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National Health Insurance 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. 11, 2023 National HR 5378 Lower Costs, More Transparency Act Bill Passed - House (320 - 71)
April 4, 2022 National HR 1916 Ensuring Lasting Smiles Act Bill Passed - House (310 - 110)
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 29, 2020 National HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
Dec. 12, 2019 National HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
May 16, 2019 National HR 987 MORE Health Education Act Bill Passed - House (234 - 183)
May 9, 2019 National HR 986 Protecting Americans with Preexisting Conditions Act of 2019 Bill Passed - House (230 - 183)
June 20, 2018 National HR 5797 IMD CARE Act Bill Passed - House (261 - 155)
Nov. 3, 2017 National HR 3922 Community Health and Medical Professionals Improve Our Nation Act of 2017 (CHAMPION Act) Bill Passed - House (242 - 174)
Nov. 2, 2017 National HR 849 Protecting Seniors Access to Medicare Act Bill Passed - House (307 - 111)
July 28, 2017 National S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
July 26, 2017 National S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
July 25, 2017 National S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
May 4, 2017 National HR 1628 American Health Care Act of 2017 Bill Passed - House (217 - 213)
May 4, 2017 National HR 2192 McSally Amendment Amendment Adopted - House (429 - 0)
Jan. 12, 2017 National S Con Res 3 A Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2017 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2018 Through 2026 Joint Resolution Passed - Senate (51 - 48)
Sept. 27, 2016 National HR 954 CO-OP Consumer Protection Act of 2016 Bill Passed - House (258 - 165)
July 13, 2016 National S 304 Conscience Protection Act of 2016 Bill Passed - House (245 - 182)
Sept. 29, 2015 National HR 3495 Women's Public Health and Safety Act Bill Passed - House (236 - 193)
Feb. 3, 2015 National HR 596 Repeal of the Patient Protection and Affordable Care Act and Health Care-Related Provisions in the Health Care and Education Reconciliation Act of 2010 Bill Passed - House (239 - 186)
Jan. 22, 2015 National HR 7 No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 Bill Passed - House (242 - 179)
Jan. 8, 2015 National HR 30 Save American Workers Act of 2015 Bill Passed - House (252 - 172)
Sept. 11, 2014 National HR 3522 Employee Health Care Protection Act of 2013 Bill Passed - House (247 - 167)
July 16, 2014 National S 2578 Protect Women's Health From Corporate Interference Act of 2014 Cloture Not Invoked - Senate (56 - 43)
March 14, 2014 National HR 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 Bill Passed - House (238 - 181)
March 5, 2014 National HR 4118 Suspending the Individual Mandate Penalty Law Equals (SIMPLE) Fairness Act Bill Passed - House (250 - 160)
Jan. 28, 2014 National HR 7 No Taxpayer Funding for Abortion Act Bill Passed - House (227 - 188)
Jan. 16, 2014 National HR 3362 Exchange Information Disclosure Act Bill Passed - House (259 - 154)
Jan. 13, 2014 National HR 3811 Health Exchange Security and Transparency Act of 2014 Bill Passed - House (291 - 122)
Dec. 18, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - Senate (64 - 36)
Dec. 12, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (332 - 94)
Nov. 15, 2013 National HR 3350 Keep Your Health Plan Act of 2013 Bill Passed - House (261 - 157)
Oct. 16, 2013 National HR 2775 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (285 - 144)
Oct. 16, 2013 National HR 2775 Continuing Appropriations Resolution, 2014 Bill Passed - Senate (81 - 18)
Sept. 30, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Motion Agreed - Senate (54 - 46)
Sept. 30, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (228 - 201)
Sept. 30, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Motion Agreed - Senate (54 - 46)
Sept. 29, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (248 - 174)
Sept. 27, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Bill Passed - Senate (54 - 44)
Sept. 20, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Joint Resolution Passed - House (230 - 189)
Sept. 12, 2013 National HR 2775 No Subsidies Without Verification Act Bill Passed - House (235 - 191)
May 16, 2013 National HR 45 Repeals the Patient Protection and Affordable Care Act and Health Care-Related Provisions in the Health Care and Education Reconciliation Act of 2010 Bill Passed - House (229 - 195)
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)
July 11, 2012 National HR 6079 Repeals the Patient Protection and Affordable Care Act of 2010 Bill Passed - House (244 - 185)
May 24, 2012 National S Amdt 2153 Prohibits Increase in Interest Rates for Student Loans (Lamar Bill) Amendment Rejected - Senate (34 - 62)
March 1, 2012 National S Amdt 1520 Authorizes Moral and Religious Objections to Certain Health Care Items and Services Amendment Tabled - Senate (51 - 48)
Feb. 1, 2012 National HR 1173 Repeals the CLASS Act Bill Passed - House (267 - 159)
Oct. 27, 2011 National HR 2576 Requires Inclusion of Social Security Benefits in Calculation of Modified Adjusted Gross Income Bill Passed - House (262 - 157)
Oct. 13, 2011 National HR 358 Amends Patient Protection and Affordable Care Act to Prohibit Abortion Coverage Bill Passed - House (251 - 172)
Date No. Title Outcome
12/11 HR 5378 Lower Costs, More Transparency Act Bill Passed - House (320 - 71)
4/04 HR 1916 Ensuring Lasting Smiles Act Bill Passed - House (310 - 110)
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)
6/29 HR 1425 Patient Protection and Affordable Care Enhancement Act Bill Passed - House (234 - 179)
12/12 HR 3 Lower Drug Costs Now Act of 2019 Bill Passed - House (230 - 192)
5/16 HR 987 MORE Health Education Act Bill Passed - House (234 - 183)
5/09 HR 986 Protecting Americans with Preexisting Conditions Act of 2019 Bill Passed - House (230 - 183)
6/20 HR 5797 IMD CARE Act Bill Passed - House (261 - 155)
11/03 HR 3922 Community Health and Medical Professionals Improve Our Nation Act of 2017 (CHAMPION Act) Bill Passed - House (242 - 174)
11/02 HR 849 Protecting Seniors Access to Medicare Act Bill Passed - House (307 - 111)
7/28 S Amdt 667 Health Care Freedom Act of 2017 Amendment Rejected - Senate (49 - 51)
7/26 S Amdt 271 Obamacare Repeal Reconciliation Act of 2017 Amendment Rejected - Senate (45 - 55)
7/25 S Amdt 270 Better Care Reconciliation Act of 2017 Amendment Rejected - Senate (43 - 57)
5/04 HR 1628 American Health Care Act of 2017 Bill Passed - House (217 - 213)
5/04 HR 2192 McSally Amendment Amendment Adopted - House (429 - 0)
1/12 S Con Res 3 A Concurrent Resolution Setting Forth the Congressional Budget for the United States Government for Fiscal Year 2017 and Setting Forth the Appropriate Budgetary Levels for Fiscal Years 2018 Through 2026 Joint Resolution Passed - Senate (51 - 48)
9/27 HR 954 CO-OP Consumer Protection Act of 2016 Bill Passed - House (258 - 165)
7/13 S 304 Conscience Protection Act of 2016 Bill Passed - House (245 - 182)
9/29 HR 3495 Women's Public Health and Safety Act Bill Passed - House (236 - 193)
2/03 HR 596 Repeal of the Patient Protection and Affordable Care Act and Health Care-Related Provisions in the Health Care and Education Reconciliation Act of 2010 Bill Passed - House (239 - 186)
1/22 HR 7 No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 Bill Passed - House (242 - 179)
1/08 HR 30 Save American Workers Act of 2015 Bill Passed - House (252 - 172)
9/11 HR 3522 Employee Health Care Protection Act of 2013 Bill Passed - House (247 - 167)
7/16 S 2578 Protect Women's Health From Corporate Interference Act of 2014 Cloture Not Invoked - Senate (56 - 43)
3/14 HR 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 Bill Passed - House (238 - 181)
3/05 HR 4118 Suspending the Individual Mandate Penalty Law Equals (SIMPLE) Fairness Act Bill Passed - House (250 - 160)
1/28 HR 7 No Taxpayer Funding for Abortion Act Bill Passed - House (227 - 188)
1/16 HR 3362 Exchange Information Disclosure Act Bill Passed - House (259 - 154)
1/13 HR 3811 Health Exchange Security and Transparency Act of 2014 Bill Passed - House (291 - 122)
12/18 H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - Senate (64 - 36)
12/12 H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (332 - 94)
11/15 HR 3350 Keep Your Health Plan Act of 2013 Bill Passed - House (261 - 157)
10/16 HR 2775 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (285 - 144)
10/16 HR 2775 Continuing Appropriations Resolution, 2014 Bill Passed - Senate (81 - 18)
9/30 H J Res 59 Continuing Appropriations Resolution, 2014 Motion Agreed - Senate (54 - 46)
9/30 H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (228 - 201)
9/30 H J Res 59 Continuing Appropriations Resolution, 2014 Motion Agreed - Senate (54 - 46)
9/29 H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (248 - 174)
9/27 H J Res 59 Continuing Appropriations Resolution, 2014 Bill Passed - Senate (54 - 44)
9/20 H J Res 59 Continuing Appropriations Resolution, 2014 Joint Resolution Passed - House (230 - 189)
9/12 HR 2775 No Subsidies Without Verification Act Bill Passed - House (235 - 191)
5/16 HR 45 Repeals the Patient Protection and Affordable Care Act and Health Care-Related Provisions in the Health Care and Education Reconciliation Act of 2010 Bill Passed - House (229 - 195)
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)
7/11 HR 6079 Repeals the Patient Protection and Affordable Care Act of 2010 Bill Passed - House (244 - 185)
5/24 S Amdt 2153 Prohibits Increase in Interest Rates for Student Loans (Lamar Bill) Amendment Rejected - Senate (34 - 62)
3/01 S Amdt 1520 Authorizes Moral and Religious Objections to Certain Health Care Items and Services Amendment Tabled - Senate (51 - 48)
2/01 HR 1173 Repeals the CLASS Act Bill Passed - House (267 - 159)
10/27 HR 2576 Requires Inclusion of Social Security Benefits in Calculation of Modified Adjusted Gross Income Bill Passed - House (262 - 157)
10/13 HR 358 Amends Patient Protection and Affordable Care Act to Prohibit Abortion Coverage Bill Passed - House (251 - 172)
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