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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 26, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - House (61 - 35)
March 26, 2025 CO SB 25-071 Prohibits Pharmaceutical Companies from Restricting Hospitals' Use of the Federal 340B Prescription Drug Discount Program Bill Passed - Senate (30 - 4)
March 26, 2025 IA HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
March 25, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
March 25, 2025 PA HB 618 Prohibits Health Insurers From Denying Coverage Based on Pre-Existing Health Conditions Bill Passed - House (125 - 77)
March 25, 2025 PA HB 404 Authorizes Children to Remain on Their Parents' Health Insurance Until the Age of 26 Bill Passed - House (123 - 79)
March 25, 2025 PA HB 535 Prohibits Health Insurers From Placing Caps on Coverage Benefits Bill Passed - House (121 - 81)
March 25, 2025 PA HB 755 Requires Health Insurers to Cover Preventative Care Without Cost Sharing Bill Passed - House (133 - 69)
March 25, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
March 25, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
March 21, 2025 NM SB 221 Prohibits Additional Unfair Claims Practices Under New Mexico Insurance Code Bill Passed - House (57 - 4)
March 21, 2025 NM SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - House (46 - 17)
March 21, 2025 NM HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - Senate (26 - 14)
March 21, 2025 NM SB 88 Establishes a Medicaid Trust Fund and a State Supported Medicaid Fund Bill Passed - House (52 - 13)
March 20, 2025 NH SB 134 Establishes Medicaid Work Requirements "Ought to Pass" Report Adopted - Senate (15 - 8)
March 20, 2025 CA SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Bill Passed - Senate (28 - 10)
March 18, 2025 NM SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - House (61 - 6)
March 17, 2025 PA HB 111 Prohibits Life Insurers From Discriminating Against Applicants Based on a Prescription for an Opioid Overdose Reversal Agent Bill Passed - House (153 - 49)
March 15, 2025 NM HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - House (36 - 28)
March 15, 2025 NM SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - Senate (19 - 14)
March 13, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Concurrence Vote Passed - House (58 - 9)
March 10, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - Senate (28 - 6)
March 10, 2025 OK HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Bill Passed - House (95 - 0)
March 8, 2025 NM SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - Senate (34 - 0)
March 7, 2025 WA SB 5041 Establishes Unemployment Insurance for Workers on Strike Bill Passed - Senate (28 - 21)
March 3, 2025 OK HB 1160 Amends State Insurance Laws to Protect Policyholders in the Event of an Insurance Company's Insolvency Bill Passed - House (93 - 2)
Feb. 28, 2025 CO HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Concurrence Vote Passed - House (50 - 10)
Feb. 26, 2025 CO HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Bill Passed - Senate (32 - 1)
Feb. 25, 2025 NM SB 92 Establishes the Horse Racing Integrity and Safety Authority and Jockey and Exercise Rider Insurance Fund Bill Passed - Senate (36 - 1)
Feb. 24, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
Feb. 21, 2025 NM HB 56 Authorizes Medicaid Reimbursements for Birth Centers Bill Passed - House (62 - 1)
Feb. 20, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
Feb. 19, 2025 MT SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
Feb. 19, 2025 ID H 138 Requires Policy Changes to State Medicaid Bill Passed - House (38 - 32)
Feb. 18, 2025 IN SB 2 Establishes State Medicaid Restrictions Bill Passed - Senate (40 - 9)
Feb. 17, 2025 MT HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
Feb. 13, 2025 MT HB 342 Prohibits Juries from Calculating Malpractice Damages Based on Anything Other than the Standard of Care Bill Passed - House (57 - 42)
Feb. 12, 2025 NC SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
Feb. 11, 2025 GA SB 39 Prohibits State Employees From Receiving Gender Affirming Health Care Services (32 - 18)
Feb. 11, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - House (58 - 11)
Jan. 30, 2025 SD SB 30 Repeals Outdated Provisions Within the Insurance Code Bill Passed - House (52 - 14)
Jan. 22, 2025 NY S 929 Establishes the Health Information Privacy Act Bill Passed - House (96 - 41)
Jan. 21, 2025 NY S 929 Establishes the Health Information Privacy Act Bill Passed - Senate (49 - 10)
Date No. Title Outcome
3/26 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - House (61 - 35)
3/26 SB 25-071 Prohibits Pharmaceutical Companies from Restricting Hospitals' Use of the Federal 340B Prescription Drug Discount Program Bill Passed - Senate (30 - 4)
3/26 HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
3/25 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
3/25 HB 618 Prohibits Health Insurers From Denying Coverage Based on Pre-Existing Health Conditions Bill Passed - House (125 - 77)
3/25 HB 404 Authorizes Children to Remain on Their Parents' Health Insurance Until the Age of 26 Bill Passed - House (123 - 79)
3/25 HB 535 Prohibits Health Insurers From Placing Caps on Coverage Benefits Bill Passed - House (121 - 81)
3/25 HB 755 Requires Health Insurers to Cover Preventative Care Without Cost Sharing Bill Passed - House (133 - 69)
3/25 HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
3/25 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
3/21 SB 221 Prohibits Additional Unfair Claims Practices Under New Mexico Insurance Code Bill Passed - House (57 - 4)
3/21 SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - House (46 - 17)
3/21 HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - Senate (26 - 14)
3/21 SB 88 Establishes a Medicaid Trust Fund and a State Supported Medicaid Fund Bill Passed - House (52 - 13)
3/20 SB 134 Establishes Medicaid Work Requirements "Ought to Pass" Report Adopted - Senate (15 - 8)
3/20 SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Bill Passed - Senate (28 - 10)
3/18 SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - House (61 - 6)
3/17 HB 111 Prohibits Life Insurers From Discriminating Against Applicants Based on a Prescription for an Opioid Overdose Reversal Agent Bill Passed - House (153 - 49)
3/15 HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - House (36 - 28)
3/15 SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - Senate (19 - 14)
3/13 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Concurrence Vote Passed - House (58 - 9)
3/10 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - Senate (28 - 6)
3/10 HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Bill Passed - House (95 - 0)
3/08 SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - Senate (34 - 0)
3/07 SB 5041 Establishes Unemployment Insurance for Workers on Strike Bill Passed - Senate (28 - 21)
3/03 HB 1160 Amends State Insurance Laws to Protect Policyholders in the Event of an Insurance Company's Insolvency Bill Passed - House (93 - 2)
2/28 HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Concurrence Vote Passed - House (50 - 10)
2/26 HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Bill Passed - Senate (32 - 1)
2/25 SB 92 Establishes the Horse Racing Integrity and Safety Authority and Jockey and Exercise Rider Insurance Fund Bill Passed - Senate (36 - 1)
2/24 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
2/21 HB 56 Authorizes Medicaid Reimbursements for Birth Centers Bill Passed - House (62 - 1)
2/20 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
2/19 SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
2/19 H 138 Requires Policy Changes to State Medicaid Bill Passed - House (38 - 32)
2/18 SB 2 Establishes State Medicaid Restrictions Bill Passed - Senate (40 - 9)
2/17 HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
2/13 HB 342 Prohibits Juries from Calculating Malpractice Damages Based on Anything Other than the Standard of Care Bill Passed - House (57 - 42)
2/12 SB 24 Requires Any New Benefits Mandated by State Law to Also Apply to the State Health Plan Bill Passed - Senate (30 - 15)
2/11 SB 39 Prohibits State Employees From Receiving Gender Affirming Health Care Services (32 - 18)
2/11 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - House (58 - 11)
1/30 SB 30 Repeals Outdated Provisions Within the Insurance Code Bill Passed - House (52 - 14)
1/22 S 929 Establishes the Health Information Privacy Act Bill Passed - House (96 - 41)
1/21 S 929 Establishes the Health Information Privacy Act Bill Passed - Senate (49 - 10)
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