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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
March 1, 2012 WA HB 2319 Requirements for Health Benefit Exchange Bill Passed - Senate (27 - 22)
March 1, 2012 National S Amdt 1520 Authorizes Moral and Religious Objections to Certain Health Care Items and Services Amendment Tabled - Senate (51 - 48)
Feb. 23, 2012 KS HCR 5007 Authorizes Kansas to Determine Its Health Care Policies Bill Failed - Senate (26 - 14)
Feb. 21, 2012 WI SJR 21 Prohibits mandated health insurance Joint Resolution Passed - Senate (17 - 16)
Feb. 14, 2012 OR SB 1580 Amends State Health Plan Bill Passed - Senate (18 - 12)
Nov. 10, 2011 MI SB 693 Establishes MIHealth Marketplace Health Insurance Exchange Bill Passed - Senate (25 - 12)
Oct. 20, 2011 WI SB 92 Prohibits Abortion Coverage through Healthcare Insurance Exchanges Bill Passed - Senate (17 - 16)
Sept. 9, 2011 CA SB 51 Compliance with Patient Protection and Affordable Care Act Concurrence Vote Passed - Senate (25 - 16)
Sept. 8, 2011 CA SB 222 Relating to Individual Health Care Coverage for Maternity Services Concurrence Vote Passed - Senate (25 - 12)
Aug. 24, 2011 MI SB 348 1 Percent Tax on Paid Health Insurance Claims Concurrence Vote Passed - Senate (31 - 7)
June 9, 2011 AL HB 60 Prohibiting Mandatory Participation in any Health Care System Amendment Adopted - Senate (24 - 9)
May 18, 2011 MI SB 7 Employee Contribution to Health Care Benefits Bill Passed - Senate (25 - 13)
May 16, 2011 ME LD 1333 Health Care Coverage Policy Changes Concurrence Vote Passed - Senate (24 - 10)
May 12, 2011 KS HB 2075 Prohibiting Insurance Coverage of Abortion Conference Report Adopted - Senate (28 - 10)
May 12, 2011 NE LB 22 Prohibits Insurance Coverage of Abortion Bill Passed - Senate (37 - 7)
May 5, 2011 VT H 436 Tax Law Amendments Conference Report Adopted - Senate (17 - 10)
May 5, 2011 CO SB 200 Establishing a Health Benefit Exchange Concurrence Vote Passed - Senate (19 - 14)
May 3, 2011 VT H 202 Single-Payer and Unified Health System Conference Report Adopted - Senate (21 - 9)
April 28, 2011 FL HB 97 Prohibits Insurance Coverage of Abortion Bill Passed - Senate (28 - 11)
April 25, 2011 OR SB 99 Establishes the Oregon Health Insurance Exchange Bill Passed - Senate (24 - 5)
April 14, 2011 GA HB 461 Interstate Health Care Compact Bill Passed - Senate (35 - 18)
April 12, 2011 GA HB 47 Ability to Purchase Insurance Out of State Bill Passed - Senate (37 - 17)
April 6, 2011 VA HB 2434 Health Benefits Exchange Concurrence Vote Passed - Senate (21 - 20)
April 5, 2011 MT SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Nonconcurrence Vote Passed - Senate (26 - 23)
April 5, 2011 ID H 298 Response to the Patient Protection and Affordable Care Act Bill Passed - Senate (24 - 11)
April 5, 2011 RI S 87 Establishing the Rhode Island Health Benefit Exchange Bill Passed - Senate (31 - 6)
March 5, 2011 WA SB 5039 Tobacco Cessation Treatment Bill Passed - Senate (28 - 21)
March 1, 2011 SC S 434 Prohibiting DHHS From Reducing Provider Rates Joint Resolution Passed - Senate (24 - 8)
March 1, 2011 ID S 1115 Insurance Coverage of Abortion Bill Passed - Senate (27 - 7)
Feb. 24, 2011 GA SB 17 Special Advisory Commission on Mandated Health Insurance Benefits Bill Passed - Senate (32 - 16)
Feb. 23, 2011 TN SB 79 Tennessee Health Care Freedom Act Bill Passed - Senate (21 - 10)
Feb. 17, 2011 VA SB 1062 Health Insurance Coverage of Autism Spectrum Disorder Concurrence Vote Passed - Senate (29 - 8)
Feb. 2, 2011 National S Amdt 9 Repealing the IRS 1099 Provision from the Patient Protection and Affordable Care Act Motion Agreed - Senate (81 - 17)
Feb. 2, 2011 National S Amdt 28 Repealing the IRS 1099 Provision from the Health Care Law Amendment Rejected - Senate (44 - 54)
Feb. 2, 2011 National S Amdt 13 Repealing the Federal Health Care Law Motion Rejected - Senate (47 - 51)
Jan. 27, 2011 MT SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Bill Passed - Senate (29 - 21)
Sept. 29, 2010 National S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
Sept. 14, 2010 National S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
Aug. 5, 2010 National HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - Senate (61 - 39)
June 1, 2010 CA SB 890 Standardization of Health Insurance Plans Bill Passed - Senate (23 - 11)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
Dec. 24, 2009 National HR 3590 Patient Protection and Affordable Care Act Bill Passed - Senate (60 - 39)
Dec. 23, 2009 National HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
Dec. 3, 2009 National S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
Oct. 21, 2009 National S 1776 Eliminating Adjustments to Medicare Rates of Payment Cloture Not Invoked - Senate (47 - 53)
Jan. 29, 2009 National HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - Senate (66 - 32)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
July 9, 2008 National HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
March 14, 2008 National S Amdt 4233 Codifying the Definition of a Child Eligible for SCHIP Amendment Rejected - Senate (46 - 52)
Nov. 1, 2007 National HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Bill Passed - Senate (64 - 30)
Sept. 27, 2007 National HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Concurrence Vote Passed - Senate (67 - 29)
Aug. 2, 2007 National HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Bill Passed - Senate (68 - 31)
May 17, 2007 National S Con Res 21 2008 Budget Resolution Conference Report Adopted - Senate (52 - 40)
March 23, 2007 National S Con Res 21 2008 Budget Resolution Joint Resolution Passed - Senate (52 - 47)
Nov. 3, 2005 National S 1932 Budget Reconciliation Bill Bill Passed - Senate (52 - 47)
June 29, 2001 National S 1052 Patients' Bill of Rights Bill Passed - Senate (59 - 36)
June 29, 2000 National S Amdt 3694 Health Care Amendment Amendment Adopted - Senate (51 - 47)
June 22, 2000 National S Amdt 3598 Outpatient Prescription Drugs Amendment Amendment Rejected - Senate (44 - 53)
July 15, 1999 National S Amdt 1250 Patient Lawsuit Amendment Amendment Adopted - Senate (53 - 47)
July 15, 1999 National S 1344 Patient Bill of Rights bill Bill Passed - Senate (53 - 47)
July 14, 1999 National S Amdt 1241 Women's Health and Cancer Rights Amendment Amendment Adopted - Senate (55 - 45)
April 1, 1998 National S Amdt 2169 Medicare Choices Amendment Amendment Adopted - Senate (51 - 47)
July 22, 1997 National S Amdt 936 Abortion Funding Amendment Amendment Adopted - Senate (54 - 45)
June 25, 1997 National S 947 Budget Reconciliation bill Bill Passed - Senate (73 - 27)
Aug. 2, 1996 National HR 3103 Health Insurance Portability bill Conference Report Adopted - Senate (98 - 0)
Date No. Title Outcome
3/01 HB 2319 Requirements for Health Benefit Exchange Bill Passed - Senate (27 - 22)
3/01 S Amdt 1520 Authorizes Moral and Religious Objections to Certain Health Care Items and Services Amendment Tabled - Senate (51 - 48)
2/23 HCR 5007 Authorizes Kansas to Determine Its Health Care Policies Bill Failed - Senate (26 - 14)
2/21 SJR 21 Prohibits mandated health insurance Joint Resolution Passed - Senate (17 - 16)
2/14 SB 1580 Amends State Health Plan Bill Passed - Senate (18 - 12)
11/10 SB 693 Establishes MIHealth Marketplace Health Insurance Exchange Bill Passed - Senate (25 - 12)
10/20 SB 92 Prohibits Abortion Coverage through Healthcare Insurance Exchanges Bill Passed - Senate (17 - 16)
9/09 SB 51 Compliance with Patient Protection and Affordable Care Act Concurrence Vote Passed - Senate (25 - 16)
9/08 SB 222 Relating to Individual Health Care Coverage for Maternity Services Concurrence Vote Passed - Senate (25 - 12)
8/24 SB 348 1 Percent Tax on Paid Health Insurance Claims Concurrence Vote Passed - Senate (31 - 7)
6/09 HB 60 Prohibiting Mandatory Participation in any Health Care System Amendment Adopted - Senate (24 - 9)
5/18 SB 7 Employee Contribution to Health Care Benefits Bill Passed - Senate (25 - 13)
5/16 LD 1333 Health Care Coverage Policy Changes Concurrence Vote Passed - Senate (24 - 10)
5/12 HB 2075 Prohibiting Insurance Coverage of Abortion Conference Report Adopted - Senate (28 - 10)
5/12 LB 22 Prohibits Insurance Coverage of Abortion Bill Passed - Senate (37 - 7)
5/05 H 436 Tax Law Amendments Conference Report Adopted - Senate (17 - 10)
5/05 SB 200 Establishing a Health Benefit Exchange Concurrence Vote Passed - Senate (19 - 14)
5/03 H 202 Single-Payer and Unified Health System Conference Report Adopted - Senate (21 - 9)
4/28 HB 97 Prohibits Insurance Coverage of Abortion Bill Passed - Senate (28 - 11)
4/25 SB 99 Establishes the Oregon Health Insurance Exchange Bill Passed - Senate (24 - 5)
4/14 HB 461 Interstate Health Care Compact Bill Passed - Senate (35 - 18)
4/12 HB 47 Ability to Purchase Insurance Out of State Bill Passed - Senate (37 - 17)
4/06 HB 2434 Health Benefits Exchange Concurrence Vote Passed - Senate (21 - 20)
4/05 SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Nonconcurrence Vote Passed - Senate (26 - 23)
4/05 H 298 Response to the Patient Protection and Affordable Care Act Bill Passed - Senate (24 - 11)
4/05 S 87 Establishing the Rhode Island Health Benefit Exchange Bill Passed - Senate (31 - 6)
3/05 SB 5039 Tobacco Cessation Treatment Bill Passed - Senate (28 - 21)
3/01 S 434 Prohibiting DHHS From Reducing Provider Rates Joint Resolution Passed - Senate (24 - 8)
3/01 S 1115 Insurance Coverage of Abortion Bill Passed - Senate (27 - 7)
2/24 SB 17 Special Advisory Commission on Mandated Health Insurance Benefits Bill Passed - Senate (32 - 16)
2/23 SB 79 Tennessee Health Care Freedom Act Bill Passed - Senate (21 - 10)
2/17 SB 1062 Health Insurance Coverage of Autism Spectrum Disorder Concurrence Vote Passed - Senate (29 - 8)
2/02 S Amdt 9 Repealing the IRS 1099 Provision from the Patient Protection and Affordable Care Act Motion Agreed - Senate (81 - 17)
2/02 S Amdt 28 Repealing the IRS 1099 Provision from the Health Care Law Amendment Rejected - Senate (44 - 54)
2/02 S Amdt 13 Repealing the Federal Health Care Law Motion Rejected - Senate (47 - 51)
1/27 SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Bill Passed - Senate (29 - 21)
9/29 S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
9/14 S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
8/05 HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - Senate (61 - 39)
6/01 SB 890 Standardization of Health Insurance Plans Bill Passed - Senate (23 - 11)
3/25 HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
12/24 HR 3590 Patient Protection and Affordable Care Act Bill Passed - Senate (60 - 39)
12/23 HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
12/03 S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
10/21 S 1776 Eliminating Adjustments to Medicare Rates of Payment Cloture Not Invoked - Senate (47 - 53)
1/29 HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - Senate (66 - 32)
7/15 HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
7/09 HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
3/14 S Amdt 4233 Codifying the Definition of a Child Eligible for SCHIP Amendment Rejected - Senate (46 - 52)
11/01 HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Bill Passed - Senate (64 - 30)
9/27 HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Concurrence Vote Passed - Senate (67 - 29)
8/02 HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Bill Passed - Senate (68 - 31)
5/17 S Con Res 21 2008 Budget Resolution Conference Report Adopted - Senate (52 - 40)
3/23 S Con Res 21 2008 Budget Resolution Joint Resolution Passed - Senate (52 - 47)
11/03 S 1932 Budget Reconciliation Bill Bill Passed - Senate (52 - 47)
6/29 S 1052 Patients' Bill of Rights Bill Passed - Senate (59 - 36)
6/29 S Amdt 3694 Health Care Amendment Amendment Adopted - Senate (51 - 47)
6/22 S Amdt 3598 Outpatient Prescription Drugs Amendment Amendment Rejected - Senate (44 - 53)
7/15 S Amdt 1250 Patient Lawsuit Amendment Amendment Adopted - Senate (53 - 47)
7/15 S 1344 Patient Bill of Rights bill Bill Passed - Senate (53 - 47)
7/14 S Amdt 1241 Women's Health and Cancer Rights Amendment Amendment Adopted - Senate (55 - 45)
4/01 S Amdt 2169 Medicare Choices Amendment Amendment Adopted - Senate (51 - 47)
7/22 S Amdt 936 Abortion Funding Amendment Amendment Adopted - Senate (54 - 45)
6/25 S 947 Budget Reconciliation bill Bill Passed - Senate (73 - 27)
8/02 HR 3103 Health Insurance Portability bill Conference Report Adopted - Senate (98 - 0)
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