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.


results per page:
Date State Bill No. Title Outcome
Feb. 16, 2017 National PN 44 Nomination of Scott Pruitt to be Administrator of the Environmental Protection Agency Cloture Invoked - Senate (54 - 46)
Feb. 10, 2017 National PN 33 Nomination of Thomas Price to be Secretary of Health and Human Services Nomination Confirmed - Senate (52 - 47)
Feb. 8, 2017 National PN 33 Nomination of Thomas Price to be Secretary of Health and Human Services Cloture Invoked - Senate (51 - 48)
Jan. 12, 2017 National S Con Res 3 A Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2017 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2018 Through 2026 Joint Resolution Passed - Senate (51 - 48)
Sept. 28, 2016 National HR 5325 Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act Bill Passed - Senate (72 - 26)
July 7, 2016 National S 764 Establishes Labeling Standards for Genetically Modified Foods Concurrence Vote Passed - Senate (63 - 30)
Jan. 21, 2016 National S J Res 22 A Joint Resolution Providing for Congressional Disapproval Under Chapter 8 of Title 5, United States Code, of the Rule Submitted by the Corps of Engineers and the Environmental Protection Agency Relating to the Definition of "Waters of the United States" Under the Federal Water Pollution Control Act Cloture Not Invoked - Senate (52 - 40)
Dec. 3, 2015 National HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Bill Passed - Senate (52 - 47)
Dec. 3, 2015 National HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Bill Passed - Senate (52 - 47)
Nov. 17, 2015 National S J Res 24 A Joint Resolution Providing for Congressional Disapproval under Chapter 8 of Title 5, United States Code, of a Rule Submitted by the Environmental Protection Agency Relating to "Carbon Pollution Emission Guidelines for Existing Stationary Sources: Electric Utility Generating Units" Bill Passed - Senate (52 - 46)
Nov. 17, 2015 National S J Res 23 A Joint Resolution Providing for Congressional Disapproval Under Chapter 8 of Title 5, United States Code, of a Rule Submitted by the Environmental Protection Agency Relating to "Standards of Performance for Greenhouse Gas Emissions from New, Modified, and Reconstructed Stationary Sources: Electric Utility Generating Units" Bill Passed - Senate (52 - 46)
Nov. 3, 2015 National S 1140 Federal Water Quality Protection Act Cloture Not Invoked - Senate (57 - 41)
Sept. 24, 2015 National S Amdt 2669 Rescinds Funds from Planned Parenthood Cloture Not Invoked - Senate (47 - 52)
Sept. 24, 2015 National S Amdt 2669 Rescinds Funds from Planned Parenthood Cloture Not Invoked - Senate (47 - 52)
May 5, 2015 National S Con Res 11 An Original Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2016 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2017 Through 2025 Conference Report Adopted - Senate (51 - 48)
March 27, 2015 National S Con Res 11 An Original Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2016 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2017 Through 2025 Joint Resolution Passed - Senate (52 - 46)
July 29, 2014 National S Amdt 3585 Exempts Infrastructure Damaged by Natural Disasters from Environmental Reviews Amendment Rejected - Senate (47 - 50)
July 16, 2014 National S 2578 Protect Women's Health From Corporate Interference Act of 2014 Cloture Not Invoked - Senate (56 - 43)
July 16, 2014 National S 2578 Protect Women's Health From Corporate Interference Act of 2014 Cloture Not Invoked - Senate (56 - 43)
March 31, 2014 National HR 4302 Protecting Access to Medicare Act of 2014 Bill Passed - Senate (64 - 35)
Dec. 18, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - Senate (64 - 36)
Oct. 16, 2013 National HR 2775 Continuing Appropriations Resolution, 2014 Bill Passed - Senate (81 - 18)
Sept. 30, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Motion Agreed - Senate (54 - 46)
Sept. 30, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Motion Agreed - Senate (54 - 46)
Sept. 27, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Bill Passed - Senate (54 - 44)
June 10, 2013 National S 954 Agriculture Reform, Food, and Jobs Act of 2013 Bill Passed - Senate (66 - 27)
March 13, 2013 National S Amdt 30 To Prohibit the Use of Funds to Carry Out the Patient Protection and Affordable Care Act Amendment Rejected - Senate (45 - 52)
Nov. 29, 2012 National S Amdt 3058 Expands TRICARE Coverage of Autism Amendment Adopted - Senate (66 - 29)
Nov. 29, 2012 National S Amdt 3058 Expands TRICARE Coverage of Autism Amendment Adopted - Senate (66 - 29)
June 21, 2012 National S Amdt 2310 Requires Labels on Foods with Genetically Modified Ingredients Amendment Rejected - Senate (26 - 73)
June 19, 2012 National S Amdt 2172 Rescinds Bonuses to States for Administering Supplemental Nutrition Assistance Program (SNAP) Amendment Rejected - Senate (41 - 58)
June 19, 2012 National S Amdt 2156 Increases Funding for the Fresh Fruit and Vegetable Program Amendment Rejected - Senate (33 - 66)
June 13, 2012 National S Amdt 2392 Reduces Funding for Food Stamps Amendment Tabled - Senate (65 - 33)
May 24, 2012 National S Amdt 2153 Prohibits Increase in Interest Rates for Student Loans (Lamar Bill) Amendment Rejected - Senate (34 - 62)
May 24, 2012 National S Amdt 2111 Prohibits Pharmaceutical Companies from Delaying the Release of Generic Drugs Amendment Rejected - Senate (28 - 67)
May 24, 2012 National S Amdt 2108 Prohibits FDA Approval of Genetically Engineered Fish Amendment Rejected - Senate (46 - 50)
May 24, 2012 National S Amdt 2108 Prohibits FDA Approval of Genetically Engineered Fish Amendment Rejected - Senate (46 - 50)
May 24, 2012 National S Amdt 2107 Authorizes Import of FDA-Approved Drugs from Canada Amendment Rejected - Senate (43 - 54)
March 8, 2012 National S Amdt 1537 Approving the Keystone XL Pipeline Project Amendment Rejected - Senate (56 - 42)
March 1, 2012 National S Amdt 1520 Authorizes Moral and Religious Objections to Certain Health Care Items and Services Amendment Tabled - Senate (51 - 48)
Dec. 1, 2011 National S 1931 Reduces Payroll Tax Rate Motion Rejected - Senate (20 - 78)
Nov. 17, 2011 National HR 2112 Appropriations for Agriculture, Rural Development, and the Food and Drug Administration Conference Report Adopted - Senate (70 - 30)
Nov. 10, 2011 National S Amdt 928 American Jobs and Economic Growth Amendment Rejected - Senate (40 - 56)
Nov. 10, 2011 National S J Res 27 Disapproval of EPA Cross-Border Pollution Rule Motion Rejected - Senate (41 - 56)
Nov. 10, 2011 National S Amdt 928 American Jobs and Economic Growth Amendment Rejected - Senate (40 - 56)
Oct. 20, 2011 National S Amdt 769 Authorizes Individuals to Import FDA-Approved Drugs from Canada Amendment Rejected - Senate (45 - 55)
April 5, 2011 National HR 4 Repeals the Form 1099 Provision in the Patient Protection and Affordable Care Act Bill Passed - Senate (87 - 12)
Feb. 2, 2011 National S Amdt 13 Repealing the Federal Health Care Law Motion Rejected - Senate (47 - 51)
Feb. 2, 2011 National S Amdt 13 Repealing the Federal Health Care Law Motion Rejected - Senate (47 - 51)
Feb. 2, 2011 National S Amdt 9 Repealing the IRS 1099 Provision from the Patient Protection and Affordable Care Act Motion Agreed - Senate (81 - 17)
Feb. 2, 2011 National S Amdt 28 Repealing the IRS 1099 Provision from the Health Care Law Amendment Rejected - Senate (44 - 54)
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. 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. 5, 2010 National HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - Senate (61 - 39)
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 Bill Passed - Senate (56 - 43)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
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)
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)
Date No. Title Outcome
2/16 PN 44 Nomination of Scott Pruitt to be Administrator of the Environmental Protection Agency Cloture Invoked - Senate (54 - 46)
2/10 PN 33 Nomination of Thomas Price to be Secretary of Health and Human Services Nomination Confirmed - Senate (52 - 47)
2/08 PN 33 Nomination of Thomas Price to be Secretary of Health and Human Services Cloture Invoked - Senate (51 - 48)
1/12 S Con Res 3 A Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2017 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2018 Through 2026 Joint Resolution Passed - Senate (51 - 48)
9/28 HR 5325 Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act Bill Passed - Senate (72 - 26)
7/07 S 764 Establishes Labeling Standards for Genetically Modified Foods Concurrence Vote Passed - Senate (63 - 30)
1/21 S J Res 22 A Joint Resolution Providing for Congressional Disapproval Under Chapter 8 of Title 5, United States Code, of the Rule Submitted by the Corps of Engineers and the Environmental Protection Agency Relating to the Definition of "Waters of the United States" Under the Federal Water Pollution Control Act Cloture Not Invoked - Senate (52 - 40)
12/03 HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Bill Passed - Senate (52 - 47)
12/03 HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Bill Passed - Senate (52 - 47)
11/17 S J Res 24 A Joint Resolution Providing for Congressional Disapproval under Chapter 8 of Title 5, United States Code, of a Rule Submitted by the Environmental Protection Agency Relating to "Carbon Pollution Emission Guidelines for Existing Stationary Sources: Electric Utility Generating Units" Bill Passed - Senate (52 - 46)
11/17 S J Res 23 A Joint Resolution Providing for Congressional Disapproval Under Chapter 8 of Title 5, United States Code, of a Rule Submitted by the Environmental Protection Agency Relating to "Standards of Performance for Greenhouse Gas Emissions from New, Modified, and Reconstructed Stationary Sources: Electric Utility Generating Units" Bill Passed - Senate (52 - 46)
11/03 S 1140 Federal Water Quality Protection Act Cloture Not Invoked - Senate (57 - 41)
9/24 S Amdt 2669 Rescinds Funds from Planned Parenthood Cloture Not Invoked - Senate (47 - 52)
9/24 S Amdt 2669 Rescinds Funds from Planned Parenthood Cloture Not Invoked - Senate (47 - 52)
5/05 S Con Res 11 An Original Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2016 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2017 Through 2025 Conference Report Adopted - Senate (51 - 48)
3/27 S Con Res 11 An Original Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2016 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2017 Through 2025 Joint Resolution Passed - Senate (52 - 46)
7/29 S Amdt 3585 Exempts Infrastructure Damaged by Natural Disasters from Environmental Reviews Amendment Rejected - Senate (47 - 50)
7/16 S 2578 Protect Women's Health From Corporate Interference Act of 2014 Cloture Not Invoked - Senate (56 - 43)
7/16 S 2578 Protect Women's Health From Corporate Interference Act of 2014 Cloture Not Invoked - Senate (56 - 43)
3/31 HR 4302 Protecting Access to Medicare Act of 2014 Bill Passed - Senate (64 - 35)
12/18 H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - Senate (64 - 36)
10/16 HR 2775 Continuing Appropriations Resolution, 2014 Bill Passed - Senate (81 - 18)
9/30 H J Res 59 Continuing Appropriations Resolution, 2014 Motion Agreed - Senate (54 - 46)
9/30 H J Res 59 Continuing Appropriations Resolution, 2014 Motion Agreed - Senate (54 - 46)
9/27 H J Res 59 Continuing Appropriations Resolution, 2014 Bill Passed - Senate (54 - 44)
6/10 S 954 Agriculture Reform, Food, and Jobs Act of 2013 Bill Passed - Senate (66 - 27)
3/13 S Amdt 30 To Prohibit the Use of Funds to Carry Out the Patient Protection and Affordable Care Act Amendment Rejected - Senate (45 - 52)
11/29 S Amdt 3058 Expands TRICARE Coverage of Autism Amendment Adopted - Senate (66 - 29)
11/29 S Amdt 3058 Expands TRICARE Coverage of Autism Amendment Adopted - Senate (66 - 29)
6/21 S Amdt 2310 Requires Labels on Foods with Genetically Modified Ingredients Amendment Rejected - Senate (26 - 73)
6/19 S Amdt 2172 Rescinds Bonuses to States for Administering Supplemental Nutrition Assistance Program (SNAP) Amendment Rejected - Senate (41 - 58)
6/19 S Amdt 2156 Increases Funding for the Fresh Fruit and Vegetable Program Amendment Rejected - Senate (33 - 66)
6/13 S Amdt 2392 Reduces Funding for Food Stamps Amendment Tabled - Senate (65 - 33)
5/24 S Amdt 2153 Prohibits Increase in Interest Rates for Student Loans (Lamar Bill) Amendment Rejected - Senate (34 - 62)
5/24 S Amdt 2111 Prohibits Pharmaceutical Companies from Delaying the Release of Generic Drugs Amendment Rejected - Senate (28 - 67)
5/24 S Amdt 2108 Prohibits FDA Approval of Genetically Engineered Fish Amendment Rejected - Senate (46 - 50)
5/24 S Amdt 2108 Prohibits FDA Approval of Genetically Engineered Fish Amendment Rejected - Senate (46 - 50)
5/24 S Amdt 2107 Authorizes Import of FDA-Approved Drugs from Canada Amendment Rejected - Senate (43 - 54)
3/08 S Amdt 1537 Approving the Keystone XL Pipeline Project Amendment Rejected - Senate (56 - 42)
3/01 S Amdt 1520 Authorizes Moral and Religious Objections to Certain Health Care Items and Services Amendment Tabled - Senate (51 - 48)
12/01 S 1931 Reduces Payroll Tax Rate Motion Rejected - Senate (20 - 78)
11/17 HR 2112 Appropriations for Agriculture, Rural Development, and the Food and Drug Administration Conference Report Adopted - Senate (70 - 30)
11/10 S Amdt 928 American Jobs and Economic Growth Amendment Rejected - Senate (40 - 56)
11/10 S J Res 27 Disapproval of EPA Cross-Border Pollution Rule Motion Rejected - Senate (41 - 56)
11/10 S Amdt 928 American Jobs and Economic Growth Amendment Rejected - Senate (40 - 56)
10/20 S Amdt 769 Authorizes Individuals to Import FDA-Approved Drugs from Canada Amendment Rejected - Senate (45 - 55)
4/05 HR 4 Repeals the Form 1099 Provision in the Patient Protection and Affordable Care Act Bill Passed - Senate (87 - 12)
2/02 S Amdt 13 Repealing the Federal Health Care Law Motion Rejected - Senate (47 - 51)
2/02 S Amdt 13 Repealing the Federal Health Care Law Motion Rejected - Senate (47 - 51)
2/02 S Amdt 9 Repealing the IRS 1099 Provision from the Patient Protection and Affordable Care Act Motion Agreed - Senate (81 - 17)
2/02 S Amdt 28 Repealing the IRS 1099 Provision from the Health Care Law Amendment Rejected - Senate (44 - 54)
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)
9/14 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)
8/05 HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - Senate (61 - 39)
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 Bill Passed - Senate (56 - 43)
3/25 HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
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)
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)

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