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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 17, 2025 MI SB 32 Requires Certain Reviews of Insurance Policies Related to Perinatal Care to Be Provided to the Department of Insurance and Financial Services Bill Passed - Senate (36 - 0)
April 16, 2025 AZ HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Bill Passed - Senate (16 - 14)
April 14, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - Senate (30 - 18)
April 9, 2025 AZ HB 2076 Amends Statutes Related to Life Insurance Policies to Redefine the Term "Illustration" Bill Passed - Senate (28 - 2)
April 9, 2025 AZ HB 2449 Establishes New Enrollment Verification Requirements and Presumptive Eligibility Determinations for Arizona Health Care Cost Containment System (AHCCCS) Bill Passed - Senate (17 - 13)
April 4, 2025 WA HB 1114 Authorizes Licensed Respiratory Care Practitioners to Practice in Any of the States Within the Compact Bill Passed - Senate (49 - 0)
April 3, 2025 AR SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - Senate (28 - 5)
April 2, 2025 OH SB 100 Exempts Nonprofit Agricultural Membership Organizations From Insurance Regulations Bill Passed - Senate (32 - 0)
March 27, 2025 MO SB 79 Exempts Certain Health Insurance Plans From Federal Protections Bill Passed - Senate (24 - 6)
March 26, 2025 CO SB 25-071 Prohibits Pharmaceutical Companies from Restricting Hospitals' Use of the Federal 340B Prescription Drug Discount Program Bill Passed - Senate (30 - 4)
March 25, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
March 25, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
March 21, 2025 NM HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - Senate (26 - 14)
March 20, 2025 NH SB 134 Establishes Medicaid Work Requirements "Ought to Pass" Report Adopted - Senate (15 - 8)
March 20, 2025 CA SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Bill Passed - Senate (28 - 10)
March 15, 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 - Senate (19 - 14)
March 10, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - Senate (28 - 6)
March 8, 2025 NM SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - Senate (34 - 0)
March 7, 2025 WA SB 5041 Establishes Unemployment Insurance for Workers on Strike Bill Passed - Senate (28 - 21)
Feb. 26, 2025 CO HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Bill Passed - Senate (32 - 1)
Feb. 25, 2025 NM SB 92 Establishes the Horse Racing Integrity and Safety Authority and Jockey and Exercise Rider Insurance Fund Bill Passed - Senate (36 - 1)
Feb. 19, 2025 MT SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
Feb. 18, 2025 IN SB 2 Establishes State Medicaid Restrictions Bill Passed - Senate (40 - 9)
Feb. 12, 2025 NC SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
Feb. 11, 2025 GA SB 39 Prohibits State Employees From Receiving Gender Affirming Health Care Services (32 - 18)
Jan. 21, 2025 NY S 929 Establishes the Health Information Privacy Act Bill Passed - Senate (49 - 10)
Sept. 30, 2024 NJ A 4447 Requires Healthcare Practitioner Referrals to Pharmacies be in Accordance with Certain Professional Standards Bill Passed - Senate (34 - 0)
Aug. 20, 2024 CA AB 2435 Extends Healthcare Coverage Bill Passed - Senate (32 - 8)
July 18, 2024 MA H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
June 28, 2024 NJ A 3861 Establishes the Louisa Carman Medical Debt Relief Act Bill Passed - Senate (25 - 15)
June 28, 2024 NJ S 3452 Requires Health Insurance and Medicaid Coverage for Reproductive Health Care Services Bill Passed - Senate (23 - 14)
June 26, 2024 OH SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Concurrence Vote Passed - Senate (22 - 9)
June 26, 2024 OH SB 196 Authorizes Global Signature Uses for Advanced Nurses Bill Passed - Senate (30 - 1)
June 12, 2024 OH HB 49 Requires Hospital Price Transparency Bill Passed - Senate (27 - 6)
June 7, 2024 NY A 2898 Requires Health Insurance Companies Cover Dyslexia Testing Bill Passed - Senate (60 - 0)
June 3, 2024 NY A 1696 Expands Health Insurance Coverage for Breast Imaging Bill Passed - Senate (60 - 0)
May 23, 2024 NH HB 1593 Appropriates Funding for Recreational Activities for Individuals with Developmental Disabilities "Ought to Pass as Amended" Report Adopted - Senate (24 - 0)
May 23, 2024 IL HB 5395 Establishes New Controls on the State's Health Insurance Industry Bill Passed - Senate (45 - 14)
May 23, 2024 IL HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Bill Passed - Senate (40 - 19)
May 21, 2024 LA HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Bill Passed - Senate (25 - 14)
May 8, 2024 CO HB 24-1219 Expands State Funding for Firefighter Benefits to Include Part-Time and Volunteer Firefighters Bill Passed - Senate (31 - 2)
May 8, 2024 MO SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
May 7, 2024 LA HB 337 Prohibits Insurers from Being Named Initially in Lawsuits Involving an Injured Individual in a Car Wreck Bill Passed - Senate (39 - 0)
April 30, 2024 RI S 2396 Requires Insurance Companies Cover, Diagnose, and Treat Infertility for Women Ages 25 to 42 Years Old Bill Passed - Senate (32 - 5)
April 29, 2024 LA SB 323 Amends and Defines Certain Insurance Terms Concurrence Vote Passed - Senate (36 - 0)
April 29, 2024 MO SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
April 25, 2024 DE SB 249 Amends and Authorizes Additional Flexibility When Issuing Captive Insurance Bill Passed - Senate (19 - 1)
April 24, 2024 LA HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Bill Passed - Senate (26 - 9)
April 24, 2024 CO SB 24-149 Amends State Worker Compensation Insurance Laws Bill Passed - Senate (21 - 13)
April 11, 2024 NE LB 62 Requires Coverage of Translation and Interpretation Services Under the State Medical Insurance Program Bill Passed - Senate (34 - 6)
Date No. Title Outcome
4/17 SB 32 Requires Certain Reviews of Insurance Policies Related to Perinatal Care to Be Provided to the Department of Insurance and Financial Services Bill Passed - Senate (36 - 0)
4/16 HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Bill Passed - Senate (16 - 14)
4/14 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - Senate (30 - 18)
4/09 HB 2076 Amends Statutes Related to Life Insurance Policies to Redefine the Term "Illustration" Bill Passed - Senate (28 - 2)
4/09 HB 2449 Establishes New Enrollment Verification Requirements and Presumptive Eligibility Determinations for Arizona Health Care Cost Containment System (AHCCCS) Bill Passed - Senate (17 - 13)
4/04 HB 1114 Authorizes Licensed Respiratory Care Practitioners to Practice in Any of the States Within the Compact Bill Passed - Senate (49 - 0)
4/03 SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - Senate (28 - 5)
4/02 SB 100 Exempts Nonprofit Agricultural Membership Organizations From Insurance Regulations Bill Passed - Senate (32 - 0)
3/27 SB 79 Exempts Certain Health Insurance Plans From Federal Protections Bill Passed - Senate (24 - 6)
3/26 SB 25-071 Prohibits Pharmaceutical Companies from Restricting Hospitals' Use of the Federal 340B Prescription Drug Discount Program Bill Passed - Senate (30 - 4)
3/25 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
3/25 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
3/21 HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - Senate (26 - 14)
3/20 SB 134 Establishes Medicaid Work Requirements "Ought to Pass" Report Adopted - Senate (15 - 8)
3/20 SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Bill Passed - Senate (28 - 10)
3/15 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 - Senate (19 - 14)
3/10 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - Senate (28 - 6)
3/08 SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - Senate (34 - 0)
3/07 SB 5041 Establishes Unemployment Insurance for Workers on Strike Bill Passed - Senate (28 - 21)
2/26 HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Bill Passed - Senate (32 - 1)
2/25 SB 92 Establishes the Horse Racing Integrity and Safety Authority and Jockey and Exercise Rider Insurance Fund Bill Passed - Senate (36 - 1)
2/19 SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
2/18 SB 2 Establishes State Medicaid Restrictions Bill Passed - Senate (40 - 9)
2/12 SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
2/11 SB 39 Prohibits State Employees From Receiving Gender Affirming Health Care Services (32 - 18)
1/21 S 929 Establishes the Health Information Privacy Act Bill Passed - Senate (49 - 10)
9/30 A 4447 Requires Healthcare Practitioner Referrals to Pharmacies be in Accordance with Certain Professional Standards Bill Passed - Senate (34 - 0)
8/20 AB 2435 Extends Healthcare Coverage Bill Passed - Senate (32 - 8)
7/18 H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
6/28 A 3861 Establishes the Louisa Carman Medical Debt Relief Act Bill Passed - Senate (25 - 15)
6/28 S 3452 Requires Health Insurance and Medicaid Coverage for Reproductive Health Care Services Bill Passed - Senate (23 - 14)
6/26 SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Concurrence Vote Passed - Senate (22 - 9)
6/26 SB 196 Authorizes Global Signature Uses for Advanced Nurses Bill Passed - Senate (30 - 1)
6/12 HB 49 Requires Hospital Price Transparency Bill Passed - Senate (27 - 6)
6/07 A 2898 Requires Health Insurance Companies Cover Dyslexia Testing Bill Passed - Senate (60 - 0)
6/03 A 1696 Expands Health Insurance Coverage for Breast Imaging Bill Passed - Senate (60 - 0)
5/23 HB 1593 Appropriates Funding for Recreational Activities for Individuals with Developmental Disabilities "Ought to Pass as Amended" Report Adopted - Senate (24 - 0)
5/23 HB 5395 Establishes New Controls on the State's Health Insurance Industry Bill Passed - Senate (45 - 14)
5/23 HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Bill Passed - Senate (40 - 19)
5/21 HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Bill Passed - Senate (25 - 14)
5/08 HB 24-1219 Expands State Funding for Firefighter Benefits to Include Part-Time and Volunteer Firefighters Bill Passed - Senate (31 - 2)
5/08 SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
5/07 HB 337 Prohibits Insurers from Being Named Initially in Lawsuits Involving an Injured Individual in a Car Wreck Bill Passed - Senate (39 - 0)
4/30 S 2396 Requires Insurance Companies Cover, Diagnose, and Treat Infertility for Women Ages 25 to 42 Years Old Bill Passed - Senate (32 - 5)
4/29 SB 323 Amends and Defines Certain Insurance Terms Concurrence Vote Passed - Senate (36 - 0)
4/29 SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
4/25 SB 249 Amends and Authorizes Additional Flexibility When Issuing Captive Insurance Bill Passed - Senate (19 - 1)
4/24 HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Bill Passed - Senate (26 - 9)
4/24 SB 24-149 Amends State Worker Compensation Insurance Laws Bill Passed - Senate (21 - 13)
4/11 LB 62 Requires Coverage of Translation and Interpretation Services Under the State Medical Insurance Program Bill Passed - Senate (34 - 6)
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