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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)
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)
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