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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 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)
May 13, 2026 National S J Res 141 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by Bureau of Consumer Financial Protection relating to the withdrawal of the rule relating to "Debt Collection Practices (Regulation F); Deceptive and Unfair Collection of Medical Debt" Motion Rejected - Senate (50 - 50)
Jan. 13, 2026 National S J Res 84 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 relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability" Motion Rejected - Senate (47 - 52)
Oct. 1, 2020 National S 4653 A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act Cloture Not Invoked - Senate (51 - 43)
July 28, 2017 National S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
July 26, 2017 National S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
July 25, 2017 National S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
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)
July 16, 2014 National S 2578 Protect Women's Health From Corporate Interference Act of 2014 Cloture Not Invoked - Senate (56 - 43)
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)
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)
May 24, 2012 National S Amdt 2153 Prohibits Increase in Interest Rates for Student Loans (Lamar Bill) Amendment Rejected - Senate (34 - 62)
March 1, 2012 National S Amdt 1520 Authorizes Moral and Religious Objections to Certain Health Care Items and Services Amendment Tabled - Senate (51 - 48)
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)
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)
Aug. 5, 2010 National HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - Senate (61 - 39)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
Date No. Title Outcome
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)
5/13 S J Res 141 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by Bureau of Consumer Financial Protection relating to the withdrawal of the rule relating to "Debt Collection Practices (Regulation F); Deceptive and Unfair Collection of Medical Debt" Motion Rejected - Senate (50 - 50)
1/13 S J Res 84 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 relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability" Motion Rejected - Senate (47 - 52)
10/01 S 4653 A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act Cloture Not Invoked - Senate (51 - 43)
7/28 S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
7/26 S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
7/25 S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
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)
7/16 S 2578 Protect Women's Health From Corporate Interference Act of 2014 Cloture Not Invoked - Senate (56 - 43)
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)
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)
5/24 S Amdt 2153 Prohibits Increase in Interest Rates for Student Loans (Lamar Bill) Amendment Rejected - Senate (34 - 62)
3/01 S Amdt 1520 Authorizes Moral and Religious Objections to Certain Health Care Items and Services Amendment Tabled - Senate (51 - 48)
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)
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)
8/05 HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - Senate (61 - 39)
3/25 HR 4872 Health Care Reconciliation Act Bill Passed - Senate (56 - 43)
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