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
Dec. 17, 2025 National HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
Oct. 22, 2025 NC SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
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 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. 18, 2025 MI HB 4713 Prohibits False Health Care Claims Bill Passed - House (101 - 2)
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. 10, 2025 CA SB 418 Prohibits Discrimination in Health Insurance Enrollment Bill Passed - House (60 - 18)
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)
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 17, 2025 ME LD 93 Expands the Universal Childhood Immunization Program to Cover Vaccines for Adults Concurrence Vote Passed - House (78 - 70)
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 9, 2025 MN HF 1 Repeals MinnesotaCare Eligibility for Undocumented Immigrants Age 18 or Older Bill Passed - House (68 - 65)
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 1, 2025 TX SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
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 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 28, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
May 23, 2025 NV AB 555 Establishes Price Cap Provisions on Insulin Bill Passed - House (42 - 0)
May 14, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
May 13, 2025 WI AB 23 Establishes a Palliative Care Council to Advise the Department of Health Services on Palliative Care Issues Bill Passed - House (96 - 1)
May 13, 2025 IA HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - House (63 - 28)
Date No. Title Outcome
12/17 HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
10/22 SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
9/18 HB 4418 Amends and Enhances the Estates and Protected Individuals Code Bill Passed - House (98 - 0)
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)
9/18 HB 4713 Prohibits False Health Care Claims Bill Passed - House (101 - 2)
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)
9/10 SB 418 Prohibits Discrimination in Health Insurance Enrollment Bill Passed - House (60 - 18)
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)
6/26 SB 692 Requires Health Insurance Plans That Cover Pregnancy and Childbirth Expenses to Cover Doula Services Bill Passed - House (44 - 4)
6/17 LD 93 Expands the Universal Childhood Immunization Program to Cover Vaccines for Adults Concurrence Vote Passed - House (78 - 70)
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)
6/09 HF 1 Repeals MinnesotaCare Eligibility for Undocumented Immigrants Age 18 or Older Bill Passed - House (68 - 65)
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)
6/01 SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
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)
5/29 HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Veto Override Passed - House (83 - 3)
5/28 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
5/23 AB 555 Establishes Price Cap Provisions on Insulin Bill Passed - House (42 - 0)
5/14 SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
5/13 AB 23 Establishes a Palliative Care Council to Advise the Department of Health Services on Palliative Care Issues Bill Passed - House (96 - 1)
5/13 HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - House (63 - 28)

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