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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
Sept. 1, 2021 CA AB 570 Requires Health Insurance Plans to Make Coverage Available to their Members' Dependent Parents Bill Passed - Senate (30 - 9)
June 30, 2021 NJ S 3733 Requires Health Insurance Carriers to Offer Cost Share Plans for Individuals Bill Passed - Senate (27 - 6)
June 26, 2021 OR HB 3352 Expands Insurance Eligibility to Undocumented Immigrants Not Covered by Medicaid Bill Passed - Senate (17 - 11)
March 22, 2021 NE LB 100 Extends Insurance Coverage and Medicaid Access to Prescribed Contraceptives Amendment Adopted - Senate (25 - 11)
Jan. 22, 2021 VA SB 1276 Repeals the Abortion Prohibition in Virginia Health Insurance Plans Bill Passed - Senate (20 - 17)
Oct. 1, 2020 National S 4653 A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act Cloture Not Invoked - Senate (51 - 43)
Aug. 30, 2020 CA SB 855 Expands Health Insurance Coverage for Mental Health Treatment Concurrence Vote Passed - Senate (31 - 7)
Aug. 27, 2020 NJ A 1263 Prohibits Stranger-Originated Life Insurance Policy Arrangements Bill Passed - Senate (38 - 0)
July 30, 2020 NJ A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - Senate (21 - 16)
July 14, 2020 PA HB 1459 Establishes a Mental Health Wellness and Stress Management Program for Emergency First Responders Bill Passed - Senate (49 - 0)
July 6, 2020 HI HB 2502 Authorizes COVID-19 Health Screenings of Travelers At Ports of Entry Bill Passed - Senate (21 - 4)
June 29, 2020 NJ S 2273 Amends Teacher Health Benefits Concurrence Vote Passed - Senate (38 - 0)
June 16, 2020 NH HB 685 Requires Maternity Insurance Benefits to Include Abortion Services "Ought to Pass as Amended" Report Adopted - Senate (14 - 10)
June 16, 2020 NH HB 250 Requires Dental Coverage Under State Medicaid Plans Bill Passed - Senate (19 - 5)
June 13, 2020 CO SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Concurrence Vote Passed - Senate (23 - 12)
April 21, 2020 PA SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Concurrence Vote Passed - Senate (29 - 21)
April 15, 2020 WI AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - Senate (32 - 0)
March 16, 2020 MD HB 959 Establishes Permanence of Certain Consumer Protections Under the Affordable Care Act Bill Passed - Senate (31 - 14)
March 14, 2020 CO HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Bill Passed - Senate (21 - 9)
March 12, 2020 CO HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Bill Passed - Senate (24 - 10)
March 9, 2020 WA SB 6088 Establishes a Prescription Drug Affordability Board Concurrence Vote Passed - Senate (31 - 17)
March 5, 2020 VA HB 1251 Authorizes Enrollee not to Pay Out-of-Network Amount Except Applicable Cost-sharing Requirement (40 - 0)
March 5, 2020 VA HB 66 Limits the Cost of Insulin to $50 Per 30-Day Supply Bill Passed - Senate (24 - 16)
Feb. 25, 2020 WV SB 284 Establishes a West Virginia Patient Protection Program Bill Passed - Senate (20 - 14)
Feb. 18, 2020 NM HB 100 Amends Health Insurance Exchange Role to Expand Access to Healthcare Bill Passed - Senate (28 - 14)
Feb. 18, 2020 WA SB 6087 Establishes Cost-Sharing Requirements for Coverage of Insulin Products Bill Passed - Senate (34 - 14)
Feb. 12, 2020 KY SB 30 Limits the Number of Companies that Oversee State's Medicaid Program Bill Passed - Senate (29 - 7)
Oct. 29, 2019 IL SB 667 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - Senate (48 - 7)
Sept. 9, 2019 CA AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - Senate (37 - 1)
Aug. 13, 2019 NC SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Concurrence Vote Passed - Senate (32 - 9)
June 17, 2019 OR HB 3076 Establishes Standards for Non-Profit Hospitals Bill Passed - Senate (20 - 8)
June 7, 2019 NJ S 2144 Amends State Insurance Laws on Fair Conduct Policies Bill Passed - Senate (21 - 14)
May 29, 2019 CA SB 29 Expands Medi-Cal Program Eligibility to Undocumented Immigrants Ages 19-25 or 65 and Older Bill Passed - Senate (24 - 11)
May 28, 2019 CA SB 65 Establishes Financial Assistance for Low Income Residents Buying Health Insurance Bill Passed - Senate (30 - 7)
May 22, 2019 TX HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
May 21, 2019 VT S 37 Requires Corporate Compensation for Long-Term Health Monitoring Concurrence Vote Passed - Senate (19 - 11)
May 3, 2019 FL SB 322 Amends Health Insurance Options Concurrence Vote Passed - Senate (23 - 13)
May 2, 2019 CO SB 19-005 Authorizes the Import of Prescription Drugs from Canada Concurrence Vote Passed - Senate (20 - 15)
May 2, 2019 CO HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Bill Passed - Senate (24 - 11)
April 27, 2019 WA SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - Senate (27 - 21)
April 27, 2019 IA HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
April 18, 2019 OR SB 250 Prohibits Health Benefit Plans from Discrimination Bill Passed - Senate (25 - 5)
April 17, 2019 CO HB 19-1004 Establishes an Affordable Health Coverage Option for Rural Areas Bill Passed - Senate (19 - 16)
April 16, 2019 TX SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
April 13, 2019 MT SB 160 Establishes Presumptive Health Care Coverage for Firefighters Concurrence Vote Passed - Senate (40 - 10)
April 11, 2019 CA SB 78 Requires Citizens Purchase Health Insurance Bill Passed - Senate (27 - 9)
April 10, 2019 DE SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - Senate (16 - 5)
April 3, 2019 VA SB 1240 Authorizes Short-Term, Limited-Duration Health Insurance Veto Override Failed - Senate (20 - 18)
April 3, 2019 VA SB 1027 Authorizes Catastrophic Health Plans Veto Override Failed - Senate (22 - 16)
Feb. 28, 2019 OR HB 2010 Authorizes the Continuation of Funding for the Oregon Reinsurance Program Bill Passed - Senate (23 - 7)
Feb. 20, 2019 KS SB 32 Authorizes The Farm Bureau To Offer Coverage Bill Passed - Senate (28 - 11)
April 19, 2018 MI SB 897 Establishes Work Requirements for Medicaid Recipients Bill Passed - Senate (26 - 11)
April 12, 2018 NJ A 3380 Requires Individuals to Purchase Health Insurance Bill Passed - Senate (22 - 13)
April 12, 2018 NJ A 2039 Establishes Regulations for Out-of-Network Billing Bill Passed - Senate (21 - 13)
April 12, 2018 NJ S 1878 Establishes a State Health Reinsurance Plan Bill Passed - Senate (24 - 13)
April 7, 2018 KS HB 2028 Establishes the Kansas Telemedicine Act Conference Report Adopted - Senate (24 - 14)
April 3, 2018 RI S 2399 Prohibits Gender Discrimination in Insurance Premiums Bill Passed - Senate (32 - 2)
March 30, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
Feb. 6, 2018 MS SB 2836 Authorizes Continued Medicaid Funding Bill Passed - Senate (31 - 16)
July 28, 2017 National S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
July 26, 2017 National S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
July 25, 2017 National S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
July 5, 2017 OR HB 3391 Requires Coverage for Abortions and Contraceptives Bill Passed - Senate (17 - 13)
May 10, 2017 IL HB 40 Amends Restrictions on Publicly Funded Abortions Bill Passed - Senate (33 - 22)
May 8, 2017 FL HB 5007 Revises Florida Retirement System Conference Report Adopted - Senate (24 - 13)
April 18, 2017 ME LD 12 Establishes Protections for Living Organ Donors Veto Override Passed - Senate (32 - 2)
April 12, 2017 WA HB 1234 Requires Coverage for 12-Month Refills of Contraceptive Drugs Bill Passed - Senate (48 - 1)
March 30, 2017 MN HF 5 Establishes a Health Insurance Cost-Sharing Program Conference Report Adopted - Senate (35 - 32)
March 15, 2017 MN HF 5 Establishes a Health Insurance Cost-Sharing Program Bill Passed - Senate (37 - 29)
Jan. 12, 2017 National S Con Res 3 A Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2017 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2018 Through 2026 Joint Resolution Passed - Senate (51 - 48)
July 20, 2016 HI SB 2077 Authorizes Employees Affected by Privatization to Receive Benefits Veto Override Passed - Senate (18 - 4)
June 2, 2016 CA SB 10 Authorizes Undocumented Immigrants to be Eligible for Health Coverage Concurrence Vote Passed - Senate (28 - 10)
March 31, 2016 NH HB 1696 Amends Health Protection Program Bill Passed - Senate (16 - 8)
March 10, 2016 IN SB 165 Expands Medicaid Conference Report Adopted - Senate (34 - 16)
Sept. 9, 2015 IL HB 1 Expands Heroin Abuse Treatment Programs Veto Override Passed - Senate (44 - 11)
Date No. Title Outcome
9/01 AB 570 Requires Health Insurance Plans to Make Coverage Available to their Members' Dependent Parents Bill Passed - Senate (30 - 9)
6/30 S 3733 Requires Health Insurance Carriers to Offer Cost Share Plans for Individuals Bill Passed - Senate (27 - 6)
6/26 HB 3352 Expands Insurance Eligibility to Undocumented Immigrants Not Covered by Medicaid Bill Passed - Senate (17 - 11)
3/22 LB 100 Extends Insurance Coverage and Medicaid Access to Prescribed Contraceptives Amendment Adopted - Senate (25 - 11)
1/22 SB 1276 Repeals the Abortion Prohibition in Virginia Health Insurance Plans Bill Passed - Senate (20 - 17)
10/01 S 4653 A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act Cloture Not Invoked - Senate (51 - 43)
8/30 SB 855 Expands Health Insurance Coverage for Mental Health Treatment Concurrence Vote Passed - Senate (31 - 7)
8/27 A 1263 Prohibits Stranger-Originated Life Insurance Policy Arrangements Bill Passed - Senate (38 - 0)
7/30 A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - Senate (21 - 16)
7/14 HB 1459 Establishes a Mental Health Wellness and Stress Management Program for Emergency First Responders Bill Passed - Senate (49 - 0)
7/06 HB 2502 Authorizes COVID-19 Health Screenings of Travelers At Ports of Entry Bill Passed - Senate (21 - 4)
6/29 S 2273 Amends Teacher Health Benefits Concurrence Vote Passed - Senate (38 - 0)
6/16 HB 685 Requires Maternity Insurance Benefits to Include Abortion Services "Ought to Pass as Amended" Report Adopted - Senate (14 - 10)
6/16 HB 250 Requires Dental Coverage Under State Medicaid Plans Bill Passed - Senate (19 - 5)
6/13 SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Concurrence Vote Passed - Senate (23 - 12)
4/21 SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Concurrence Vote Passed - Senate (29 - 21)
4/15 AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - Senate (32 - 0)
3/16 HB 959 Establishes Permanence of Certain Consumer Protections Under the Affordable Care Act Bill Passed - Senate (31 - 14)
3/14 HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Bill Passed - Senate (21 - 9)
3/12 HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Bill Passed - Senate (24 - 10)
3/09 SB 6088 Establishes a Prescription Drug Affordability Board Concurrence Vote Passed - Senate (31 - 17)
3/05 HB 1251 Authorizes Enrollee not to Pay Out-of-Network Amount Except Applicable Cost-sharing Requirement (40 - 0)
3/05 HB 66 Limits the Cost of Insulin to $50 Per 30-Day Supply Bill Passed - Senate (24 - 16)
2/25 SB 284 Establishes a West Virginia Patient Protection Program Bill Passed - Senate (20 - 14)
2/18 HB 100 Amends Health Insurance Exchange Role to Expand Access to Healthcare Bill Passed - Senate (28 - 14)
2/18 SB 6087 Establishes Cost-Sharing Requirements for Coverage of Insulin Products Bill Passed - Senate (34 - 14)
2/12 SB 30 Limits the Number of Companies that Oversee State's Medicaid Program Bill Passed - Senate (29 - 7)
10/29 SB 667 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - Senate (48 - 7)
9/09 AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - Senate (37 - 1)
8/13 SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Concurrence Vote Passed - Senate (32 - 9)
6/17 HB 3076 Establishes Standards for Non-Profit Hospitals Bill Passed - Senate (20 - 8)
6/07 S 2144 Amends State Insurance Laws on Fair Conduct Policies Bill Passed - Senate (21 - 14)
5/29 SB 29 Expands Medi-Cal Program Eligibility to Undocumented Immigrants Ages 19-25 or 65 and Older Bill Passed - Senate (24 - 11)
5/28 SB 65 Establishes Financial Assistance for Low Income Residents Buying Health Insurance Bill Passed - Senate (30 - 7)
5/22 HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
5/21 S 37 Requires Corporate Compensation for Long-Term Health Monitoring Concurrence Vote Passed - Senate (19 - 11)
5/03 SB 322 Amends Health Insurance Options Concurrence Vote Passed - Senate (23 - 13)
5/02 SB 19-005 Authorizes the Import of Prescription Drugs from Canada Concurrence Vote Passed - Senate (20 - 15)
5/02 HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Bill Passed - Senate (24 - 11)
4/27 SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - Senate (27 - 21)
4/27 HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
4/18 SB 250 Prohibits Health Benefit Plans from Discrimination Bill Passed - Senate (25 - 5)
4/17 HB 19-1004 Establishes an Affordable Health Coverage Option for Rural Areas Bill Passed - Senate (19 - 16)
4/16 SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
4/13 SB 160 Establishes Presumptive Health Care Coverage for Firefighters Concurrence Vote Passed - Senate (40 - 10)
4/11 SB 78 Requires Citizens Purchase Health Insurance Bill Passed - Senate (27 - 9)
4/10 SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - Senate (16 - 5)
4/03 SB 1240 Authorizes Short-Term, Limited-Duration Health Insurance Veto Override Failed - Senate (20 - 18)
4/03 SB 1027 Authorizes Catastrophic Health Plans Veto Override Failed - Senate (22 - 16)
2/28 HB 2010 Authorizes the Continuation of Funding for the Oregon Reinsurance Program Bill Passed - Senate (23 - 7)
2/20 SB 32 Authorizes The Farm Bureau To Offer Coverage Bill Passed - Senate (28 - 11)
4/19 SB 897 Establishes Work Requirements for Medicaid Recipients Bill Passed - Senate (26 - 11)
4/12 A 3380 Requires Individuals to Purchase Health Insurance Bill Passed - Senate (22 - 13)
4/12 A 2039 Establishes Regulations for Out-of-Network Billing Bill Passed - Senate (21 - 13)
4/12 S 1878 Establishes a State Health Reinsurance Plan Bill Passed - Senate (24 - 13)
4/07 HB 2028 Establishes the Kansas Telemedicine Act Conference Report Adopted - Senate (24 - 14)
4/03 S 2399 Prohibits Gender Discrimination in Insurance Premiums Bill Passed - Senate (32 - 2)
3/30 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
2/06 SB 2836 Authorizes Continued Medicaid Funding Bill Passed - Senate (31 - 16)
7/28 S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
7/26 S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
7/25 S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
7/05 HB 3391 Requires Coverage for Abortions and Contraceptives Bill Passed - Senate (17 - 13)
5/10 HB 40 Amends Restrictions on Publicly Funded Abortions Bill Passed - Senate (33 - 22)
5/08 HB 5007 Revises Florida Retirement System Conference Report Adopted - Senate (24 - 13)
4/18 LD 12 Establishes Protections for Living Organ Donors Veto Override Passed - Senate (32 - 2)
4/12 HB 1234 Requires Coverage for 12-Month Refills of Contraceptive Drugs Bill Passed - Senate (48 - 1)
3/30 HF 5 Establishes a Health Insurance Cost-Sharing Program Conference Report Adopted - Senate (35 - 32)
3/15 HF 5 Establishes a Health Insurance Cost-Sharing Program Bill Passed - Senate (37 - 29)
1/12 S Con Res 3 A Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2017 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2018 Through 2026 Joint Resolution Passed - Senate (51 - 48)
7/20 SB 2077 Authorizes Employees Affected by Privatization to Receive Benefits Veto Override Passed - Senate (18 - 4)
6/02 SB 10 Authorizes Undocumented Immigrants to be Eligible for Health Coverage Concurrence Vote Passed - Senate (28 - 10)
3/31 HB 1696 Amends Health Protection Program Bill Passed - Senate (16 - 8)
3/10 SB 165 Expands Medicaid Conference Report Adopted - Senate (34 - 16)
9/09 HB 1 Expands Heroin Abuse Treatment Programs Veto Override Passed - Senate (44 - 11)
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