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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 21, 2023 AZ SB 1017 Expands Coverage of Cochlear Implants to Adults Through Arizona's Medicaid Program Bill Passed - Senate (23 - 6)
March 20, 2023 MD SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - Senate (31 - 12)
March 20, 2023 MD SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - Senate (31 - 12)
March 17, 2023 MD SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - Senate (33 - 11)
March 17, 2023 MD SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - Senate (33 - 11)
March 16, 2023 NM HB 400 Establishes a Study on Whether a State Based Healthcare Option is Viable Bill Passed - Senate (24 - 15)
March 16, 2023 AZ SB 1221 Amends Biometric Laws Regarding Fingerprinting Bill Passed - Senate (23 - 4)
March 15, 2023 IA SF 326 Increases Birth Control Restrictions for Minors Bill Passed - Senate (45 - 3)
March 15, 2023 NM SB 523 Amends Medical Malpractice Rules Bill Passed - Senate (40 - 2)
March 14, 2023 ID S 1130 Prohibits Employer Required COVID-19 Vaccine Mandates Bill Passed - Senate (28 - 7)
March 14, 2023 MD SB 798 Establishes a Voter Referendum for 2024 Election that Enshrines Individual's Constitutional Right to Reproductive Freedom Bill Passed - Senate (32 - 15)
March 14, 2023 IA SF 319 Authorizes Drug Testing of Private Sector Employees Bill Passed - Senate (32 - 15)
March 13, 2023 KY HB 236 Requires Public Pension Investments be based on Financial Risks and Returns not ESG Factors Bill Passed - Senate (32 - 5)
March 13, 2023 AR HB 1307 Requires the State Divest from Financial Companies that Follow Certain Sociopolitical Guidelines Bill Passed - Senate (23 - 9)
March 10, 2023 CO SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - Senate (26 - 9)
March 10, 2023 CO SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - Senate (26 - 9)
March 10, 2023 NM SB 13 Establishes State Protections for Abortions and Gender Affirming Healthcare Bill Passed - Senate (26 - 16)
March 8, 2023 OK SB 444 Requires Certain Medicaid Plans Provide Reimbursements for Care Bill Passed - Senate (45 - 2)
March 7, 2023 SD HB 1022 Appropriates Funds for the Increased Costs of Building the New State Public Health Laboratory. Conference Report Adopted - Senate (26 - 4)
March 7, 2023 SD SB 1 Expands Definition of Who Can Access Medical Marijuana Program Concurrence Vote Passed - Senate (19 - 15)
March 7, 2023 IA SF 507 Prohibits Investment of Public Funds from Management by Firms that Account for "Environmental, Social and Governance Factors" Bill Passed - Senate (33 - 16)
March 7, 2023 HI SB 1 Prohibits the State from Cooperating with Out-of-State Abortion Lawsuits Bill Passed - Senate (22 - 3)
March 7, 2023 HI SB 1 Prohibits the State from Cooperating with Out-of-State Abortion Lawsuits Bill Passed - Senate (22 - 3)
March 6, 2023 SD HB 1094 Reduces Tax Rates on Food and Repeals Conditional Reduction of Certain Gross Receipts Tax Rates Bill Passed - Senate (18 - 17)
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 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 6, 2023 NM SB 16 Establishes a State Health Care Authority Department Bill Passed - Senate (25 - 14)
March 2, 2023 WY SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Concurrence Vote Passed - Senate (19 - 11)
March 2, 2023 WY SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Concurrence Vote Passed - Senate (19 - 11)
March 2, 2023 WY SF 109 Prohibits Chemical Abortions Concurrence Vote Passed - Senate (26 - 4)
March 2, 2023 MT SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
March 2, 2023 MT SB 382 Establishes the Montana Land Use Planning Act Bill Passed - Senate (44 - 6)
March 2, 2023 MT SB 308 Establishes Patient Visitation Rights Bill Passed - Senate (40 - 10)
March 2, 2023 MT SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
March 2, 2023 MT SB 450 Authorizes Religious or Conscience Exemptions for Certain Vaccines Bill Passed - Senate (30 - 20)
March 2, 2023 MT SB 450 Authorizes Religious or Conscience Exemptions for Certain Vaccines Bill Passed - Senate (30 - 20)
March 2, 2023 MT SB 301 Amends Property Laws Related to Lakeshore Regulations Bill Passed - Senate (32 - 18)
March 2, 2023 VT S 5 Establishes State Clean Energy Heat Standards Bill Passed - Senate (19 - 10)
March 1, 2023 UT HB 301 Reduces State Gas Tax and Increases Fees for EV Charging Stations Bill Passed - Senate (19 - 5)
March 1, 2023 UT HB 131 Prohibits Public Entities from Restricting Employment Due to an Individuals Vaccination Status Bill Passed - Senate (21 - 5)
March 1, 2023 SD HB 1079 Appropriates Funds to the South Dakota Department of Health to Fund Mental Health Services Bill Passed - Senate (27 - 6)
March 1, 2023 WY HB 152 Expands Abortion Restrictions Bill Passed - Senate (25 - 5)
March 1, 2023 WY HB 152 Expands Abortion Restrictions Bill Passed - Senate (25 - 5)
March 1, 2023 WY HB 4 Extends Postpartum Medicaid Coverage from 2 to 12 Months Bill Passed - Senate (16 - 14)
March 1, 2023 National H J Res 30 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Prudence and Loyalty in Selecting Plan Investments and Exercising Shareholder Rights" Joint Resolution Passed - Senate (50 - 46)
March 1, 2023 WA SB 5120 Establishes 23-Hour Mental Health and Substance Use Crisis Relief Centers Bill Passed - Senate (47 - 0)
March 1, 2023 WA SB 5120 Establishes 23-Hour Mental Health and Substance Use Crisis Relief Centers Bill Passed - Senate (47 - 0)
March 1, 2023 NC SB 3 Authorizes the Use of Medical Cannabis for Those Who Qualify Bill Passed - Senate (36 - 10)
Feb. 28, 2023 MI HB 4016 Appropriates $1.4 Billion from the General Budget to Address the State Healthcare Worker Shortage Bill Passed - Senate (22 - 16)
Feb. 28, 2023 WA SB 5242 Prohibits Cost-Sharing for Patients Seeking Abortion Care (29 - 19)
Feb. 27, 2023 SD HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - Senate (34 - 0)
Feb. 27, 2023 SD HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - Senate (34 - 0)
Feb. 25, 2023 VA SB 1188 Classifies Fentanyl as a "Weapons of Terrorism" and a Class 4 Felony Conference Report Adopted - Senate (35 - 5)
Feb. 24, 2023 MT SB 245 Amends municipal zoning to allow multifamily and mixed use development Bill Passed - Senate (40 - 10)
Feb. 24, 2023 MT SB 275 Amends Definitions of Proposed Mixing Zones and Well Isolation Zones Bill Passed - Senate (36 - 14)
Feb. 23, 2023 WV SB 577 Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits Bill Passed - Senate (32 - 2)
Feb. 23, 2023 WV SB 577 Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits Bill Passed - Senate (32 - 2)
Feb. 23, 2023 KS SB 219 Repeals Abortion Providers Eligibility to Purchase Professional Liability Insurance Bill Passed - Senate (26 - 12)
Feb. 22, 2023 SC S 153 Classifies the Trafficking of Fentanyl as a Felony Bill Passed - Senate (45 - 0)
Feb. 16, 2023 ND SB 2248 Establishes Penalty for an Individual Caught Aiding Injury or Death of Another Caused by Illegal Drug Substances Bill Passed - Senate (47 - 0)
Feb. 15, 2023 OK SB 613 Prohibits "Gender Transition Procedures" for Children Bill Passed - Senate (40 - 8)
Feb. 15, 2023 ND SB 2089 Appropriates $7.5 Million to Oil Companies to Reduce Natural Gas Flaring Bill Passed - Senate (41 - 5)
Feb. 14, 2023 NM SB 9 Appropriates Millions in State Funds for Environment and Cultural Conservation Bill Passed - Senate (33 - 7)
Feb. 14, 2023 ND SB 2140 Establishes an Insulin Price Cap of $25 per 30-Day Supply for Residents Covered by the North Dakota Public Employees Retirement System Bill Passed - Senate (38 - 6)
Feb. 13, 2023 TN SB 1 Prohibits Gender Altering Medical Procedures in Minors Bill Passed - Senate (26 - 6)
Feb. 13, 2023 NM SB 53 Amends Radioactive Waste Storage Rules Bill Passed - Senate (21 - 13)
Feb. 10, 2023 FL HB 9-B Amends the Reedy Creek Improvement District for Orange and Osceola Counties Bill Passed - Senate (26 - 9)
Feb. 9, 2023 HI SB 432 Defines Hawaii Coral Reefs as Critical Natural Infrastructure Bill Passed - Senate (25 - 0)
Feb. 9, 2023 CO SB 23-128 Appropriates Funding for the State Department of Public Health and Environment Bill Passed - Senate (25 - 9)
Feb. 9, 2023 CO SB 23-128 Appropriates Funding for the State Department of Public Health and Environment Bill Passed - Senate (25 - 9)
Feb. 9, 2023 SC S 474 Amends Abortion Laws Bill Passed - Senate (28 - 12)
Feb. 8, 2023 IA HF 161 Establishes a $1 Million Cap on Noneconomic Damages in Medical Malpractice Lawsuits Bill Passed - Senate (29 - 20)
Feb. 7, 2023 GA SB 1 Extends Prohibition on Certain COVID Vaccine Requirements (31 - 21)
Feb. 1, 2023 UT SB 86 Repeals Fentanyl Testing Strips from the List of Drug Paraphernalia Bill Passed - Senate (27 - 1)
Date No. Title Outcome
3/21 SB 1017 Expands Coverage of Cochlear Implants to Adults Through Arizona's Medicaid Program Bill Passed - Senate (23 - 6)
3/20 SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - Senate (31 - 12)
3/20 SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - Senate (31 - 12)
3/17 SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - Senate (33 - 11)
3/17 SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - Senate (33 - 11)
3/16 HB 400 Establishes a Study on Whether a State Based Healthcare Option is Viable Bill Passed - Senate (24 - 15)
3/16 SB 1221 Amends Biometric Laws Regarding Fingerprinting Bill Passed - Senate (23 - 4)
3/15 SF 326 Increases Birth Control Restrictions for Minors Bill Passed - Senate (45 - 3)
3/15 SB 523 Amends Medical Malpractice Rules Bill Passed - Senate (40 - 2)
3/14 S 1130 Prohibits Employer Required COVID-19 Vaccine Mandates Bill Passed - Senate (28 - 7)
3/14 SB 798 Establishes a Voter Referendum for 2024 Election that Enshrines Individual's Constitutional Right to Reproductive Freedom Bill Passed - Senate (32 - 15)
3/14 SF 319 Authorizes Drug Testing of Private Sector Employees Bill Passed - Senate (32 - 15)
3/13 HB 236 Requires Public Pension Investments be based on Financial Risks and Returns not ESG Factors Bill Passed - Senate (32 - 5)
3/13 HB 1307 Requires the State Divest from Financial Companies that Follow Certain Sociopolitical Guidelines Bill Passed - Senate (23 - 9)
3/10 SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - Senate (26 - 9)
3/10 SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - Senate (26 - 9)
3/10 SB 13 Establishes State Protections for Abortions and Gender Affirming Healthcare Bill Passed - Senate (26 - 16)
3/08 SB 444 Requires Certain Medicaid Plans Provide Reimbursements for Care Bill Passed - Senate (45 - 2)
3/07 HB 1022 Appropriates Funds for the Increased Costs of Building the New State Public Health Laboratory. Conference Report Adopted - Senate (26 - 4)
3/07 SB 1 Expands Definition of Who Can Access Medical Marijuana Program Concurrence Vote Passed - Senate (19 - 15)
3/07 SF 507 Prohibits Investment of Public Funds from Management by Firms that Account for "Environmental, Social and Governance Factors" Bill Passed - Senate (33 - 16)
3/07 SB 1 Prohibits the State from Cooperating with Out-of-State Abortion Lawsuits Bill Passed - Senate (22 - 3)
3/07 SB 1 Prohibits the State from Cooperating with Out-of-State Abortion Lawsuits Bill Passed - Senate (22 - 3)
3/06 HB 1094 Reduces Tax Rates on Food and Repeals Conditional Reduction of Certain Gross Receipts Tax Rates Bill Passed - Senate (18 - 17)
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)
3/06 SB 8 Repeals All Patient's Share Costs Associated with Mammograms and Screenings for Breast and Ovarian Cancers Bill Passed - Senate (50 - 0)
3/06 SB 16 Establishes a State Health Care Authority Department Bill Passed - Senate (25 - 14)
3/02 SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Concurrence Vote Passed - Senate (19 - 11)
3/02 SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Concurrence Vote Passed - Senate (19 - 11)
3/02 SF 109 Prohibits Chemical Abortions Concurrence Vote Passed - Senate (26 - 4)
3/02 SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
3/02 SB 382 Establishes the Montana Land Use Planning Act Bill Passed - Senate (44 - 6)
3/02 SB 308 Establishes Patient Visitation Rights Bill Passed - Senate (40 - 10)
3/02 SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
3/02 SB 450 Authorizes Religious or Conscience Exemptions for Certain Vaccines Bill Passed - Senate (30 - 20)
3/02 SB 450 Authorizes Religious or Conscience Exemptions for Certain Vaccines Bill Passed - Senate (30 - 20)
3/02 SB 301 Amends Property Laws Related to Lakeshore Regulations Bill Passed - Senate (32 - 18)
3/02 S 5 Establishes State Clean Energy Heat Standards Bill Passed - Senate (19 - 10)
3/01 HB 301 Reduces State Gas Tax and Increases Fees for EV Charging Stations Bill Passed - Senate (19 - 5)
3/01 HB 131 Prohibits Public Entities from Restricting Employment Due to an Individuals Vaccination Status Bill Passed - Senate (21 - 5)
3/01 HB 1079 Appropriates Funds to the South Dakota Department of Health to Fund Mental Health Services Bill Passed - Senate (27 - 6)
3/01 HB 152 Expands Abortion Restrictions Bill Passed - Senate (25 - 5)
3/01 HB 152 Expands Abortion Restrictions Bill Passed - Senate (25 - 5)
3/01 HB 4 Extends Postpartum Medicaid Coverage from 2 to 12 Months Bill Passed - Senate (16 - 14)
3/01 H J Res 30 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Prudence and Loyalty in Selecting Plan Investments and Exercising Shareholder Rights" Joint Resolution Passed - Senate (50 - 46)
3/01 SB 5120 Establishes 23-Hour Mental Health and Substance Use Crisis Relief Centers Bill Passed - Senate (47 - 0)
3/01 SB 5120 Establishes 23-Hour Mental Health and Substance Use Crisis Relief Centers Bill Passed - Senate (47 - 0)
3/01 SB 3 Authorizes the Use of Medical Cannabis for Those Who Qualify Bill Passed - Senate (36 - 10)
2/28 HB 4016 Appropriates $1.4 Billion from the General Budget to Address the State Healthcare Worker Shortage Bill Passed - Senate (22 - 16)
2/28 SB 5242 Prohibits Cost-Sharing for Patients Seeking Abortion Care (29 - 19)
2/27 HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - Senate (34 - 0)
2/27 HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - Senate (34 - 0)
2/25 SB 1188 Classifies Fentanyl as a "Weapons of Terrorism" and a Class 4 Felony Conference Report Adopted - Senate (35 - 5)
2/24 SB 245 Amends municipal zoning to allow multifamily and mixed use development Bill Passed - Senate (40 - 10)
2/24 SB 275 Amends Definitions of Proposed Mixing Zones and Well Isolation Zones Bill Passed - Senate (36 - 14)
2/23 SB 577 Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits Bill Passed - Senate (32 - 2)
2/23 SB 577 Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits Bill Passed - Senate (32 - 2)
2/23 SB 219 Repeals Abortion Providers Eligibility to Purchase Professional Liability Insurance Bill Passed - Senate (26 - 12)
2/22 S 153 Classifies the Trafficking of Fentanyl as a Felony Bill Passed - Senate (45 - 0)
2/16 SB 2248 Establishes Penalty for an Individual Caught Aiding Injury or Death of Another Caused by Illegal Drug Substances Bill Passed - Senate (47 - 0)
2/15 SB 613 Prohibits "Gender Transition Procedures" for Children Bill Passed - Senate (40 - 8)
2/15 SB 2089 Appropriates $7.5 Million to Oil Companies to Reduce Natural Gas Flaring Bill Passed - Senate (41 - 5)
2/14 SB 9 Appropriates Millions in State Funds for Environment and Cultural Conservation Bill Passed - Senate (33 - 7)
2/14 SB 2140 Establishes an Insulin Price Cap of $25 per 30-Day Supply for Residents Covered by the North Dakota Public Employees Retirement System Bill Passed - Senate (38 - 6)
2/13 SB 1 Prohibits Gender Altering Medical Procedures in Minors Bill Passed - Senate (26 - 6)
2/13 SB 53 Amends Radioactive Waste Storage Rules Bill Passed - Senate (21 - 13)
2/10 HB 9-B Amends the Reedy Creek Improvement District for Orange and Osceola Counties Bill Passed - Senate (26 - 9)
2/09 SB 432 Defines Hawaii Coral Reefs as Critical Natural Infrastructure Bill Passed - Senate (25 - 0)
2/09 SB 23-128 Appropriates Funding for the State Department of Public Health and Environment Bill Passed - Senate (25 - 9)
2/09 SB 23-128 Appropriates Funding for the State Department of Public Health and Environment Bill Passed - Senate (25 - 9)
2/09 S 474 Amends Abortion Laws Bill Passed - Senate (28 - 12)
2/08 HF 161 Establishes a $1 Million Cap on Noneconomic Damages in Medical Malpractice Lawsuits Bill Passed - Senate (29 - 20)
2/07 SB 1 Extends Prohibition on Certain COVID Vaccine Requirements (31 - 21)
2/01 SB 86 Repeals Fentanyl Testing Strips from the List of Drug Paraphernalia Bill Passed - Senate (27 - 1)
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