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
July 10, 2024 National S 4554 Reproductive Freedom for Women Act Bill Passed - Senate (49 - 44)
June 13, 2024 National S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (48 - 47)
June 13, 2024 National S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (48 - 47)
June 5, 2024 National S 4381 Right to Contraception Act Cloture Not Invoked - Senate (51 - 39)
June 5, 2024 National S 4381 Right to Contraception Act Cloture Not Invoked - Senate (51 - 39)
May 23, 2024 National S 4361 Border Act of 2024 Cloture Not Invoked - Senate (43 - 50)
April 18, 2024 National S 4072 A bill to prohibit the use of funds to implement, administer, or enforce certain rules of the Environmental Protection Agency. Bill Failed - Senate (52 - 46)
April 10, 2024 National S J Res 61 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Highway Administration relating to "National Performance Management Measures; Assessing Performance of the National Highway System, Greenhouse Gas Emissions Measure". Joint Resolution Passed - Senate (53 - 47)
Feb. 29, 2024 National S J Res 38 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Highway Administration relating to "Waiver of Buy America Requirements for Electric Vehicle Chargers". Veto Override Failed - Senate (50 - 47)
Nov. 8, 2023 National S J Res 38 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Highway Administration relating to "Waiver of Buy America Requirements for Electric Vehicle Chargers". Joint Resolution Passed - Senate (50 - 48)
Sept. 28, 2023 National S J Res 24 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the United States Fish and Wildlife Service relating to "Endangered and Threatened Wildlife and Plants; Endangered Species Status for Northern Long-Eared Bat". Veto Override Failed - Senate (47 - 45)
June 21, 2023 National S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Control of Air Pollution From New Motor Vehicles: Heavy-Duty Engine and Vehicle Standards". Veto Override Failed - Senate (50 - 50)
May 11, 2023 National S J Res 24 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the United States Fish and Wildlife Service relating to "Endangered and Threatened Wildlife and Plants; Endangered Species Status for Northern Long-Eared Bat". Joint Resolution Passed - Senate (51 - 49)
May 11, 2023 National S J Res 23 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Marine Fisheries Service relating to "Endangered and Threatened Wildlife and Plants; Regulations for Listing Endangered and Threatened Species and Designating Critical Habitat". Joint Resolution Passed - Senate (51 - 49)
May 3, 2023 National H J Res 39 Disapproving the rule submitted by the Department of Commerce relating to "Procedures Covering Suspension of Liquidation, Duties and Estimated Duties in Accord with Presidential Proclamation 10414" Joint Resolution Passed - Senate (56 - 41)
April 26, 2023 National S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Control of Air Pollution From New Motor Vehicles: Heavy-Duty Engine and Vehicle Standards". Joint Resolution Passed - Senate (50 - 49)
March 29, 2023 National H J Res 7 Relating to a national emergency declared by the President on March 13, 2020 Joint Resolution Passed - Senate (68 - 23)
March 29, 2023 National H J Res 27 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Army, Corps of Engineers, Department of Defense and the Environmental Protection Agency relating to "Revised Definition of 'Waters of the United States' " Joint Resolution Passed - Senate (53 - 43)
March 1, 2023 National H J Res 30 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Prudence and Loyalty in Selecting Plan Investments and Exercising Shareholder Rights" Joint Resolution Passed - Senate (50 - 46)
Dec. 15, 2022 National HR 7776 James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 Concurrence Vote Passed - Senate (83 - 11)
Nov. 15, 2022 National S J Res 63 A joint resolution relating to a national emergency declared by the President on March 13, 2020. Joint Resolution Passed - Senate (62 - 36)
Aug. 7, 2022 National HR 5376 Inflation Reduction Act of 2022 Bill Passed - Senate (50 - 50)
Aug. 4, 2022 National S J Res 55 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Council on Environmental Quality relating to National Environmental Policy Act Implementing Regulations Revisions. Joint Resolution Passed - Senate (50 - 47)
July 28, 2022 National HR 7776 James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 Bill Passed - Senate (93 - 1)
May 11, 2022 National S 4132 Women's Health Protection Act of 2022 Bill Failed - Senate (49 - 51)
March 15, 2022 National S J Res 37 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by Centers for Disease Control and Prevention relating to "Requirement for Persons To Wear Masks While on Conveyances and at Transportation Hubs". Joint Resolution Passed - Senate (57 - 40)
Feb. 28, 2022 National HR 3755 Women's Health Protection Act of 2021 Cloture Not Invoked - Senate (46 - 48)
Feb. 14, 2022 National PN 1593 Nomination of Robert Califf as Commissioner of Food and Drugs, Department of Health and Human Services Cloture Invoked - Senate (49 - 45)
Feb. 14, 2022 National PN 1593 Nomination of Robert Califf as Commissioner of Food and Drugs, Department of Health and Human Services Cloture Invoked - Senate (49 - 45)
Dec. 8, 2021 National S J Res 29 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "COVID-19 Vaccination and Testing; Emergency Temporary Standard" Joint Resolution Passed - Senate (52 - 48)
April 28, 2021 National S J Res 14 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Oil and Natural Gas Sector: Emission Standards for New, Reconstructed, and Modified Sources Review" Joint Resolution Passed - Senate (52 - 42)
March 24, 2021 National PN 121 Nomination of Rachel Levine as Assistant Secretary of the Department of Health and Human Services Nomination Confirmed - Senate (52 - 48)
March 23, 2021 National PN 79-11 Nomination of Vivek Murphy as Medical Director in the Regular Corps and Surgeon General of the General Public Health Service Nomination Confirmed - Senate (57 - 43)
March 18, 2021 National PN 78-2 Nomination of Xavier Becerra as Secretary of Health and Human Services Nomination Confirmed - Senate (50 - 49)
March 15, 2021 National PN 78-11 Nomination of Debra Haaland as Secretary of the Interior Nomination Confirmed - Senate (51 - 40)
March 10, 2021 National PN 78-16 Nomination of Michael Regan as Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (66 - 34)
Dec. 21, 2020 National HR 133 Consolidated Appropriations Act, 2021 Concurrence Vote Passed - Senate (92 - 6)
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)
June 17, 2020 National HR 1957 Great American Outdoors Act Bill Passed - Senate (73 - 25)
March 25, 2020 National HR 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act Bill Passed - Senate (96 - 0)
March 23, 2020 National HR 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act Cloture Not Invoked - Senate (49 - 46)
March 22, 2020 National HR 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act Cloture Not Invoked - Senate (47 - 47)
March 18, 2020 National HR 6201 Families First Coronavirus Response Act Bill Passed - Senate (90 - 8)
March 5, 2020 National HR 6074 Coronavirus Preparedness and Response Supplemental Appropriations Act Bill Passed - Senate (96 - 1)
Oct. 17, 2019 National S J Res 53 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Repeal of the Clean Power Plan; Emission Guidelines for Greenhouse Gas Emissions From Existing Electric Utility Generating Units; Revisions to Emission Guidelines Implementing Regulations" Bill Failed - Senate (41 - 53)
March 26, 2019 National S J Res 8 A joint resolution recognizing the duty of the Federal Government to create a Green New Deal Cloture Not Invoked - Senate (0 - 57)
Feb. 28, 2019 National PN 22 Nomination of Andrew Wheeler to be Administrator of Environmental Protection Agency (52 - 47)
Feb. 27, 2019 National PN 22 Nomination of Andrew Wheeler to be Administrator of Environmental Protection Agency Cloture Invoked - Senate (52 - 46)
Feb. 12, 2019 National S 47 Natural Resources Management Act Bill Passed - Senate (92 - 8)
Sept. 17, 2018 National HR 6 Opioid Crisis Response Act of 2018 Bill Passed - Senate (99 - 1)
Date No. Title Outcome
7/10 S 4554 Reproductive Freedom for Women Act Bill Passed - Senate (49 - 44)
6/13 S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (48 - 47)
6/13 S 4445 A bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization. Cloture Not Invoked - Senate (48 - 47)
6/05 S 4381 Right to Contraception Act Cloture Not Invoked - Senate (51 - 39)
6/05 S 4381 Right to Contraception Act Cloture Not Invoked - Senate (51 - 39)
5/23 S 4361 Border Act of 2024 Cloture Not Invoked - Senate (43 - 50)
4/18 S 4072 A bill to prohibit the use of funds to implement, administer, or enforce certain rules of the Environmental Protection Agency. Bill Failed - Senate (52 - 46)
4/10 S J Res 61 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Highway Administration relating to "National Performance Management Measures; Assessing Performance of the National Highway System, Greenhouse Gas Emissions Measure". Joint Resolution Passed - Senate (53 - 47)
2/29 S J Res 38 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Highway Administration relating to "Waiver of Buy America Requirements for Electric Vehicle Chargers". Veto Override Failed - Senate (50 - 47)
11/08 S J Res 38 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Highway Administration relating to "Waiver of Buy America Requirements for Electric Vehicle Chargers". Joint Resolution Passed - Senate (50 - 48)
9/28 S J Res 24 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the United States Fish and Wildlife Service relating to "Endangered and Threatened Wildlife and Plants; Endangered Species Status for Northern Long-Eared Bat". Veto Override Failed - Senate (47 - 45)
6/21 S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Control of Air Pollution From New Motor Vehicles: Heavy-Duty Engine and Vehicle Standards". Veto Override Failed - Senate (50 - 50)
5/11 S J Res 24 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the United States Fish and Wildlife Service relating to "Endangered and Threatened Wildlife and Plants; Endangered Species Status for Northern Long-Eared Bat". Joint Resolution Passed - Senate (51 - 49)
5/11 S J Res 23 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Marine Fisheries Service relating to "Endangered and Threatened Wildlife and Plants; Regulations for Listing Endangered and Threatened Species and Designating Critical Habitat". Joint Resolution Passed - Senate (51 - 49)
5/03 H J Res 39 Disapproving the rule submitted by the Department of Commerce relating to "Procedures Covering Suspension of Liquidation, Duties and Estimated Duties in Accord with Presidential Proclamation 10414" Joint Resolution Passed - Senate (56 - 41)
4/26 S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Control of Air Pollution From New Motor Vehicles: Heavy-Duty Engine and Vehicle Standards". Joint Resolution Passed - Senate (50 - 49)
3/29 H J Res 7 Relating to a national emergency declared by the President on March 13, 2020 Joint Resolution Passed - Senate (68 - 23)
3/29 H J Res 27 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Army, Corps of Engineers, Department of Defense and the Environmental Protection Agency relating to "Revised Definition of 'Waters of the United States' " Joint Resolution Passed - Senate (53 - 43)
3/01 H J Res 30 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Prudence and Loyalty in Selecting Plan Investments and Exercising Shareholder Rights" Joint Resolution Passed - Senate (50 - 46)
12/15 HR 7776 James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 Concurrence Vote Passed - Senate (83 - 11)
11/15 S J Res 63 A joint resolution relating to a national emergency declared by the President on March 13, 2020. Joint Resolution Passed - Senate (62 - 36)
8/07 HR 5376 Inflation Reduction Act of 2022 Bill Passed - Senate (50 - 50)
8/04 S J Res 55 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Council on Environmental Quality relating to National Environmental Policy Act Implementing Regulations Revisions. Joint Resolution Passed - Senate (50 - 47)
7/28 HR 7776 James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 Bill Passed - Senate (93 - 1)
5/11 S 4132 Women's Health Protection Act of 2022 Bill Failed - Senate (49 - 51)
3/15 S J Res 37 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by Centers for Disease Control and Prevention relating to "Requirement for Persons To Wear Masks While on Conveyances and at Transportation Hubs". Joint Resolution Passed - Senate (57 - 40)
2/28 HR 3755 Women's Health Protection Act of 2021 Cloture Not Invoked - Senate (46 - 48)
2/14 PN 1593 Nomination of Robert Califf as Commissioner of Food and Drugs, Department of Health and Human Services Cloture Invoked - Senate (49 - 45)
2/14 PN 1593 Nomination of Robert Califf as Commissioner of Food and Drugs, Department of Health and Human Services Cloture Invoked - Senate (49 - 45)
12/08 S J Res 29 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "COVID-19 Vaccination and Testing; Emergency Temporary Standard" Joint Resolution Passed - Senate (52 - 48)
4/28 S J Res 14 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Oil and Natural Gas Sector: Emission Standards for New, Reconstructed, and Modified Sources Review" Joint Resolution Passed - Senate (52 - 42)
3/24 PN 121 Nomination of Rachel Levine as Assistant Secretary of the Department of Health and Human Services Nomination Confirmed - Senate (52 - 48)
3/23 PN 79-11 Nomination of Vivek Murphy as Medical Director in the Regular Corps and Surgeon General of the General Public Health Service Nomination Confirmed - Senate (57 - 43)
3/18 PN 78-2 Nomination of Xavier Becerra as Secretary of Health and Human Services Nomination Confirmed - Senate (50 - 49)
3/15 PN 78-11 Nomination of Debra Haaland as Secretary of the Interior Nomination Confirmed - Senate (51 - 40)
3/10 PN 78-16 Nomination of Michael Regan as Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (66 - 34)
12/21 HR 133 Consolidated Appropriations Act, 2021 Concurrence Vote Passed - Senate (92 - 6)
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)
6/17 HR 1957 Great American Outdoors Act Bill Passed - Senate (73 - 25)
3/25 HR 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act Bill Passed - Senate (96 - 0)
3/23 HR 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act Cloture Not Invoked - Senate (49 - 46)
3/22 HR 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act Cloture Not Invoked - Senate (47 - 47)
3/18 HR 6201 Families First Coronavirus Response Act Bill Passed - Senate (90 - 8)
3/05 HR 6074 Coronavirus Preparedness and Response Supplemental Appropriations Act Bill Passed - Senate (96 - 1)
10/17 S J Res 53 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Repeal of the Clean Power Plan; Emission Guidelines for Greenhouse Gas Emissions From Existing Electric Utility Generating Units; Revisions to Emission Guidelines Implementing Regulations" Bill Failed - Senate (41 - 53)
3/26 S J Res 8 A joint resolution recognizing the duty of the Federal Government to create a Green New Deal Cloture Not Invoked - Senate (0 - 57)
2/28 PN 22 Nomination of Andrew Wheeler to be Administrator of Environmental Protection Agency (52 - 47)
2/27 PN 22 Nomination of Andrew Wheeler to be Administrator of Environmental Protection Agency Cloture Invoked - Senate (52 - 46)
2/12 S 47 Natural Resources Management Act Bill Passed - Senate (92 - 8)
9/17 HR 6 Opioid Crisis Response Act of 2018 Bill Passed - Senate (99 - 1)

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