Massachusetts 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
April 26, 2011 MA Amdt 749.1 Collective Bargaining Restrictions Amendment Adopted - House (113 - 42)
March 28, 2019 MA H 3638 Appropriates Funding to Family Planning and Women Reproductive Health Clinics Bill Passed - Senate (33 - 5)
June 21, 2017 MA H 3768 Authorizes Reforms to Recreational Marijuana Laws Bill Passed - House (126 - 28)
June 22, 2017 MA H 3776 Authorizes Medical Marijuana Bill Passed - Senate (30 - 5)
July 13, 2006 MA H 4176 Sale of Hypodermic Needles and Syringes Veto Override Passed - Senate (25 - 11)
July 13, 2006 MA H 4176 Sale of Hypodermic Needles and Syringes Veto Override Passed - Senate (25 - 11)
June 7, 2006 MA H 4176 Sale of Hypodermic Needles and Syringes Bill Passed - Senate (26 - 8)
June 7, 2006 MA H 4176 Sale of Hypodermic Needles and Syringes Bill Passed - Senate (26 - 8)
Nov. 13, 2019 MA H 4183 Prohibits Flavored Tobacco and Vaping Products, Including Menthol Cigarettes Bill Passed - House (127 - 31)
Jan. 16, 2020 MA H 4218 Requires School Districts Offer Breakfast After Instruction Begins Bill Passed - Senate (35 - 0)
Feb. 10, 2022 MA H 4441 Expands Protections for Veterans Bill Passed - House (156 - 1)
Jan. 28, 2010 MA H 4441 School Nutrition Standards Bill Passed - House (152 - 4)
May 24, 2006 MA H 4479 MassHealth Immigrant Eligibility Veto Override Veto Override Passed - Senate (34 - 5)
April 25, 2006 MA H 4479 Health Care Access & Affordability Bill Section 112 Veto Override Passed - House (137 - 19)
April 25, 2006 MA H 4479 Health Care Access & Affordability Bill Section 112 Veto Override Passed - House (137 - 20)
May 4, 2006 MA H 4479 Health Care Access & Affordability Bill Section 113 Veto Override Passed - Senate (37 - 2)
April 25, 2006 MA H 4479 Health Care Access & Affordability Bill Section 112 Veto Override Passed - House (147 - 10)
May 4, 2006 MA H 4479 Health Care Access & Affordability Bill Section 113 Veto Override Passed - Senate (31 - 9)
April 4, 2006 MA H 4479 Health Care Bill Conference Report Adopted - House (154 - 2)
June 28, 2018 MA H 4479 Increases Minimum Purchase Age for Tobacco Products Bill Passed - Senate (33 - 3)
May 9, 2018 MA H 4479 Increases Minimum Purchase Age for Tobacco Products Bill Passed - House (147 - 4)
Feb. 27, 2020 MA H 4502 Appropriates Funds for the Executive Office of Education to Contain, Treat, and Prevent COVID-19 Bill Passed - Senate (37 - 0)
June 19, 2018 MA H 4617 Increases Access to Affordable High Quality Health Insurance Bill Passed - House (117 - 32)
June 30, 2020 MA H 4818 Establishes a Special Commission to Reduce Racial Inequalities in Maternal Health Bill Passed - House (159 - 0)
June 30, 2020 MA H 4818 Establishes a Special Commission to Reduce Racial Inequalities in Maternal Health Bill Passed - House (159 - 0)
July 30, 2018 MA H 4835 Authorizes Funds for Climate Change Adaptation and Environmental Protection Concurrence Vote Passed - Senate (36 - 0)
July 31, 2018 MA H 4857 Increases State Clean Energy Requirements Bill Passed - Senate (36 - 0)
June 29, 2022 MA H 4954 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (136 - 17)
May 24, 2006 MA H 4988 Nurse Staffing Bill Bill Passed - House (133 - 20)
July 21, 2022 MA H 5060 Establishes Various New Programs and Laws to Promote Growth in the Clean Energy Industry Bill Passed - House (146 - 7)
July 21, 2022 MA H 5060 Establishes Various New Programs and Laws to Promote Growth in the Clean Energy Industry (38 - 2)
July 26, 2022 MA H 5090 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (137 - 16)
July 26, 2022 MA H 5090 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (137 - 16)
July 26, 2022 MA H 5090 Expands Protections for Reproductive and Gender-Affirming Care (39 - 1)
July 26, 2022 MA H 5090 Expands Protections for Reproductive and Gender-Affirming Care (39 - 1)
July 28, 2022 MA H 5106 Establishes New Rules for the Governance and Improvement of Veterans' Homes in the Commonwealth (40 - 0)
April 25, 2012 MA H Amdt 804.1 Electronic Benefit Transfer Cards Amendment Adopted - House (123 - 33)
Nov. 1, 2007 MA S 1353 Reproductive Health Clinic Buffer Zones Bill Passed - House (122 - 28)
Nov. 1, 2007 MA S 1353 Reproductive Health Clinic Buffer Zones Bill Passed - House (122 - 28)
Nov. 9, 2017 MA S 2202 Amends Various Healthcare Laws Bill Passed - Senate (33 - 6)
April 28, 2016 MA S 2269 Increases Smoking Age to 21 Bill Passed - Senate (32 - 2)
June 5, 2012 MA S 2270 Reduces Health Care Spending Bill Passed - House (148 - 7)
July 31, 2012 MA S 2400 Establishes Accountable Care Organizations Conference Report Adopted - House (133 - 20)
June 15, 2021 MA S 2472 Extends Certain COVID-19 Measures Adopted During the State of Emergency Bill Passed - House (146 - 14)
June 15, 2021 MA S 2475 Amends Measures Adopted During the COVID-19 Pandemic Bill Passed - House (150 - 10)
July 12, 2018 MA S 2595 Establishes Commission to Study Lead in Drinking Water at Schools Bill Passed - Senate (38 - 0)
Jan. 4, 2021 MA S 2995 Amends State Climate Goals Conference Report Adopted - Senate (38 - 2)
Aug. 1, 2022 MA S 3097 Reduces Barriers to Mental Health Care Conference Report Adopted - Senate (39 - 0)
Jan. 28, 2021 MA S 9 Establishes a Roadmap for Massachusetts Climate Policy Bill Passed - House (144 - 14)
May 15, 2012 MA S Amdt 125 Requires Establishing a Single Payer Health Care System Benchmark Amendment Rejected - Senate (15 - 22)
Date No. Title Outcome
4/26 Amdt 749.1 Collective Bargaining Restrictions Amendment Adopted - House (113 - 42)
3/28 H 3638 Appropriates Funding to Family Planning and Women Reproductive Health Clinics Bill Passed - Senate (33 - 5)
6/21 H 3768 Authorizes Reforms to Recreational Marijuana Laws Bill Passed - House (126 - 28)
6/22 H 3776 Authorizes Medical Marijuana Bill Passed - Senate (30 - 5)
7/13 H 4176 Sale of Hypodermic Needles and Syringes Veto Override Passed - Senate (25 - 11)
7/13 H 4176 Sale of Hypodermic Needles and Syringes Veto Override Passed - Senate (25 - 11)
6/07 H 4176 Sale of Hypodermic Needles and Syringes Bill Passed - Senate (26 - 8)
6/07 H 4176 Sale of Hypodermic Needles and Syringes Bill Passed - Senate (26 - 8)
11/13 H 4183 Prohibits Flavored Tobacco and Vaping Products, Including Menthol Cigarettes Bill Passed - House (127 - 31)
1/16 H 4218 Requires School Districts Offer Breakfast After Instruction Begins Bill Passed - Senate (35 - 0)
2/10 H 4441 Expands Protections for Veterans Bill Passed - House (156 - 1)
1/28 H 4441 School Nutrition Standards Bill Passed - House (152 - 4)
5/24 H 4479 MassHealth Immigrant Eligibility Veto Override Veto Override Passed - Senate (34 - 5)
4/25 H 4479 Health Care Access & Affordability Bill Section 112 Veto Override Passed - House (137 - 19)
4/25 H 4479 Health Care Access & Affordability Bill Section 112 Veto Override Passed - House (137 - 20)
5/04 H 4479 Health Care Access & Affordability Bill Section 113 Veto Override Passed - Senate (37 - 2)
4/25 H 4479 Health Care Access & Affordability Bill Section 112 Veto Override Passed - House (147 - 10)
5/04 H 4479 Health Care Access & Affordability Bill Section 113 Veto Override Passed - Senate (31 - 9)
4/04 H 4479 Health Care Bill Conference Report Adopted - House (154 - 2)
6/28 H 4479 Increases Minimum Purchase Age for Tobacco Products Bill Passed - Senate (33 - 3)
5/09 H 4479 Increases Minimum Purchase Age for Tobacco Products Bill Passed - House (147 - 4)
2/27 H 4502 Appropriates Funds for the Executive Office of Education to Contain, Treat, and Prevent COVID-19 Bill Passed - Senate (37 - 0)
6/19 H 4617 Increases Access to Affordable High Quality Health Insurance Bill Passed - House (117 - 32)
6/30 H 4818 Establishes a Special Commission to Reduce Racial Inequalities in Maternal Health Bill Passed - House (159 - 0)
6/30 H 4818 Establishes a Special Commission to Reduce Racial Inequalities in Maternal Health Bill Passed - House (159 - 0)
7/30 H 4835 Authorizes Funds for Climate Change Adaptation and Environmental Protection Concurrence Vote Passed - Senate (36 - 0)
7/31 H 4857 Increases State Clean Energy Requirements Bill Passed - Senate (36 - 0)
6/29 H 4954 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (136 - 17)
5/24 H 4988 Nurse Staffing Bill Bill Passed - House (133 - 20)
7/21 H 5060 Establishes Various New Programs and Laws to Promote Growth in the Clean Energy Industry Bill Passed - House (146 - 7)
7/21 H 5060 Establishes Various New Programs and Laws to Promote Growth in the Clean Energy Industry (38 - 2)
7/26 H 5090 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (137 - 16)
7/26 H 5090 Expands Protections for Reproductive and Gender-Affirming Care Bill Passed - House (137 - 16)
7/26 H 5090 Expands Protections for Reproductive and Gender-Affirming Care (39 - 1)
7/26 H 5090 Expands Protections for Reproductive and Gender-Affirming Care (39 - 1)
7/28 H 5106 Establishes New Rules for the Governance and Improvement of Veterans' Homes in the Commonwealth (40 - 0)
4/25 H Amdt 804.1 Electronic Benefit Transfer Cards Amendment Adopted - House (123 - 33)
11/01 S 1353 Reproductive Health Clinic Buffer Zones Bill Passed - House (122 - 28)
11/01 S 1353 Reproductive Health Clinic Buffer Zones Bill Passed - House (122 - 28)
11/09 S 2202 Amends Various Healthcare Laws Bill Passed - Senate (33 - 6)
4/28 S 2269 Increases Smoking Age to 21 Bill Passed - Senate (32 - 2)
6/05 S 2270 Reduces Health Care Spending Bill Passed - House (148 - 7)
7/31 S 2400 Establishes Accountable Care Organizations Conference Report Adopted - House (133 - 20)
6/15 S 2472 Extends Certain COVID-19 Measures Adopted During the State of Emergency Bill Passed - House (146 - 14)
6/15 S 2475 Amends Measures Adopted During the COVID-19 Pandemic Bill Passed - House (150 - 10)
7/12 S 2595 Establishes Commission to Study Lead in Drinking Water at Schools Bill Passed - Senate (38 - 0)
1/04 S 2995 Amends State Climate Goals Conference Report Adopted - Senate (38 - 2)
8/01 S 3097 Reduces Barriers to Mental Health Care Conference Report Adopted - Senate (39 - 0)
1/28 S 9 Establishes a Roadmap for Massachusetts Climate Policy Bill Passed - House (144 - 14)
5/15 S Amdt 125 Requires Establishing a Single Payer Health Care System Benchmark Amendment Rejected - Senate (15 - 22)

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