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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.

results per page:
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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)
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)
May 4, 2017 National HR 2192 McSally Amendment Amendment Adopted - House (429 - 0)
May 4, 2017 National HR 1628 American Health Care Act of 2017 Bill Passed - House (217 - 213)
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)
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. 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)
Sept. 30, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (228 - 201)
Sept. 29, 2013 National H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (248 - 174)
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)
July 11, 2012 National HR 6079 Repeals the Patient Protection and Affordable Care Act of 2010 Bill Passed - House (244 - 185)
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)
May 3, 2011 National HR 1213 Repealing Funding for State Health Benefit Exchanges Bill Passed - House (238 - 183)
Aug. 10, 2010 National HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - House (247 - 161)
March 25, 2010 National HR 4872 Health Care Reconciliation Act Concurrence Vote Passed - House (220 - 207)
March 21, 2010 National HR 3590 Patient Protection and Affordable Care Act Concurrence Vote Passed - House (219 - 212)
March 21, 2010 National HR 4872 Health Care Reconciliation Act Bill Passed - House (220 - 211)
Nov. 7, 2009 National H Amdt 509 Prohibiting Federally Funded Abortion Services Amendment Adopted - House (240 - 194)
Nov. 7, 2009 National H Amdt 510 Substitute Health Care and Insurance Law Amendments Amendment Rejected - House (176 - 258)
Jan. 14, 2009 National HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - House (289 - 139)
July 15, 2008 National HR 6331 Medicare Bill Veto Override Passed - House (383 - 41)
June 24, 2008 National HR 6331 Medicare Bill Bill Passed - House (355 - 59)
May 15, 2008 National HR 2642 Iraq Related Provisions such as a Troop Withdrawal, a Permanent Base Ban, and Limiting Interrogation Techniques Concurrence Vote Passed - House (256 - 166)
April 23, 2008 National HR 5613 Medicaid Extensions and Changes Bill Passed - House (349 - 62)
March 5, 2008 National HR 1424 Mental Health Coverage Bill Bill Passed - House (268 - 148)
Jan. 23, 2008 National HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Veto Override Failed - House (260 - 152)
Oct. 25, 2007 National HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Bill Passed - House (265 - 142)
Oct. 18, 2007 National HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Veto Override Failed - House (273 - 156)
Sept. 25, 2007 National HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Concurrence Vote Passed - House (265 - 159)
Aug. 1, 2007 National HR 3162 State Children's Health Insurance Program (SCHIP) Reauthorization Bill Passed - House (225 - 204)
July 11, 2007 National S 1701 Extension of Funding for Transitional Medical Assistance and Abstinence Education Bill Passed - House (291 - 126)
May 17, 2007 National S Con Res 21 2008 Budget Resolution Conference Report Adopted - House (214 - 209)
Feb. 1, 2006 National H Res 653 Budget Reconciliation Adoption Resolution Passed - House (216 - 214)
Dec. 19, 2005 National S 1932 Budget Reconciliation Bill Conference Report Adopted - House (212 - 206)
July 26, 2005 National H Amdt 514 Small Employer Health Benefits Plan Amendment Amendment Rejected - House (197 - 230)
May 12, 2004 National HR 4279 Small Business Health Fairness Act of 2004 Bill Passed - House (273 - 152)
June 19, 2003 National HR 660 Small Business Health Fairness Act of 2003 Bill Passed - House (262 - 162)
June 19, 2003 National HR 1528 Taxpayer Protection and IRS Accountability Act of 2003 Bill Passed - House (252 - 170)
June 28, 2002 National HR 4954 Medicare Modernization and Prescription Drug Act Bill Passed - House (221 - 208)
Aug. 2, 2001 National HR 2563 Bipartisan Patient Protection Act Bill Passed - House (226 - 203)
June 28, 2000 National HR 4680 Medicare Rx bill Bill Passed - House (217 - 214)
Oct. 7, 1999 National H Amdt 514 Patient Protection Substitute Amendment Amendment Rejected - House (193 - 238)
Oct. 6, 1999 National HR 2990 Patients' Bill of Rights bill Bill Passed - House (227 - 205)
July 24, 1998 National H Amdt 776 Patients' Bill of Rights Act Amendment Amendment Rejected - House (212 - 217)
July 24, 1998 National HR 4250 Patient Protection bill Bill Passed - House (216 - 210)
July 16, 1998 National H Amdt 728 Federal Health Plan Contraceptive Coverage Amendment Amendment Adopted - House (224 - 198)
Aug. 1, 1996 National HR 3103 Health Insurance Portability bill Conference Report Adopted - House (421 - 2)
March 28, 1996 National HR 3103 Health Insurance Portability bill Bill Passed - House (267 - 151)
Nov. 1, 1995 National H Amdt 890 Domestic Partners Amendment Amendment Adopted - House (249 - 172)
Oct. 19, 1995 National HR 2425 Medicare Preservation Act of 1995 Bill Passed - House (231 - 201)
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)
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)
5/04 HR 2192 McSally Amendment Amendment Adopted - House (429 - 0)
5/04 HR 1628 American Health Care Act of 2017 Bill Passed - House (217 - 213)
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)
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)
12/12 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)
9/30 H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (228 - 201)
9/29 H J Res 59 Continuing Appropriations Resolution, 2014 Concurrence Vote Passed - House (248 - 174)
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)
7/11 HR 6079 Repeals the Patient Protection and Affordable Care Act of 2010 Bill Passed - House (244 - 185)
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)
5/03 HR 1213 Repealing Funding for State Health Benefit Exchanges Bill Passed - House (238 - 183)
8/10 HR 1586 Aid To States for Medicaid, Teacher Employment, and Other Purposes Concurrence Vote Passed - House (247 - 161)
3/25 HR 4872 Health Care Reconciliation Act Concurrence Vote Passed - House (220 - 207)
3/21 HR 3590 Patient Protection and Affordable Care Act Concurrence Vote Passed - House (219 - 212)
3/21 HR 4872 Health Care Reconciliation Act Bill Passed - House (220 - 211)
11/07 H Amdt 509 Prohibiting Federally Funded Abortion Services Amendment Adopted - House (240 - 194)
11/07 H Amdt 510 Substitute Health Care and Insurance Law Amendments Amendment Rejected - House (176 - 258)
1/14 HR 2 Children's Health Insurance Program Reauthorization and Expansion Bill Passed - House (289 - 139)
7/15 HR 6331 Medicare Bill Veto Override Passed - House (383 - 41)
6/24 HR 6331 Medicare Bill Bill Passed - House (355 - 59)
5/15 HR 2642 Iraq Related Provisions such as a Troop Withdrawal, a Permanent Base Ban, and Limiting Interrogation Techniques Concurrence Vote Passed - House (256 - 166)
4/23 HR 5613 Medicaid Extensions and Changes Bill Passed - House (349 - 62)
3/05 HR 1424 Mental Health Coverage Bill Bill Passed - House (268 - 148)
1/23 HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Veto Override Failed - House (260 - 152)
10/25 HR 3963 Children's Health Insurance Program Reauthorization Act of 2007 (CHIP) Bill Passed - House (265 - 142)
10/18 HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Veto Override Failed - House (273 - 156)
9/25 HR 976 State Children's Health Insurance Program (CHIP) Reauthorization Concurrence Vote Passed - House (265 - 159)
8/01 HR 3162 State Children's Health Insurance Program (SCHIP) Reauthorization Bill Passed - House (225 - 204)
7/11 S 1701 Extension of Funding for Transitional Medical Assistance and Abstinence Education Bill Passed - House (291 - 126)
5/17 S Con Res 21 2008 Budget Resolution Conference Report Adopted - House (214 - 209)
2/01 H Res 653 Budget Reconciliation Adoption Resolution Passed - House (216 - 214)
12/19 S 1932 Budget Reconciliation Bill Conference Report Adopted - House (212 - 206)
7/26 H Amdt 514 Small Employer Health Benefits Plan Amendment Amendment Rejected - House (197 - 230)
5/12 HR 4279 Small Business Health Fairness Act of 2004 Bill Passed - House (273 - 152)
6/19 HR 660 Small Business Health Fairness Act of 2003 Bill Passed - House (262 - 162)
6/19 HR 1528 Taxpayer Protection and IRS Accountability Act of 2003 Bill Passed - House (252 - 170)
6/28 HR 4954 Medicare Modernization and Prescription Drug Act Bill Passed - House (221 - 208)
8/02 HR 2563 Bipartisan Patient Protection Act Bill Passed - House (226 - 203)
6/28 HR 4680 Medicare Rx bill Bill Passed - House (217 - 214)
10/07 H Amdt 514 Patient Protection Substitute Amendment Amendment Rejected - House (193 - 238)
10/06 HR 2990 Patients' Bill of Rights bill Bill Passed - House (227 - 205)
7/24 H Amdt 776 Patients' Bill of Rights Act Amendment Amendment Rejected - House (212 - 217)
7/24 HR 4250 Patient Protection bill Bill Passed - House (216 - 210)
7/16 H Amdt 728 Federal Health Plan Contraceptive Coverage Amendment Amendment Adopted - House (224 - 198)
8/01 HR 3103 Health Insurance Portability bill Conference Report Adopted - House (421 - 2)
3/28 HR 3103 Health Insurance Portability bill Bill Passed - House (267 - 151)
11/01 H Amdt 890 Domestic Partners Amendment Amendment Adopted - House (249 - 172)
10/19 HR 2425 Medicare Preservation Act of 1995 Bill Passed - House (231 - 201)
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