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
March 16, 2006 National S Con Res 83 2007 Budget Resolution Joint Resolution Passed - Senate (51 - 49)
March 16, 2006 National S Con Res 83 2007 Budget Resolution Joint Resolution Passed - Senate (51 - 49)
May 23, 2006 National HR 5384 Agriculture, Rural Development, FDA Appropriations Act Bill Passed - House (378 - 46)
July 18, 2006 National S 2754 Alternative Stem Cell Therapies Act Bill Failed - House (273 - 154)
Dec. 7, 2006 National PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
Dec. 7, 2006 National PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
Sept. 12, 1996 National HR 3816 Appropriations bill FY97, Energy and Water Development Conference Report Adopted - House (383 - 29)
Sept. 17, 1996 National HR 3816 Appropriations bill FY97, Energy and Water Development Conference Report Adopted - Senate (92 - 8)
Nov. 7, 1997 National HR 2264 Appropriations bill FY98, Labor, HHS, Education Conference Report Adopted - House (352 - 65)
Nov. 8, 1997 National HR 2264 Appropriations bill FY98, Labor, HHS, Education Conference Report Adopted - Senate (91 - 4)
July 27, 2006 National HR 4157 Better Health Information Systems Act of 2006 Bill Passed - House (270 - 148)
April 28, 2005 National H Con Res 95 Budget FY2006 Appropriations Resolution Conference Report Adopted - House (214 - 211)
April 28, 2005 National H Con Res 95 Budget FY2006 Appropriations Resolution Conference Report Adopted - Senate (52 - 47)
April 28, 2005 National H Con Res 95 Budget FY2006 Appropriations Resolution Conference Report Adopted - House (214 - 211)
April 28, 2005 National H Con Res 95 Budget FY2006 Appropriations Resolution Conference Report Adopted - Senate (52 - 47)
Feb. 1, 2006 National H Res 653 Budget Reconciliation Adoption Resolution Passed - House (216 - 214)
Dec. 19, 2005 National S 1932 Budget Reconciliation Bill Conference Report Adopted - House (212 - 206)
Dec. 19, 2005 National S 1932 Budget Reconciliation Bill Conference Report Adopted - House (212 - 206)
Nov. 16, 2005 National HR 2862 Commerce, Justice and Science Appropriations Bill, FY 2006 Conference Report Adopted - Senate (94 - 5)
Nov. 9, 2005 National HR 2862 Commerce, Justice and Science Appropriations Bill, FY 2006 Conference Report Adopted - House (397 - 19)
Nov. 18, 2003 National HR 2754 Energy and Water Appropriations, FY 2004 bill Conference Report Adopted - House (387 - 36)
July 12, 1996 National H Amdt 1280 Family Planning Services Clinics Amendment Amendment Adopted - House (232 - 193)
June 9, 2006 National HR 5522 Foreign Operations and Export Finance Appropriation Act Bill Passed - House (373 - 34)
June 9, 2006 National HR 5522 Foreign Operations and Export Finance Appropriation Act Bill Passed - House (373 - 34)
June 9, 2006 National HR 5522 Foreign Operations and Export Finance Appropriation Act Bill Passed - House (373 - 34)
Aug. 1, 2006 National S 3711 Gulf of Mexico Energy Security Act of 2006 Bill Passed - Senate (71 - 25)
Aug. 1, 1996 National HR 3103 Health Insurance Portability bill Conference Report Adopted - House (421 - 2)
Aug. 2, 1996 National HR 3103 Health Insurance Portability bill Conference Report Adopted - Senate (98 - 0)
Nov. 21, 2003 National HR 1904 Healthy Forests Restoration Act of 2003 Conference Report Adopted - House (286 - 140)
Feb. 11, 1998 National S 1601 Human Cloning Research bill Cloture Not Invoked - Senate (42 - 54)
May 3, 2006 National S Amdt 3688 Influenza Vaccine Injury Compensation Amendment Amendment Adopted - Senate (53 - 46)
Oct. 30, 2003 National HR 2691 Interior Department Appropriations, FY 2004 bill Conference Report Adopted - House (216 - 205)
April 1, 1998 National S Amdt 2169 Medicare Choices Amendment Amendment Adopted - Senate (51 - 47)
Feb. 2, 2006 National S Amdt 2730 Medicare Part D Amendment Motion Rejected - Senate (52 - 45)
Jan. 12, 2007 National HR 4 Medicare Prescription Drug Price Negotiation Act Bill Passed - House (255 - 170)
March 8, 2006 National HR 4167 National Uniformity for Food Act Bill Passed - House (283 - 139)
March 8, 2006 National HR 4167 National Uniformity for Food Act Bill Passed - House (283 - 139)
March 16, 2006 National S Amdt 3103 Natural Resources and Environment Funding Amendment Amendment Rejected - Senate (48 - 49)
May 1, 1996 National S 641 Ryan White CARE reauthorization Act of 1995 Conference Report Adopted - House (402 - 4)
Aug. 2, 1996 National S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - Senate (98 - 0)
Aug. 2, 1996 National S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - House (392 - 30)
Aug. 2, 1996 National S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - House (392 - 30)
Aug. 2, 1996 National S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - Senate (98 - 0)
Jan. 11, 2007 National HR 3 Stem Cell Research Act of 2007 Bill Passed - House (253 - 174)
July 19, 2006 National HR 810 Stem Cell Research Bill of 2005 Veto Override Failed - House (235 - 193)
July 25, 2006 National S Amdt 4689 Teen Pregnancy Education Amendment Amendment Rejected - Senate (48 - 51)
Oct. 7, 1999 National HR 2723 Patient Protection bill Bill Passed - House (275 - 151)
Oct. 17, 2001 National HR 2217 Interior Department Appropriations for FY 2002 Conference Report Adopted - House (380 - 28)
Oct. 17, 2001 National HR 2217 Interior Department Appropriations for FY 2002 Conference Report Adopted - Senate (95 - 3)
Oct. 6, 1999 National HR 2990 Patients' Bill of Rights bill Bill Passed - House (227 - 205)
March 24, 2004 National HR 3873 Child Nutrition Improvement and Integrity Act Bill Passed - House (419 - 5)
Aug. 3, 2006 National HR 5970 Death/Estate Tax and Minimum Wage Bill Cloture Not Invoked - Senate (56 - 42)
July 29, 2006 National HR 5970 Death/Estate Tax and Minimum Wage Bill Bill Passed - House (230 - 180)
Sept. 8, 1993 National HR 2010 National Service Bill Conference Report Adopted - Senate (57 - 40)
Aug. 6, 1993 National HR 2010 National Service Bill Conference Report Adopted - House (275 - 152)
Aug. 3, 1993 National HR 2010 National Service Bill Bill Passed - Senate (58 - 41)
July 28, 1993 National HR 2010 National Service Bill Bill Passed - House (275 - 152)
July 14, 2003 National HR 2673 Agriculture, Rural Development, FDA Bill Passed - House (347 - 64)
Jan. 22, 2004 National HR 2673 Consolidated Appropriations Act Conference Report Adopted - Senate (65 - 28)
July 18, 2006 National HR 810 Stem Cell Research Bill of 2005 Bill Passed - Senate (63 - 37)
May 24, 2005 National HR 810 Stem Cell Research Bill of 2005 Bill Passed - House (238 - 194)
Nov. 3, 2005 National S 1932 Budget Reconciliation Bill Bill Passed - Senate (52 - 47)
Nov. 3, 2005 National S 1932 Budget Reconciliation Bill Bill Passed - Senate (52 - 47)
Nov. 3, 2005 National S Amdt 2356 Hurricane Health Care for Survivors Amendment Motion Rejected - Senate (48 - 51)
Nov. 3, 2005 National S Amdt 2348 Medicaid Generic Drug Amendment Amendment Rejected - Senate (49 - 50)
Nov. 3, 2005 National S Amdt 2371 Medicare Prescription Drug Amendment Motion Rejected - Senate (51 - 48)
Nov. 3, 2005 National S Amdt 2357 Medicare Premiums Amendment Amendment Rejected - Senate (49 - 50)
June 27, 2003 National HR 1 Medicare Prescription Drug bill Bill Passed - House (216 - 215)
Nov. 3, 2005 National S Amdt 2400 Alaska Judicial Review of Oil Revenue Amendment Amendment Rejected - Senate (48 - 51)
Nov. 3, 2005 National S Amdt 2409 Targeted Case Management Amendment Amendment Rejected - Senate (46 - 52)
Nov. 3, 2005 National S Amdt 2358 ANWR Amendment Amendment Rejected - Senate (48 - 51)
Nov. 3, 2005 National S Amdt 2365 Medical Assistance and Prescription Drug Amendment Amendment Adopted - Senate (54 - 45)
Nov. 17, 2005 National S Amdt 2601 Medicare Prescription Drug Benefit Amendment Motion Rejected - Senate (51 - 47)
Sept. 13, 2005 National S J Res 20 EPA's Clean Air Mercury Rule Bill Failed - Senate (47 - 51)
May 20, 2003 National HR 1904 Healthy Forests Restoration Act of 2003 (256 - 170)
June 19, 2003 National HR 660 Small Business Health Fairness Act of 2003 Bill Passed - House (262 - 162)
April 11, 2007 National S 5 Stem Cell Research Act of 2007 Bill Passed - Senate (63 - 34)
June 7, 2007 National S 5 Stem Cell Research Act of 2007 Bill Passed - House (247 - 176)
May 17, 2007 National S Con Res 21 2008 Budget Resolution Conference Report Adopted - House (214 - 209)
May 17, 2007 National S Con Res 21 2008 Budget Resolution Conference Report Adopted - Senate (52 - 40)
May 17, 2007 National S Con Res 21 2008 Budget Resolution Conference Report Adopted - House (214 - 209)
May 17, 2007 National S Con Res 21 2008 Budget Resolution Conference Report Adopted - Senate (52 - 40)
March 23, 2007 National S Con Res 21 2008 Budget Resolution Joint Resolution Passed - Senate (52 - 47)
March 23, 2007 National S Con Res 21 2008 Budget Resolution Joint Resolution Passed - Senate (52 - 47)
Aug. 7, 1998 National H Amdt 869 Illegal Drug Amendment Amendment Adopted - House (250 - 169)
Nov. 1, 1995 National H Amdt 890 Domestic Partners Amendment Amendment Adopted - House (249 - 172)
April 25, 2002 National HR 4 Securing America's Future Energy (SAFE) Act of 2001 Bill Passed - Senate (88 - 11)
Aug. 2, 2001 National HR 4 Securing America's Future Energy (SAFE) Act of 2001 Bill Passed - House (240 - 189)
June 29, 2001 National S 1052 Patients' Bill of Rights Bill Passed - Senate (59 - 36)
June 29, 2001 National S 1052 Patients' Bill of Rights Bill Passed - Senate (59 - 36)
May 2, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - House (280 - 141)
May 8, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
May 2, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - House (280 - 141)
May 8, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
Feb. 13, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Bill Passed - Senate (58 - 40)
Feb. 13, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Bill Passed - Senate (58 - 40)
Oct. 5, 2001 National HR 2646 Farm Security and Rural Investment Act of 2002 Bill Passed - House (291 - 120)
Oct. 5, 2001 National HR 2646 Farm Security and Rural Investment Act of 2002 Bill Passed - House (291 - 120)
Sept. 7, 2006 National HR 503 Horse Slaughter Prohibition Bill Bill Passed - House (263 - 146)
Sept. 25, 2006 National HR 5062 New Hampshire Wilderness Act Bill Failed - House (220 - 169)
Date No. Title Outcome
3/16 S Con Res 83 2007 Budget Resolution Joint Resolution Passed - Senate (51 - 49)
3/16 S Con Res 83 2007 Budget Resolution Joint Resolution Passed - Senate (51 - 49)
5/23 HR 5384 Agriculture, Rural Development, FDA Appropriations Act Bill Passed - House (378 - 46)
7/18 S 2754 Alternative Stem Cell Therapies Act Bill Failed - House (273 - 154)
12/07 PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
12/07 PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
9/12 HR 3816 Appropriations bill FY97, Energy and Water Development Conference Report Adopted - House (383 - 29)
9/17 HR 3816 Appropriations bill FY97, Energy and Water Development Conference Report Adopted - Senate (92 - 8)
11/07 HR 2264 Appropriations bill FY98, Labor, HHS, Education Conference Report Adopted - House (352 - 65)
11/08 HR 2264 Appropriations bill FY98, Labor, HHS, Education Conference Report Adopted - Senate (91 - 4)
7/27 HR 4157 Better Health Information Systems Act of 2006 Bill Passed - House (270 - 148)
4/28 H Con Res 95 Budget FY2006 Appropriations Resolution Conference Report Adopted - House (214 - 211)
4/28 H Con Res 95 Budget FY2006 Appropriations Resolution Conference Report Adopted - Senate (52 - 47)
4/28 H Con Res 95 Budget FY2006 Appropriations Resolution Conference Report Adopted - House (214 - 211)
4/28 H Con Res 95 Budget FY2006 Appropriations Resolution Conference Report Adopted - Senate (52 - 47)
2/01 H Res 653 Budget Reconciliation Adoption Resolution Passed - House (216 - 214)
12/19 S 1932 Budget Reconciliation Bill Conference Report Adopted - House (212 - 206)
12/19 S 1932 Budget Reconciliation Bill Conference Report Adopted - House (212 - 206)
11/16 HR 2862 Commerce, Justice and Science Appropriations Bill, FY 2006 Conference Report Adopted - Senate (94 - 5)
11/09 HR 2862 Commerce, Justice and Science Appropriations Bill, FY 2006 Conference Report Adopted - House (397 - 19)
11/18 HR 2754 Energy and Water Appropriations, FY 2004 bill Conference Report Adopted - House (387 - 36)
7/12 H Amdt 1280 Family Planning Services Clinics Amendment Amendment Adopted - House (232 - 193)
6/09 HR 5522 Foreign Operations and Export Finance Appropriation Act Bill Passed - House (373 - 34)
6/09 HR 5522 Foreign Operations and Export Finance Appropriation Act Bill Passed - House (373 - 34)
6/09 HR 5522 Foreign Operations and Export Finance Appropriation Act Bill Passed - House (373 - 34)
8/01 S 3711 Gulf of Mexico Energy Security Act of 2006 Bill Passed - Senate (71 - 25)
8/01 HR 3103 Health Insurance Portability bill Conference Report Adopted - House (421 - 2)
8/02 HR 3103 Health Insurance Portability bill Conference Report Adopted - Senate (98 - 0)
11/21 HR 1904 Healthy Forests Restoration Act of 2003 Conference Report Adopted - House (286 - 140)
2/11 S 1601 Human Cloning Research bill Cloture Not Invoked - Senate (42 - 54)
5/03 S Amdt 3688 Influenza Vaccine Injury Compensation Amendment Amendment Adopted - Senate (53 - 46)
10/30 HR 2691 Interior Department Appropriations, FY 2004 bill Conference Report Adopted - House (216 - 205)
4/01 S Amdt 2169 Medicare Choices Amendment Amendment Adopted - Senate (51 - 47)
2/02 S Amdt 2730 Medicare Part D Amendment Motion Rejected - Senate (52 - 45)
1/12 HR 4 Medicare Prescription Drug Price Negotiation Act Bill Passed - House (255 - 170)
3/08 HR 4167 National Uniformity for Food Act Bill Passed - House (283 - 139)
3/08 HR 4167 National Uniformity for Food Act Bill Passed - House (283 - 139)
3/16 S Amdt 3103 Natural Resources and Environment Funding Amendment Amendment Rejected - Senate (48 - 49)
5/01 S 641 Ryan White CARE reauthorization Act of 1995 Conference Report Adopted - House (402 - 4)
8/02 S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - Senate (98 - 0)
8/02 S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - House (392 - 30)
8/02 S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - House (392 - 30)
8/02 S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - Senate (98 - 0)
1/11 HR 3 Stem Cell Research Act of 2007 Bill Passed - House (253 - 174)
7/19 HR 810 Stem Cell Research Bill of 2005 Veto Override Failed - House (235 - 193)
7/25 S Amdt 4689 Teen Pregnancy Education Amendment Amendment Rejected - Senate (48 - 51)
10/07 HR 2723 Patient Protection bill Bill Passed - House (275 - 151)
10/17 HR 2217 Interior Department Appropriations for FY 2002 Conference Report Adopted - House (380 - 28)
10/17 HR 2217 Interior Department Appropriations for FY 2002 Conference Report Adopted - Senate (95 - 3)
10/06 HR 2990 Patients' Bill of Rights bill Bill Passed - House (227 - 205)
3/24 HR 3873 Child Nutrition Improvement and Integrity Act Bill Passed - House (419 - 5)
8/03 HR 5970 Death/Estate Tax and Minimum Wage Bill Cloture Not Invoked - Senate (56 - 42)
7/29 HR 5970 Death/Estate Tax and Minimum Wage Bill Bill Passed - House (230 - 180)
9/08 HR 2010 National Service Bill Conference Report Adopted - Senate (57 - 40)
8/06 HR 2010 National Service Bill Conference Report Adopted - House (275 - 152)
8/03 HR 2010 National Service Bill Bill Passed - Senate (58 - 41)
7/28 HR 2010 National Service Bill Bill Passed - House (275 - 152)
7/14 HR 2673 Agriculture, Rural Development, FDA Bill Passed - House (347 - 64)
1/22 HR 2673 Consolidated Appropriations Act Conference Report Adopted - Senate (65 - 28)
7/18 HR 810 Stem Cell Research Bill of 2005 Bill Passed - Senate (63 - 37)
5/24 HR 810 Stem Cell Research Bill of 2005 Bill Passed - House (238 - 194)
11/03 S 1932 Budget Reconciliation Bill Bill Passed - Senate (52 - 47)
11/03 S 1932 Budget Reconciliation Bill Bill Passed - Senate (52 - 47)
11/03 S Amdt 2356 Hurricane Health Care for Survivors Amendment Motion Rejected - Senate (48 - 51)
11/03 S Amdt 2348 Medicaid Generic Drug Amendment Amendment Rejected - Senate (49 - 50)
11/03 S Amdt 2371 Medicare Prescription Drug Amendment Motion Rejected - Senate (51 - 48)
11/03 S Amdt 2357 Medicare Premiums Amendment Amendment Rejected - Senate (49 - 50)
6/27 HR 1 Medicare Prescription Drug bill Bill Passed - House (216 - 215)
11/03 S Amdt 2400 Alaska Judicial Review of Oil Revenue Amendment Amendment Rejected - Senate (48 - 51)
11/03 S Amdt 2409 Targeted Case Management Amendment Amendment Rejected - Senate (46 - 52)
11/03 S Amdt 2358 ANWR Amendment Amendment Rejected - Senate (48 - 51)
11/03 S Amdt 2365 Medical Assistance and Prescription Drug Amendment Amendment Adopted - Senate (54 - 45)
11/17 S Amdt 2601 Medicare Prescription Drug Benefit Amendment Motion Rejected - Senate (51 - 47)
9/13 S J Res 20 EPA's Clean Air Mercury Rule Bill Failed - Senate (47 - 51)
5/20 HR 1904 Healthy Forests Restoration Act of 2003 (256 - 170)
6/19 HR 660 Small Business Health Fairness Act of 2003 Bill Passed - House (262 - 162)
4/11 S 5 Stem Cell Research Act of 2007 Bill Passed - Senate (63 - 34)
6/07 S 5 Stem Cell Research Act of 2007 Bill Passed - House (247 - 176)
5/17 S Con Res 21 2008 Budget Resolution Conference Report Adopted - House (214 - 209)
5/17 S Con Res 21 2008 Budget Resolution Conference Report Adopted - Senate (52 - 40)
5/17 S Con Res 21 2008 Budget Resolution Conference Report Adopted - House (214 - 209)
5/17 S Con Res 21 2008 Budget Resolution Conference Report Adopted - Senate (52 - 40)
3/23 S Con Res 21 2008 Budget Resolution Joint Resolution Passed - Senate (52 - 47)
3/23 S Con Res 21 2008 Budget Resolution Joint Resolution Passed - Senate (52 - 47)
8/07 H Amdt 869 Illegal Drug Amendment Amendment Adopted - House (250 - 169)
11/01 H Amdt 890 Domestic Partners Amendment Amendment Adopted - House (249 - 172)
4/25 HR 4 Securing America's Future Energy (SAFE) Act of 2001 Bill Passed - Senate (88 - 11)
8/02 HR 4 Securing America's Future Energy (SAFE) Act of 2001 Bill Passed - House (240 - 189)
6/29 S 1052 Patients' Bill of Rights Bill Passed - Senate (59 - 36)
6/29 S 1052 Patients' Bill of Rights Bill Passed - Senate (59 - 36)
5/02 HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - House (280 - 141)
5/08 HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
5/02 HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - House (280 - 141)
5/08 HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
2/13 HR 2646 Farm Security and Rural Investment Act of 2002 Bill Passed - Senate (58 - 40)
2/13 HR 2646 Farm Security and Rural Investment Act of 2002 Bill Passed - Senate (58 - 40)
10/05 HR 2646 Farm Security and Rural Investment Act of 2002 Bill Passed - House (291 - 120)
10/05 HR 2646 Farm Security and Rural Investment Act of 2002 Bill Passed - House (291 - 120)
9/07 HR 503 Horse Slaughter Prohibition Bill Bill Passed - House (263 - 146)
9/25 HR 5062 New Hampshire Wilderness Act Bill Failed - House (220 - 169)

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