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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
April 28, 2025 AZ HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Concurrence Vote Passed - House (32 - 23)
April 28, 2025 AZ HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Concurrence Vote Passed - House (32 - 23)
April 28, 2025 AZ SB 1316 Establishes the Maternal Mortality Review Program Bill Passed - House (42 - 14)
April 28, 2025 AZ SB 1316 Establishes the Maternal Mortality Review Program Bill Passed - House (42 - 14)
April 28, 2025 AZ SB 1443 Establishes Specific Regulations for Compensatory Damages Bill Passed - House (33 - 23)
April 28, 2025 NY S 4892 Amends Supervision Requirements and Scope of Practice for Physical Therapist Assistants Bill Passed - Senate (59 - 1)
April 28, 2025 LA HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Bill Passed - House (87 - 3)
April 28, 2025 LA HB 434 Limits Bodily Injury Claims by Plaintiffs Who Did Not Carry Auto Insurance At The Time Of The Accident Bill Passed - House (76 - 14)
April 28, 2025 LA HB 450 Repeals the Housley Presumption that says Courts Should Assume a Plaintiff's Injuries Resulted from the Accident in Question Bill Passed - House (68 - 24)
April 28, 2025 IA SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
April 28, 2025 IA SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
April 28, 2025 LA HB 434 Limits Bodily Injury Claims by Plaintiffs Who Did Not Carry Auto Insurance At The Time Of The Accident Bill Passed - House (76 - 14)
April 25, 2025 CO SB 25-144 Establishes 12 Additional Weeks for Families of Infants who have to Stay in the Neonatal Intensive Care Unit Bill Passed - House (42 - 21)
April 24, 2025 IN HB 1004 Establishes a Fee Excise Tax for Nonprofit Hospitals Conference Report Adopted - Senate (37 - 13)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
April 24, 2025 IN SB 475 Prohibits Noncompete Agreements for Physicians Conference Report Adopted - House (65 - 21)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - Senate (39 - 10)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - Senate (39 - 10)
April 24, 2025 IN SB 475 Prohibits Noncompete Agreements for Physicians Conference Report Adopted - Senate (46 - 4)
April 24, 2025 IN HB 1004 Establishes a Fee Excise Tax for Nonprofit Hospitals Conference Report Adopted - House (67 - 23)
April 24, 2025 WA SB 5390 Increases the Discover Pass Price from $30 to $45 Concurrence Vote Passed - Senate (27 - 21)
April 24, 2025 TX SB 5 Establishes the Dementia Prevention and Research Institute of Texas (DPRIT) Bill Passed - House (121 - 23)
April 24, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
April 24, 2025 TX SB 1257 Requires Health Benefit Plans That Provide Coverage for Gender Transition Procedures to Additionally Cover All Possible Adverse Consequences of the Procedure, Follow-Up Testing, and Any Procedures to Reverse the Procedure Bill Passed - Senate (20 - 11)
April 24, 2025 AZ HB 2945 Appropriates Funding for the State's Disability Services Program Bill Passed - Senate (28 - 1)
April 24, 2025 NE LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (34 - 0)
April 24, 2025 NE LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (34 - 0)
April 24, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
April 23, 2025 WA SB 5284 Reduces Waste Going into Landfills and Creates a Uniform State Recycling System Concurrence Vote Passed - Senate (27 - 21)
April 23, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
April 23, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
April 23, 2025 CO SB 25-045 Requires the School of Public Health at the University of Colorado to Analyze Implementation of a Single-Payer Health Care System Bill Passed - House (39 - 25)
April 23, 2025 MI HB 4256 Increases Opioid Trafficking Penalties and Establishes Criminal Procedures Bill Passed - House (65 - 41)
April 23, 2025 AZ HB 2945 Appropriates Funding for the State's Disability Services Program Bill Passed - House (48 - 11)
April 23, 2025 CO HB 25-1302 Establishes a 1.5% Tax on Homeowner Insurance Policies in Colorado and Appropriates Revenues to an Environmental Risk Grant Program Bill Passed - House (40 - 24)
April 23, 2025 TX HB 1644 Authorizes Individuals to Possess and Purchase Fentanyl Test Strips Bill Passed - House (147 - 0)
April 23, 2025 MI HB 4255 Increases Opioid Trafficking Penalties Bill Passed - House (66 - 40)
April 22, 2025 WA HB 1975 Amends the Climate Commitment Act by Adjusting Auction Price Containment Mechanisms and Ceiling Prices Concurrence Vote Passed - House (83 - 13)
April 22, 2025 IA HF 516 Requires 80% of Students Admitted to the University of Iowa's Medical and Dentistry Colleges to be Iowa Residents Concurrence Vote Passed - House (61 - 30)
April 22, 2025 WA SB 5390 Increases the Discover Pass Price from $30 to $45 Bill Passed - House (52 - 46)
April 22, 2025 AL HB 273 Establishes the Hunger-Free Campus Act Bill Passed - House (96 - 2)
April 22, 2025 NV SB 128 Prohibits Health Insurers from Using or Relying on Artificial Intelligence to Deny a Request for Prior Authorization Bill Passed - Senate (16 - 5)
April 22, 2025 OR SB 83 Repeals a Map Which Identified Parts of Oregon as High Risk for Catastrophic Wildfires Bill Passed - Senate (29 - 0)
April 22, 2025 NV SB 295 Establishes Sidewalk Vending Laws and Framework for Compact Food Cart Vendors Bill Passed - Senate (17 - 4)
April 22, 2025 WI SB 23 Extends Postpartum Healthcare for One Year After Giving Birth for Individuals Who are Medicaid Eligible Bill Passed - Senate (32 - 1)
April 22, 2025 WI SB 23 Extends Postpartum Healthcare for One Year After Giving Birth for Individuals Who are Medicaid Eligible Bill Passed - Senate (32 - 1)
April 22, 2025 NV SB 124 Authorizes Limited Licensure of Certain Foreign Physicians Bill Passed - Senate (21 - 0)
April 22, 2025 WI SB 23 Extends Postpartum Healthcare for One Year After Giving Birth for Individuals Who are Medicaid Eligible Bill Passed - Senate (32 - 1)
April 21, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Concurrence Vote Passed - Senate (39 - 8)
Date No. Title Outcome
4/28 HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Concurrence Vote Passed - House (32 - 23)
4/28 HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Concurrence Vote Passed - House (32 - 23)
4/28 SB 1316 Establishes the Maternal Mortality Review Program Bill Passed - House (42 - 14)
4/28 SB 1316 Establishes the Maternal Mortality Review Program Bill Passed - House (42 - 14)
4/28 SB 1443 Establishes Specific Regulations for Compensatory Damages Bill Passed - House (33 - 23)
4/28 S 4892 Amends Supervision Requirements and Scope of Practice for Physical Therapist Assistants Bill Passed - Senate (59 - 1)
4/28 HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Bill Passed - House (87 - 3)
4/28 HB 434 Limits Bodily Injury Claims by Plaintiffs Who Did Not Carry Auto Insurance At The Time Of The Accident Bill Passed - House (76 - 14)
4/28 HB 450 Repeals the Housley Presumption that says Courts Should Assume a Plaintiff's Injuries Resulted from the Accident in Question Bill Passed - House (68 - 24)
4/28 SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
4/28 SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
4/28 HB 434 Limits Bodily Injury Claims by Plaintiffs Who Did Not Carry Auto Insurance At The Time Of The Accident Bill Passed - House (76 - 14)
4/25 SB 25-144 Establishes 12 Additional Weeks for Families of Infants who have to Stay in the Neonatal Intensive Care Unit Bill Passed - House (42 - 21)
4/24 HB 1004 Establishes a Fee Excise Tax for Nonprofit Hospitals Conference Report Adopted - Senate (37 - 13)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
4/24 SB 475 Prohibits Noncompete Agreements for Physicians Conference Report Adopted - House (65 - 21)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - Senate (39 - 10)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - Senate (39 - 10)
4/24 SB 475 Prohibits Noncompete Agreements for Physicians Conference Report Adopted - Senate (46 - 4)
4/24 HB 1004 Establishes a Fee Excise Tax for Nonprofit Hospitals Conference Report Adopted - House (67 - 23)
4/24 SB 5390 Increases the Discover Pass Price from $30 to $45 Concurrence Vote Passed - Senate (27 - 21)
4/24 SB 5 Establishes the Dementia Prevention and Research Institute of Texas (DPRIT) Bill Passed - House (121 - 23)
4/24 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
4/24 SB 1257 Requires Health Benefit Plans That Provide Coverage for Gender Transition Procedures to Additionally Cover All Possible Adverse Consequences of the Procedure, Follow-Up Testing, and Any Procedures to Reverse the Procedure Bill Passed - Senate (20 - 11)
4/24 HB 2945 Appropriates Funding for the State's Disability Services Program Bill Passed - Senate (28 - 1)
4/24 LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (34 - 0)
4/24 LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (34 - 0)
4/24 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
4/23 SB 5284 Reduces Waste Going into Landfills and Creates a Uniform State Recycling System Concurrence Vote Passed - Senate (27 - 21)
4/23 HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
4/23 HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
4/23 SB 25-045 Requires the School of Public Health at the University of Colorado to Analyze Implementation of a Single-Payer Health Care System Bill Passed - House (39 - 25)
4/23 HB 4256 Increases Opioid Trafficking Penalties and Establishes Criminal Procedures Bill Passed - House (65 - 41)
4/23 HB 2945 Appropriates Funding for the State's Disability Services Program Bill Passed - House (48 - 11)
4/23 HB 25-1302 Establishes a 1.5% Tax on Homeowner Insurance Policies in Colorado and Appropriates Revenues to an Environmental Risk Grant Program Bill Passed - House (40 - 24)
4/23 HB 1644 Authorizes Individuals to Possess and Purchase Fentanyl Test Strips Bill Passed - House (147 - 0)
4/23 HB 4255 Increases Opioid Trafficking Penalties Bill Passed - House (66 - 40)
4/22 HB 1975 Amends the Climate Commitment Act by Adjusting Auction Price Containment Mechanisms and Ceiling Prices Concurrence Vote Passed - House (83 - 13)
4/22 HF 516 Requires 80% of Students Admitted to the University of Iowa's Medical and Dentistry Colleges to be Iowa Residents Concurrence Vote Passed - House (61 - 30)
4/22 SB 5390 Increases the Discover Pass Price from $30 to $45 Bill Passed - House (52 - 46)
4/22 HB 273 Establishes the Hunger-Free Campus Act Bill Passed - House (96 - 2)
4/22 SB 128 Prohibits Health Insurers from Using or Relying on Artificial Intelligence to Deny a Request for Prior Authorization Bill Passed - Senate (16 - 5)
4/22 SB 83 Repeals a Map Which Identified Parts of Oregon as High Risk for Catastrophic Wildfires Bill Passed - Senate (29 - 0)
4/22 SB 295 Establishes Sidewalk Vending Laws and Framework for Compact Food Cart Vendors Bill Passed - Senate (17 - 4)
4/22 SB 23 Extends Postpartum Healthcare for One Year After Giving Birth for Individuals Who are Medicaid Eligible Bill Passed - Senate (32 - 1)
4/22 SB 23 Extends Postpartum Healthcare for One Year After Giving Birth for Individuals Who are Medicaid Eligible Bill Passed - Senate (32 - 1)
4/22 SB 124 Authorizes Limited Licensure of Certain Foreign Physicians Bill Passed - Senate (21 - 0)
4/22 SB 23 Extends Postpartum Healthcare for One Year After Giving Birth for Individuals Who are Medicaid Eligible Bill Passed - Senate (32 - 1)
4/21 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Concurrence Vote Passed - Senate (39 - 8)
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