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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. 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)
June 4, 1998 National S Amdt 2438 Underage Tobacco Usage amendment Amendment Not Tabled - Senate (29 - 66)
March 17, 2005 National S Amdt 244 Unintended Pregnancy Amendment Amendment Rejected - Senate (47 - 53)
June 9, 1998 National S Amdt 2451 Illegal Drug Amendment Amendment Adopted - Senate (52 - 46)
March 20, 1997 National S Amdt 25 U.S.- Mexico Drug Trafficking Prevention Amendment Amendment Adopted - Senate (94 - 5)
Nov. 17, 2005 National S Amdt 2601 Medicare Prescription Drug Benefit Amendment Motion Rejected - Senate (51 - 47)
Sept. 24, 2015 National S Amdt 2669 Rescinds Funds from Planned Parenthood Cloture Not Invoked - Senate (47 - 52)
Sept. 24, 2015 National S Amdt 2669 Rescinds Funds from Planned Parenthood Cloture Not Invoked - Senate (47 - 52)
July 25, 2017 National S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
Sept. 6, 2007 National S Amdt 2707 Prohibiting U.S. Assistance for Groups that Support Coercive Abortion Amendment Adopted - Senate (48 - 45)
July 26, 2017 National S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
March 19, 2003 National S Amdt 272 ANWR Oil Drilling Amendment Amendment Adopted - Senate (52 - 48)
Feb. 2, 2006 National S Amdt 2730 Medicare Part D Amendment Motion Rejected - Senate (52 - 45)
Dec. 22, 2009 National S Amdt 2786 Health Care and Insurance Law Amendments Cloture Invoked - Senate (60 - 39)
Dec. 23, 2009 National S Amdt 2786 Health Care and Insurance Law 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. 15, 2009 National S Amdt 2793 Authorizing Importation of Prescription Drugs Amendment Rejected - Senate (51 - 48)
Feb. 2, 2011 National S Amdt 28 Repealing the IRS 1099 Provision from the Health Care Bill Amendment Rejected - Senate (44 - 54)
Dec. 8, 2009 National S Amdt 2962 Prohibiting Federally Funded Abortion Services Amendment Tabled - Senate (54 - 45)
March 13, 2013 National S Amdt 30 To Prohibit the Use of Funds to Carry Out the Patient Protection and Affordable Care Act Amendment Rejected - Senate (45 - 52)
Nov. 29, 2012 National S Amdt 3058 Expands TRICARE Coverage of Autism Amendment Adopted - Senate (66 - 29)
Nov. 29, 2012 National S Amdt 3058 Expands TRICARE Coverage of Autism Amendment Adopted - Senate (66 - 29)
April 15, 1997 National S Amdt 31 Yucca Mountain Alternate Sites amendment Amendment Tabled - Senate (59 - 39)
March 16, 2006 National S Amdt 3103 Natural Resources and Environment Funding Amendment Amendment Rejected - Senate (48 - 49)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
Dec. 22, 2009 National S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
July 27, 2017 National S Amdt 340 Expanded and Improved Medicare For All Act Amendment Rejected - Senate (0 - 57)
July 29, 2014 National S Amdt 3585 Exempts Infrastructure Damaged by Natural Disasters from Environmental Reviews Amendment Rejected - Senate (47 - 50)
June 22, 2000 National S Amdt 3598 Outpatient Prescription Drugs Amendment Amendment Rejected - Senate (44 - 53)
April 18, 1996 National S Amdt 3677 Deletion of Medical Savings Accounts Amendment Amendment Adopted - Senate (52 - 46)
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)
Dec. 11, 2007 National S Amdt 3711 Government Sponsored Farm Insurance Policies Amendment Rejected - Senate (37 - 58)
Feb. 18, 1993 National S Amdt 39 Prohibiting Immigrants with AIDS from entering the United States Amendment Adopted - Senate (76 - 23)
Aug. 23, 2018 National S Amdt 3967 Senator Rand Paul's Amendment to H.R. 6157 Amendment Rejected - Senate (45 - 48)
Aug. 23, 2018 National S Amdt 3967 Senator Rand Paul's Amendment to H.R. 6157 Amendment Rejected - Senate (45 - 48)
March 14, 2008 National S Amdt 4233 Codifying the Definition of a Child Eligible for SCHIP Amendment Rejected - Senate (46 - 52)
March 14, 2008 National S Amdt 4233 Codifying the Definition of a Child Eligible for SCHIP Amendment Rejected - Senate (46 - 52)
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)
Sept. 14, 2010 National S Amdt 4595 Business Transaction Reporting Requirement Amendments Cloture Not Invoked - Senate (56 - 42)
Sept. 14, 2010 National S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
Sept. 14, 2010 National S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
June 25, 1997 National S Amdt 468 Private Contracts Amendment Motion Agreed - Senate (64 - 35)
July 25, 2006 National S Amdt 4689 Teen Pregnancy Education Amendment Amendment Rejected - Senate (48 - 51)
June 6, 2008 National S Amdt 4825 Carbon Emissions Cap and Trade Plan Cloture Not Invoked - Senate (48 - 36)
July 16, 2008 National S Amdt 5077 Funding Amendment to AIDS, Tuberculosis, and Malaria Bill Amendment Rejected - Senate (31 - 64)
July 15, 2008 National S Amdt 5078 Limiting Countries for HIV/Aids, Tuberculosis, and Malaria Funding Amendment Tabled - Senate (70 - 24)
July 28, 2017 National S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
Date No. Title Outcome
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)
6/04 S Amdt 2438 Underage Tobacco Usage amendment Amendment Not Tabled - Senate (29 - 66)
3/17 S Amdt 244 Unintended Pregnancy Amendment Amendment Rejected - Senate (47 - 53)
6/09 S Amdt 2451 Illegal Drug Amendment Amendment Adopted - Senate (52 - 46)
3/20 S Amdt 25 U.S.- Mexico Drug Trafficking Prevention Amendment Amendment Adopted - Senate (94 - 5)
11/17 S Amdt 2601 Medicare Prescription Drug Benefit Amendment Motion Rejected - Senate (51 - 47)
9/24 S Amdt 2669 Rescinds Funds from Planned Parenthood Cloture Not Invoked - Senate (47 - 52)
9/24 S Amdt 2669 Rescinds Funds from Planned Parenthood Cloture Not Invoked - Senate (47 - 52)
7/25 S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
9/06 S Amdt 2707 Prohibiting U.S. Assistance for Groups that Support Coercive Abortion Amendment Adopted - Senate (48 - 45)
7/26 S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
3/19 S Amdt 272 ANWR Oil Drilling Amendment Amendment Adopted - Senate (52 - 48)
2/02 S Amdt 2730 Medicare Part D Amendment Motion Rejected - Senate (52 - 45)
12/22 S Amdt 2786 Health Care and Insurance Law Amendments Cloture Invoked - Senate (60 - 39)
12/23 S Amdt 2786 Health Care and Insurance Law 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)
12/15 S Amdt 2793 Authorizing Importation of Prescription Drugs Amendment Rejected - Senate (51 - 48)
2/02 S Amdt 28 Repealing the IRS 1099 Provision from the Health Care Bill Amendment Rejected - Senate (44 - 54)
12/08 S Amdt 2962 Prohibiting Federally Funded Abortion Services Amendment Tabled - Senate (54 - 45)
3/13 S Amdt 30 To Prohibit the Use of Funds to Carry Out the Patient Protection and Affordable Care Act Amendment Rejected - Senate (45 - 52)
11/29 S Amdt 3058 Expands TRICARE Coverage of Autism Amendment Adopted - Senate (66 - 29)
11/29 S Amdt 3058 Expands TRICARE Coverage of Autism Amendment Adopted - Senate (66 - 29)
4/15 S Amdt 31 Yucca Mountain Alternate Sites amendment Amendment Tabled - Senate (59 - 39)
3/16 S Amdt 3103 Natural Resources and Environment Funding Amendment Amendment Rejected - Senate (48 - 49)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
12/22 S Amdt 3276 Senate Health Care Bill Amendments Amendment Adopted - Senate (60 - 39)
7/27 S Amdt 340 Expanded and Improved Medicare For All Act Amendment Rejected - Senate (0 - 57)
7/29 S Amdt 3585 Exempts Infrastructure Damaged by Natural Disasters from Environmental Reviews Amendment Rejected - Senate (47 - 50)
6/22 S Amdt 3598 Outpatient Prescription Drugs Amendment Amendment Rejected - Senate (44 - 53)
4/18 S Amdt 3677 Deletion of Medical Savings Accounts Amendment Amendment Adopted - Senate (52 - 46)
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)
12/11 S Amdt 3711 Government Sponsored Farm Insurance Policies Amendment Rejected - Senate (37 - 58)
2/18 S Amdt 39 Prohibiting Immigrants with AIDS from entering the United States Amendment Adopted - Senate (76 - 23)
8/23 S Amdt 3967 Senator Rand Paul's Amendment to H.R. 6157 Amendment Rejected - Senate (45 - 48)
8/23 S Amdt 3967 Senator Rand Paul's Amendment to H.R. 6157 Amendment Rejected - Senate (45 - 48)
3/14 S Amdt 4233 Codifying the Definition of a Child Eligible for SCHIP Amendment Rejected - Senate (46 - 52)
3/14 S Amdt 4233 Codifying the Definition of a Child Eligible for SCHIP Amendment Rejected - Senate (46 - 52)
3/14 S Amdt 4299 Expressing the Sense of the Senate on the Legalization of Importing Certain Prescription Drugs Amendment Adopted - Senate (73 - 23)
9/14 S Amdt 4595 Business Transaction Reporting Requirement Amendments Cloture Not Invoked - Senate (56 - 42)
9/14 S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
9/14 S Amdt 4596 Repealing Business Transaction Reporting Requirements Cloture Not Invoked - Senate (46 - 52)
6/25 S Amdt 468 Private Contracts Amendment Motion Agreed - Senate (64 - 35)
7/25 S Amdt 4689 Teen Pregnancy Education Amendment Amendment Rejected - Senate (48 - 51)
6/06 S Amdt 4825 Carbon Emissions Cap and Trade Plan Cloture Not Invoked - Senate (48 - 36)
7/16 S Amdt 5077 Funding Amendment to AIDS, Tuberculosis, and Malaria Bill Amendment Rejected - Senate (31 - 64)
7/15 S Amdt 5078 Limiting Countries for HIV/Aids, Tuberculosis, and Malaria Funding Amendment Tabled - Senate (70 - 24)
7/28 S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
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