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National Health Insurance 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 20, 2026 National HR 8823 Putting Patients First by Strengthening Provider Accountability in Federal Employees' Compensation Act (FECA) Act Bill Passed - House (396 - 0)
Dec. 17, 2025 National HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
June 4, 2025 National HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
Dec. 11, 2023 National HR 5378 Lower Costs, More Transparency Act Bill Passed - House (320 - 71)
April 4, 2022 National HR 1916 Ensuring Lasting Smiles Act Bill Passed - House (310 - 110)
June 29, 2020 National HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
Dec. 12, 2019 National HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
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)
June 20, 2018 National HR 5797 IMD CARE Act Bill Passed - House (261 - 155)
Nov. 3, 2017 National HR 3922 Community Health and Medical Professionals Improve Our Nation Act of 2017 (CHAMPION Act) Bill Passed - House (242 - 174)
Nov. 2, 2017 National HR 849 Protecting Seniors Access to Medicare Act Bill Passed - House (307 - 111)
May 4, 2017 National HR 1628 American Health Care Act of 2017 Bill Passed - House (217 - 213)
May 4, 2017 National HR 2192 McSally Amendment Amendment Adopted - House (429 - 0)
Sept. 27, 2016 National HR 954 CO-OP Consumer Protection Act of 2016 Bill Passed - House (258 - 165)
July 13, 2016 National S 304 Conscience Protection Act of 2016 Bill Passed - House (245 - 182)
Sept. 29, 2015 National HR 3495 Women's Public Health and Safety Act Bill Passed - House (236 - 193)
Feb. 3, 2015 National HR 596 Repeal of the Patient Protection and Affordable Care Act and Health Care-Related Provisions in the Health Care and Education Reconciliation Act of 2010 Bill Passed - House (239 - 186)
Jan. 22, 2015 National HR 7 No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 Bill Passed - House (242 - 179)
Jan. 8, 2015 National HR 30 Save American Workers Act of 2015 Bill Passed - House (252 - 172)
Sept. 11, 2014 National HR 3522 Employee Health Care Protection Act of 2013 Bill Passed - House (247 - 167)
March 14, 2014 National HR 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 Bill Passed - House (238 - 181)
March 5, 2014 National HR 4118 Suspending the Individual Mandate Penalty Law Equals (SIMPLE) Fairness Act Bill Passed - House (250 - 160)
Jan. 28, 2014 National HR 7 No Taxpayer Funding for Abortion Act Bill Passed - House (227 - 188)
Jan. 16, 2014 National HR 3362 Exchange Information Disclosure Act Bill Passed - House (259 - 154)
Date No. Title Outcome
7/20 HR 8823 Putting Patients First by Strengthening Provider Accountability in Federal Employees' Compensation Act (FECA) Act Bill Passed - House (396 - 0)
12/17 HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
6/04 HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
12/11 HR 5378 Lower Costs, More Transparency Act Bill Passed - House (320 - 71)
4/04 HR 1916 Ensuring Lasting Smiles Act Bill Passed - House (310 - 110)
6/29 HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
12/12 HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
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)
6/20 HR 5797 IMD CARE Act Bill Passed - House (261 - 155)
11/03 HR 3922 Community Health and Medical Professionals Improve Our Nation Act of 2017 (CHAMPION Act) Bill Passed - House (242 - 174)
11/02 HR 849 Protecting Seniors Access to Medicare Act Bill Passed - House (307 - 111)
5/04 HR 1628 American Health Care Act of 2017 Bill Passed - House (217 - 213)
5/04 HR 2192 McSally Amendment Amendment Adopted - House (429 - 0)
9/27 HR 954 CO-OP Consumer Protection Act of 2016 Bill Passed - House (258 - 165)
7/13 S 304 Conscience Protection Act of 2016 Bill Passed - House (245 - 182)
9/29 HR 3495 Women's Public Health and Safety Act Bill Passed - House (236 - 193)
2/03 HR 596 Repeal of the Patient Protection and Affordable Care Act and Health Care-Related Provisions in the Health Care and Education Reconciliation Act of 2010 Bill Passed - House (239 - 186)
1/22 HR 7 No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 Bill Passed - House (242 - 179)
1/08 HR 30 Save American Workers Act of 2015 Bill Passed - House (252 - 172)
9/11 HR 3522 Employee Health Care Protection Act of 2013 Bill Passed - House (247 - 167)
3/14 HR 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 Bill Passed - House (238 - 181)
3/05 HR 4118 Suspending the Individual Mandate Penalty Law Equals (SIMPLE) Fairness Act Bill Passed - House (250 - 160)
1/28 HR 7 No Taxpayer Funding for Abortion Act Bill Passed - House (227 - 188)
1/16 HR 3362 Exchange Information Disclosure Act Bill Passed - House (259 - 154)
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