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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
Sept. 30, 2024 NJ A 4447 Requires Healthcare Practitioner Referrals to Pharmacies be in Accordance with Certain Professional Standards Bill Passed - Senate (34 - 0)
Aug. 20, 2024 CA AB 2435 Extends Healthcare Coverage Bill Passed - Senate (32 - 8)
July 18, 2024 MA H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
June 28, 2024 NJ A 3861 Establishes the Louisa Carman Medical Debt Relief Act Bill Passed - Senate (25 - 15)
June 28, 2024 NJ S 3452 Requires Health Insurance and Medicaid Coverage for Reproductive Health Care Services Bill Passed - Senate (23 - 14)
June 26, 2024 OH SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Concurrence Vote Passed - Senate (22 - 9)
June 26, 2024 OH SB 196 Authorizes Global Signature Uses for Advanced Nurses Bill Passed - Senate (30 - 1)
June 12, 2024 OH HB 49 Requires Hospital Price Transparency Bill Passed - Senate (27 - 6)
June 7, 2024 NY A 2898 Requires Health Insurance Companies Cover Dyslexia Testing Bill Passed - Senate (60 - 0)
June 3, 2024 NY A 1696 Expands Health Insurance Coverage for Breast Imaging Bill Passed - Senate (60 - 0)
May 23, 2024 NH HB 1593 Appropriates Funding for Recreational Activities for Individuals with Developmental Disabilities "Ought to Pass as Amended" Report Adopted - Senate (24 - 0)
May 23, 2024 IL HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Bill Passed - Senate (40 - 19)
May 23, 2024 IL HB 5395 Establishes New Controls on the State's Health Insurance Industry Bill Passed - Senate (45 - 14)
May 21, 2024 LA HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Bill Passed - Senate (25 - 14)
May 8, 2024 CO HB 24-1219 Expands State Funding for Firefighter Benefits to Include Part-Time and Volunteer Firefighters Bill Passed - Senate (31 - 2)
May 8, 2024 MO SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
May 7, 2024 LA HB 337 Prohibits Insurers from Being Named Initially in Lawsuits Involving an Injured Individual in a Car Wreck Bill Passed - Senate (39 - 0)
April 30, 2024 RI S 2396 Requires Insurance Companies Cover, Diagnose, and Treat Infertility for Women Ages 25 to 42 Years Old Bill Passed - Senate (32 - 5)
April 29, 2024 LA SB 323 Amends and Defines Certain Insurance Terms Concurrence Vote Passed - Senate (36 - 0)
April 29, 2024 MO SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
April 25, 2024 DE SB 249 Amends and Authorizes Additional Flexibility When Issuing Captive Insurance Bill Passed - Senate (19 - 1)
April 24, 2024 LA HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Bill Passed - Senate (26 - 9)
April 24, 2024 CO SB 24-149 Amends State Worker Compensation Insurance Laws Bill Passed - Senate (21 - 13)
April 11, 2024 NE LB 1017 Establishes Compensation for Injuries resulting in disability under the Nebraska Workers' Compensation Act Bill Passed - Senate (38 - 8)
April 11, 2024 NE LB 62 Requires Coverage of Translation and Interpretation Services Under the State Medical Insurance Program Bill Passed - Senate (34 - 6)
April 9, 2024 RI S 2082 Establishes a $25 Per Month Cap for Insured Individuals for Insulin Administration and Glucose Monitoring Equipment Bill Passed - Senate (33 - 0)
March 8, 2024 MD SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
March 6, 2024 GA SB 76 Authorizes Coverage for Insulin Medication at a Reduced Rate Bill Passed - Senate (52 - 2)
Feb. 22, 2024 MI HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
Feb. 20, 2024 OR SB 1506 Authorizes Pharmacists to Test for COVID-19 and Administer Treatments Covered by State Health Insurance Plans Bill Passed - Senate (26 - 4)
Feb. 12, 2024 NM SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - Senate (21 - 16)
Feb. 8, 2024 NM SB 135 Requires Doctors Ask Health Insurers to Cover Medication Costs Without Needing to Try Cheaper Versions First Bill Passed - Senate (38 - 2)
Jan. 31, 2024 MS SB 2140 Establishes an Online Portal for Physicians to Submit Prior Authorization Requests Bill Passed - Senate (52 - 0)
Date No. Title Outcome
9/30 A 4447 Requires Healthcare Practitioner Referrals to Pharmacies be in Accordance with Certain Professional Standards Bill Passed - Senate (34 - 0)
8/20 AB 2435 Extends Healthcare Coverage Bill Passed - Senate (32 - 8)
7/18 H 4653 Increases Oversight of the Massachusetts Healthcare Market Bill Passed - Senate (38 - 2)
6/28 A 3861 Establishes the Louisa Carman Medical Debt Relief Act Bill Passed - Senate (25 - 15)
6/28 S 3452 Requires Health Insurance and Medicaid Coverage for Reproductive Health Care Services Bill Passed - Senate (23 - 14)
6/26 SB 40 Establishes the Dentist and Dental Hygienist Compact Into State Law Concurrence Vote Passed - Senate (22 - 9)
6/26 SB 196 Authorizes Global Signature Uses for Advanced Nurses Bill Passed - Senate (30 - 1)
6/12 HB 49 Requires Hospital Price Transparency Bill Passed - Senate (27 - 6)
6/07 A 2898 Requires Health Insurance Companies Cover Dyslexia Testing Bill Passed - Senate (60 - 0)
6/03 A 1696 Expands Health Insurance Coverage for Breast Imaging Bill Passed - Senate (60 - 0)
5/23 HB 1593 Appropriates Funding for Recreational Activities for Individuals with Developmental Disabilities "Ought to Pass as Amended" Report Adopted - Senate (24 - 0)
5/23 HB 2499 Prohibits the Sale of Short-Term Limited-Duration Insurance Plans Bill Passed - Senate (40 - 19)
5/23 HB 5395 Establishes New Controls on the State's Health Insurance Industry Bill Passed - Senate (45 - 14)
5/21 HB 423 Limits the Amount Awarded Over Medical Expenses to the Injured Party in a Car Accident Bill Passed - Senate (25 - 14)
5/08 HB 24-1219 Expands State Funding for Firefighter Benefits to Include Part-Time and Volunteer Firefighters Bill Passed - Senate (31 - 2)
5/08 SB 1359 Requires that Breast and Cervical Cancer Screenings are Eligible for Medical Assistance Bill Passed - Senate (28 - 4)
5/07 HB 337 Prohibits Insurers from Being Named Initially in Lawsuits Involving an Injured Individual in a Car Wreck Bill Passed - Senate (39 - 0)
4/30 S 2396 Requires Insurance Companies Cover, Diagnose, and Treat Infertility for Women Ages 25 to 42 Years Old Bill Passed - Senate (32 - 5)
4/29 SB 323 Amends and Defines Certain Insurance Terms Concurrence Vote Passed - Senate (36 - 0)
4/29 SB 751 Requires 340B Drugs to Be Covered by Insurance Providers Bill Passed - Senate (28 - 3)
4/25 SB 249 Amends and Authorizes Additional Flexibility When Issuing Captive Insurance Bill Passed - Senate (19 - 1)
4/24 HB 611 Repeals the State Rule Prohibiting Insurance Renewals for Failure of Payments Bill Passed - Senate (26 - 9)
4/24 SB 24-149 Amends State Worker Compensation Insurance Laws Bill Passed - Senate (21 - 13)
4/11 LB 1017 Establishes Compensation for Injuries resulting in disability under the Nebraska Workers' Compensation Act Bill Passed - Senate (38 - 8)
4/11 LB 62 Requires Coverage of Translation and Interpretation Services Under the State Medical Insurance Program Bill Passed - Senate (34 - 6)
4/09 S 2082 Establishes a $25 Per Month Cap for Insured Individuals for Insulin Administration and Glucose Monitoring Equipment Bill Passed - Senate (33 - 0)
3/08 SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
3/06 SB 76 Authorizes Coverage for Insulin Medication at a Reduced Rate Bill Passed - Senate (52 - 2)
2/22 HB 4523 Authorizes Individuals More Resources to Receive the Care and Support Needed Through Mental Health Courts Bill Passed - Senate (34 - 3)
2/20 SB 1506 Authorizes Pharmacists to Test for COVID-19 and Administer Treatments Covered by State Health Insurance Plans Bill Passed - Senate (26 - 4)
2/12 SB 146 Requires Hospital Acceptance of Health Plans Bill Passed - Senate (21 - 16)
2/08 SB 135 Requires Doctors Ask Health Insurers to Cover Medication Costs Without Needing to Try Cheaper Versions First Bill Passed - Senate (38 - 2)
1/31 SB 2140 Establishes an Online Portal for Physicians to Submit Prior Authorization Requests Bill Passed - Senate (52 - 0)
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