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.


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Date State Bill No. Title Outcome
Nov. 13, 2024 MI HB 5013 Requires Health Insurance Policies to Cover 12-Month Supply of Prescription Contraceptives Bill Passed - House (57 - 52)
Oct. 9, 2024 PA HB 2564 Prohibits Insurers from Denying or Excluding Coverage Due to Preexisting Conditions Bill Passed - House (174 - 28)
Oct. 9, 2024 PA HB 2562 Prohibits Insurers from Setting Annual or Lifetime Limits on the Cost of Care Bill Passed - House (160 - 42)
Oct. 9, 2024 PA HB 2563 Authorizes Adult Children to Remain on a Parent's Private Health Plan Up to Age 26 Bill Passed - House (163 - 39)
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)
July 12, 2024 PA HB 2339 Increases Hospital Pricing Transparency Bill Passed - House (168 - 34)
July 11, 2024 PA HB 1633 Prohibits Non-Compete Clauses in the Healthcare Industry Concurrence Vote Passed - House (155 - 46)
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 27, 2024 NC SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
June 26, 2024 PA HB 1490 Amends and Modernizes Pennsylvania's Acupuncture Law Concurrence Vote Passed - House (119 - 83)
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 144 Authorizes Pharmacy Technicians to Deliver Immunizations Bill Passed - House (75 - 21)
June 26, 2024 OH HB 24 Requires Health Plan and Medicaid Coverage of Biomarker Testing Bill Passed - House (77 - 17)
June 26, 2024 MI HB 5027 Requires Michigan DHHS Establish Screening Availability Requirements for Individuals on Medicaid Bill Passed - House (91 - 18)
June 26, 2024 OH SB 196 Authorizes Global Signature Uses for Advanced Nurses Bill Passed - Senate (30 - 1)
June 26, 2024 PA HB 2268 Requires Casualty Insurance Provide Speech Therapy Coverage for Stuttering Bill Passed - House (181 - 21)
June 25, 2024 PA HB 1140 Requires Insurance Programs to Provide Coverage for Contraception Bill Passed - House (133 - 69)
June 20, 2024 MI HB 5166 Establishes a State-Managed Perinatal Quality Collaborative Bill Passed - House (87 - 22)
June 12, 2024 OH SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Bill Passed - House (80 - 11)
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)
Date No. Title Outcome
11/13 HB 5013 Requires Health Insurance Policies to Cover 12-Month Supply of Prescription Contraceptives Bill Passed - House (57 - 52)
10/09 HB 2564 Prohibits Insurers from Denying or Excluding Coverage Due to Preexisting Conditions Bill Passed - House (174 - 28)
10/09 HB 2562 Prohibits Insurers from Setting Annual or Lifetime Limits on the Cost of Care Bill Passed - House (160 - 42)
10/09 HB 2563 Authorizes Adult Children to Remain on a Parent's Private Health Plan Up to Age 26 Bill Passed - House (163 - 39)
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)
7/12 HB 2339 Increases Hospital Pricing Transparency Bill Passed - House (168 - 34)
7/11 HB 1633 Prohibits Non-Compete Clauses in the Healthcare Industry Concurrence Vote Passed - House (155 - 46)
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)
6/27 SB 425 Amends Health Care Policy Conference Report Adopted - House (104 - 7)
6/26 HB 1490 Amends and Modernizes Pennsylvania's Acupuncture Law Concurrence Vote Passed - House (119 - 83)
6/26 SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Concurrence Vote Passed - Senate (22 - 9)
6/26 SB 144 Authorizes Pharmacy Technicians to Deliver Immunizations Bill Passed - House (75 - 21)
6/26 HB 24 Requires Health Plan and Medicaid Coverage of Biomarker Testing Bill Passed - House (77 - 17)
6/26 HB 5027 Requires Michigan DHHS Establish Screening Availability Requirements for Individuals on Medicaid Bill Passed - House (91 - 18)
6/26 SB 196 Authorizes Global Signature Uses for Advanced Nurses Bill Passed - Senate (30 - 1)
6/26 HB 2268 Requires Casualty Insurance Provide Speech Therapy Coverage for Stuttering Bill Passed - House (181 - 21)
6/25 HB 1140 Requires Insurance Programs to Provide Coverage for Contraception Bill Passed - House (133 - 69)
6/20 HB 5166 Establishes a State-Managed Perinatal Quality Collaborative Bill Passed - House (87 - 22)
6/12 SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Bill Passed - House (80 - 11)
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)

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