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 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)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
May 22, 2008 National HR 2419 Farm, Nutrition, and Bioenergy Act of 2007 (Farm Bill) Veto Override Passed - Senate (82 - 13)
Nov. 8, 2007 National HR 1495 Water Resources Development Act of 2007 Veto Override Passed - Senate (79 - 14)
Feb. 10, 1998 National PN 623 David Satcher, Surgeon General of the Public Health Service Nomination Confirmed - Senate (63 - 35)
Oct. 28, 2003 National PN 884 Michael Leavitt, Administrator of the Environmental Protection Agency (88 - 8)
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)
Dec. 7, 2006 National PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
April 28, 2009 National PN 188 Kathleen Sebelius, Secretary of Health and Human Services Nomination Confirmed - Senate (65 - 31)
Dec. 23, 2009 National HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
Dec. 21, 2005 National HR 2863 Defense Department FY2006 Appropriations Bill Cloture Not Invoked - Senate (56 - 44)
Feb. 11, 1998 National S 1601 Human Cloning Research bill Cloture Not Invoked - Senate (42 - 54)
July 15, 2008 National S Amdt 5078 Limiting Countries for HIV/Aids, Tuberculosis, and Malaria Funding Amendment Tabled - Senate (70 - 24)
June 6, 2008 National S Amdt 4825 Carbon Emissions Cap and Trade Plan Cloture Not Invoked - Senate (48 - 36)
Sept. 14, 2010 National S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
June 14, 2005 National S Amdt 781 Environmental Effects Caused by Ethanol Amendment Amendment Tabled - Senate (59 - 38)
Dec. 8, 2009 National S Amdt 2962 Prohibiting Federally Funded Abortion Services Amendment Tabled - Senate (54 - 45)
June 22, 1999 National S Amdt 702 Patients' Bill of Rights Amendment Amendment Tabled - Senate (53 - 47)
Sept. 14, 2010 National S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
Dec. 22, 2009 National S Amdt 2786 Health Care and Insurance Law Amendments Cloture Invoked - Senate (60 - 39)
July 9, 2008 National HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
April 15, 1997 National S Amdt 31 Yucca Mountain Alternate Sites amendment Amendment Tabled - Senate (59 - 39)
June 22, 1995 National PN 245 Henry W. Foster Jr., Medical Director in the Regular Corps of the Public Health Service Cloture Not Invoked - Senate (57 - 43)
Oct. 21, 2009 National S 1776 Eliminating Adjustments to Medicare Rates of Payment Cloture Not Invoked - Senate (47 - 53)
July 9, 2008 National HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
Dec. 23, 2009 National HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
Aug. 3, 2006 National HR 5970 Death/Estate Tax and Minimum Wage Bill Cloture Not Invoked - Senate (56 - 42)
June 4, 1998 National S Amdt 2438 Underage Tobacco Usage amendment Amendment Not Tabled - Senate (29 - 66)
Sept. 29, 2010 National S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
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 22, 1997 National S Amdt 936 Abortion Funding Amendment Amendment Adopted - Senate (54 - 45)
Sept. 29, 2010 National S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
March 17, 2005 National S Amdt 244 Unintended Pregnancy Amendment Amendment Rejected - Senate (47 - 53)
Nov. 3, 2005 National S Amdt 2357 Medicare Premiums Amendment Amendment Rejected - Senate (49 - 50)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
Feb. 2, 2006 National S Amdt 2730 Medicare Part D Amendment Motion Rejected - Senate (52 - 45)
Oct. 27, 2005 National S Amdt 2259 AIDS Drug Assistance Program Amendment Motion Rejected - Senate (46 - 50)
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)
Nov. 3, 2005 National S Amdt 2358 ANWR Amendment Amendment Rejected - Senate (48 - 51)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
April 1, 1998 National S Amdt 2169 Medicare Choices Amendment Amendment Adopted - Senate (51 - 47)
Feb. 8, 1994 National S Amdt 1390 Contraceptives Distribution Amendment Amendment Rejected - Senate (34 - 59)
March 31, 1998 National S Amdt 2168 Tobacco Immunity Amendment Amendment Adopted - Senate (79 - 19)
Nov. 3, 2005 National S Amdt 2348 Medicaid Generic Drug Amendment Amendment Rejected - Senate (49 - 50)
March 17, 2005 National S Amdt 229 Medicaid Amendment Amendment Rejected - Senate (49 - 51)
Date No. Title Outcome
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)
7/15 HR 6331 Medicare Bill Veto Override Passed - Senate (70 - 26)
5/22 HR 2419 Farm, Nutrition, and Bioenergy Act of 2007 (Farm Bill) Veto Override Passed - Senate (82 - 13)
11/08 HR 1495 Water Resources Development Act of 2007 Veto Override Passed - Senate (79 - 14)
2/10 PN 623 David Satcher, Surgeon General of the Public Health Service Nomination Confirmed - Senate (63 - 35)
10/28 PN 884 Michael Leavitt, Administrator of the Environmental Protection Agency (88 - 8)
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)
12/07 PN 1396 Andrew von Eschenbach, Commissioner of Food and Drugs Nomination Confirmed - Senate (80 - 11)
4/28 PN 188 Kathleen Sebelius, Secretary of Health and Human Services Nomination Confirmed - Senate (65 - 31)
12/23 HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
12/21 HR 2863 Defense Department FY2006 Appropriations Bill Cloture Not Invoked - Senate (56 - 44)
2/11 S 1601 Human Cloning Research bill Cloture Not Invoked - Senate (42 - 54)
7/15 S Amdt 5078 Limiting Countries for HIV/Aids, Tuberculosis, and Malaria Funding Amendment Tabled - Senate (70 - 24)
6/06 S Amdt 4825 Carbon Emissions Cap and Trade Plan Cloture Not Invoked - Senate (48 - 36)
9/14 S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
6/14 S Amdt 781 Environmental Effects Caused by Ethanol Amendment Amendment Tabled - Senate (59 - 38)
12/08 S Amdt 2962 Prohibiting Federally Funded Abortion Services Amendment Tabled - Senate (54 - 45)
6/22 S Amdt 702 Patients' Bill of Rights Amendment Amendment Tabled - Senate (53 - 47)
9/14 S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
12/22 S Amdt 2786 Health Care and Insurance Law Amendments Cloture Invoked - Senate (60 - 39)
7/09 HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
4/15 S Amdt 31 Yucca Mountain Alternate Sites amendment Amendment Tabled - Senate (59 - 39)
6/22 PN 245 Henry W. Foster Jr., Medical Director in the Regular Corps of the Public Health Service Cloture Not Invoked - Senate (57 - 43)
10/21 S 1776 Eliminating Adjustments to Medicare Rates of Payment Cloture Not Invoked - Senate (47 - 53)
7/09 HR 6331 Medicare Bill Cloture Invoked - Senate (69 - 30)
12/23 HR 3590 Patient Protection and Affordable Care Act Cloture Invoked - Senate (60 - 39)
8/03 HR 5970 Death/Estate Tax and Minimum Wage Bill Cloture Not Invoked - Senate (56 - 42)
6/04 S Amdt 2438 Underage Tobacco Usage amendment Amendment Not Tabled - Senate (29 - 66)
9/29 S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
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)
7/22 S Amdt 936 Abortion Funding Amendment Amendment Adopted - Senate (54 - 45)
9/29 S J Res 39 Disapproving Rule for "Grandfathered Health Plans" Motion Rejected - Senate (40 - 59)
3/17 S Amdt 244 Unintended Pregnancy Amendment Amendment Rejected - Senate (47 - 53)
11/03 S Amdt 2357 Medicare Premiums Amendment Amendment Rejected - Senate (49 - 50)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
2/02 S Amdt 2730 Medicare Part D Amendment Motion Rejected - Senate (52 - 45)
10/27 S Amdt 2259 AIDS Drug Assistance Program Amendment Motion Rejected - Senate (46 - 50)
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)
11/03 S Amdt 2358 ANWR Amendment Amendment Rejected - Senate (48 - 51)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
4/01 S Amdt 2169 Medicare Choices Amendment Amendment Adopted - Senate (51 - 47)
2/08 S Amdt 1390 Contraceptives Distribution Amendment Amendment Rejected - Senate (34 - 59)
3/31 S Amdt 2168 Tobacco Immunity Amendment Amendment Adopted - Senate (79 - 19)
11/03 S Amdt 2348 Medicaid Generic Drug Amendment Amendment Rejected - Senate (49 - 50)
3/17 S Amdt 229 Medicaid Amendment Amendment Rejected - Senate (49 - 51)

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