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
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
3/03 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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