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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. 12, 2019 National HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
Nov. 21, 2019 PA SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Bill Passed - House (111 - 77)
Nov. 13, 2019 IL SB 667 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - House (100 - 13)
Oct. 29, 2019 IL SB 667 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - Senate (48 - 7)
Sept. 9, 2019 CA AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - Senate (37 - 1)
Aug. 22, 2019 CA SB 343 Amends Financial Data Disclosure Laws Bill Passed - House (58 - 13)
Aug. 13, 2019 NC SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Concurrence Vote Passed - Senate (32 - 9)
Aug. 7, 2019 NC SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Bill Passed - House (82 - 32)
June 27, 2019 DE SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - House (26 - 15)
June 24, 2019 CA SB 78 Requires Citizens Purchase Health Insurance Bill Passed - House (57 - 14)
June 17, 2019 OR HB 3076 Establishes Standards for Non-Profit Hospitals Bill Passed - Senate (20 - 8)
June 7, 2019 NJ S 2144 Amends State Insurance Laws on Fair Conduct Policies Bill Passed - Senate (21 - 14)
June 5, 2019 NH SB 279 Requires Health Insurers Cover Fertility Treatment "Ought to Pass as Amended" Report Adopted - House (210 - 147)
May 30, 2019 CA AB 1611 Limits What Hospitals Can Charge for Emergency Care Bill Passed - House (48 - 9)
May 29, 2019 CA AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - House (55 - 18)
May 29, 2019 CA AB 1246 Requires Large Group Health Plans to Cover Medically Necessary Prescription Drugs (58 - 19)
May 29, 2019 CA SB 29 Expands Medi-Cal Program Eligibility to Undocumented Immigrants Ages 19-25 or 65 and Older Bill Passed - Senate (24 - 11)
May 28, 2019 CA SB 65 Establishes Financial Assistance for Low Income Residents Buying Health Insurance Bill Passed - Senate (30 - 7)
May 28, 2019 CA AB 4 Authorizes Medi-Cal Benefits for Undocumented Immigrants Bill Passed - House (51 - 17)
May 24, 2019 TX HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
May 22, 2019 TX HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
May 21, 2019 VT S 37 Requires Corporate Compensation for Long-Term Health Monitoring Concurrence Vote Passed - Senate (19 - 11)
May 20, 2019 OR HB 3076 Establishes Standards for Non-Profit Hospitals Bill Passed - House (38 - 21)
May 16, 2019 VT S 37 Requires Corporate Compensation for Long-Term Health Monitoring Bill Passed - House (100 - 42)
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)
May 9, 2019 TX HB 1739 Prohibits Unfair Settlement Practice Regarding Motorist Insurance Coverage Bill Passed - House (105 - 32)
May 8, 2019 NH SB 4 Establishes Parts of the Affordable Care Act as State Law "Ought to Pass" Report Adopted - House (213 - 137)
May 3, 2019 FL SB 322 Amends Health Insurance Options Concurrence Vote Passed - Senate (23 - 13)
May 3, 2019 CO HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Concurrence Vote Passed - House (45 - 19)
May 2, 2019 CO SB 19-005 Authorizes the Import of Prescription Drugs from Canada Concurrence Vote Passed - Senate (20 - 15)
May 2, 2019 CO HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Bill Passed - Senate (24 - 11)
May 2, 2019 CO SB 19-005 Authorizes the Import of Prescription Drugs from Canada Bill Passed - House (41 - 22)
May 1, 2019 FL SB 322 Amends Health Insurance Options Bill Passed - House (70 - 42)
April 27, 2019 WA SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - Senate (27 - 21)
April 27, 2019 WA SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - House (56 - 41)
April 27, 2019 IA HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
April 25, 2019 CA AB 1063 Prohibits Covered California from Applying for a Waiver Without Approval from the Legislature and the Governor Bill Passed - House (62 - 13)
April 23, 2019 NV AB 469 Prohibits "Surprise Billing" for Emergency Care Bill Passed - House (38 - 3)
April 18, 2019 OR SB 250 Prohibits Health Benefit Plans from Discrimination Bill Passed - Senate (25 - 5)
April 17, 2019 CO HB 19-1004 Establishes an Affordable Health Coverage Option for Rural Areas Bill Passed - Senate (19 - 16)
April 16, 2019 TX SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
April 13, 2019 MT SB 160 Establishes Presumptive Health Care Coverage for Firefighters Concurrence Vote Passed - Senate (40 - 10)
April 11, 2019 CA SB 78 Requires Citizens Purchase Health Insurance Bill Passed - Senate (27 - 9)
April 10, 2019 PA HB 629 Requires Full Lyme Disease Coverage under Health Insurance Plans Bill Passed - House (158 - 34)
April 10, 2019 DE SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - Senate (16 - 5)
April 8, 2019 MD HB 814 Establishes the Maryland Easy Enrollment Health Insurance Program Concurrence Vote Passed - House (123 - 15)
April 3, 2019 VA SB 1240 Authorizes Short-Term, Limited-Duration Health Insurance Veto Override Failed - Senate (20 - 18)
April 3, 2019 VA SB 1027 Authorizes Catastrophic Health Plans Veto Override Failed - Senate (22 - 16)
March 29, 2019 GA HB 321 Amends Transparency Regulation Related To The Hospital Medicaid Financing Program Concurrence Vote Passed - House (107 - 61)
Date No. Title Outcome
12/12 HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
11/21 SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Bill Passed - House (111 - 77)
11/13 SB 667 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - House (100 - 13)
10/29 SB 667 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - Senate (48 - 7)
9/09 AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - Senate (37 - 1)
8/22 SB 343 Amends Financial Data Disclosure Laws Bill Passed - House (58 - 13)
8/13 SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Concurrence Vote Passed - Senate (32 - 9)
8/07 SB 86 Establishes Standards for Association Health Plans and Multiple Employer Welfare Arrangements Bill Passed - House (82 - 32)
6/27 SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - House (26 - 15)
6/24 SB 78 Requires Citizens Purchase Health Insurance Bill Passed - House (57 - 14)
6/17 HB 3076 Establishes Standards for Non-Profit Hospitals Bill Passed - Senate (20 - 8)
6/07 S 2144 Amends State Insurance Laws on Fair Conduct Policies Bill Passed - Senate (21 - 14)
6/05 SB 279 Requires Health Insurers Cover Fertility Treatment "Ought to Pass as Amended" Report Adopted - House (210 - 147)
5/30 AB 1611 Limits What Hospitals Can Charge for Emergency Care Bill Passed - House (48 - 9)
5/29 AB 414 Establishes a Statewide Individual Mandate Program for Health Insurance Bill Passed - House (55 - 18)
5/29 AB 1246 Requires Large Group Health Plans to Cover Medically Necessary Prescription Drugs (58 - 19)
5/29 SB 29 Expands Medi-Cal Program Eligibility to Undocumented Immigrants Ages 19-25 or 65 and Older Bill Passed - Senate (24 - 11)
5/28 SB 65 Establishes Financial Assistance for Low Income Residents Buying Health Insurance Bill Passed - Senate (30 - 7)
5/28 AB 4 Authorizes Medi-Cal Benefits for Undocumented Immigrants Bill Passed - House (51 - 17)
5/24 HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
5/22 HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
5/21 S 37 Requires Corporate Compensation for Long-Term Health Monitoring Concurrence Vote Passed - Senate (19 - 11)
5/20 HB 3076 Establishes Standards for Non-Profit Hospitals Bill Passed - House (38 - 21)
5/16 S 37 Requires Corporate Compensation for Long-Term Health Monitoring Bill Passed - House (100 - 42)
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)
5/09 HB 1739 Prohibits Unfair Settlement Practice Regarding Motorist Insurance Coverage Bill Passed - House (105 - 32)
5/08 SB 4 Establishes Parts of the Affordable Care Act as State Law "Ought to Pass" Report Adopted - House (213 - 137)
5/03 SB 322 Amends Health Insurance Options Concurrence Vote Passed - Senate (23 - 13)
5/03 HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Concurrence Vote Passed - House (45 - 19)
5/02 SB 19-005 Authorizes the Import of Prescription Drugs from Canada Concurrence Vote Passed - Senate (20 - 15)
5/02 HB 19-1168 Establishes a Plan for a State Innovation Waiver Reinsurance Program Bill Passed - Senate (24 - 11)
5/02 SB 19-005 Authorizes the Import of Prescription Drugs from Canada Bill Passed - House (41 - 22)
5/01 SB 322 Amends Health Insurance Options Bill Passed - House (70 - 42)
4/27 SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - Senate (27 - 21)
4/27 SB 5526 Establishes a Public Option for Health Care Coverage Conference Report Adopted - House (56 - 41)
4/27 HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
4/25 AB 1063 Prohibits Covered California from Applying for a Waiver Without Approval from the Legislature and the Governor Bill Passed - House (62 - 13)
4/23 AB 469 Prohibits "Surprise Billing" for Emergency Care Bill Passed - House (38 - 3)
4/18 SB 250 Prohibits Health Benefit Plans from Discrimination Bill Passed - Senate (25 - 5)
4/17 HB 19-1004 Establishes an Affordable Health Coverage Option for Rural Areas Bill Passed - Senate (19 - 16)
4/16 SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
4/13 SB 160 Establishes Presumptive Health Care Coverage for Firefighters Concurrence Vote Passed - Senate (40 - 10)
4/11 SB 78 Requires Citizens Purchase Health Insurance Bill Passed - Senate (27 - 9)
4/10 HB 629 Requires Full Lyme Disease Coverage under Health Insurance Plans Bill Passed - House (158 - 34)
4/10 SB 35 Requires Coverage Under the Affordable Care Act Bill Passed - Senate (16 - 5)
4/08 HB 814 Establishes the Maryland Easy Enrollment Health Insurance Program Concurrence Vote Passed - House (123 - 15)
4/03 SB 1240 Authorizes Short-Term, Limited-Duration Health Insurance Veto Override Failed - Senate (20 - 18)
4/03 SB 1027 Authorizes Catastrophic Health Plans Veto Override Failed - Senate (22 - 16)
3/29 HB 321 Amends Transparency Regulation Related To The Hospital Medicaid Financing Program Concurrence Vote Passed - House (107 - 61)
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