Key Votes

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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.


results per page:
Date State Bill No. Title Outcome
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)
Date No. Title Outcome
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)

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