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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
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)
April 11, 2024 NE LB 1017 Establishes Compensation for Injuries resulting in disability under the Nebraska Workers' Compensation Act Bill Passed - Senate (38 - 8)
April 9, 2024 RI S 2082 Establishes a $25 Per Month Cap for Insured Individuals for Insulin Administration and Glucose Monitoring Equipment Bill Passed - Senate (33 - 0)
March 8, 2024 MD SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
March 6, 2024 GA SB 76 Authorizes Coverage for Insulin Medication at a Reduced Rate Bill Passed - Senate (52 - 2)
Feb. 22, 2024 MI HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
Feb. 20, 2024 OR SB 1506 Authorizes Pharmacists to Test for COVID-19 and Administer Treatments Covered by State Health Insurance Plans Bill Passed - Senate (26 - 4)
Feb. 12, 2024 NM SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - Senate (21 - 16)
Feb. 8, 2024 NM SB 135 Requires Doctors Ask Health Insurers to Cover Medication Costs Without Needing to Try Cheaper Versions First Bill Passed - Senate (38 - 2)
Jan. 31, 2024 MS SB 2140 Establishes an Online Portal for Physicians to Submit Prior Authorization Requests Bill Passed - Senate (52 - 0)
Oct. 26, 2023 MI SB 530 Amends the State No-Fault Insurance Policy Bill Passed - Senate (23 - 14)
Oct. 19, 2023 MI SB 531 Establishes Fee Schedules for Reimbursements to Health Care Providers Bill Passed - Senate (23 - 14)
Oct. 4, 2023 MI SB 483 Establishes the Prescription Drug Affordability Board to Set State Drug Prices Bill Passed - Senate (20 - 17)
June 29, 2023 DE HB 185 Rescinds the Three Month Waiting Period for the State to Pay its Share of Premium Subscription Charges for Health Care Coverage Bill Passed - Senate (15 - 6)
June 22, 2023 OR HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - Senate (17 - 7)
June 21, 2023 ME LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - Senate (22 - 12)
June 20, 2023 OR SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - Senate (17 - 8)
June 15, 2023 RI S 575 Requires Epipens to be Covered by Insurance Bill Passed - Senate (36 - 0)
May 19, 2023 OK SB 513 Requires Medicaid and Private Insurance Groups Cover Biomarker Testing Concurrence Vote Passed - Senate (43 - 3)
May 16, 2023 MN SF 2744 Establishes New Protections Over Prescription Drug Costs Conference Report Adopted - Senate (35 - 32)
May 11, 2023 TX SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - Senate (20 - 10)
May 4, 2023 CO HB 23-1215 Prohibits Hospitals from Charging Facility Fees for Preventive Care Services Bill Passed - Senate (23 - 12)
April 19, 2023 AK SB 58 Expands Medicaid Coverage for Postpartum Mothers Bill Passed - Senate (16 - 0)
April 12, 2023 WA HB 1626 Requires the State Health Care Authority to Provide Coverage for Colonoscopies Bill Passed - Senate (39 - 9)
April 11, 2023 AK SJR 10 Authorizes Government Officials to Raise the Medicare Reimbursement Rates Bill Passed - Senate (19 - 0)
April 4, 2023 MT SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
March 23, 2023 FL HB 837 Amends Various State Tort Reforms to Protect Health Insurance Companies from Liability Bill Passed - Senate (23 - 15)
March 23, 2023 OK SB 704 Amends Membership of the Oklahoma State University Medical Authority Bill Passed - Senate (42 - 2)
March 10, 2023 CO SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - Senate (26 - 9)
March 6, 2023 NM SB 273 Requires Health Insurance Companies Provide Reimbursement for Mental Health Coverage Bill Passed - Senate (31 - 10)
March 6, 2023 PA SB 8 Repeals All Patient's Share Costs Associated with Mammograms and Screenings for Breast and Ovarian Cancers Bill Passed - Senate (50 - 0)
March 2, 2023 WY SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Concurrence Vote Passed - Senate (19 - 11)
March 2, 2023 MT SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
Feb. 23, 2023 KS SB 219 Repeals Abortion Providers Eligibility to Purchase Professional Liability Insurance Bill Passed - Senate (26 - 12)
Feb. 23, 2023 WV SB 577 Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits Bill Passed - Senate (32 - 2)
Sept. 20, 2022 MI HB 6075 Authorizes Assistance Payments to Guardians of Minors Bill Passed - Senate (36 - 0)
Aug. 24, 2022 CA SB 951 Amends the Unemployment Insurance Code for New Benefits and Paid Family Leave Concurrence Vote Passed - Senate (31 - 9)
June 29, 2022 NJ A 2008 Requires Insurance Coverage for Mental Health Conditions and Substance Abuse Bill Passed - Senate (40 - 0)
June 22, 2022 DE SB 316 Amends Delaware Code to Cap Prices on Diabetes Equipment and Supplies Bill Passed - Senate (21 - 0)
June 5, 2022 LA SB 141 Prohibits Insurance Companies from Requiring a Certain Vaccination Status or Proof Thereof Concurrence Vote Passed - Senate (30 - 3)
May 31, 2022 NY A 8869 Requires Insurance Companies to Accommodate Hate Crime Victims Bill Passed - Senate (63 - 0)
May 22, 2022 MN HF 4065 Expands Health & Human Services Regulations Bill Passed - Senate (66 - 0)
May 9, 2022 CO HB 22-1122 Prohibits Certain Pharmacy Benefit Manager Practices Bill Passed - Senate (24 - 11)
May 3, 2022 VT H 728 Expands Policies Addressing Opioid Epidemic Bill Passed - Senate (22 - 7)
April 27, 2022 VA HB 297 Prohibits Healthcare Providers From Engaging in Certain Medical Debt Collection Activities Veto Override Failed - Senate (21 - 19)
March 30, 2022 GA HB 1013 Establishes the Mental Health Parity Act (54 - 0)
March 24, 2022 RI S 2080 Requires Health Insurers Provide Coverage for 10 Categories of Essential Health Benefits Bill Passed - Senate (26 - 8)
March 8, 2022 VA HB 297 Prohibits Healthcare Providers From Engaging in Certain Medical Debt Collection Activities Concurrence Vote Passed - Senate (22 - 17)
March 7, 2022 OK SB 1085 Establishes the Insurance Department Pharmacy Benefits Manager Revolving Fund Bill Passed - Senate (35 - 11)
Feb. 11, 2022 WV SB 25 Establishes the Medical Professional Liability Act Bill Passed - Senate (25 - 7)
Sept. 10, 2021 CA SB 510 Requires Health Insurers to Cover the Cost of COVID-19 Testing Concurrence Vote Passed - Senate (27 - 8)
Date No. Title Outcome
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)
4/11 LB 1017 Establishes Compensation for Injuries resulting in disability under the Nebraska Workers' Compensation Act Bill Passed - Senate (38 - 8)
4/09 S 2082 Establishes a $25 Per Month Cap for Insured Individuals for Insulin Administration and Glucose Monitoring Equipment Bill Passed - Senate (33 - 0)
3/08 SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
3/06 SB 76 Authorizes Coverage for Insulin Medication at a Reduced Rate Bill Passed - Senate (52 - 2)
2/22 HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
2/20 SB 1506 Authorizes Pharmacists to Test for COVID-19 and Administer Treatments Covered by State Health Insurance Plans Bill Passed - Senate (26 - 4)
2/12 SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - Senate (21 - 16)
2/08 SB 135 Requires Doctors Ask Health Insurers to Cover Medication Costs Without Needing to Try Cheaper Versions First Bill Passed - Senate (38 - 2)
1/31 SB 2140 Establishes an Online Portal for Physicians to Submit Prior Authorization Requests Bill Passed - Senate (52 - 0)
10/26 SB 530 Amends the State No-Fault Insurance Policy Bill Passed - Senate (23 - 14)
10/19 SB 531 Establishes Fee Schedules for Reimbursements to Health Care Providers Bill Passed - Senate (23 - 14)
10/04 SB 483 Establishes the Prescription Drug Affordability Board to Set State Drug Prices Bill Passed - Senate (20 - 17)
6/29 HB 185 Rescinds the Three Month Waiting Period for the State to Pay its Share of Premium Subscription Charges for Health Care Coverage Bill Passed - Senate (15 - 6)
6/22 HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - Senate (17 - 7)
6/21 LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - Senate (22 - 12)
6/20 SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - Senate (17 - 8)
6/15 S 575 Requires Epipens to be Covered by Insurance Bill Passed - Senate (36 - 0)
5/19 SB 513 Requires Medicaid and Private Insurance Groups Cover Biomarker Testing Concurrence Vote Passed - Senate (43 - 3)
5/16 SF 2744 Establishes New Protections Over Prescription Drug Costs Conference Report Adopted - Senate (35 - 32)
5/11 SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - Senate (20 - 10)
5/04 HB 23-1215 Prohibits Hospitals from Charging Facility Fees for Preventive Care Services Bill Passed - Senate (23 - 12)
4/19 SB 58 Expands Medicaid Coverage for Postpartum Mothers Bill Passed - Senate (16 - 0)
4/12 HB 1626 Requires the State Health Care Authority to Provide Coverage for Colonoscopies Bill Passed - Senate (39 - 9)
4/11 SJR 10 Authorizes Government Officials to Raise the Medicare Reimbursement Rates Bill Passed - Senate (19 - 0)
4/04 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
3/23 HB 837 Amends Various State Tort Reforms to Protect Health Insurance Companies from Liability Bill Passed - Senate (23 - 15)
3/23 SB 704 Amends Membership of the Oklahoma State University Medical Authority Bill Passed - Senate (42 - 2)
3/10 SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - Senate (26 - 9)
3/06 SB 273 Requires Health Insurance Companies Provide Reimbursement for Mental Health Coverage Bill Passed - Senate (31 - 10)
3/06 SB 8 Repeals All Patient's Share Costs Associated with Mammograms and Screenings for Breast and Ovarian Cancers Bill Passed - Senate (50 - 0)
3/02 SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Concurrence Vote Passed - Senate (19 - 11)
3/02 SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
2/23 SB 219 Repeals Abortion Providers Eligibility to Purchase Professional Liability Insurance Bill Passed - Senate (26 - 12)
2/23 SB 577 Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits Bill Passed - Senate (32 - 2)
9/20 HB 6075 Authorizes Assistance Payments to Guardians of Minors Bill Passed - Senate (36 - 0)
8/24 SB 951 Amends the Unemployment Insurance Code for New Benefits and Paid Family Leave Concurrence Vote Passed - Senate (31 - 9)
6/29 A 2008 Requires Insurance Coverage for Mental Health Conditions and Substance Abuse Bill Passed - Senate (40 - 0)
6/22 SB 316 Amends Delaware Code to Cap Prices on Diabetes Equipment and Supplies Bill Passed - Senate (21 - 0)
6/05 SB 141 Prohibits Insurance Companies from Requiring a Certain Vaccination Status or Proof Thereof Concurrence Vote Passed - Senate (30 - 3)
5/31 A 8869 Requires Insurance Companies to Accommodate Hate Crime Victims Bill Passed - Senate (63 - 0)
5/22 HF 4065 Expands Health & Human Services Regulations Bill Passed - Senate (66 - 0)
5/09 HB 22-1122 Prohibits Certain Pharmacy Benefit Manager Practices Bill Passed - Senate (24 - 11)
5/03 H 728 Expands Policies Addressing Opioid Epidemic Bill Passed - Senate (22 - 7)
4/27 HB 297 Prohibits Healthcare Providers From Engaging in Certain Medical Debt Collection Activities Veto Override Failed - Senate (21 - 19)
3/30 HB 1013 Establishes the Mental Health Parity Act (54 - 0)
3/24 S 2080 Requires Health Insurers Provide Coverage for 10 Categories of Essential Health Benefits Bill Passed - Senate (26 - 8)
3/08 HB 297 Prohibits Healthcare Providers From Engaging in Certain Medical Debt Collection Activities Concurrence Vote Passed - Senate (22 - 17)
3/07 SB 1085 Establishes the Insurance Department Pharmacy Benefits Manager Revolving Fund Bill Passed - Senate (35 - 11)
2/11 SB 25 Establishes the Medical Professional Liability Act Bill Passed - Senate (25 - 7)
9/10 SB 510 Requires Health Insurers to Cover the Cost of COVID-19 Testing Concurrence Vote Passed - Senate (27 - 8)
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