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
Dec. 21, 2005 National S Con Res 74 Removal of ANWR Provision from HR 2863 Joint Resolution Passed - Senate (48 - 45)
Nov. 17, 2005 National S Amdt 2601 Medicare Prescription Drug Benefit Amendment Motion Rejected - Senate (51 - 47)
Nov. 16, 2005 National HR 2862 Commerce, Justice and Science Appropriations Bill, FY 2006 Conference Report Adopted - Senate (94 - 5)
Nov. 3, 2005 National S Amdt 2356 Hurricane Health Care for Survivors Amendment Motion Rejected - Senate (48 - 51)
Nov. 3, 2005 National S Amdt 2365 Medical Assistance and Prescription Drug Amendment Amendment Adopted - Senate (54 - 45)
Nov. 3, 2005 National S Amdt 2371 Medicare Prescription Drug Amendment Motion Rejected - Senate (51 - 48)
Nov. 3, 2005 National S Amdt 2409 Targeted Case Management Amendment Amendment Rejected - Senate (46 - 52)
Nov. 3, 2005 National S Amdt 2348 Medicaid Generic Drug Amendment Amendment Rejected - Senate (49 - 50)
Nov. 3, 2005 National S Amdt 2358 ANWR Amendment Amendment Rejected - Senate (48 - 51)
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 2357 Medicare Premiums Amendment Amendment Rejected - Senate (49 - 50)
Nov. 3, 2005 National HR 2744 Agriculture, Rural Development and FDA Appropriations Act Conference Report Adopted - Senate (81 - 18)
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)
Oct. 27, 2005 National S Amdt 2259 AIDS Drug Assistance Program Amendment Motion Rejected - Senate (46 - 50)
Oct. 27, 2005 National HR 3010 Labor, HHS and Education FY 2006 Appropriations Bill Bill Passed - Senate (94 - 3)
Oct. 7, 2005 National HR 2863 Defense Department FY2006 Appropriations Bill Bill Passed - Senate (97 - 0)
Oct. 5, 2005 National S Amdt 1937 Health Care for Veterans Amendment Motion Rejected - Senate (48 - 51)
Sept. 22, 2005 National HR 2744 Agriculture, Rural Development and FDA Appropriations Act Bill Passed - Senate (97 - 2)
Sept. 13, 2005 National S J Res 20 EPA's Clean Air Mercury Rule Bill Failed - Senate (47 - 51)
July 29, 2005 National HR 2361 Interior Department FY 2006 Appropriations Bill Conference Report Adopted - Senate (99 - 1)
July 1, 2005 National HR 2419 Energy and Water Appropriations Bill FY 2006 Bill Passed - Senate (92 - 3)
June 29, 2005 National HR 2361 Interior Department FY 2006 Appropriations Bill Bill Passed - Senate (94 - 0)
June 14, 2005 National S Amdt 781 Environmental Effects Caused by Ethanol Amendment Amendment Tabled - Senate (59 - 38)
May 10, 2005 National HR 1268 Emergency Supplemental Appropriations Act, 2005 Conference Report Adopted - Senate (100 - 0)
May 10, 2005 National HR 1268 Emergency Supplemental Appropriations Act, 2005 Conference Report Adopted - Senate (100 - 0)
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 - Senate (52 - 47)
April 21, 2005 National HR 1268 Emergency Supplemental Appropriations Act, 2005 Bill Passed - Senate (99 - 0)
April 21, 2005 National HR 1268 Emergency Supplemental Appropriations Act, 2005 Bill Passed - Senate (99 - 0)
March 17, 2005 National S Amdt 244 Unintended Pregnancy Amendment Amendment Rejected - Senate (47 - 53)
March 17, 2005 National S Amdt 229 Medicaid Amendment Amendment Rejected - Senate (49 - 51)
March 17, 2005 National S Amdt 214 Prescription Drugs Amendment Amendment Rejected - Senate (49 - 50)
March 25, 2004 National HR 1997 Unborn Victims of Violence Act 2004 Bill Passed - Senate (61 - 38)
Jan. 22, 2004 National HR 2673 Consolidated Appropriations Act Conference Report Adopted - Senate (65 - 28)
Nov. 25, 2003 National HR 1 Medicare Prescription Drug bill Conference Report Adopted - Senate (54 - 44)
Oct. 28, 2003 National PN 884 Michael Leavitt, Administrator of the Environmental Protection Agency (88 - 8)
June 27, 2003 National S 1 Medicare Prescription Drug Benefit bill Bill Passed - Senate (76 - 21)
March 19, 2003 National S Amdt 272 ANWR Oil Drilling Amendment Amendment Adopted - Senate (52 - 48)
July 31, 2002 National S 812 Greater Access to Affordable Pharmaceuticals Act Bill Passed - Senate (78 - 21)
May 8, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
May 8, 2002 National HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
April 25, 2002 National HR 4 Securing America's Future Energy (SAFE) Act of 2001 Bill Passed - Senate (88 - 11)
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. 17, 2001 National HR 2217 Interior Department Appropriations for FY 2002 Conference Report Adopted - Senate (95 - 3)
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)
June 29, 2000 National S Amdt 3694 Health Care Amendment Amendment Adopted - Senate (51 - 47)
June 22, 2000 National S Amdt 3598 Outpatient Prescription Drugs Amendment Amendment Rejected - Senate (44 - 53)
July 15, 1999 National S Amdt 1250 Patient Lawsuit Amendment Amendment Adopted - Senate (53 - 47)
July 15, 1999 National S 1344 Patient Bill of Rights bill Bill Passed - Senate (53 - 47)
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)
June 22, 1999 National S Amdt 702 Patients' Bill of Rights Amendment Amendment Tabled - Senate (53 - 47)
June 9, 1998 National S Amdt 2451 Illegal Drug Amendment Amendment Adopted - Senate (52 - 46)
June 4, 1998 National S Amdt 2438 Underage Tobacco Usage amendment Amendment Not Tabled - Senate (29 - 66)
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)
Feb. 11, 1998 National S 1601 Human Cloning Research bill Cloture Not Invoked - Senate (42 - 54)
Feb. 10, 1998 National PN 623 David Satcher, Surgeon General of the Public Health Service Nomination Confirmed - Senate (63 - 35)
Nov. 8, 1997 National HR 2264 Appropriations bill FY98, Labor, HHS, Education Conference Report Adopted - Senate (91 - 4)
Sept. 24, 1997 National S 830 Prescription Drug bill Bill Passed - Senate (98 - 2)
July 22, 1997 National S Amdt 936 Abortion Funding Amendment Amendment Adopted - Senate (54 - 45)
June 25, 1997 National S Amdt 468 Private Contracts Amendment Motion Agreed - Senate (64 - 35)
June 25, 1997 National S 947 Budget Reconciliation bill Bill Passed - Senate (73 - 27)
June 25, 1997 National S 947 Budget Reconciliation bill Bill Passed - Senate (73 - 27)
April 16, 1997 National HR 1003 Assisted Suicide Bill Bill Passed - Senate (99 - 0)
April 15, 1997 National S Amdt 31 Yucca Mountain Alternate Sites amendment Amendment Tabled - Senate (59 - 39)
April 15, 1997 National S 104 Nuclear Waste Disposal bill Bill Passed - Senate (65 - 34)
March 20, 1997 National S Amdt 25 U.S.- Mexico Drug Trafficking Prevention Amendment Amendment Adopted - Senate (94 - 5)
Sept. 17, 1996 National HR 3816 Appropriations bill FY97, Energy and Water Development Conference Report Adopted - Senate (92 - 8)
Aug. 2, 1996 National S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - Senate (98 - 0)
Aug. 2, 1996 National HR 3103 Health Insurance Portability bill Conference Report Adopted - Senate (98 - 0)
Aug. 2, 1996 National S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - Senate (98 - 0)
April 18, 1996 National S Amdt 3677 Deletion of Medical Savings Accounts Amendment Amendment Adopted - Senate (52 - 46)
July 27, 1995 National S 641 Ryan White CARE Reauthorization Act of 1995 Bill Passed - Senate (97 - 3)
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)
June 30, 1994 National HR 4506 Appropriations Bill FY95, Energy and Water Development Bill Passed - Senate (91 - 8)
Feb. 8, 1994 National S Amdt 1390 Contraceptives Distribution Amendment Amendment Rejected - Senate (34 - 59)
Nov. 9, 1993 National HR 2520 Interior Department Fiscal Year 1994 Appropriations Bill Conference Report Adopted - Senate (91 - 9)
Oct. 18, 1993 National HR 2518 Labor, Health and Human Services, and Education Appropriations Bill Conference Report Adopted - Senate (80 - 15)
Sept. 29, 1993 National HR 2518 Labor, Health and Human Services, and Education Appropriations Bill Bill Passed - Senate (82 - 17)
Sept. 22, 1993 National HR 2491 Veterans Administration and Housing and Urban Development Appropriations Bill Fiscal Year 1994 Bill Passed - Senate (91 - 9)
Sept. 8, 1993 National HR 2010 National Service Bill Conference Report Adopted - Senate (57 - 40)
Sept. 7, 1993 National PN 452 M. Joycelyn Elders, United States Surgeon General Nomination Confirmed - Senate (65 - 34)
Aug. 3, 1993 National HR 2010 National Service Bill Bill Passed - Senate (58 - 41)
May 4, 1993 National S 171 Department of the Environment Act Bill Passed - Senate (79 - 15)
Feb. 18, 1993 National S Amdt 39 Prohibiting Immigrants with AIDS from entering the United States Amendment Adopted - Senate (76 - 23)
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)
Date No. Title Outcome
12/21 S Con Res 74 Removal of ANWR Provision from HR 2863 Joint Resolution Passed - Senate (48 - 45)
11/17 S Amdt 2601 Medicare Prescription Drug Benefit Amendment Motion Rejected - Senate (51 - 47)
11/16 HR 2862 Commerce, Justice and Science Appropriations Bill, FY 2006 Conference Report Adopted - Senate (94 - 5)
11/03 S Amdt 2356 Hurricane Health Care for Survivors Amendment Motion Rejected - Senate (48 - 51)
11/03 S Amdt 2365 Medical Assistance and Prescription Drug Amendment Amendment Adopted - Senate (54 - 45)
11/03 S Amdt 2371 Medicare Prescription Drug Amendment Motion Rejected - Senate (51 - 48)
11/03 S Amdt 2409 Targeted Case Management Amendment Amendment Rejected - Senate (46 - 52)
11/03 S Amdt 2348 Medicaid Generic Drug Amendment Amendment Rejected - Senate (49 - 50)
11/03 S Amdt 2358 ANWR Amendment Amendment Rejected - Senate (48 - 51)
11/03 S Amdt 2400 Alaska Judicial Review of Oil Revenue Amendment Amendment Rejected - Senate (48 - 51)
11/03 S Amdt 2357 Medicare Premiums Amendment Amendment Rejected - Senate (49 - 50)
11/03 HR 2744 Agriculture, Rural Development and FDA Appropriations Act Conference Report Adopted - Senate (81 - 18)
11/03 S 1932 Budget Reconciliation Bill Bill Passed - Senate (52 - 47)
11/03 S 1932 Budget Reconciliation Bill Bill Passed - Senate (52 - 47)
10/27 S Amdt 2259 AIDS Drug Assistance Program Amendment Motion Rejected - Senate (46 - 50)
10/27 HR 3010 Labor, HHS and Education FY 2006 Appropriations Bill Bill Passed - Senate (94 - 3)
10/07 HR 2863 Defense Department FY2006 Appropriations Bill Bill Passed - Senate (97 - 0)
10/05 S Amdt 1937 Health Care for Veterans Amendment Motion Rejected - Senate (48 - 51)
9/22 HR 2744 Agriculture, Rural Development and FDA Appropriations Act Bill Passed - Senate (97 - 2)
9/13 S J Res 20 EPA's Clean Air Mercury Rule Bill Failed - Senate (47 - 51)
7/29 HR 2361 Interior Department FY 2006 Appropriations Bill Conference Report Adopted - Senate (99 - 1)
7/01 HR 2419 Energy and Water Appropriations Bill FY 2006 Bill Passed - Senate (92 - 3)
6/29 HR 2361 Interior Department FY 2006 Appropriations Bill Bill Passed - Senate (94 - 0)
6/14 S Amdt 781 Environmental Effects Caused by Ethanol Amendment Amendment Tabled - Senate (59 - 38)
5/10 HR 1268 Emergency Supplemental Appropriations Act, 2005 Conference Report Adopted - Senate (100 - 0)
5/10 HR 1268 Emergency Supplemental Appropriations Act, 2005 Conference Report Adopted - Senate (100 - 0)
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 - Senate (52 - 47)
4/21 HR 1268 Emergency Supplemental Appropriations Act, 2005 Bill Passed - Senate (99 - 0)
4/21 HR 1268 Emergency Supplemental Appropriations Act, 2005 Bill Passed - Senate (99 - 0)
3/17 S Amdt 244 Unintended Pregnancy Amendment Amendment Rejected - Senate (47 - 53)
3/17 S Amdt 229 Medicaid Amendment Amendment Rejected - Senate (49 - 51)
3/17 S Amdt 214 Prescription Drugs Amendment Amendment Rejected - Senate (49 - 50)
3/25 HR 1997 Unborn Victims of Violence Act 2004 Bill Passed - Senate (61 - 38)
1/22 HR 2673 Consolidated Appropriations Act Conference Report Adopted - Senate (65 - 28)
11/25 HR 1 Medicare Prescription Drug bill Conference Report Adopted - Senate (54 - 44)
10/28 PN 884 Michael Leavitt, Administrator of the Environmental Protection Agency (88 - 8)
6/27 S 1 Medicare Prescription Drug Benefit bill Bill Passed - Senate (76 - 21)
3/19 S Amdt 272 ANWR Oil Drilling Amendment Amendment Adopted - Senate (52 - 48)
7/31 S 812 Greater Access to Affordable Pharmaceuticals Act Bill Passed - Senate (78 - 21)
5/08 HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
5/08 HR 2646 Farm Security and Rural Investment Act of 2002 Conference Report Adopted - Senate (64 - 35)
4/25 HR 4 Securing America's Future Energy (SAFE) Act of 2001 Bill Passed - Senate (88 - 11)
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)
10/17 HR 2217 Interior Department Appropriations for FY 2002 Conference Report Adopted - Senate (95 - 3)
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)
6/29 S Amdt 3694 Health Care Amendment Amendment Adopted - Senate (51 - 47)
6/22 S Amdt 3598 Outpatient Prescription Drugs Amendment Amendment Rejected - Senate (44 - 53)
7/15 S Amdt 1250 Patient Lawsuit Amendment Amendment Adopted - Senate (53 - 47)
7/15 S 1344 Patient Bill of Rights bill Bill Passed - Senate (53 - 47)
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)
6/22 S Amdt 702 Patients' Bill of Rights Amendment Amendment Tabled - Senate (53 - 47)
6/09 S Amdt 2451 Illegal Drug Amendment Amendment Adopted - Senate (52 - 46)
6/04 S Amdt 2438 Underage Tobacco Usage amendment Amendment Not Tabled - Senate (29 - 66)
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)
2/11 S 1601 Human Cloning Research bill Cloture Not Invoked - Senate (42 - 54)
2/10 PN 623 David Satcher, Surgeon General of the Public Health Service Nomination Confirmed - Senate (63 - 35)
11/08 HR 2264 Appropriations bill FY98, Labor, HHS, Education Conference Report Adopted - Senate (91 - 4)
9/24 S 830 Prescription Drug bill Bill Passed - Senate (98 - 2)
7/22 S Amdt 936 Abortion Funding Amendment Amendment Adopted - Senate (54 - 45)
6/25 S Amdt 468 Private Contracts Amendment Motion Agreed - Senate (64 - 35)
6/25 S 947 Budget Reconciliation bill Bill Passed - Senate (73 - 27)
6/25 S 947 Budget Reconciliation bill Bill Passed - Senate (73 - 27)
4/16 HR 1003 Assisted Suicide Bill Bill Passed - Senate (99 - 0)
4/15 S Amdt 31 Yucca Mountain Alternate Sites amendment Amendment Tabled - Senate (59 - 39)
4/15 S 104 Nuclear Waste Disposal bill Bill Passed - Senate (65 - 34)
3/20 S Amdt 25 U.S.- Mexico Drug Trafficking Prevention Amendment Amendment Adopted - Senate (94 - 5)
9/17 HR 3816 Appropriations bill FY97, Energy and Water Development Conference Report Adopted - Senate (92 - 8)
8/02 S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - Senate (98 - 0)
8/02 HR 3103 Health Insurance Portability bill Conference Report Adopted - Senate (98 - 0)
8/02 S 1316 Safe Drinking Water Act Amendments of 1995 Conference Report Adopted - Senate (98 - 0)
4/18 S Amdt 3677 Deletion of Medical Savings Accounts Amendment Amendment Adopted - Senate (52 - 46)
7/27 S 641 Ryan White CARE Reauthorization Act of 1995 Bill Passed - Senate (97 - 3)
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)
6/30 HR 4506 Appropriations Bill FY95, Energy and Water Development Bill Passed - Senate (91 - 8)
2/08 S Amdt 1390 Contraceptives Distribution Amendment Amendment Rejected - Senate (34 - 59)
11/09 HR 2520 Interior Department Fiscal Year 1994 Appropriations Bill Conference Report Adopted - Senate (91 - 9)
10/18 HR 2518 Labor, Health and Human Services, and Education Appropriations Bill Conference Report Adopted - Senate (80 - 15)
9/29 HR 2518 Labor, Health and Human Services, and Education Appropriations Bill Bill Passed - Senate (82 - 17)
9/22 HR 2491 Veterans Administration and Housing and Urban Development Appropriations Bill Fiscal Year 1994 Bill Passed - Senate (91 - 9)
9/08 HR 2010 National Service Bill Conference Report Adopted - Senate (57 - 40)
9/07 PN 452 M. Joycelyn Elders, United States Surgeon General Nomination Confirmed - Senate (65 - 34)
8/03 HR 2010 National Service Bill Bill Passed - Senate (58 - 41)
5/04 S 171 Department of the Environment Act Bill Passed - Senate (79 - 15)
2/18 S Amdt 39 Prohibiting Immigrants with AIDS from entering the United States Amendment Adopted - Senate (76 - 23)
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)

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