National Entitlements and the Safety Net 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 23, 2026 National HR 8884 Removing Barriers to Work for Disabled Americans Act Bill Passed - House (232 - 188)
July 20, 2026 National HR 8823 Putting Patients First by Strengthening Provider Accountability in Federal Employees' Compensation Act (FECA) Act Bill Passed - House (396 - 0)
July 16, 2026 National S J Res 198 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model" Motion Rejected - Senate (46 - 50)
April 27, 2026 National HR 227 Clergy Act Bill Passed - House (350 - 5)
March 18, 2026 National HR 1958 Deporting Fraudsters Act of 2026 Bill Passed - House (231 - 186)
Jan. 21, 2026 National HR 6945 Supporting Pregnant and Parenting Women and Families Act Bill Passed - House (215 - 209)
Dec. 18, 2025 National HR 498 Do No Harm in Medicaid Act Bill Passed - House (215 - 201)
July 3, 2025 National HR 1 One Big Beautiful Bill Act Concurrence Vote Passed - House (218 - 214)
July 1, 2025 National HR 1 One Big Beautiful Bill Act Bill Passed - Senate (51 - 50)
June 28, 2025 National HR 1 One Big Beautiful Bill Act Motion Agreed - Senate (51 - 49)
May 22, 2025 National HR 1 One Big Beautiful Bill Act Bill Passed - House (215 - 214)
May 25, 2021 National PN 124 Nomation of Chiquita Brooks-LaSure as the Adminstor of the Centers for Medicare and Medicaid Services Nomination Confirmed - Senate (55 - 44)
June 29, 2020 National HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
March 18, 2020 National HR 6201 Families First Coronavirus Response Act Bill Passed - Senate (90 - 8)
March 14, 2020 National HR 6201 Families First Coronavirus Response Act Bill Passed - House (363 - 40)
Feb. 6, 2020 National H Res 826 Expressing disapproval of the Trump administration's harmful actions towards Medicaid Bill Passed - House (223 - 190)
Sept. 27, 2016 National HR 954 CO-OP Consumer Protection Act of 2016 Bill Passed - House (258 - 165)
Feb. 2, 2016 National HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Veto Override Failed - House (241 - 186)
Jan. 6, 2016 National HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Concurrence Vote Passed - House (240 - 181)
Dec. 3, 2015 National HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Bill Passed - Senate (52 - 47)
Oct. 23, 2015 National HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Bill Passed - House (240 - 189)
Sept. 29, 2015 National HR 3495 Women's Public Health and Safety Act Bill Passed - House (236 - 193)
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 16, 2014 National H Amdt 1083 Prohibits Federal Agencies from Paying Federal Employees Certain Pay Rates Amendment Rejected - House (193 - 230)
Date No. Title Outcome
7/23 HR 8884 Removing Barriers to Work for Disabled Americans Act Bill Passed - House (232 - 188)
7/20 HR 8823 Putting Patients First by Strengthening Provider Accountability in Federal Employees' Compensation Act (FECA) Act Bill Passed - House (396 - 0)
7/16 S J Res 198 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model" Motion Rejected - Senate (46 - 50)
4/27 HR 227 Clergy Act Bill Passed - House (350 - 5)
3/18 HR 1958 Deporting Fraudsters Act of 2026 Bill Passed - House (231 - 186)
1/21 HR 6945 Supporting Pregnant and Parenting Women and Families Act Bill Passed - House (215 - 209)
12/18 HR 498 Do No Harm in Medicaid Act Bill Passed - House (215 - 201)
7/03 HR 1 One Big Beautiful Bill Act Concurrence Vote Passed - House (218 - 214)
7/01 HR 1 One Big Beautiful Bill Act Bill Passed - Senate (51 - 50)
6/28 HR 1 One Big Beautiful Bill Act Motion Agreed - Senate (51 - 49)
5/22 HR 1 One Big Beautiful Bill Act Bill Passed - House (215 - 214)
5/25 PN 124 Nomation of Chiquita Brooks-LaSure as the Adminstor of the Centers for Medicare and Medicaid Services Nomination Confirmed - Senate (55 - 44)
6/29 HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
3/18 HR 6201 Families First Coronavirus Response Act Bill Passed - Senate (90 - 8)
3/14 HR 6201 Families First Coronavirus Response Act Bill Passed - House (363 - 40)
2/06 H Res 826 Expressing disapproval of the Trump administration's harmful actions towards Medicaid Bill Passed - House (223 - 190)
9/27 HR 954 CO-OP Consumer Protection Act of 2016 Bill Passed - House (258 - 165)
2/02 HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Veto Override Failed - House (241 - 186)
1/06 HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Concurrence Vote Passed - House (240 - 181)
12/03 HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Bill Passed - Senate (52 - 47)
10/23 HR 3762 Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 Bill Passed - House (240 - 189)
9/29 HR 3495 Women's Public Health and Safety Act Bill Passed - House (236 - 193)
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)
7/16 H Amdt 1083 Prohibits Federal Agencies from Paying Federal Employees Certain Pay Rates Amendment Rejected - House (193 - 230)

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