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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
Dec. 17, 2025 National HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
Nov. 18, 2025 WI SB 367 Prohibits a Health Insurer from Requiring a Health Care Provider to Accept Payments via Virtual Credit Card Bill Passed - Senate (33 - 0)
Oct. 22, 2025 NC SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
Oct. 14, 2025 WI SB 264 Requires Health Insurance Policies to Provide Coverage for Diagnostic Breast Examinations Bill Passed - Senate (32 - 1)
Sept. 22, 2025 NC HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
Sept. 18, 2025 MI HB 4418 Amends and Enhances the Estates and Protected Individuals Code Bill Passed - House (98 - 0)
Sept. 18, 2025 MI HB 4713 Prohibits False Health Care Claims Bill Passed - House (101 - 2)
Sept. 18, 2025 MI HB 4734 Authorizes the Surrogate Medical Decision Makers Created Under HB 4418 to Consent to Medical Treatment on Behalf of a Patient Who Cannot Make Their Own Decisions Bill Passed - House (98 - 0)
Sept. 16, 2025 MI HB 4717 Establishes Another Tool or Option for Law Enforcement to Penalize Those Involved in Insurance Fraud Schemes Bill Passed - House (101 - 2)
Sept. 16, 2025 MI HB 4718 Requires Insurers to Report Likely Fraud to DIFS Bill Passed - House (102 - 1)
Sept. 11, 2025 CA SB 418 Prohibits Discrimination in Health Insurance Enrollment Concurrence Vote Passed - Senate (29 - 10)
Sept. 10, 2025 CA SB 418 Prohibits Discrimination in Health Insurance Enrollment Bill Passed - House (60 - 18)
Sept. 9, 2025 CA SB 306 Prohibits Insurers from Requiring Prior Authorization for Services Concurrence Vote Passed - Senate (40 - 0)
Sept. 9, 2025 CA SB 40 Prohibits Health Care Service Plans or Health Insurance Policies from Imposing Copays of Over $35 for a 30-Day Supply of Insulin Concurrence Vote Passed - Senate (40 - 0)
Sept. 8, 2025 CA SB 306 Prohibits Insurers from Requiring Prior Authorization for Services Bill Passed - House (76 - 1)
Sept. 3, 2025 CA SB 40 Prohibits Health Care Service Plans or Health Insurance Policies from Imposing Copays of Over $35 for a 30-Day Supply of Insulin Bill Passed - House (79 - 0)
July 10, 2025 CA AB 951 Prohibits Health Care Plans From Requiring Re-diagnosis for Continued Coverage of Behavioral Health Conditions Bill Passed - Senate (37 - 0)
June 26, 2025 OR SB 692 Requires Health Insurance Plans That Cover Pregnancy and Childbirth Expenses to Cover Doula Services Bill Passed - House (44 - 4)
June 25, 2025 OR HB 3064 Requires All Health Insurance Plans to Cover the Treatment of Perimenopause, Menopause, and Postmenopause Bill Passed - Senate (27 - 0)
June 23, 2025 CA AB 1297 Prohibits Both Parties in a Divorce from Allowing an Insurance Plan to Lapse for Nonpayment of Premiums or for Failing to Renew Insurance Bill Passed - Senate (37 - 0)
June 23, 2025 OR SB 296 Requires the Department of Human Services to Measure and Streamline the Approval Process for Long-Term Care Services Provided Through Medicaid Bill Passed - Senate (29 - 0)
June 23, 2025 OR SB 692 Requires Health Insurance Plans That Cover Pregnancy and Childbirth Expenses to Cover Doula Services Bill Passed - Senate (26 - 3)
June 17, 2025 ME LD 93 Expands the Universal Childhood Immunization Program to Cover Vaccines for Adults Concurrence Vote Passed - House (78 - 70)
June 17, 2025 ME LD 93 Expands the Universal Childhood Immunization Program to Cover Vaccines for Adults "Ought to Pass as Amended" Report Adopted - Senate (20 - 13)
June 10, 2025 LA HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Concurrence Vote Passed - House (96 - 1)
June 10, 2025 LA SB 231 Reduces the Monetary Amount Plaintiffs Can Recover for Medical Expenses In An Auto Accident Lawsuit Concurrence Vote Passed - Senate (30 - 6)
June 9, 2025 MN HF 1 Repeals MinnesotaCare Eligibility for Undocumented Immigrants Age 18 or Older Bill Passed - Senate (48 - 16)
June 9, 2025 MN HF 1 Repeals MinnesotaCare Eligibility for Undocumented Immigrants Age 18 or Older Bill Passed - House (68 - 65)
June 8, 2025 LA HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Bill Passed - Senate (34 - 3)
June 8, 2025 LA SB 231 Reduces the Monetary Amount Plaintiffs Can Recover for Medical Expenses In An Auto Accident Lawsuit Bill Passed - House (81 - 15)
June 4, 2025 OH SB 100 Exempts Nonprofit Agricultural Membership Organizations From Insurance Regulations Bill Passed - House (90 - 3)
June 4, 2025 National HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
June 2, 2025 NV AB 463 Requires Health Insurers and Medicaid to Respond Quickly to Prior Authorization Requests Bill Passed - Senate (20 - 0)
June 1, 2025 TX SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
June 1, 2025 TX SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - Senate (19 - 12)
May 31, 2025 NV SB 128 Prohibits Health Insurers from Using or Relying on Artificial Intelligence to Deny a Request for Prior Authorization Bill Passed - House (23 - 16)
May 30, 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 (29 - 19)
May 29, 2025 OK HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Veto Override Passed - Senate (42 - 2)
May 29, 2025 OK HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Veto Override Passed - House (83 - 3)
May 29, 2025 NV AB 555 Establishes Price Cap Provisions on Insulin Bill Passed - Senate (18 - 2)
May 28, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
May 28, 2025 CA SB 418 Prohibits Discrimination in Health Insurance Enrollment Bill Passed - Senate (28 - 10)
May 25, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - Senate (26 - 5)
May 23, 2025 NV AB 555 Establishes Price Cap Provisions on Insulin Bill Passed - House (42 - 0)
May 21, 2025 LA HB 434 Limits Bodily Injury Claims by Plaintiffs Who Did Not Carry Auto Insurance At The Time Of The Accident Bill Passed - Senate (28 - 9)
May 21, 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 - Senate (28 - 9)
May 21, 2025 LA SB 231 Reduces the Monetary Amount Plaintiffs Can Recover for Medical Expenses In An Auto Accident Lawsuit Bill Passed - Senate (27 - 8)
May 20, 2025 OK SB 889 Requires Oklahoma Hospitals to Make Public Standard Treatment Costs Concurrence Vote Passed - Senate (35 - 8)
May 14, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
May 14, 2025 IA HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - Senate (31 - 15)
Date No. Title Outcome
12/17 HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
11/18 SB 367 Prohibits a Health Insurer from Requiring a Health Care Provider to Accept Payments via Virtual Credit Card Bill Passed - Senate (33 - 0)
10/22 SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
10/14 SB 264 Requires Health Insurance Policies to Provide Coverage for Diagnostic Breast Examinations Bill Passed - Senate (32 - 1)
9/22 HB 562 Appropriates Funding for Medicaid Insurance to Avoid Threatened Payment Reductions to a Broad Range of Healthcare Providers Bill Passed - Senate (47 - 0)
9/18 HB 4418 Amends and Enhances the Estates and Protected Individuals Code Bill Passed - House (98 - 0)
9/18 HB 4713 Prohibits False Health Care Claims Bill Passed - House (101 - 2)
9/18 HB 4734 Authorizes the Surrogate Medical Decision Makers Created Under HB 4418 to Consent to Medical Treatment on Behalf of a Patient Who Cannot Make Their Own Decisions Bill Passed - House (98 - 0)
9/16 HB 4717 Establishes Another Tool or Option for Law Enforcement to Penalize Those Involved in Insurance Fraud Schemes Bill Passed - House (101 - 2)
9/16 HB 4718 Requires Insurers to Report Likely Fraud to DIFS Bill Passed - House (102 - 1)
9/11 SB 418 Prohibits Discrimination in Health Insurance Enrollment Concurrence Vote Passed - Senate (29 - 10)
9/10 SB 418 Prohibits Discrimination in Health Insurance Enrollment Bill Passed - House (60 - 18)
9/09 SB 306 Prohibits Insurers from Requiring Prior Authorization for Services Concurrence Vote Passed - Senate (40 - 0)
9/09 SB 40 Prohibits Health Care Service Plans or Health Insurance Policies from Imposing Copays of Over $35 for a 30-Day Supply of Insulin Concurrence Vote Passed - Senate (40 - 0)
9/08 SB 306 Prohibits Insurers from Requiring Prior Authorization for Services Bill Passed - House (76 - 1)
9/03 SB 40 Prohibits Health Care Service Plans or Health Insurance Policies from Imposing Copays of Over $35 for a 30-Day Supply of Insulin Bill Passed - House (79 - 0)
7/10 AB 951 Prohibits Health Care Plans From Requiring Re-diagnosis for Continued Coverage of Behavioral Health Conditions Bill Passed - Senate (37 - 0)
6/26 SB 692 Requires Health Insurance Plans That Cover Pregnancy and Childbirth Expenses to Cover Doula Services Bill Passed - House (44 - 4)
6/25 HB 3064 Requires All Health Insurance Plans to Cover the Treatment of Perimenopause, Menopause, and Postmenopause Bill Passed - Senate (27 - 0)
6/23 AB 1297 Prohibits Both Parties in a Divorce from Allowing an Insurance Plan to Lapse for Nonpayment of Premiums or for Failing to Renew Insurance Bill Passed - Senate (37 - 0)
6/23 SB 296 Requires the Department of Human Services to Measure and Streamline the Approval Process for Long-Term Care Services Provided Through Medicaid Bill Passed - Senate (29 - 0)
6/23 SB 692 Requires Health Insurance Plans That Cover Pregnancy and Childbirth Expenses to Cover Doula Services Bill Passed - Senate (26 - 3)
6/17 LD 93 Expands the Universal Childhood Immunization Program to Cover Vaccines for Adults Concurrence Vote Passed - House (78 - 70)
6/17 LD 93 Expands the Universal Childhood Immunization Program to Cover Vaccines for Adults "Ought to Pass as Amended" Report Adopted - Senate (20 - 13)
6/10 HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Concurrence Vote Passed - House (96 - 1)
6/10 SB 231 Reduces the Monetary Amount Plaintiffs Can Recover for Medical Expenses In An Auto Accident Lawsuit Concurrence Vote Passed - Senate (30 - 6)
6/09 HF 1 Repeals MinnesotaCare Eligibility for Undocumented Immigrants Age 18 or Older Bill Passed - Senate (48 - 16)
6/09 HF 1 Repeals MinnesotaCare Eligibility for Undocumented Immigrants Age 18 or Older Bill Passed - House (68 - 65)
6/08 HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Bill Passed - Senate (34 - 3)
6/08 SB 231 Reduces the Monetary Amount Plaintiffs Can Recover for Medical Expenses In An Auto Accident Lawsuit Bill Passed - House (81 - 15)
6/04 SB 100 Exempts Nonprofit Agricultural Membership Organizations From Insurance Regulations Bill Passed - House (90 - 3)
6/04 HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
6/02 AB 463 Requires Health Insurers and Medicaid to Respond Quickly to Prior Authorization Requests Bill Passed - Senate (20 - 0)
6/01 SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
6/01 SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - Senate (19 - 12)
5/31 SB 128 Prohibits Health Insurers from Using or Relying on Artificial Intelligence to Deny a Request for Prior Authorization Bill Passed - House (23 - 16)
5/30 LB 275 Requires the Nebraska Department of Health and Human Services to Screen State Wards for Social Security Benefit Eligibility Bill Passed - Senate (29 - 19)
5/29 HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Veto Override Passed - Senate (42 - 2)
5/29 HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Veto Override Passed - House (83 - 3)
5/29 AB 555 Establishes Price Cap Provisions on Insulin Bill Passed - Senate (18 - 2)
5/28 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
5/28 SB 418 Prohibits Discrimination in Health Insurance Enrollment Bill Passed - Senate (28 - 10)
5/25 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - Senate (26 - 5)
5/23 AB 555 Establishes Price Cap Provisions on Insulin Bill Passed - House (42 - 0)
5/21 HB 434 Limits Bodily Injury Claims by Plaintiffs Who Did Not Carry Auto Insurance At The Time Of The Accident Bill Passed - Senate (28 - 9)
5/21 HB 450 Repeals the Housley Presumption that says Courts Should Assume a Plaintiff's Injuries Resulted from the Accident in Question Bill Passed - Senate (28 - 9)
5/21 SB 231 Reduces the Monetary Amount Plaintiffs Can Recover for Medical Expenses In An Auto Accident Lawsuit Bill Passed - Senate (27 - 8)
5/20 SB 889 Requires Oklahoma Hospitals to Make Public Standard Treatment Costs Concurrence Vote Passed - Senate (35 - 8)
5/14 SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
5/14 HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - Senate (31 - 15)
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