 - 132)
July 1, 2020 NH HB 1623 Authorizes Healthcare Providers to Prescribe Substance Abuse Treatment via Telehealth Services Concurrence Vote Passed - House (204 - 117)
June 30, 2020 NH HB 1639 Establishes the Opioid Abatement Trust Fund, Among Other Provisions Concurrence Vote Passed - House (201 - 121)
June 29, 2020 National HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
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 14, 2020 WI AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - House (97 - 2)
March 14, 2020 CO HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Concurrence Vote Passed - House (40 - 17)
March 13, 2020 CO HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Concurrence Vote Passed - House (44 - 18)
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 WY HB 119 Establishes Medicaid Billing Process for School-Based Services Concurrence Vote Passed - House (44 - 14)
March 6, 2020 WA SB 6087 Establishes Cost-Sharing Requirements for Coverage of Insulin Products Bill Passed - House (63 - 33)
March 6, 2020 WV SB 797 Authorizes Hospitals to Employ Police Officers Bill Passed - House (76 - 23)
Feb. 17, 2020 OR HJR 202 Authorizes a Ballot Referendum Vote on Universal Health Care Bill Passed - House (36 - 21)
Feb. 14, 2020 NM HB 292 Establishes an Insulin Price Cap Bill Passed - House (61 - 2)
Feb. 11, 2020 NM HB 100 Amends Health Insurance Exchange Role to Expand Access to Healthcare Bill Passed - House (44 - 23)
Feb. 6, 2020 OK HB 1182 Authorizes the License Revocation of Doctors who Perform an Abortion Bill Passed - House (71 - 21)
Feb. 4, 2020 VA HB 1429 Prohibits Denying or Limiting Coverage based on Gender Identity Bill Passed - House (54 - 41)
Jan. 30, 2020 DE HB 263 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - House (40 - 0)
Jan. 29, 2020 FL HB 1189 Prohibits Genetic Information Usage by Insurance Companies Bill Passed - House (117 - 1)
Dec. 12, 2019 National HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
Nov. 21, 2019 PA SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Bill Passed - House (111 - 77)
Nov. 13, 2019 IL SB 667 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - House (100 - 13)
Aug. 22, 2019 CA SB 343 Amends Financial Data Disclosure Laws Bill Passed - House (58 - 13)
Aug. 7, 2019 NC SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Bill Passed - House (82 - 32)
June 27, 2019 DE SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - House (26 - 15)
June 24, 2019 CA SB 78 Requires Citizens Purchase Health Insurance Bill Passed - House (57 - 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 1246 Requires Large Group Health Plans to Cover Medically Necessary Prescription Drugs (58 - 19)
May 29, 2019 CA AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - House (55 - 18)
May 28, 2019 CA AB 4 Authorizes Medi-Cal Benefits for Undocumented Immigrants Bill Passed - House (51 - 17)
May 24, 2019 TX HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
Date No. Title Outcome
5/03 SB 358 Expands Health Insurance Requirements for Treatment Used to Diagnose Breast Cancer Bill Passed - House (145 - 3)
4/22 HB 22-1122 Prohibits Certain Pharmacy Benefit Manager Practices Bill Passed - House (44 - 20)
4/04 HF 4065 Expands Health & Human Services Regulations Bill Passed - House (132 - 1)
4/04 HR 1916 Ensuring Lasting Smiles Act Bill Passed - House (310 - 110)
3/10 SB 25 Establishes the Medical Professional Liability Act Bill Passed - House (58 - 40)
3/10 SB 1085 Establishes the Insurance Department Pharmacy Benefits Manager Revolving Fund Bill Passed - House (84 - 7)
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)
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)
6/24 HB 3352 Expands Insurance Eligibility to Undocumented Immigrants Not Covered by Medicaid Bill Passed - House (37 - 21)
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)
7/30 A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - House (43 - 30)
7/01 HB 685 Requires Maternity Insurance Benefits to Include Abortion Services Concurrence Vote Passed - House (196 - 132)
7/01 HB 1623 Authorizes Healthcare Providers to Prescribe Substance Abuse Treatment via Telehealth Services Concurrence Vote Passed - House (204 - 117)
6/30 HB 1639 Establishes the Opioid Abatement Trust Fund, Among Other Provisions Concurrence Vote Passed - House (201 - 121)
6/29 HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
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)
4/14 AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - House (97 - 2)
3/14 HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Concurrence Vote Passed - House (40 - 17)
3/13 HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Concurrence Vote Passed - House (44 - 18)
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 HB 119 Establishes Medicaid Billing Process for School-Based Services Concurrence Vote Passed - House (44 - 14)
3/06 SB 6087 Establishes Cost-Sharing Requirements for Coverage of Insulin Products Bill Passed - House (63 - 33)
3/06 SB 797 Authorizes Hospitals to Employ Police Officers Bill Passed - House (76 - 23)
2/17 HJR 202 Authorizes a Ballot Referendum Vote on Universal Health Care Bill Passed - House (36 - 21)
2/14 HB 292 Establishes an Insulin Price Cap Bill Passed - House (61 - 2)
2/11 HB 100 Amends Health Insurance Exchange Role to Expand Access to Healthcare Bill Passed - House (44 - 23)
2/06 HB 1182 Authorizes the License Revocation of Doctors who Perform an Abortion Bill Passed - House (71 - 21)
2/04 HB 1429 Prohibits Denying or Limiting Coverage based on Gender Identity Bill Passed - House (54 - 41)
1/30 HB 263 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - House (40 - 0)
1/29 HB 1189 Prohibits Genetic Information Usage by Insurance Companies Bill Passed - House (117 - 1)
12/12 HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
11/21 SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Bill Passed - House (111 - 77)
11/13 SB 667 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - House (100 - 13)
8/22 SB 343 Amends Financial Data Disclosure Laws Bill Passed - House (58 - 13)
8/07 SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Bill Passed - House (82 - 32)
6/27 SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - House (26 - 15)
6/24 SB 78 Requires Citizens Purchase Health Insurance Bill Passed - House (57 - 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 1246 Requires Large Group Health Plans to Cover Medically Necessary Prescription Drugs (58 - 19)
5/29 AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - House (55 - 18)
5/28 AB 4 Authorizes Medi-Cal Benefits for Undocumented Immigrants Bill Passed - House (51 - 17)
5/24 HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
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