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Massachusetts Health and Health Care 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
July 22, 2026 MA H 5595 Expands Patient Access to Late Term Abortion Bill Passed - House (119 - 33)
Nov. 5, 2025 MA H 4706 Establishes a State Caregiver Commission and Amends Regulations Regarding Home Care Bill Passed - House (153 - 1)
Oct. 16, 2025 MA S 2640 Expands Access to Disposable Menstrual Products in Public Schools, Homeless Shelters, Jails, and Prisons Bill Passed - Senate (39 - 0)
Oct. 16, 2025 MA S 2640 Expands Access to Disposable Menstrual Products in Public Schools, Homeless Shelters, Jails, and Prisons Bill Passed - Senate (39 - 0)
Sept. 17, 2025 MA H 4530 Appropriates Funds to Health Care Systems for Fiscal Year 2025 Bill Passed - House (148 - 1)
July 31, 2025 MA S 2543 Increases Abortion Protections in Massachusetts Concurrence Vote Passed - Senate (37 - 3)
Oct. 24, 2024 MA S 2967 Reduces Clean Energy Infrastructure Permitting Requirements Conference Report Adopted - Senate (38 - 2)
July 30, 2024 MA H 4750 Amends and Redefines Parentage Bill Passed - Senate (40 - 0)
July 24, 2024 MA H 4891 Promoting Access and Affordability of Prescription Drugs Bill Passed - House (158 - 0)
July 24, 2024 MA H 4891 Promoting Access and Affordability of Prescription Drugs Bill Passed - House (158 - 0)
July 18, 2024 MA H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
July 18, 2024 MA H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
July 17, 2024 MA S 2838 Authorizes and Streamlines State Clean Energy Infrastructure Construction Bill Passed - House (131 - 25)
June 25, 2024 MA S 2829 Expands the Use of Renewable Energy Bill Passed - Senate (38 - 2)
June 20, 2024 MA S 2830 Prohibits Single-Use Plastic Shopping Bags at Retail Shops Across the State Bill Passed - Senate (38 - 2)
June 13, 2024 MA H 4758 Establishes Treatments and Coverage for Substance Use Disorder and Recovery Coach Licensure Bill Passed - House (153 - 0)
June 13, 2024 MA H 4758 Establishes Treatments and Coverage for Substance Use Disorder and Recovery Coach Licensure Bill Passed - House (153 - 0)
Aug. 1, 2022 MA S 3097 Reduces Barriers to Mental Health Care Conference Report Adopted - Senate (39 - 0)
July 28, 2022 MA H 5106 Establishes New Rules for the Governance and Improvement of Veterans' Homes in the Commonwealth (40 - 0)
July 26, 2022 MA H 5090 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (137 - 16)
July 26, 2022 MA H 5090 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (137 - 16)
July 26, 2022 MA H 5090 Expands Protections for Reproductive and Gender-Affirming Care (39 - 1)
July 26, 2022 MA H 5090 Expands Protections for Reproductive and Gender-Affirming Care (39 - 1)
July 21, 2022 MA H 5060 Establishes Various New Programs and Laws to Promote Growth in the Clean Energy Industry Bill Passed - House (146 - 7)
July 21, 2022 MA H 5060 Establishes Various New Programs and Laws to Promote Growth in the Clean Energy Industry (38 - 2)
June 29, 2022 MA H 4954 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (136 - 17)
Feb. 10, 2022 MA H 4441 Expands Protections for Veterans Bill Passed - House (156 - 1)
June 15, 2021 MA S 2472 Extends Certain COVID-19 Measures Adopted During the State of Emergency Bill Passed - House (146 - 14)
June 15, 2021 MA S 2475 Amends Measures Adopted During the COVID-19 Pandemic Bill Passed - House (150 - 10)
Jan. 28, 2021 MA S 9 Establishes a Roadmap for Massachusetts Climate Policy Bill Passed - House (144 - 14)
Jan. 4, 2021 MA S 2995 Amends State Climate Goals Conference Report Adopted - Senate (38 - 2)
June 30, 2020 MA H 4818 Establishes a Special Commission to Reduce Racial Inequalities in Maternal Health Bill Passed - House (159 - 0)
June 30, 2020 MA H 4818 Establishes a Special Commission to Reduce Racial Inequalities in Maternal Health Bill Passed - House (159 - 0)
Feb. 27, 2020 MA H 4502 Appropriates Funds for the Executive Office of Education to Contain, Treat, and Prevent COVID-19 Bill Passed - Senate (37 - 0)
Jan. 16, 2020 MA H 4218 Requires School Districts Offer Breakfast After Instruction Begins Bill Passed - Senate (35 - 0)
Nov. 13, 2019 MA H 4183 Prohibits Flavored Tobacco and Vaping Products, Including Menthol Cigarettes Bill Passed - House (127 - 31)
March 28, 2019 MA H 3638 Appropriates Funding to Family Planning and Women Reproductive Health Clinics Bill Passed - Senate (33 - 5)
July 31, 2018 MA H 4857 Increases State Clean Energy Requirements Bill Passed - Senate (36 - 0)
July 30, 2018 MA H 4835 Authorizes Funds for Climate Change Adaptation and Environmental Protection Concurrence Vote Passed - Senate (36 - 0)
July 12, 2018 MA S 2595 Establishes Commission to Study Lead in Drinking Water at Schools Bill Passed - Senate (38 - 0)
June 28, 2018 MA H 4479 Increases Minimum Purchase Age for Tobacco Products Bill Passed - Senate (33 - 3)
June 19, 2018 MA H 4617 Increases Access to Affordable High Quality Health Insurance Bill Passed - House (117 - 32)
May 9, 2018 MA H 4479 Increases Minimum Purchase Age for Tobacco Products Bill Passed - House (147 - 4)
Nov. 9, 2017 MA S 2202 Amends Various Healthcare Laws Bill Passed - Senate (33 - 6)
June 22, 2017 MA H 3776 Authorizes Medical Marijuana Bill Passed - Senate (30 - 5)
June 21, 2017 MA H 3768 Authorizes Reforms to Recreational Marijuana Laws Bill Passed - House (126 - 28)
April 28, 2016 MA S 2269 Increases Smoking Age to 21 Bill Passed - Senate (32 - 2)
July 31, 2012 MA S 2400 Establishes Accountable Care Organizations Conference Report Adopted - House (133 - 20)
June 5, 2012 MA S 2270 Reduces Health Care Spending Bill Passed - House (148 - 7)
May 15, 2012 MA S Amdt 125 Requires Establishing a Single Payer Health Care System Benchmark Amendment Rejected - Senate (15 - 22)
Date No. Title Outcome
7/22 H 5595 Expands Patient Access to Late Term Abortion Bill Passed - House (119 - 33)
11/05 H 4706 Establishes a State Caregiver Commission and Amends Regulations Regarding Home Care Bill Passed - House (153 - 1)
10/16 S 2640 Expands Access to Disposable Menstrual Products in Public Schools, Homeless Shelters, Jails, and Prisons Bill Passed - Senate (39 - 0)
10/16 S 2640 Expands Access to Disposable Menstrual Products in Public Schools, Homeless Shelters, Jails, and Prisons Bill Passed - Senate (39 - 0)
9/17 H 4530 Appropriates Funds to Health Care Systems for Fiscal Year 2025 Bill Passed - House (148 - 1)
7/31 S 2543 Increases Abortion Protections in Massachusetts Concurrence Vote Passed - Senate (37 - 3)
10/24 S 2967 Reduces Clean Energy Infrastructure Permitting Requirements Conference Report Adopted - Senate (38 - 2)
7/30 H 4750 Amends and Redefines Parentage Bill Passed - Senate (40 - 0)
7/24 H 4891 Promoting Access and Affordability of Prescription Drugs Bill Passed - House (158 - 0)
7/24 H 4891 Promoting Access and Affordability of Prescription Drugs Bill Passed - House (158 - 0)
7/18 H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
7/18 H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
7/17 S 2838 Authorizes and Streamlines State Clean Energy Infrastructure Construction Bill Passed - House (131 - 25)
6/25 S 2829 Expands the Use of Renewable Energy Bill Passed - Senate (38 - 2)
6/20 S 2830 Prohibits Single-Use Plastic Shopping Bags at Retail Shops Across the State Bill Passed - Senate (38 - 2)
6/13 H 4758 Establishes Treatments and Coverage for Substance Use Disorder and Recovery Coach Licensure Bill Passed - House (153 - 0)
6/13 H 4758 Establishes Treatments and Coverage for Substance Use Disorder and Recovery Coach Licensure Bill Passed - House (153 - 0)
8/01 S 3097 Reduces Barriers to Mental Health Care Conference Report Adopted - Senate (39 - 0)
7/28 H 5106 Establishes New Rules for the Governance and Improvement of Veterans' Homes in the Commonwealth (40 - 0)
7/26 H 5090 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (137 - 16)
7/26 H 5090 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (137 - 16)
7/26 H 5090 Expands Protections for Reproductive and Gender-Affirming Care (39 - 1)
7/26 H 5090 Expands Protections for Reproductive and Gender-Affirming Care (39 - 1)
7/21 H 5060 Establishes Various New Programs and Laws to Promote Growth in the Clean Energy Industry Bill Passed - House (146 - 7)
7/21 H 5060 Establishes Various New Programs and Laws to Promote Growth in the Clean Energy Industry (38 - 2)
6/29 H 4954 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (136 - 17)
2/10 H 4441 Expands Protections for Veterans Bill Passed - House (156 - 1)
6/15 S 2472 Extends Certain COVID-19 Measures Adopted During the State of Emergency Bill Passed - House (146 - 14)
6/15 S 2475 Amends Measures Adopted During the COVID-19 Pandemic Bill Passed - House (150 - 10)
1/28 S 9 Establishes a Roadmap for Massachusetts Climate Policy Bill Passed - House (144 - 14)
1/04 S 2995 Amends State Climate Goals Conference Report Adopted - Senate (38 - 2)
6/30 H 4818 Establishes a Special Commission to Reduce Racial Inequalities in Maternal Health Bill Passed - House (159 - 0)
6/30 H 4818 Establishes a Special Commission to Reduce Racial Inequalities in Maternal Health Bill Passed - House (159 - 0)
2/27 H 4502 Appropriates Funds for the Executive Office of Education to Contain, Treat, and Prevent COVID-19 Bill Passed - Senate (37 - 0)
1/16 H 4218 Requires School Districts Offer Breakfast After Instruction Begins Bill Passed - Senate (35 - 0)
11/13 H 4183 Prohibits Flavored Tobacco and Vaping Products, Including Menthol Cigarettes Bill Passed - House (127 - 31)
3/28 H 3638 Appropriates Funding to Family Planning and Women Reproductive Health Clinics Bill Passed - Senate (33 - 5)
7/31 H 4857 Increases State Clean Energy Requirements Bill Passed - Senate (36 - 0)
7/30 H 4835 Authorizes Funds for Climate Change Adaptation and Environmental Protection Concurrence Vote Passed - Senate (36 - 0)
7/12 S 2595 Establishes Commission to Study Lead in Drinking Water at Schools Bill Passed - Senate (38 - 0)
6/28 H 4479 Increases Minimum Purchase Age for Tobacco Products Bill Passed - Senate (33 - 3)
6/19 H 4617 Increases Access to Affordable High Quality Health Insurance Bill Passed - House (117 - 32)
5/09 H 4479 Increases Minimum Purchase Age for Tobacco Products Bill Passed - House (147 - 4)
11/09 S 2202 Amends Various Healthcare Laws Bill Passed - Senate (33 - 6)
6/22 H 3776 Authorizes Medical Marijuana Bill Passed - Senate (30 - 5)
6/21 H 3768 Authorizes Reforms to Recreational Marijuana Laws Bill Passed - House (126 - 28)
4/28 S 2269 Increases Smoking Age to 21 Bill Passed - Senate (32 - 2)
7/31 S 2400 Establishes Accountable Care Organizations Conference Report Adopted - House (133 - 20)
6/05 S 2270 Reduces Health Care Spending Bill Passed - House (148 - 7)
5/15 S Amdt 125 Requires Establishing a Single Payer Health Care System Benchmark Amendment Rejected - Senate (15 - 22)
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