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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 14, 2011 GA HB 47 Ability to Purchase Insurance Out of State Concurrence Vote Passed - House (98 - 58)
April 11, 2011 AK HB 1 Authorizes Individuals to Decline Health Care Coverage Bill Passed - House (23 - 16)
April 6, 2011 VA HB 2434 Health Benefits Exchange Concurrence Vote Passed - House (59 - 36)
April 5, 2011 SC S 434 Prohibiting DHHS From Reducing Provider Rates Joint Resolution Passed - House (63 - 44)
April 5, 2011 AL HB 60 Prohibiting Mandatory Participation in any Health Care System Amendment Adopted - House (67 - 28)
April 1, 2011 TX H Amdt 6 Appropriations for the Department of Aging and Disability Services Amendment Adopted - House (67 - 61)
March 31, 2011 AR HB 1226 2011-2012 State Insurance Department Budget Bill Passed - House (83 - 7)
March 30, 2011 GA SB 17 Special Advisory Commission on Mandated Health Insurance Benefits Bill Passed - House (96 - 67)
March 30, 2011 ID H 298 Response to the Patient Protection and Affordable Care Act Bill Passed - House (50 - 17)
March 29, 2011 AR HB 1226 2011-2012 State Insurance Department Budget Bill Failed - House (53 - 41)
March 24, 2011 AL HB 60 Prohibiting Mandatory Participation in any Health Care System Amendment Rejected - House (59 - 28)
March 24, 2011 VT H 202 Single-Payer and Unified Health System Bill Passed - House (92 - 49)
March 16, 2011 GA HB 461 Interstate Health Care Compact Bill Passed - House (108 - 63)
March 7, 2011 TN SB 79 Tennessee Health Care Freedom Act Bill Passed - House (70 - 27)
March 7, 2011 UT HB 354 Restricting Health Insurance Coverage of Abortion Bill Passed - House (57 - 13)
March 2, 2011 MT HB 248 Income Tax Credit for Long-Term Care Insurance Bill Failed - House (44 - 56)
Feb. 24, 2011 UT HB 165 State Reimbursement for Required Medical Services Act Bill Passed - House (57 - 14)
Feb. 17, 2011 VA SB 1062 Health Insurance Coverage of Autism Spectrum Disorder Bill Passed - House (71 - 27)
Feb. 16, 2011 MT HB 206 Constitutional Amendment on Freedom to Choose Health Insurance Coverage Amendment Adopted - House (67 - 31)
Feb. 11, 2011 KS HCR 5007 Prohibiting Mandated Health Insurance Bill Passed - House (91 - 27)
Feb. 8, 2011 MT HB 30 Health Care Sharing Ministries Bill Passed - House (68 - 32)
Feb. 8, 2011 ND HB 1377 Children's Health Insurance Program Bill Failed - House (25 - 67)
Feb. 2, 2011 NC HB 2 Prohibits Enforcement of the Patient Protection and Affordable Care Act Bill Passed - House (66 - 50)
Feb. 2, 2011 UT HB 211 Community Service Medicaid Pilot Program Bill Passed - House (56 - 15)
Feb. 2, 2011 IA HF 111 Purchase of Health Care Bill Passed - House (59 - 39)
Jan. 24, 2011 WA HB 1086 2011-2012 Supplemental Budget Bill Passed - House (55 - 43)
Jan. 20, 2011 AZ SB 1001 Request for Medicaid Waiver Bill Passed - House (40 - 20)
Aug. 10, 2010 National HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - House (247 - 161)
June 2, 2010 CA AB 2578 State Approvals for Health Insurance Rates Bill Passed - House (43 - 28)
June 1, 2010 CA AB 2244 Prohibiting the Denial of Health Care Coverage for Children with Preexisting Conditions Bill Passed - House (50 - 25)
June 1, 2010 CA AB 1602 Health Care Coverage Amendments Bill Passed - House (49 - 26)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Concurrence Vote Passed - House (220 - 207)
March 21, 2010 National HR 3590 Patient Protection and Affordable Care Act Concurrence Vote Passed - House (219 - 212)
March 21, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - House (220 - 211)
Nov. 7, 2009 National H Amdt 510 Substitute Health Care and Insurance Law Amendments Amendment Rejected - House (176 - 258)
Nov. 7, 2009 National H Amdt 509 Prohibiting Federally Funded Abortion Services Amendment Adopted - House (240 - 194)
Jan. 14, 2009 National HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - House (289 - 139)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - House (383 - 41)
June 24, 2008 National HR 6331 Medicare Bill Bill Passed - House (355 - 59)
May 15, 2008 National HR 2642 Iraq Related Provisions such as a Troop Withdrawal, a Permanent Base Ban, and Limiting Interrogation Techniques Concurrence Vote Passed - House (256 - 166)
April 23, 2008 National HR 5613 Medicaid Extensions and Changes Bill Passed - House (349 - 62)
March 5, 2008 National HR 1424 Mental Health Coverage Bill Bill Passed - House (268 - 148)
Jan. 23, 2008 National HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Veto Override Failed - House (260 - 152)
Oct. 25, 2007 National HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Bill Passed - House (265 - 142)
Oct. 18, 2007 National HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Veto Override Failed - House (273 - 156)
Sept. 25, 2007 National HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Concurrence Vote Passed - House (265 - 159)
Aug. 1, 2007 National HR 3162 State Children's Health Insurance Program (SCHIP) Reauthorization Bill Passed - House (225 - 204)
July 11, 2007 National S 1701 Extension of Funding for Transitional Medical Assistance and Abstinence Education Bill Passed - House (291 - 126)
May 17, 2007 National S Con Res 21 2008 Budget Resolution Conference Report Adopted - House (214 - 209)
Feb. 1, 2006 National H Res 653 Budget Reconciliation Adoption Resolution Passed - House (216 - 214)
Dec. 19, 2005 National S 1932 Budget Reconciliation Bill Conference Report Adopted - House (212 - 206)
July 26, 2005 National H Amdt 514 Small Employer Health Benefits Plan Amendment Amendment Rejected - House (197 - 230)
May 12, 2004 National HR 4279 Small Business Health Fairness Act of 2004 Bill Passed - House (273 - 152)
June 19, 2003 National HR 660 Small Business Health Fairness Act of 2003 Bill Passed - House (262 - 162)
June 19, 2003 National HR 1528 Taxpayer Protection and IRS Accountability Act of 2003 Bill Passed - House (252 - 170)
June 28, 2002 National HR 4954 Medicare Modernization and Prescription Drug Act Bill Passed - House (221 - 208)
Aug. 2, 2001 National HR 2563 Bipartisan Patient Protection Act Bill Passed - House (226 - 203)
June 28, 2000 National HR 4680 Medicare Rx bill Bill Passed - House (217 - 214)
Oct. 7, 1999 National H Amdt 514 Patient Protection Substitute Amendment Amendment Rejected - House (193 - 238)
Oct. 6, 1999 National HR 2990 Patients' Bill of Rights bill Bill Passed - House (227 - 205)
July 24, 1998 National H Amdt 776 Patients' Bill of Rights Act Amendment Amendment Rejected - House (212 - 217)
July 24, 1998 National HR 4250 Patient Protection bill Bill Passed - House (216 - 210)
July 16, 1998 National H Amdt 728 Federal Health Plan Contraceptive Coverage Amendment Amendment Adopted - House (224 - 198)
Aug. 1, 1996 National HR 3103 Health Insurance Portability bill Conference Report Adopted - House (421 - 2)
March 28, 1996 National HR 3103 Health Insurance Portability bill Bill Passed - House (267 - 151)
Nov. 1, 1995 National H Amdt 890 Domestic Partners Amendment Amendment Adopted - House (249 - 172)
Oct. 19, 1995 National HR 2425 Medicare Preservation Act of 1995 Bill Passed - House (231 - 201)
Date No. Title Outcome
4/14 HB 47 Ability to Purchase Insurance Out of State Concurrence Vote Passed - House (98 - 58)
4/11 HB 1 Authorizes Individuals to Decline Health Care Coverage Bill Passed - House (23 - 16)
4/06 HB 2434 Health Benefits Exchange Concurrence Vote Passed - House (59 - 36)
4/05 S 434 Prohibiting DHHS From Reducing Provider Rates Joint Resolution Passed - House (63 - 44)
4/05 HB 60 Prohibiting Mandatory Participation in any Health Care System Amendment Adopted - House (67 - 28)
4/01 H Amdt 6 Appropriations for the Department of Aging and Disability Services Amendment Adopted - House (67 - 61)
3/31 HB 1226 2011-2012 State Insurance Department Budget Bill Passed - House (83 - 7)
3/30 SB 17 Special Advisory Commission on Mandated Health Insurance Benefits Bill Passed - House (96 - 67)
3/30 H 298 Response to the Patient Protection and Affordable Care Act Bill Passed - House (50 - 17)
3/29 HB 1226 2011-2012 State Insurance Department Budget Bill Failed - House (53 - 41)
3/24 HB 60 Prohibiting Mandatory Participation in any Health Care System Amendment Rejected - House (59 - 28)
3/24 H 202 Single-Payer and Unified Health System Bill Passed - House (92 - 49)
3/16 HB 461 Interstate Health Care Compact Bill Passed - House (108 - 63)
3/07 SB 79 Tennessee Health Care Freedom Act Bill Passed - House (70 - 27)
3/07 HB 354 Restricting Health Insurance Coverage of Abortion Bill Passed - House (57 - 13)
3/02 HB 248 Income Tax Credit for Long-Term Care Insurance Bill Failed - House (44 - 56)
2/24 HB 165 State Reimbursement for Required Medical Services Act Bill Passed - House (57 - 14)
2/17 SB 1062 Health Insurance Coverage of Autism Spectrum Disorder Bill Passed - House (71 - 27)
2/16 HB 206 Constitutional Amendment on Freedom to Choose Health Insurance Coverage Amendment Adopted - House (67 - 31)
2/11 HCR 5007 Prohibiting Mandated Health Insurance Bill Passed - House (91 - 27)
2/08 HB 30 Health Care Sharing Ministries Bill Passed - House (68 - 32)
2/08 HB 1377 Children's Health Insurance Program Bill Failed - House (25 - 67)
2/02 HB 2 Prohibits Enforcement of the Patient Protection and Affordable Care Act Bill Passed - House (66 - 50)
2/02 HB 211 Community Service Medicaid Pilot Program Bill Passed - House (56 - 15)
2/02 HF 111 Purchase of Health Care Bill Passed - House (59 - 39)
1/24 HB 1086 2011-2012 Supplemental Budget Bill Passed - House (55 - 43)
1/20 SB 1001 Request for Medicaid Waiver Bill Passed - House (40 - 20)
8/10 HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - House (247 - 161)
6/02 AB 2578 State Approvals for Health Insurance Rates Bill Passed - House (43 - 28)
6/01 AB 2244 Prohibiting the Denial of Health Care Coverage for Children with Preexisting Conditions Bill Passed - House (50 - 25)
6/01 AB 1602 Health Care Coverage Amendments Bill Passed - House (49 - 26)
3/25 HR 4872 Health Care Reconciliation Act Concurrence Vote Passed - House (220 - 207)
3/21 HR 3590 Patient Protection and Affordable Care Act Concurrence Vote Passed - House (219 - 212)
3/21 HR 4872 Health Care Reconciliation Act Bill Passed - House (220 - 211)
11/07 H Amdt 510 Substitute Health Care and Insurance Law Amendments Amendment Rejected - House (176 - 258)
11/07 H Amdt 509 Prohibiting Federally Funded Abortion Services Amendment Adopted - House (240 - 194)
1/14 HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - House (289 - 139)
7/15 HR 6331 Medicare Bill Veto Override Passed - House (383 - 41)
6/24 HR 6331 Medicare Bill Bill Passed - House (355 - 59)
5/15 HR 2642 Iraq Related Provisions such as a Troop Withdrawal, a Permanent Base Ban, and Limiting Interrogation Techniques Concurrence Vote Passed - House (256 - 166)
4/23 HR 5613 Medicaid Extensions and Changes Bill Passed - House (349 - 62)
3/05 HR 1424 Mental Health Coverage Bill Bill Passed - House (268 - 148)
1/23 HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Veto Override Failed - House (260 - 152)
10/25 HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Bill Passed - House (265 - 142)
10/18 HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Veto Override Failed - House (273 - 156)
9/25 HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Concurrence Vote Passed - House (265 - 159)
8/01 HR 3162 State Children's Health Insurance Program (SCHIP) Reauthorization Bill Passed - House (225 - 204)
7/11 S 1701 Extension of Funding for Transitional Medical Assistance and Abstinence Education Bill Passed - House (291 - 126)
5/17 S Con Res 21 2008 Budget Resolution Conference Report Adopted - House (214 - 209)
2/01 H Res 653 Budget Reconciliation Adoption Resolution Passed - House (216 - 214)
12/19 S 1932 Budget Reconciliation Bill Conference Report Adopted - House (212 - 206)
7/26 H Amdt 514 Small Employer Health Benefits Plan Amendment Amendment Rejected - House (197 - 230)
5/12 HR 4279 Small Business Health Fairness Act of 2004 Bill Passed - House (273 - 152)
6/19 HR 660 Small Business Health Fairness Act of 2003 Bill Passed - House (262 - 162)
6/19 HR 1528 Taxpayer Protection and IRS Accountability Act of 2003 Bill Passed - House (252 - 170)
6/28 HR 4954 Medicare Modernization and Prescription Drug Act Bill Passed - House (221 - 208)
8/02 HR 2563 Bipartisan Patient Protection Act Bill Passed - House (226 - 203)
6/28 HR 4680 Medicare Rx bill Bill Passed - House (217 - 214)
10/07 H Amdt 514 Patient Protection Substitute Amendment Amendment Rejected - House (193 - 238)
10/06 HR 2990 Patients' Bill of Rights bill Bill Passed - House (227 - 205)
7/24 H Amdt 776 Patients' Bill of Rights Act Amendment Amendment Rejected - House (212 - 217)
7/24 HR 4250 Patient Protection bill Bill Passed - House (216 - 210)
7/16 H Amdt 728 Federal Health Plan Contraceptive Coverage Amendment Amendment Adopted - House (224 - 198)
8/01 HR 3103 Health Insurance Portability bill Conference Report Adopted - House (421 - 2)
3/28 HR 3103 Health Insurance Portability bill Bill Passed - House (267 - 151)
11/01 H Amdt 890 Domestic Partners Amendment Amendment Adopted - House (249 - 172)
10/19 HR 2425 Medicare Preservation Act of 1995 Bill Passed - House (231 - 201)
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