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National 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
Feb. 28, 2020 National HR 2339 Protecting American Lungs and Reversing the Youth Tobacco Epidemic Act Bill Passed - House (213 - 195)
Feb. 6, 2020 National H Res 826 Expressing disapproval of the Trump administration's harmful actions towards Medicaid Bill Passed - House (223 - 190)
Jan. 29, 2020 National S 3201 Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act Bill Passed - House (320 - 88)
Jan. 29, 2020 National S 3201 Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act Bill Passed - House (320 - 88)
Jan. 10, 2020 National HR 535 PFAS Action Act Bill Passed - House (247 - 159)
Dec. 12, 2019 National HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
Dec. 12, 2019 National HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
Nov. 21, 2019 National HR 1309 Workplace Violence Prevention for Health Care and Social Service Workers Act Bill Passed - House (251 - 158)
Oct. 31, 2019 National HR 823 Colorado Outdoor Recreation and Economy Act Bill Passed - House (227 - 182)
Oct. 17, 2019 National S J Res 53 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Repeal of the Clean Power Plan; Emission Guidelines for Greenhouse Gas Emissions From Existing Electric Utility Generating Units; Revisions to Emission Guidelines Implementing Regulations" Bill Failed - Senate (41 - 53)
Sept. 26, 2019 National HR 3525 US Border Patrol Medical Screening Standards Act Bill Passed - House (230 - 184)
Sept. 12, 2019 National HR 1146 Arctic Cultural and Coastal Plain Protection Act Bill Passed - House (225 - 193)
Sept. 11, 2019 National HR 1941 Coastal and Marine Economies Protection Act Bill Passed - House (238 - 189)
June 5, 2019 National HR 1921 Ocean Acidification Innovation Act of 2019 Bill Passed - House (395 - 22)
May 16, 2019 National HR 987 MORE Health Education Act Bill Passed - House (234 - 183)
May 16, 2019 National HR 987 MORE Health Education Act Bill Passed - House (234 - 183)
May 9, 2019 National HR 986 Protecting Americans with Preexisting Conditions Act of 2019 Bill Passed - House (230 - 183)
May 9, 2019 National HR 986 Protecting Americans with Preexisting Conditions Act of 2019 Bill Passed - House (230 - 183)
May 2, 2019 National HR 9 Climate Action Now Act Bill Passed - House (231 - 190)
April 3, 2019 National H Res 271 Condemning the Trump Administration's Legal Campaign to Take Away Americans' Health Care Bill Passed - House (240 - 186)
March 26, 2019 National S J Res 8 A joint resolution recognizing the duty of the Federal Government to create a Green New Deal Cloture Not Invoked - Senate (0 - 57)
Feb. 28, 2019 National PN 22 Nomination of Andrew Wheeler to be Administrator of Environmental Protection Agency (52 - 47)
Feb. 27, 2019 National PN 22 Nomination of Andrew Wheeler to be Administrator of Environmental Protection Agency Cloture Invoked - Senate (52 - 46)
Feb. 12, 2019 National S 47 Natural Resources Management Act Bill Passed - Senate (92 - 8)
Jan. 11, 2019 National HR 266 Department of the Interior, Environment, and Related Agencies Appropriations Act, 2019 Bill Passed - House (240 - 179)
Sept. 17, 2018 National HR 6 Opioid Crisis Response Act of 2018 Bill Passed - Senate (99 - 1)
Sept. 17, 2018 National HR 6 Opioid Crisis Response Act of 2018 Bill Passed - Senate (99 - 1)
Sept. 17, 2018 National S 2554 Patient Right to Know Drug Prices Act Bill Passed - Senate (98 - 2)
Aug. 23, 2018 National S Amdt 3967 Senator Rand Paul's Amendment to H.R. 6157 Amendment Rejected - Senate (45 - 48)
Aug. 23, 2018 National S Amdt 3967 Senator Rand Paul's Amendment to H.R. 6157 Amendment Rejected - Senate (45 - 48)
Aug. 1, 2018 National HR 6147 Interior, Environment, Financial Services, and General Government Appropriations Act, 2019 Bill Passed - Senate (92 - 6)
July 25, 2018 National HR 6199 Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 Bill Passed - House (277 - 142)
July 25, 2018 National HR 6311 Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018 Bill Passed - House (242 - 176)
July 19, 2018 National HR 6147 Interior, Environment, Financial Services, and General Government Appropriations Act, 2019 Bill Passed - House (217 - 199)
July 19, 2018 National H Con Res 119 Expressing the sense of Congress that a carbon tax would be detrimental to the United States economy. Bill Passed - House (229 - 180)
June 26, 2018 National HR 2083 Endangered Salmon and Fisheries Predation Prevention Act Bill Passed - House (288 - 116)
June 22, 2018 National HR 6 Opioid Crisis Response Act of 2018 Bill Passed - House (396 - 14)
June 22, 2018 National HR 6 Opioid Crisis Response Act of 2018 Bill Passed - House (396 - 14)
June 20, 2018 National HR 5797 IMD CARE Act Bill Passed - House (261 - 155)
June 15, 2018 National HR 2851 SITSA Act Bill Passed - House (239 - 142)
June 14, 2018 National HR 5735 THRIVE Act Bill Passed - House (230 - 173)
May 22, 2018 National S 204 Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017 Bill Passed - House (250 - 169)
May 10, 2018 National HR 3053 Nuclear Waste Policy Amendments Act of 2018 Bill Passed - House (340 - 72)
April 25, 2018 National HR 3144 To provide for operations of the Federal Columbia River Power System pursuant to a certain operation plan for a specified period of time, and for other purposes. Bill Passed - House (225 - 189)
April 12, 2018 National PN 1426 Nomination of Andrew Wheeler to Deputy Administrator of the Environmental Protection Agency (53 - 45)
April 12, 2018 National PN 1426 Nomination of Andrew Wheeler to Deputy Administrator of the Environmental Protection Agency Cloture Invoked - Senate (53 - 45)
March 21, 2018 National HR 5247 Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2018 Bill Passed - House (259 - 140)
March 21, 2018 National HR 5247 Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2018 Bill Passed - House (259 - 140)
March 8, 2018 National HR 1119 SENSE Act Bill Passed - House (215 - 189)
March 7, 2018 National HR 1917 BRICK Act of 2017 Bill Passed - House (234 - 180)
Date No. Title Outcome
2/28 HR 2339 Protecting American Lungs and Reversing the Youth Tobacco Epidemic Act Bill Passed - House (213 - 195)
2/06 H Res 826 Expressing disapproval of the Trump administration's harmful actions towards Medicaid Bill Passed - House (223 - 190)
1/29 S 3201 Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act Bill Passed - House (320 - 88)
1/29 S 3201 Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act Bill Passed - House (320 - 88)
1/10 HR 535 PFAS Action Act Bill Passed - House (247 - 159)
12/12 HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
12/12 HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
11/21 HR 1309 Workplace Violence Prevention for Health Care and Social Service Workers Act Bill Passed - House (251 - 158)
10/31 HR 823 Colorado Outdoor Recreation and Economy Act Bill Passed - House (227 - 182)
10/17 S J Res 53 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Repeal of the Clean Power Plan; Emission Guidelines for Greenhouse Gas Emissions From Existing Electric Utility Generating Units; Revisions to Emission Guidelines Implementing Regulations" Bill Failed - Senate (41 - 53)
9/26 HR 3525 US Border Patrol Medical Screening Standards Act Bill Passed - House (230 - 184)
9/12 HR 1146 Arctic Cultural and Coastal Plain Protection Act Bill Passed - House (225 - 193)
9/11 HR 1941 Coastal and Marine Economies Protection Act Bill Passed - House (238 - 189)
6/05 HR 1921 Ocean Acidification Innovation Act of 2019 Bill Passed - House (395 - 22)
5/16 HR 987 MORE Health Education Act Bill Passed - House (234 - 183)
5/16 HR 987 MORE Health Education Act Bill Passed - House (234 - 183)
5/09 HR 986 Protecting Americans with Preexisting Conditions Act of 2019 Bill Passed - House (230 - 183)
5/09 HR 986 Protecting Americans with Preexisting Conditions Act of 2019 Bill Passed - House (230 - 183)
5/02 HR 9 Climate Action Now Act Bill Passed - House (231 - 190)
4/03 H Res 271 Condemning the Trump Administration's Legal Campaign to Take Away Americans' Health Care Bill Passed - House (240 - 186)
3/26 S J Res 8 A joint resolution recognizing the duty of the Federal Government to create a Green New Deal Cloture Not Invoked - Senate (0 - 57)
2/28 PN 22 Nomination of Andrew Wheeler to be Administrator of Environmental Protection Agency (52 - 47)
2/27 PN 22 Nomination of Andrew Wheeler to be Administrator of Environmental Protection Agency Cloture Invoked - Senate (52 - 46)
2/12 S 47 Natural Resources Management Act Bill Passed - Senate (92 - 8)
1/11 HR 266 Department of the Interior, Environment, and Related Agencies Appropriations Act, 2019 Bill Passed - House (240 - 179)
9/17 HR 6 Opioid Crisis Response Act of 2018 Bill Passed - Senate (99 - 1)
9/17 HR 6 Opioid Crisis Response Act of 2018 Bill Passed - Senate (99 - 1)
9/17 S 2554 Patient Right to Know Drug Prices Act Bill Passed - Senate (98 - 2)
8/23 S Amdt 3967 Senator Rand Paul's Amendment to H.R. 6157 Amendment Rejected - Senate (45 - 48)
8/23 S Amdt 3967 Senator Rand Paul's Amendment to H.R. 6157 Amendment Rejected - Senate (45 - 48)
8/01 HR 6147 Interior, Environment, Financial Services, and General Government Appropriations Act, 2019 Bill Passed - Senate (92 - 6)
7/25 HR 6199 Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 Bill Passed - House (277 - 142)
7/25 HR 6311 Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018 Bill Passed - House (242 - 176)
7/19 HR 6147 Interior, Environment, Financial Services, and General Government Appropriations Act, 2019 Bill Passed - House (217 - 199)
7/19 H Con Res 119 Expressing the sense of Congress that a carbon tax would be detrimental to the United States economy. Bill Passed - House (229 - 180)
6/26 HR 2083 Endangered Salmon and Fisheries Predation Prevention Act Bill Passed - House (288 - 116)
6/22 HR 6 Opioid Crisis Response Act of 2018 Bill Passed - House (396 - 14)
6/22 HR 6 Opioid Crisis Response Act of 2018 Bill Passed - House (396 - 14)
6/20 HR 5797 IMD CARE Act Bill Passed - House (261 - 155)
6/15 HR 2851 SITSA Act Bill Passed - House (239 - 142)
6/14 HR 5735 THRIVE Act Bill Passed - House (230 - 173)
5/22 S 204 Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017 Bill Passed - House (250 - 169)
5/10 HR 3053 Nuclear Waste Policy Amendments Act of 2018 Bill Passed - House (340 - 72)
4/25 HR 3144 To provide for operations of the Federal Columbia River Power System pursuant to a certain operation plan for a specified period of time, and for other purposes. Bill Passed - House (225 - 189)
4/12 PN 1426 Nomination of Andrew Wheeler to Deputy Administrator of the Environmental Protection Agency (53 - 45)
4/12 PN 1426 Nomination of Andrew Wheeler to Deputy Administrator of the Environmental Protection Agency Cloture Invoked - Senate (53 - 45)
3/21 HR 5247 Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2018 Bill Passed - House (259 - 140)
3/21 HR 5247 Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2018 Bill Passed - House (259 - 140)
3/08 HR 1119 SENSE Act Bill Passed - House (215 - 189)
3/07 HR 1917 BRICK Act of 2017 Bill Passed - House (234 - 180)
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