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.


results per page:
Date State Bill No. Title Outcome
June 13, 2020 CO SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Concurrence Vote Passed - Senate (23 - 12)
March 9, 2020 WY HB 119 Establishes Medicaid Billing Process for School-Based Services Concurrence Vote Passed - House (44 - 14)
March 9, 2020 WA SB 6088 Establishes a Prescription Drug Affordability Board Concurrence Vote Passed - Senate (31 - 17)
March 14, 2020 CO HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Concurrence Vote Passed - House (40 - 17)
July 1, 2020 NH HB 685 Requires Maternity Insurance Benefits to Include Abortion Services Concurrence Vote Passed - House (196 - 132)
Aug. 30, 2020 CA SB 855 Expands Health Insurance Coverage for Mental Health Treatment Concurrence Vote Passed - Senate (31 - 7)
June 29, 2020 NJ S 2273 Amends Teacher Health Benefits Concurrence Vote Passed - Senate (38 - 0)
April 21, 2020 PA SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Concurrence Vote Passed - Senate (29 - 21)
May 15, 2020 MO HB 1963 Authorizes Licensed Motorcyclists to Ride without a Helmet Concurrence Vote Passed - House (121 - 31)
July 1, 2020 NH HB 1623 Authorizes Healthcare Providers to Prescribe Substance Abuse Treatment via Telehealth Services Concurrence Vote Passed - House (204 - 117)
June 30, 2020 NH HB 1639 Establishes the Opioid Abatement Trust Fund, Among Other Provisions Concurrence Vote Passed - House (201 - 121)
June 16, 2020 NH HB 685 Requires Maternity Insurance Benefits to Include Abortion Services "Ought to Pass as Amended" Report Adopted - Senate (14 - 10)
March 5, 2020 VA HB 1251 Authorizes Enrollee not to Pay Out-of-Network Amount Except Applicable Cost-sharing Requirement (40 - 0)
March 13, 2020 CO HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Concurrence Vote Passed - House (44 - 18)
June 12, 2020 CO SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Bill Passed - House (48 - 17)
July 14, 2020 PA HB 1459 Establishes a Mental Health Wellness and Stress Management Program for Emergency First Responders Bill Passed - Senate (49 - 0)
July 6, 2020 HI HB 2502 Authorizes COVID-19 Health Screenings of Travelers At Ports of Entry Bill Passed - Senate (21 - 4)
March 5, 2020 VA HB 66 Limits the Cost of Insulin to $50 Per 30-Day Supply Bill Passed - Senate (24 - 16)
March 6, 2020 WV SB 797 Authorizes Hospitals to Employ Police Officers Bill Passed - House (76 - 23)
March 6, 2020 WA SB 6087 Establishes Cost-Sharing Requirements for Coverage of Insulin Products Bill Passed - House (63 - 33)
March 12, 2020 CO HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Bill Passed - Senate (24 - 10)
March 14, 2020 CO HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Bill Passed - Senate (21 - 9)
March 11, 2020 FL SB 82 Amends Medicaid Program for Individuals with Disabilities Bill Passed - House (78 - 37)
March 16, 2020 MD HB 959 Establishes Permanence of Certain Consumer Protections Under the Affordable Care Act Bill Passed - Senate (31 - 14)
Feb. 18, 2020 NM HB 100 Amends Health Insurance Exchange Role to Expand Access to Healthcare Bill Passed - Senate (28 - 14)
April 15, 2020 WI AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - Senate (32 - 0)
July 30, 2020 NJ A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - Senate (21 - 16)
Aug. 27, 2020 NJ A 1263 Prohibits Stranger-Originated Life Insurance Policy Arrangements Bill Passed - Senate (38 - 0)
March 11, 2020 NH HB 1280 Establishes a $100 Insulin Copayment "Ought to Pass" Report Adopted - House (223 - 121)
June 16, 2020 NH HB 250 Requires Dental Coverage Under State Medicaid Plans Bill Passed - Senate (19 - 5)
April 14, 2020 WI AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - House (97 - 2)
Jan. 29, 2020 FL HB 1189 Prohibits Genetic Information Usage by Insurance Companies Bill Passed - House (117 - 1)
June 29, 2020 National HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
Feb. 25, 2020 WV SB 284 Establishes a West Virginia Patient Protection Program Bill Passed - Senate (20 - 14)
Feb. 18, 2020 WA SB 6087 Establishes Cost-Sharing Requirements for Coverage of Insulin Products Bill Passed - Senate (34 - 14)
Feb. 17, 2020 OR HJR 202 Authorizes a Ballot Referendum Vote on Universal Health Care Bill Passed - House (36 - 21)
Feb. 14, 2020 NM HB 292 Establishes an Insulin Price Cap Bill Passed - House (61 - 2)
Feb. 12, 2020 KY SB 30 Limits the Number of Companies that Oversee State's Medicaid Program Bill Passed - Senate (29 - 7)
Feb. 11, 2020 NM HB 100 Amends Health Insurance Exchange Role to Expand Access to Healthcare Bill Passed - House (44 - 23)
July 30, 2020 NJ A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - House (43 - 30)
Feb. 6, 2020 OK HB 1182 Authorizes the License Revocation of Doctors who Perform an Abortion Bill Passed - House (71 - 21)
Feb. 4, 2020 VA HB 1429 Prohibits Denying or Limiting Coverage based on Gender Identity Bill Passed - House (54 - 41)
Jan. 30, 2020 DE HB 263 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - House (40 - 0)
May 13, 2020 MI HB 5416 Extends Medicaid Coverage to At-Home or In-School Telehealth Services Bill Passed - House (105 - 0)
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)
Date No. Title Outcome
6/13 SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Concurrence Vote Passed - Senate (23 - 12)
3/09 HB 119 Establishes Medicaid Billing Process for School-Based Services Concurrence Vote Passed - House (44 - 14)
3/09 SB 6088 Establishes a Prescription Drug Affordability Board Concurrence Vote Passed - Senate (31 - 17)
3/14 HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Concurrence Vote Passed - House (40 - 17)
7/01 HB 685 Requires Maternity Insurance Benefits to Include Abortion Services Concurrence Vote Passed - House (196 - 132)
8/30 SB 855 Expands Health Insurance Coverage for Mental Health Treatment Concurrence Vote Passed - Senate (31 - 7)
6/29 S 2273 Amends Teacher Health Benefits Concurrence Vote Passed - Senate (38 - 0)
4/21 SB 857 Authorizes Regulation of Telemedicine Among Other Provisions Concurrence Vote Passed - Senate (29 - 21)
5/15 HB 1963 Authorizes Licensed Motorcyclists to Ride without a Helmet Concurrence Vote Passed - House (121 - 31)
7/01 HB 1623 Authorizes Healthcare Providers to Prescribe Substance Abuse Treatment via Telehealth Services Concurrence Vote Passed - House (204 - 117)
6/30 HB 1639 Establishes the Opioid Abatement Trust Fund, Among Other Provisions Concurrence Vote Passed - House (201 - 121)
6/16 HB 685 Requires Maternity Insurance Benefits to Include Abortion Services "Ought to Pass as Amended" Report Adopted - Senate (14 - 10)
3/05 HB 1251 Authorizes Enrollee not to Pay Out-of-Network Amount Except Applicable Cost-sharing Requirement (40 - 0)
3/13 HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Concurrence Vote Passed - House (44 - 18)
6/12 SB 20-007 Requires Insurance Carriers Provide Coverage for Treatment of Substance Use Disorders Bill Passed - House (48 - 17)
7/14 HB 1459 Establishes a Mental Health Wellness and Stress Management Program for Emergency First Responders Bill Passed - Senate (49 - 0)
7/06 HB 2502 Authorizes COVID-19 Health Screenings of Travelers At Ports of Entry Bill Passed - Senate (21 - 4)
3/05 HB 66 Limits the Cost of Insulin to $50 Per 30-Day Supply Bill Passed - Senate (24 - 16)
3/06 SB 797 Authorizes Hospitals to Employ Police Officers Bill Passed - House (76 - 23)
3/06 SB 6087 Establishes Cost-Sharing Requirements for Coverage of Insulin Products Bill Passed - House (63 - 33)
3/12 HB 20-1078 Prohibits Retroactively Charged Fees on Already Filled Medical Prescriptions Bill Passed - Senate (24 - 10)
3/14 HB 20-1158 Requires Health Insurance Companies Cover In Vitro Fertilization Bill Passed - Senate (21 - 9)
3/11 SB 82 Amends Medicaid Program for Individuals with Disabilities Bill Passed - House (78 - 37)
3/16 HB 959 Establishes Permanence of Certain Consumer Protections Under the Affordable Care Act Bill Passed - Senate (31 - 14)
2/18 HB 100 Amends Health Insurance Exchange Role to Expand Access to Healthcare Bill Passed - Senate (28 - 14)
4/15 AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - Senate (32 - 0)
7/30 A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - Senate (21 - 16)
8/27 A 1263 Prohibits Stranger-Originated Life Insurance Policy Arrangements Bill Passed - Senate (38 - 0)
3/11 HB 1280 Establishes a $100 Insulin Copayment "Ought to Pass" Report Adopted - House (223 - 121)
6/16 HB 250 Requires Dental Coverage Under State Medicaid Plans Bill Passed - Senate (19 - 5)
4/14 AB 1038 Establishes Various Provisions in Response to the COVID-19 Pandemic Bill Passed - House (97 - 2)
1/29 HB 1189 Prohibits Genetic Information Usage by Insurance Companies Bill Passed - House (117 - 1)
6/29 HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
2/25 SB 284 Establishes a West Virginia Patient Protection Program Bill Passed - Senate (20 - 14)
2/18 SB 6087 Establishes Cost-Sharing Requirements for Coverage of Insulin Products Bill Passed - Senate (34 - 14)
2/17 HJR 202 Authorizes a Ballot Referendum Vote on Universal Health Care Bill Passed - House (36 - 21)
2/14 HB 292 Establishes an Insulin Price Cap Bill Passed - House (61 - 2)
2/12 SB 30 Limits the Number of Companies that Oversee State's Medicaid Program Bill Passed - Senate (29 - 7)
2/11 HB 100 Amends Health Insurance Exchange Role to Expand Access to Healthcare Bill Passed - House (44 - 23)
7/30 A 4389 Establishes 2.5% State Tax on Net Premiums on Most Health Insurers Bill Passed - House (43 - 30)
2/06 HB 1182 Authorizes the License Revocation of Doctors who Perform an Abortion Bill Passed - House (71 - 21)
2/04 HB 1429 Prohibits Denying or Limiting Coverage based on Gender Identity Bill Passed - House (54 - 41)
1/30 HB 263 Limits the Cost of Insulin to $100 per 30-day Supply Bill Passed - House (40 - 0)
5/13 HB 5416 Extends Medicaid Coverage to At-Home or In-School Telehealth Services Bill Passed - House (105 - 0)
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)

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