2024 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
Dec. 18, 2024 National HR 5009 Wildlife Innovation and Longevity Driver (WILD) Reauthorization Act Concurrence Vote Passed - Senate (85 - 14)
Dec. 18, 2024 National HR 8663 Detection Equipment and Technology Evaluation to Counter the Threat (DETECT) Fentanyl and Xylazine Act Concurrence Vote Passed - House (404 - 1)
Dec. 16, 2024 National HR 5009 Wildlife Innovation and Longevity Driver (WILD) Reauthorization Act Cloture Invoked - Senate (83 - 12)
Dec. 16, 2024 National HR 7213 Autism CARES Act Concurrence Vote Passed - House (374 - 15)
Dec. 11, 2024 National HR 5009 Wildlife Innovation and Longevity Driver (WILD) Reauthorization Act Concurrence Vote Passed - House (281 - 140)
Dec. 5, 2024 National HR 9598 Office of National Drug Control Policy Reauthorization Act of 2024 Bill Passed - House (399 - 1)
Dec. 4, 2024 National HR 390 Maurice D. Hinchey Hudson River Valley National Heritage Area Enhancement Act Bill Passed - House (378 - 16)
Dec. 3, 2024 National S 3791 America's Conservation Enhancement Reauthorization Act of 2024 Bill Passed - House (366 - 21)
Nov. 19, 2024 National HR 1449 Committing Leases for Energy Access Now (CLEAN) Act Bill Passed - House (244 - 171)
Nov. 18, 2024 National HR 8371 Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act Bill Passed - House (389 - 9)
Sept. 24, 2024 National PN 1342 Nomination of Michael Sfraga of Alaska to be Ambassador at Large for Arctic Affairs Nomination Confirmed - Senate (55 - 36)
Sept. 24, 2024 National HR 7073 Next Generation Pipelines Research and Development Act Bill Passed - House (373 - 41)
Sept. 24, 2024 National HR 8790 Fix Our Forests Act Bill Passed - House (268 - 151)
Sept. 20, 2024 National H J Res 136 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Multi-Pollutant Emissions Standards for Model Years 2027 and Later Light-Duty and Medium-Duty Vehicles". Joint Resolution Passed - House (215 - 191)
Sept. 18, 2024 National HR 7213 Autism CARES Act Bill Passed - House (402 - 13)
Sept. 17, 2024 National S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (51 - 44)
Sept. 17, 2024 National S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (51 - 44)
Sept. 11, 2024 National HR 1425 No WHO Pandemic Preparedness Treaty Without Senate Approval Act Bill Passed - House (219 - 199)
July 24, 2024 National HR 8998 Department of the Interior, Environment, and Related Agencies Appropriations Act, 2025 Bill Passed - House (210 - 205)
July 10, 2024 National S 4554 Reproductive Freedom for Women Act Bill Passed - Senate (49 - 44)
July 8, 2024 National HR 897 Alabama Underwater Forest National Marine Sanctuary and Protection Act Bill Passed - House (349 - 19)
July 8, 2024 National HR 5441 Long Island Sound Restoration and Stewardship Reauthorization Act of 2023 Bill Passed - House (333 - 51)
June 25, 2024 National HR 2789 American Cooperation with Our Neighbors Act Bill Passed - House (368 - 19)
June 13, 2024 National S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (48 - 47)
June 13, 2024 National S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (48 - 47)
Date No. Title Outcome
12/18 HR 5009 Wildlife Innovation and Longevity Driver (WILD) Reauthorization Act Concurrence Vote Passed - Senate (85 - 14)
12/18 HR 8663 Detection Equipment and Technology Evaluation to Counter the Threat (DETECT) Fentanyl and Xylazine Act Concurrence Vote Passed - House (404 - 1)
12/16 HR 5009 Wildlife Innovation and Longevity Driver (WILD) Reauthorization Act Cloture Invoked - Senate (83 - 12)
12/16 HR 7213 Autism CARES Act Concurrence Vote Passed - House (374 - 15)
12/11 HR 5009 Wildlife Innovation and Longevity Driver (WILD) Reauthorization Act Concurrence Vote Passed - House (281 - 140)
12/05 HR 9598 Office of National Drug Control Policy Reauthorization Act of 2024 Bill Passed - House (399 - 1)
12/04 HR 390 Maurice D. Hinchey Hudson River Valley National Heritage Area Enhancement Act Bill Passed - House (378 - 16)
12/03 S 3791 America's Conservation Enhancement Reauthorization Act of 2024 Bill Passed - House (366 - 21)
11/19 HR 1449 Committing Leases for Energy Access Now (CLEAN) Act Bill Passed - House (244 - 171)
11/18 HR 8371 Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act Bill Passed - House (389 - 9)
9/24 PN 1342 Nomination of Michael Sfraga of Alaska to be Ambassador at Large for Arctic Affairs Nomination Confirmed - Senate (55 - 36)
9/24 HR 7073 Next Generation Pipelines Research and Development Act Bill Passed - House (373 - 41)
9/24 HR 8790 Fix Our Forests Act Bill Passed - House (268 - 151)
9/20 H J Res 136 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Multi-Pollutant Emissions Standards for Model Years 2027 and Later Light-Duty and Medium-Duty Vehicles". Joint Resolution Passed - House (215 - 191)
9/18 HR 7213 Autism CARES Act Bill Passed - House (402 - 13)
9/17 S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (51 - 44)
9/17 S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (51 - 44)
9/11 HR 1425 No WHO Pandemic Preparedness Treaty Without Senate Approval Act Bill Passed - House (219 - 199)
7/24 HR 8998 Department of the Interior, Environment, and Related Agencies Appropriations Act, 2025 Bill Passed - House (210 - 205)
7/10 S 4554 Reproductive Freedom for Women Act Bill Passed - Senate (49 - 44)
7/08 HR 897 Alabama Underwater Forest National Marine Sanctuary and Protection Act Bill Passed - House (349 - 19)
7/08 HR 5441 Long Island Sound Restoration and Stewardship Reauthorization Act of 2023 Bill Passed - House (333 - 51)
6/25 HR 2789 American Cooperation with Our Neighbors Act Bill Passed - House (368 - 19)
6/13 S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (48 - 47)
6/13 S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (48 - 47)

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