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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
Dec. 22, 2010 National HR 847 9/11 Health and Compensation Act Concurrence Vote Passed - House (206 - 60)
Dec. 21, 2010 National HR 2751 FDA Food Safety Modernization Act Concurrence Vote Passed - House (215 - 144)
Dec. 9, 2010 National HR 847 9/11 Health and Compensation Act Cloture Not Invoked - Senate (57 - 42)
Nov. 30, 2010 National S 510 FDA Food Safety Modernization Act Bill Passed - Senate (73 - 25)
Sept. 29, 2010 National S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
Sept. 29, 2010 National S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
Sept. 23, 2010 National HR 5110 Expanding Casa Grande Ruins National Monument Bill Failed - House (244 - 174)
Sept. 23, 2010 National HR 4823 Establishing Sedona-Red Rock National Scenic Area Bill Failed - House (258 - 160)
Sept. 22, 2010 National HR 3470 Infant Mortality Pilot Programs Bill Passed - House (324 - 64)
Sept. 14, 2010 National S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
Sept. 14, 2010 National S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
Sept. 14, 2010 National S Amdt 4595 Business Transaction Reporting Requirement Amendments Cloture Not Invoked - Senate (56 - 42)
Aug. 10, 2010 National HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - House (247 - 161)
Aug. 5, 2010 National HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - Senate (61 - 39)
July 30, 2010 National HR 3534 Offshore Drilling Regulations and Other Energy Law Amendments Bill Passed - House (209 - 193)
June 10, 2010 National S J Res 26 Statement of Opposition to EPA Greenhouse Gas Rule Motion Rejected - Senate (47 - 53)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Concurrence Vote Passed - House (220 - 207)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Concurrence Vote Passed - House (220 - 207)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
March 21, 2010 National HR 3590 Patient Protection and Affordable Care Act Concurrence Vote Passed - House (219 - 212)
March 21, 2010 National HR 3590 Patient Protection and Affordable Care Act Concurrence Vote Passed - House (219 - 212)
March 21, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - House (220 - 211)
March 21, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - House (220 - 211)
Dec. 24, 2009 National HR 3590 Patient Protection and Affordable Care Act Bill Passed - Senate (60 - 39)
Dec. 24, 2009 National HR 3590 Patient Protection and Affordable Care Act Bill Passed - Senate (60 - 39)
Dec. 23, 2009 National HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
Dec. 23, 2009 National HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
Dec. 23, 2009 National S Amdt 2786 Health Care and Insurance Law Amendments Amendment Adopted - Senate (60 - 39)
Dec. 22, 2009 National S Amdt 2786 Health Care and Insurance Law Amendments Cloture Invoked - Senate (60 - 39)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
Dec. 15, 2009 National S Amdt 2793 Authorizing Importation of Prescription Drugs Amendment Rejected - Senate (51 - 48)
Dec. 8, 2009 National S Amdt 2962 Prohibiting Federally Funded Abortion Services Amendment Tabled - Senate (54 - 45)
Dec. 3, 2009 National S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
Dec. 3, 2009 National S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
Nov. 19, 2009 National HR 3961 Revising Medicare Physician Fee Schedules and Reinstatement of PAYGO Bill Passed - House (243 - 183)
Nov. 7, 2009 National H Amdt 510 Substitute Health Care and Insurance Law Amendments Amendment Rejected - House (176 - 258)
Nov. 7, 2009 National H Amdt 509 Prohibiting Federally Funded Abortion Services Amendment Adopted - House (240 - 194)
Nov. 7, 2009 National H Amdt 510 Substitute Health Care and Insurance Law Amendments Amendment Rejected - House (176 - 258)
Nov. 7, 2009 National HR 3962 Health Care and Insurance Law Amendments Bill Passed - House (220 - 215)
Oct. 29, 2009 National HR 2996 Continuing Appropriations Extension and 2009-2010 Department of Interior, Environmental Protection Agency, and Related Appropriations Conference Report Adopted - House (247 - 178)
Oct. 29, 2009 National HR 2996 Continuing Appropriations Extension and 2009-2010 Department of Interior, Environmental Protection Agency, and Related Appropriations Conference Report Adopted - Senate (72 - 28)
Oct. 21, 2009 National S 1776 Eliminating Adjustments to Medicare Rates of Payment Cloture Not Invoked - Senate (47 - 53)
Oct. 8, 2009 National HR 2997 Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Fiscal Year 2009-2010 Conference Report Adopted - Senate (76 - 22)
Oct. 7, 2009 National HR 2997 Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Fiscal Year 2009-2010 Conference Report Adopted - House (263 - 162)
July 30, 2009 National HR 2749 Food Safety Regulation Amendments Bill Passed - House (283 - 142)
June 26, 2009 National HR 2454 Energy and Environmental Law Amendments ("Cap and Trade") Bill Passed - House (219 - 212)
June 11, 2009 National HR 1256 FDA Oversight of Tobacco Products Bill Passed - Senate (79 - 17)
June 9, 2009 National HR 2751 Consumer Assistance to Recycle and Save Act Bill Passed - House (298 - 119)
April 29, 2009 National S Con Res 13 2010 Concurrent Budget Resolution Conference Report Adopted - Senate (53 - 43)
April 29, 2009 National S Con Res 13 2010 Concurrent Budget Resolution Conference Report Adopted - House (233 - 193)
April 28, 2009 National PN 188 Kathleen Sebelius, Secretary of Health and Human Services Nomination Confirmed - Senate (65 - 31)
April 2, 2009 National HR 1256 FDA Oversight of Tobacco Products Bill Passed - House (298 - 112)
March 25, 2009 National HR 146 Omnibus Public Land Management Act of 2009 Concurrence Vote Passed - House (285 - 140)
March 19, 2009 National HR 146 Omnibus Public Land Management Act of 2009 Bill Passed - Senate (77 - 20)
March 11, 2009 National S 22 Omnibus Public Land Management Act of 2009 Bill Failed - House (282 - 144)
Feb. 26, 2009 National HR 1105 2009 Budget Bill Bill Passed - House (245 - 178)
Jan. 29, 2009 National HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - Senate (66 - 32)
Jan. 15, 2009 National S 22 Omnibus Public Land Management Act of 2009 Bill Passed - Senate (73 - 21)
Jan. 14, 2009 National HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - House (289 - 139)
July 30, 2008 National HR 1108 FDA Regulation of Tobacco Bill Passed - House (326 - 102)
July 24, 2008 National HR 5501 Funding to Combat AIDS, Malaria, and Tuberculosis Concurrence Vote Passed - House (303 - 115)
July 24, 2008 National HR 5501 Funding to Combat AIDS, Malaria, and Tuberculosis Concurrence Vote Passed - House (303 - 115)
July 16, 2008 National S Amdt 5077 Funding Amendment to AIDS, Tuberculosis, and Malaria Bill Amendment Rejected - Senate (31 - 64)
July 16, 2008 National HR 5501 Funding to Combat AIDS, Malaria, and Tuberculosis Bill Passed - Senate (80 - 16)
July 16, 2008 National HR 5501 Funding to Combat AIDS, Malaria, and Tuberculosis Bill Passed - Senate (80 - 16)
July 16, 2008 National HR 415 Adding Parts of the Taunton River to the National Wild and Scenic Rivers System Bill Passed - House (242 - 175)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - House (383 - 41)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - House (383 - 41)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
July 15, 2008 National S Amdt 5078 Limiting Countries for HIV/Aids, Tuberculosis, and Malaria Funding Amendment Tabled - Senate (70 - 24)
July 9, 2008 National HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
July 9, 2008 National HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
Date No. Title Outcome
12/22 HR 847 9/11 Health and Compensation Act Concurrence Vote Passed - House (206 - 60)
12/21 HR 2751 FDA Food Safety Modernization Act Concurrence Vote Passed - House (215 - 144)
12/09 HR 847 9/11 Health and Compensation Act Cloture Not Invoked - Senate (57 - 42)
11/30 S 510 FDA Food Safety Modernization Act Bill Passed - Senate (73 - 25)
9/29 S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
9/29 S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
9/23 HR 5110 Expanding Casa Grande Ruins National Monument Bill Failed - House (244 - 174)
9/23 HR 4823 Establishing Sedona-Red Rock National Scenic Area Bill Failed - House (258 - 160)
9/22 HR 3470 Infant Mortality Pilot Programs Bill Passed - House (324 - 64)
9/14 S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
9/14 S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
9/14 S Amdt 4595 Business Transaction Reporting Requirement Amendments Cloture Not Invoked - Senate (56 - 42)
8/10 HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - House (247 - 161)
8/05 HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - Senate (61 - 39)
7/30 HR 3534 Offshore Drilling Regulations and Other Energy Law Amendments Bill Passed - House (209 - 193)
6/10 S J Res 26 Statement of Opposition to EPA Greenhouse Gas Rule Motion Rejected - Senate (47 - 53)
3/25 HR 4872 Health Care Reconciliation Act Concurrence Vote Passed - House (220 - 207)
3/25 HR 4872 Health Care Reconciliation Act Concurrence Vote Passed - House (220 - 207)
3/25 HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
3/25 HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
3/21 HR 3590 Patient Protection and Affordable Care Act Concurrence Vote Passed - House (219 - 212)
3/21 HR 3590 Patient Protection and Affordable Care Act Concurrence Vote Passed - House (219 - 212)
3/21 HR 4872 Health Care Reconciliation Act Bill Passed - House (220 - 211)
3/21 HR 4872 Health Care Reconciliation Act Bill Passed - House (220 - 211)
12/24 HR 3590 Patient Protection and Affordable Care Act Bill Passed - Senate (60 - 39)
12/24 HR 3590 Patient Protection and Affordable Care Act Bill Passed - Senate (60 - 39)
12/23 HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
12/23 HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
12/23 S Amdt 2786 Health Care and Insurance Law Amendments Amendment Adopted - Senate (60 - 39)
12/22 S Amdt 2786 Health Care and Insurance Law Amendments Cloture Invoked - Senate (60 - 39)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
12/15 S Amdt 2793 Authorizing Importation of Prescription Drugs Amendment Rejected - Senate (51 - 48)
12/08 S Amdt 2962 Prohibiting Federally Funded Abortion Services Amendment Tabled - Senate (54 - 45)
12/03 S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
12/03 S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
11/19 HR 3961 Revising Medicare Physician Fee Schedules and Reinstatement of PAYGO Bill Passed - House (243 - 183)
11/07 H Amdt 510 Substitute Health Care and Insurance Law Amendments Amendment Rejected - House (176 - 258)
11/07 H Amdt 509 Prohibiting Federally Funded Abortion Services Amendment Adopted - House (240 - 194)
11/07 H Amdt 510 Substitute Health Care and Insurance Law Amendments Amendment Rejected - House (176 - 258)
11/07 HR 3962 Health Care and Insurance Law Amendments Bill Passed - House (220 - 215)
10/29 HR 2996 Continuing Appropriations Extension and 2009-2010 Department of Interior, Environmental Protection Agency, and Related Appropriations Conference Report Adopted - House (247 - 178)
10/29 HR 2996 Continuing Appropriations Extension and 2009-2010 Department of Interior, Environmental Protection Agency, and Related Appropriations Conference Report Adopted - Senate (72 - 28)
10/21 S 1776 Eliminating Adjustments to Medicare Rates of Payment Cloture Not Invoked - Senate (47 - 53)
10/08 HR 2997 Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Fiscal Year 2009-2010 Conference Report Adopted - Senate (76 - 22)
10/07 HR 2997 Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Fiscal Year 2009-2010 Conference Report Adopted - House (263 - 162)
7/30 HR 2749 Food Safety Regulation Amendments Bill Passed - House (283 - 142)
6/26 HR 2454 Energy and Environmental Law Amendments ("Cap and Trade") Bill Passed - House (219 - 212)
6/11 HR 1256 FDA Oversight of Tobacco Products Bill Passed - Senate (79 - 17)
6/09 HR 2751 Consumer Assistance to Recycle and Save Act Bill Passed - House (298 - 119)
4/29 S Con Res 13 2010 Concurrent Budget Resolution Conference Report Adopted - Senate (53 - 43)
4/29 S Con Res 13 2010 Concurrent Budget Resolution Conference Report Adopted - House (233 - 193)
4/28 PN 188 Kathleen Sebelius, Secretary of Health and Human Services Nomination Confirmed - Senate (65 - 31)
4/02 HR 1256 FDA Oversight of Tobacco Products Bill Passed - House (298 - 112)
3/25 HR 146 Omnibus Public Land Management Act of 2009 Concurrence Vote Passed - House (285 - 140)
3/19 HR 146 Omnibus Public Land Management Act of 2009 Bill Passed - Senate (77 - 20)
3/11 S 22 Omnibus Public Land Management Act of 2009 Bill Failed - House (282 - 144)
2/26 HR 1105 2009 Budget Bill Bill Passed - House (245 - 178)
1/29 HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - Senate (66 - 32)
1/15 S 22 Omnibus Public Land Management Act of 2009 Bill Passed - Senate (73 - 21)
1/14 HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - House (289 - 139)
7/30 HR 1108 FDA Regulation of Tobacco Bill Passed - House (326 - 102)
7/24 HR 5501 Funding to Combat AIDS, Malaria, and Tuberculosis Concurrence Vote Passed - House (303 - 115)
7/24 HR 5501 Funding to Combat AIDS, Malaria, and Tuberculosis Concurrence Vote Passed - House (303 - 115)
7/16 S Amdt 5077 Funding Amendment to AIDS, Tuberculosis, and Malaria Bill Amendment Rejected - Senate (31 - 64)
7/16 HR 5501 Funding to Combat AIDS, Malaria, and Tuberculosis Bill Passed - Senate (80 - 16)
7/16 HR 5501 Funding to Combat AIDS, Malaria, and Tuberculosis Bill Passed - Senate (80 - 16)
7/16 HR 415 Adding Parts of the Taunton River to the National Wild and Scenic Rivers System Bill Passed - House (242 - 175)
7/15 HR 6331 Medicare Bill Veto Override Passed - House (383 - 41)
7/15 HR 6331 Medicare Bill Veto Override Passed - House (383 - 41)
7/15 HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
7/15 HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
7/15 S Amdt 5078 Limiting Countries for HIV/Aids, Tuberculosis, and Malaria Funding Amendment Tabled - Senate (70 - 24)
7/09 HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
7/09 HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
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