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
Nov. 8, 2007 National HR 1495 Water Resources Development Act of 2007 Veto Override Passed - Senate (79 - 14)
May 22, 2008 National HR 2419 Farm, Nutrition, and Bioenergy Act of 2007 (Farm Bill) Veto Override Passed - Senate (82 - 13)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
June 18, 2008 National HR 6124 Second Farm, Nutrition, and Bioenergy Act of 2007 (Farm Bill) Veto Override Passed - Senate (80 - 14)
April 28, 2009 National PN 188 Kathleen Sebelius, Secretary of Health and Human Services Nomination Confirmed - Senate (65 - 31)
Sept. 7, 1993 National PN 452 M. Joycelyn Elders, United States Surgeon General Nomination Confirmed - Senate (65 - 34)
Dec. 7, 2006 National PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
Oct. 28, 2003 National PN 884 Michael Leavitt, Administrator of the Environmental Protection Agency (88 - 8)
Feb. 10, 1998 National PN 623 David Satcher, Surgeon General of the Public Health Service Nomination Confirmed - Senate (63 - 35)
Dec. 7, 2006 National PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
Dec. 23, 2009 National HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
July 15, 2008 National S Amdt 5078 Limiting Countries for HIV/Aids, Tuberculosis, and Malaria Funding Amendment Tabled - Senate (70 - 24)
June 22, 1999 National S Amdt 702 Patients' Bill of Rights Amendment Amendment Tabled - Senate (53 - 47)
July 9, 2008 National HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
June 14, 2005 National S Amdt 781 Environmental Effects Caused by Ethanol Amendment Amendment Tabled - Senate (59 - 38)
Dec. 22, 2009 National S Amdt 2786 Health Care and Insurance Law Amendments Cloture Invoked - Senate (60 - 39)
April 15, 1997 National S Amdt 31 Yucca Mountain Alternate Sites amendment Amendment Tabled - Senate (59 - 39)
Dec. 23, 2009 National HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
Dec. 8, 2009 National S Amdt 2962 Prohibiting Federally Funded Abortion Services Amendment Tabled - Senate (54 - 45)
July 9, 2008 National HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
March 19, 2003 National S Amdt 272 ANWR Oil Drilling Amendment Amendment Adopted - Senate (52 - 48)
June 25, 1997 National S Amdt 468 Private Contracts Amendment Motion Agreed - Senate (64 - 35)
April 18, 1996 National S Amdt 3677 Deletion of Medical Savings Accounts Amendment Amendment Adopted - Senate (52 - 46)
Nov. 3, 2005 National S Amdt 2365 Medical Assistance and Prescription Drug Amendment Amendment Adopted - Senate (54 - 45)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
Dec. 3, 2009 National S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
Dec. 3, 2009 National S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
Dec. 23, 2009 National S Amdt 2786 Health Care and Insurance Law Amendments Amendment Adopted - Senate (60 - 39)
July 15, 1999 National S Amdt 1250 Patient Lawsuit Amendment Amendment Adopted - Senate (53 - 47)
March 20, 1997 National S Amdt 25 U.S.- Mexico Drug Trafficking Prevention Amendment Amendment Adopted - Senate (94 - 5)
May 3, 2006 National S Amdt 3688 Influenza Vaccine Injury Compensation Amendment Amendment Adopted - Senate (53 - 46)
June 29, 2000 National S Amdt 3694 Health Care Amendment Amendment Adopted - Senate (51 - 47)
June 9, 1998 National S Amdt 2451 Illegal Drug Amendment Amendment Adopted - Senate (52 - 46)
March 14, 2008 National S Amdt 4299 Expressing the Sense of the Senate on the Legalization of Importing Certain Prescription Drugs Amendment Adopted - Senate (73 - 23)
Feb. 18, 1993 National S Amdt 39 Prohibiting Immigrants with AIDS from entering the United States Amendment Adopted - Senate (76 - 23)
July 22, 1997 National S Amdt 936 Abortion Funding Amendment Amendment Adopted - Senate (54 - 45)
May 7, 2007 National S Amdt 1010 FDA Drug Import Certification Amendment Amendment Adopted - Senate (49 - 40)
April 2, 1992 National S Amdt 1757 Prohibiting Federal Funding of Human Sexual Behavior Surveys Amendment Adopted - Senate (51 - 46)
April 2, 1992 National S Amdt 1757 Prohibiting Federal Funding of Human Sexual Behavior Surveys Amendment Adopted - Senate (51 - 46)
July 14, 1999 National S Amdt 1241 Women's Health and Cancer Rights Amendment Amendment Adopted - Senate (55 - 45)
July 14, 1999 National S Amdt 1241 Women's Health and Cancer Rights Amendment Amendment Adopted - Senate (55 - 45)
April 1, 1998 National S Amdt 2169 Medicare Choices Amendment Amendment Adopted - Senate (51 - 47)
March 31, 1998 National S Amdt 2168 Tobacco Immunity Amendment Amendment Adopted - Senate (79 - 19)
Sept. 6, 2007 National S Amdt 2707 Prohibiting U.S. Assistance for Groups that Support Coercive Abortion Amendment Adopted - Senate (48 - 45)
Sept. 8, 1993 National HR 2010 National Service Bill Conference Report Adopted - Senate (57 - 40)
May 8, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
May 10, 2005 National HR 1268 Emergency Supplemental Appropriations Act, 2005 Conference Report Adopted - Senate (100 - 0)
Nov. 8, 1997 National HR 2264 Appropriations bill FY98, Labor, HHS, Education Conference Report Adopted - Senate (91 - 4)
Date No. Title Outcome
11/08 HR 1495 Water Resources Development Act of 2007 Veto Override Passed - Senate (79 - 14)
5/22 HR 2419 Farm, Nutrition, and Bioenergy Act of 2007 (Farm Bill) Veto Override Passed - Senate (82 - 13)
7/15 HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
7/15 HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
6/18 HR 6124 Second Farm, Nutrition, and Bioenergy Act of 2007 (Farm Bill) Veto Override Passed - Senate (80 - 14)
4/28 PN 188 Kathleen Sebelius, Secretary of Health and Human Services Nomination Confirmed - Senate (65 - 31)
9/07 PN 452 M. Joycelyn Elders, United States Surgeon General Nomination Confirmed - Senate (65 - 34)
12/07 PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
10/28 PN 884 Michael Leavitt, Administrator of the Environmental Protection Agency (88 - 8)
2/10 PN 623 David Satcher, Surgeon General of the Public Health Service Nomination Confirmed - Senate (63 - 35)
12/07 PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
12/23 HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
7/15 S Amdt 5078 Limiting Countries for HIV/Aids, Tuberculosis, and Malaria Funding Amendment Tabled - Senate (70 - 24)
6/22 S Amdt 702 Patients' Bill of Rights Amendment Amendment Tabled - Senate (53 - 47)
7/09 HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
6/14 S Amdt 781 Environmental Effects Caused by Ethanol Amendment Amendment Tabled - Senate (59 - 38)
12/22 S Amdt 2786 Health Care and Insurance Law Amendments Cloture Invoked - Senate (60 - 39)
4/15 S Amdt 31 Yucca Mountain Alternate Sites amendment Amendment Tabled - Senate (59 - 39)
12/23 HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
12/08 S Amdt 2962 Prohibiting Federally Funded Abortion Services Amendment Tabled - Senate (54 - 45)
7/09 HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
3/19 S Amdt 272 ANWR Oil Drilling Amendment Amendment Adopted - Senate (52 - 48)
6/25 S Amdt 468 Private Contracts Amendment Motion Agreed - Senate (64 - 35)
4/18 S Amdt 3677 Deletion of Medical Savings Accounts Amendment Amendment Adopted - Senate (52 - 46)
11/03 S Amdt 2365 Medical Assistance and Prescription Drug Amendment Amendment Adopted - Senate (54 - 45)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
12/03 S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
12/03 S Amdt 2791 Preventive Services Coverage Requirements Amendment Adopted - Senate (61 - 39)
12/23 S Amdt 2786 Health Care and Insurance Law Amendments Amendment Adopted - Senate (60 - 39)
7/15 S Amdt 1250 Patient Lawsuit Amendment Amendment Adopted - Senate (53 - 47)
3/20 S Amdt 25 U.S.- Mexico Drug Trafficking Prevention Amendment Amendment Adopted - Senate (94 - 5)
5/03 S Amdt 3688 Influenza Vaccine Injury Compensation Amendment Amendment Adopted - Senate (53 - 46)
6/29 S Amdt 3694 Health Care Amendment Amendment Adopted - Senate (51 - 47)
6/09 S Amdt 2451 Illegal Drug Amendment Amendment Adopted - Senate (52 - 46)
3/14 S Amdt 4299 Expressing the Sense of the Senate on the Legalization of Importing Certain Prescription Drugs Amendment Adopted - Senate (73 - 23)
2/18 S Amdt 39 Prohibiting Immigrants with AIDS from entering the United States Amendment Adopted - Senate (76 - 23)
7/22 S Amdt 936 Abortion Funding Amendment Amendment Adopted - Senate (54 - 45)
5/07 S Amdt 1010 FDA Drug Import Certification Amendment Amendment Adopted - Senate (49 - 40)
4/02 S Amdt 1757 Prohibiting Federal Funding of Human Sexual Behavior Surveys Amendment Adopted - Senate (51 - 46)
4/02 S Amdt 1757 Prohibiting Federal Funding of Human Sexual Behavior Surveys Amendment Adopted - Senate (51 - 46)
7/14 S Amdt 1241 Women's Health and Cancer Rights Amendment Amendment Adopted - Senate (55 - 45)
7/14 S Amdt 1241 Women's Health and Cancer Rights Amendment Amendment Adopted - Senate (55 - 45)
4/01 S Amdt 2169 Medicare Choices Amendment Amendment Adopted - Senate (51 - 47)
3/31 S Amdt 2168 Tobacco Immunity Amendment Amendment Adopted - Senate (79 - 19)
9/06 S Amdt 2707 Prohibiting U.S. Assistance for Groups that Support Coercive Abortion Amendment Adopted - Senate (48 - 45)
9/08 HR 2010 National Service Bill Conference Report Adopted - Senate (57 - 40)
5/08 HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
5/10 HR 1268 Emergency Supplemental Appropriations Act, 2005 Conference Report Adopted - Senate (100 - 0)
11/08 HR 2264 Appropriations bill FY98, Labor, HHS, Education Conference Report Adopted - Senate (91 - 4)

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