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
May 22, 2025 National H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (51 - 44)
May 22, 2025 National H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (51 - 45)
May 22, 2025 National H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (49 - 46)
May 22, 2025 National H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Motion Agreed - Senate (51 - 46)
May 22, 2025 National H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Motion Agreed - Senate (51 - 46)
May 21, 2025 National H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Cloture Invoked - Senate (51 - 46)
May 15, 2025 National PN 25-11 Nomination of Sean Donahue to be an Assistant Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (51 - 46)
May 14, 2025 National PN 25-11 Nomination of Sean Donahue to be an Assistant Administrator of the Environmental Protection Agency Cloture Invoked - Senate (52 - 47)
May 8, 2025 National H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Joint Resolution Passed - Senate (50 - 43)
May 6, 2025 National H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Motion Agreed - Senate (53 - 47)
May 5, 2025 National H J Res 61 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing". Motion Agreed - Senate (51 - 43)
May 1, 2025 National S J Res 31 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 "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Joint Resolution Passed - Senate (52 - 46)
April 30, 2025 National S J Res 31 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 "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Motion Agreed - Senate (52 - 40)
April 10, 2025 National H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Joint Resolution Passed - Senate (53 - 44)
April 9, 2025 National H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Motion Agreed - Senate (52 - 46)
March 25, 2025 National PN 12-2 Nomination of Jayanta Bhattacharya to be Director of the National Institutes of Health Nomination Confirmed - Senate (53 - 47)
March 25, 2025 National PN 12-28 Nomination of Martin Makary to be Commissioner of Food and Drugs in the Department of Health and Human Services Nomination Confirmed - Senate (56 - 44)
March 25, 2025 National PN 12-2 Nomination of Jayanta Bhattacharya to be Director of the National Institutes of Health Cloture Invoked - Senate (53 - 46)
March 25, 2025 National PN 12-28 Nomination of Martin Makary to be Commissioner of Food and Drugs in the Department of Health and Human Services Cloture Invoked - Senate (56 - 44)
March 14, 2025 National S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Bill Passed - Senate (84 - 15)
March 6, 2025 National S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Cloture Invoked - Senate (82 - 12)
Feb. 27, 2025 National H J Res 35 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Joint Resolution Passed - Senate (52 - 47)
Feb. 26, 2025 National S J Res 12 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 "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Motion Agreed - Senate (52 - 47)
Feb. 25, 2025 National S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Ocean Energy Management relating to "Protection of Marine Archaeological Resources". Joint Resolution Passed - Senate (54 - 42)
Feb. 13, 2025 National PN 11-8 Nomination of Robert F. Kennedy Jr. to be Secretary of Health and Human Services Nomination Confirmed - Senate (52 - 48)
Date No. Title Outcome
5/22 H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (51 - 44)
5/22 H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (51 - 45)
5/22 H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (49 - 46)
5/22 H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Motion Agreed - Senate (51 - 46)
5/22 H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Motion Agreed - Senate (51 - 46)
5/21 H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Cloture Invoked - Senate (51 - 46)
5/15 PN 25-11 Nomination of Sean Donahue to be an Assistant Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (51 - 46)
5/14 PN 25-11 Nomination of Sean Donahue to be an Assistant Administrator of the Environmental Protection Agency Cloture Invoked - Senate (52 - 47)
5/08 H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Joint Resolution Passed - Senate (50 - 43)
5/06 H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Motion Agreed - Senate (53 - 47)
5/05 H J Res 61 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing". Motion Agreed - Senate (51 - 43)
5/01 S J Res 31 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 "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Joint Resolution Passed - Senate (52 - 46)
4/30 S J Res 31 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 "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Motion Agreed - Senate (52 - 40)
4/10 H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Joint Resolution Passed - Senate (53 - 44)
4/09 H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Motion Agreed - Senate (52 - 46)
3/25 PN 12-2 Nomination of Jayanta Bhattacharya to be Director of the National Institutes of Health Nomination Confirmed - Senate (53 - 47)
3/25 PN 12-28 Nomination of Martin Makary to be Commissioner of Food and Drugs in the Department of Health and Human Services Nomination Confirmed - Senate (56 - 44)
3/25 PN 12-2 Nomination of Jayanta Bhattacharya to be Director of the National Institutes of Health Cloture Invoked - Senate (53 - 46)
3/25 PN 12-28 Nomination of Martin Makary to be Commissioner of Food and Drugs in the Department of Health and Human Services Cloture Invoked - Senate (56 - 44)
3/14 S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Bill Passed - Senate (84 - 15)
3/06 S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Cloture Invoked - Senate (82 - 12)
2/27 H J Res 35 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Joint Resolution Passed - Senate (52 - 47)
2/26 S J Res 12 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 "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Motion Agreed - Senate (52 - 47)
2/25 S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Ocean Energy Management relating to "Protection of Marine Archaeological Resources". Joint Resolution Passed - Senate (54 - 42)
2/13 PN 11-8 Nomination of Robert F. Kennedy Jr. to be Secretary of Health and Human Services Nomination Confirmed - Senate (52 - 48)

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