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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:
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Date State Bill No. Title Outcome
Dec. 11, 2023 National HR 5378 Lower Costs, More Transparency Act Bill Passed - House (320 - 71)
July 18, 2023 LA HB 658 Increases Transparency in Health Care Pricing Veto Override Failed - House (69 - 29)
June 29, 2023 DE HB 185 Rescinds the Three Month Waiting Period for the State to Pay its Share of Premium Subscription Charges for Health Care Coverage Bill Passed - Senate (15 - 6)
June 23, 2023 OR SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - House (34 - 21)
June 22, 2023 OR HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - Senate (17 - 7)
June 21, 2023 ME LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - Senate (22 - 12)
June 20, 2023 ME LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - House (75 - 67)
June 20, 2023 OR SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - Senate (17 - 8)
June 16, 2023 RI S 575 Requires Epipens to be Covered by Insurance Bill Passed - House (61 - 0)
June 15, 2023 RI S 575 Requires Epipens to be Covered by Insurance Bill Passed - Senate (36 - 0)
June 3, 2023 NV SB 232 Requires State Plan for Medicaid to Include Postpartum Care Services Bill Passed - House (41 - 1)
May 24, 2023 TX SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - House (86 - 54)
May 19, 2023 OK SB 513 Requires Medicaid and Private Insurance Groups Cover Biomarker Testing Concurrence Vote Passed - Senate (43 - 3)
May 17, 2023 MN SF 2744 Establishes New Protections Over Prescription Drug Costs Conference Report Adopted - House (69 - 59)
May 16, 2023 MN SF 2744 Establishes New Protections Over Prescription Drug Costs Conference Report Adopted - Senate (35 - 32)
May 11, 2023 TX SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - Senate (20 - 10)
May 7, 2023 CO HB 23-1215 Prohibits Hospitals from Charging Facility Fees for Preventive Care Services Concurrence Vote Passed - House (47 - 17)
May 4, 2023 CO HB 23-1215 Prohibits Hospitals from Charging Facility Fees for Preventive Care Services Bill Passed - Senate (23 - 12)
May 3, 2023 AK SB 58 Expands Medicaid Coverage for Postpartum Mothers Bill Passed - House (35 - 3)
April 28, 2023 MT SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Concurrence Vote Passed - House (72 - 26)
April 19, 2023 AK SB 58 Expands Medicaid Coverage for Postpartum Mothers Bill Passed - Senate (16 - 0)
April 13, 2023 CO SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - House (43 - 20)
April 12, 2023 WA HB 1626 Requires the State Health Care Authority to Provide Coverage for Colonoscopies Bill Passed - Senate (39 - 9)
April 11, 2023 AK SJR 10 Authorizes Government Officials to Raise the Medicare Reimbursement Rates Bill Passed - Senate (19 - 0)
April 4, 2023 MT SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
April 3, 2023 OR HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - House (34 - 25)
March 23, 2023 FL HB 837 Amends Various State Tort Reforms to Protect Health Insurance Companies from Liability Bill Passed - Senate (23 - 15)
March 23, 2023 VT H 66 Expands Paid Family and Medical Leave Insurance Bill Passed - House (99 - 32)
March 23, 2023 OK SB 704 Amends Membership of the Oklahoma State University Medical Authority Bill Passed - Senate (42 - 2)
March 21, 2023 RI H 5337 Prohibits Discrimination Against Widowed Individuals when Establishing Insurance Rates Bill Passed - House (71 - 0)
March 17, 2023 NM SB 273 Requires Health Insurance Companies Provide Reimbursement for Mental Health Coverage Bill Passed - House (52 - 13)
March 17, 2023 FL HB 837 Amends Various State Tort Reforms to Protect Health Insurance Companies from Liability Bill Passed - House (80 - 31)
March 10, 2023 CO SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - Senate (26 - 9)
March 6, 2023 PA SB 8 Repeals All Patient's Share Costs Associated with Mammograms and Screenings for Breast and Ovarian Cancers Bill Passed - Senate (50 - 0)
March 6, 2023 NM SB 273 Requires Health Insurance Companies Provide Reimbursement for Mental Health Coverage Bill Passed - Senate (31 - 10)
March 2, 2023 WY SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Concurrence Vote Passed - Senate (19 - 11)
March 2, 2023 MT SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
March 1, 2023 WY SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Bill Passed - House (40 - 21)
Feb. 28, 2023 MS SB 2228 Authorizes the Sale of Pet Insurance Bill Passed - House (103 - 9)
Feb. 23, 2023 KS SB 219 Repeals Abortion Providers Eligibility to Purchase Professional Liability Insurance Bill Passed - Senate (26 - 12)
Feb. 23, 2023 WV SB 577 Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits Bill Passed - Senate (32 - 2)
Date No. Title Outcome
12/11 HR 5378 Lower Costs, More Transparency Act Bill Passed - House (320 - 71)
7/18 HB 658 Increases Transparency in Health Care Pricing Veto Override Failed - House (69 - 29)
6/29 HB 185 Rescinds the Three Month Waiting Period for the State to Pay its Share of Premium Subscription Charges for Health Care Coverage Bill Passed - Senate (15 - 6)
6/23 SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - House (34 - 21)
6/22 HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - Senate (17 - 7)
6/21 LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - Senate (22 - 12)
6/20 LD 935 Repeals Barriers to Abortion Coverage in Private Insurance "Ought to Pass" Report Adopted - House (75 - 67)
6/20 SB 1089 Establishes the Universal Health Plan Governance Board Bill Passed - Senate (17 - 8)
6/16 S 575 Requires Epipens to be Covered by Insurance Bill Passed - House (61 - 0)
6/15 S 575 Requires Epipens to be Covered by Insurance Bill Passed - Senate (36 - 0)
6/03 SB 232 Requires State Plan for Medicaid to Include Postpartum Care Services Bill Passed - House (41 - 1)
5/24 SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - House (86 - 54)
5/19 SB 513 Requires Medicaid and Private Insurance Groups Cover Biomarker Testing Concurrence Vote Passed - Senate (43 - 3)
5/17 SF 2744 Establishes New Protections Over Prescription Drug Costs Conference Report Adopted - House (69 - 59)
5/16 SF 2744 Establishes New Protections Over Prescription Drug Costs Conference Report Adopted - Senate (35 - 32)
5/11 SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - Senate (20 - 10)
5/07 HB 23-1215 Prohibits Hospitals from Charging Facility Fees for Preventive Care Services Concurrence Vote Passed - House (47 - 17)
5/04 HB 23-1215 Prohibits Hospitals from Charging Facility Fees for Preventive Care Services Bill Passed - Senate (23 - 12)
5/03 SB 58 Expands Medicaid Coverage for Postpartum Mothers Bill Passed - House (35 - 3)
4/28 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Concurrence Vote Passed - House (72 - 26)
4/19 SB 58 Expands Medicaid Coverage for Postpartum Mothers Bill Passed - Senate (16 - 0)
4/13 SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - House (43 - 20)
4/12 HB 1626 Requires the State Health Care Authority to Provide Coverage for Colonoscopies Bill Passed - Senate (39 - 9)
4/11 SJR 10 Authorizes Government Officials to Raise the Medicare Reimbursement Rates Bill Passed - Senate (19 - 0)
4/04 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
4/03 HB 3242 Authorizes Policyholders to Recover Actual Damages from Unfair Claim Settlement Practices Bill Passed - House (34 - 25)
3/23 HB 837 Amends Various State Tort Reforms to Protect Health Insurance Companies from Liability Bill Passed - Senate (23 - 15)
3/23 H 66 Expands Paid Family and Medical Leave Insurance Bill Passed - House (99 - 32)
3/23 SB 704 Amends Membership of the Oklahoma State University Medical Authority Bill Passed - Senate (42 - 2)
3/21 H 5337 Prohibits Discrimination Against Widowed Individuals when Establishing Insurance Rates Bill Passed - House (71 - 0)
3/17 SB 273 Requires Health Insurance Companies Provide Reimbursement for Mental Health Coverage Bill Passed - House (52 - 13)
3/17 HB 837 Amends Various State Tort Reforms to Protect Health Insurance Companies from Liability Bill Passed - House (80 - 31)
3/10 SB 23-093 Prohibits Annual Medical Debt Interest from Exceeding 3% Bill Passed - Senate (26 - 9)
3/06 SB 8 Repeals All Patient's Share Costs Associated with Mammograms and Screenings for Breast and Ovarian Cancers Bill Passed - Senate (50 - 0)
3/06 SB 273 Requires Health Insurance Companies Provide Reimbursement for Mental Health Coverage Bill Passed - Senate (31 - 10)
3/02 SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Concurrence Vote Passed - Senate (19 - 11)
3/02 SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
3/01 SF 151 Prohibits Certain Actions By Pharmacy Benefits Managers Bill Passed - House (40 - 21)
2/28 SB 2228 Authorizes the Sale of Pet Insurance Bill Passed - House (103 - 9)
2/23 SB 219 Repeals Abortion Providers Eligibility to Purchase Professional Liability Insurance Bill Passed - Senate (26 - 12)
2/23 SB 577 Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits Bill Passed - Senate (32 - 2)
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