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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. 17, 2025 National HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
Oct. 22, 2025 NC SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
Sept. 18, 2025 MI HB 4734 Authorizes the Surrogate Medical Decision Makers Created Under HB 4418 to Consent to Medical Treatment on Behalf of a Patient Who Cannot Make Their Own Decisions Bill Passed - House (98 - 0)
Sept. 18, 2025 MI HB 4713 Prohibits False Health Care Claims Bill Passed - House (101 - 2)
Sept. 18, 2025 MI HB 4418 Amends and Enhances the Estates and Protected Individuals Code Bill Passed - House (98 - 0)
Sept. 16, 2025 MI HB 4717 Establishes Another Tool or Option for Law Enforcement to Penalize Those Involved in Insurance Fraud Schemes Bill Passed - House (101 - 2)
Sept. 16, 2025 MI HB 4718 Requires Insurers to Report Likely Fraud to DIFS Bill Passed - House (102 - 1)
Sept. 10, 2025 CA SB 418 Prohibits Discrimination in Health Insurance Enrollment Bill Passed - House (60 - 18)
Sept. 8, 2025 CA SB 306 Prohibits Insurers from Requiring Prior Authorization for Services Bill Passed - House (76 - 1)
Sept. 3, 2025 CA SB 40 Prohibits Health Care Service Plans or Health Insurance Policies from Imposing Copays of Over $35 for a 30-Day Supply of Insulin Bill Passed - House (79 - 0)
June 26, 2025 OR SB 692 Requires Health Insurance Plans That Cover Pregnancy and Childbirth Expenses to Cover Doula Services Bill Passed - House (44 - 4)
June 17, 2025 ME LD 93 Expands the Universal Childhood Immunization Program to Cover Vaccines for Adults Concurrence Vote Passed - House (78 - 70)
June 10, 2025 LA HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Concurrence Vote Passed - House (96 - 1)
June 9, 2025 MN HF 1 Repeals MinnesotaCare Eligibility for Undocumented Immigrants Age 18 or Older Bill Passed - House (68 - 65)
June 8, 2025 LA SB 231 Reduces the Monetary Amount Plaintiffs Can Recover for Medical Expenses In An Auto Accident Lawsuit Bill Passed - House (81 - 15)
June 4, 2025 OH SB 100 Exempts Nonprofit Agricultural Membership Organizations From Insurance Regulations Bill Passed - House (90 - 3)
June 4, 2025 National HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
June 1, 2025 TX SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
May 31, 2025 NV SB 128 Prohibits Health Insurers from Using or Relying on Artificial Intelligence to Deny a Request for Prior Authorization Bill Passed - House (23 - 16)
May 29, 2025 OK HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Veto Override Passed - House (83 - 3)
May 28, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
May 23, 2025 NV AB 555 Establishes Price Cap Provisions on Insulin Bill Passed - House (42 - 0)
May 14, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
May 13, 2025 WI AB 23 Establishes a Palliative Care Council to Advise the Department of Health Services on Palliative Care Issues Bill Passed - House (96 - 1)
May 13, 2025 IA HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - House (63 - 28)
May 12, 2025 IA SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - House (75 - 15)
May 12, 2025 TX SB 1257 Requires Health Benefit Plans That Provide Coverage for Gender Transition Procedures to Additionally Cover All Possible Adverse Consequences of the Procedure, Follow-Up Testing, and Any Procedures to Reverse the Procedure Bill Passed - House (87 - 58)
May 8, 2025 IA HF 933 Establishes Pediatric Hospice Centers Concurrence Vote Passed - House (84 - 0)
May 7, 2025 CO HB 25-1309 Defines "Gender-Affirming Care" Into State Statute and Prohibits Health Insurance Providers from Denying or Limiting Such Care Concurrence Vote Passed - House (39 - 24)
May 7, 2025 OK SB 889 Requires Oklahoma Hospitals to Make Public Standard Treatment Costs Bill Passed - House (51 - 38)
May 6, 2025 CO SB 25-048 Requires Large-Group Health Insurance Plans in Colorado to Offer Consumers Plans that Cover Glucagon-like Peptide-1 medications, Known as GLP-1 Drugs, to Treat Obesity and Pre-Diabetes Bill Passed - House (41 - 24)
May 6, 2025 CO SB 25-071 Prohibits Pharmaceutical Companies from Restricting Hospitals' Use of the Federal 340B Prescription Drug Discount Program Bill Passed - House (57 - 8)
May 1, 2025 CO HB 25-1213 Amends Regulations Regarding Funding, Billing, and Reporting for Certain Healthcare and Managed Care Entities Concurrence Vote Passed - House (58 - 7)
April 29, 2025 AZ HB 2076 Amends Statutes Related to Life Insurance Policies to Redefine the Term "Illustration" Concurrence Vote Passed - House (41 - 14)
April 28, 2025 AZ HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Concurrence Vote Passed - House (32 - 23)
April 28, 2025 AZ HB 2449 Establishes New Enrollment Verification Requirements and Presumptive Eligibility Determinations for Arizona Health Care Cost Containment System (AHCCCS) Concurrence Vote Passed - House (32 - 23)
April 28, 2025 LA HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Bill Passed - House (87 - 3)
April 28, 2025 LA HB 450 Repeals the Housley Presumption that says Courts Should Assume a Plaintiff's Injuries Resulted from the Accident in Question Bill Passed - House (68 - 24)
April 28, 2025 LA HB 434 Limits Bodily Injury Claims by Plaintiffs Who Did Not Carry Auto Insurance At The Time Of The Accident Bill Passed - House (76 - 14)
April 24, 2025 IN SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
April 24, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
April 16, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Bill Passed - House (55 - 37)
April 16, 2025 AR SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - House (82 - 13)
April 16, 2025 AZ SB 1626 Requires Health Insurance Companies to Notify Enrollees About Their Right to Dispute Surprise Out-of-Network Bills Bill Passed - House (50 - 5)
April 9, 2025 IL HB 35 Prohibits Health Insurance Companies from Relying Only on AI to Deny, Reduce, or Terminate Coverage for Patients Receiving Care Bill Passed - House (79 - 35)
April 8, 2025 IN SB 2 Establishes State Medicaid Restrictions Bill Passed - House (66 - 28)
April 8, 2025 IL HB 2805 Prohibits Insurance Co-Pays for Sexual Assault Exams Bill Passed - House (114 - 0)
April 6, 2025 CO HB 25-1309 Defines "Gender-Affirming Care" Into State Statute and Prohibits Health Insurance Providers from Denying or Limiting Such Care Bill Passed - House (40 - 20)
March 26, 2025 KS SB 250 Establishes the Right to Try for Individualized Treatments Act Conference Report Adopted - House (119 - 3)
March 26, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - House (61 - 35)
March 26, 2025 IA HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
March 25, 2025 PA HB 618 Prohibits Health Insurers From Denying Coverage Based on Pre-Existing Health Conditions Bill Passed - House (125 - 77)
March 25, 2025 PA HB 755 Requires Health Insurers to Cover Preventative Care Without Cost Sharing Bill Passed - House (133 - 69)
March 25, 2025 PA HB 404 Authorizes Children to Remain on Their Parents' Health Insurance Until the Age of 26 Bill Passed - House (123 - 79)
March 25, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
March 25, 2025 PA HB 535 Prohibits Health Insurers From Placing Caps on Coverage Benefits Bill Passed - House (121 - 81)
March 21, 2025 NM SB 88 Establishes a Medicaid Trust Fund and a State Supported Medicaid Fund Bill Passed - House (52 - 13)
March 21, 2025 NM SB 221 Prohibits Additional Unfair Claims Practices Under New Mexico Insurance Code Bill Passed - House (57 - 4)
March 21, 2025 NM SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - House (46 - 17)
March 18, 2025 NM SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - House (61 - 6)
March 17, 2025 PA HB 111 Prohibits Life Insurers From Discriminating Against Applicants Based on a Prescription for an Opioid Overdose Reversal Agent Bill Passed - House (153 - 49)
March 15, 2025 NM HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - House (36 - 28)
March 13, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Concurrence Vote Passed - House (58 - 9)
March 10, 2025 OK HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Bill Passed - House (95 - 0)
March 3, 2025 OK HB 1160 Amends State Insurance Laws to Protect Policyholders in the Event of an Insurance Company's Insolvency Bill Passed - House (93 - 2)
Feb. 28, 2025 CO HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Concurrence Vote Passed - House (50 - 10)
Feb. 24, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
Feb. 21, 2025 NM HB 56 Authorizes Medicaid Reimbursements for Birth Centers Bill Passed - House (62 - 1)
Feb. 20, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
Feb. 19, 2025 ID H 138 Requires Policy Changes to State Medicaid Bill Passed - House (38 - 32)
Feb. 17, 2025 MT HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
Feb. 13, 2025 MT HB 342 Prohibits Juries from Calculating Malpractice Damages Based on Anything Other than the Standard of Care Bill Passed - House (57 - 42)
Feb. 11, 2025 ID H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - House (58 - 11)
Jan. 30, 2025 SD SB 30 Repeals Outdated Provisions Within the Insurance Code Bill Passed - House (52 - 14)
Jan. 22, 2025 NY S 929 Establishes the Health Information Privacy Act Bill Passed - House (96 - 41)
Date No. Title Outcome
12/17 HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
10/22 SB 378 Amends Medicaid Eligibility to Align with Federal Law Bill Passed - House (61 - 47)
9/18 HB 4734 Authorizes the Surrogate Medical Decision Makers Created Under HB 4418 to Consent to Medical Treatment on Behalf of a Patient Who Cannot Make Their Own Decisions Bill Passed - House (98 - 0)
9/18 HB 4713 Prohibits False Health Care Claims Bill Passed - House (101 - 2)
9/18 HB 4418 Amends and Enhances the Estates and Protected Individuals Code Bill Passed - House (98 - 0)
9/16 HB 4717 Establishes Another Tool or Option for Law Enforcement to Penalize Those Involved in Insurance Fraud Schemes Bill Passed - House (101 - 2)
9/16 HB 4718 Requires Insurers to Report Likely Fraud to DIFS Bill Passed - House (102 - 1)
9/10 SB 418 Prohibits Discrimination in Health Insurance Enrollment Bill Passed - House (60 - 18)
9/08 SB 306 Prohibits Insurers from Requiring Prior Authorization for Services Bill Passed - House (76 - 1)
9/03 SB 40 Prohibits Health Care Service Plans or Health Insurance Policies from Imposing Copays of Over $35 for a 30-Day Supply of Insulin Bill Passed - House (79 - 0)
6/26 SB 692 Requires Health Insurance Plans That Cover Pregnancy and Childbirth Expenses to Cover Doula Services Bill Passed - House (44 - 4)
6/17 LD 93 Expands the Universal Childhood Immunization Program to Cover Vaccines for Adults Concurrence Vote Passed - House (78 - 70)
6/10 HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Concurrence Vote Passed - House (96 - 1)
6/09 HF 1 Repeals MinnesotaCare Eligibility for Undocumented Immigrants Age 18 or Older Bill Passed - House (68 - 65)
6/08 SB 231 Reduces the Monetary Amount Plaintiffs Can Recover for Medical Expenses In An Auto Accident Lawsuit Bill Passed - House (81 - 15)
6/04 SB 100 Exempts Nonprofit Agricultural Membership Organizations From Insurance Regulations Bill Passed - House (90 - 3)
6/04 HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
6/01 SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
5/31 SB 128 Prohibits Health Insurers from Using or Relying on Artificial Intelligence to Deny a Request for Prior Authorization Bill Passed - House (23 - 16)
5/29 HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Veto Override Passed - House (83 - 3)
5/28 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
5/23 AB 555 Establishes Price Cap Provisions on Insulin Bill Passed - House (42 - 0)
5/14 SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
5/13 AB 23 Establishes a Palliative Care Council to Advise the Department of Health Services on Palliative Care Issues Bill Passed - House (96 - 1)
5/13 HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - House (63 - 28)
5/12 SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - House (75 - 15)
5/12 SB 1257 Requires Health Benefit Plans That Provide Coverage for Gender Transition Procedures to Additionally Cover All Possible Adverse Consequences of the Procedure, Follow-Up Testing, and Any Procedures to Reverse the Procedure Bill Passed - House (87 - 58)
5/08 HF 933 Establishes Pediatric Hospice Centers Concurrence Vote Passed - House (84 - 0)
5/07 HB 25-1309 Defines "Gender-Affirming Care" Into State Statute and Prohibits Health Insurance Providers from Denying or Limiting Such Care Concurrence Vote Passed - House (39 - 24)
5/07 SB 889 Requires Oklahoma Hospitals to Make Public Standard Treatment Costs Bill Passed - House (51 - 38)
5/06 SB 25-048 Requires Large-Group Health Insurance Plans in Colorado to Offer Consumers Plans that Cover Glucagon-like Peptide-1 medications, Known as GLP-1 Drugs, to Treat Obesity and Pre-Diabetes Bill Passed - House (41 - 24)
5/06 SB 25-071 Prohibits Pharmaceutical Companies from Restricting Hospitals' Use of the Federal 340B Prescription Drug Discount Program Bill Passed - House (57 - 8)
5/01 HB 25-1213 Amends Regulations Regarding Funding, Billing, and Reporting for Certain Healthcare and Managed Care Entities Concurrence Vote Passed - House (58 - 7)
4/29 HB 2076 Amends Statutes Related to Life Insurance Policies to Redefine the Term "Illustration" Concurrence Vote Passed - House (41 - 14)
4/28 HB 2693 Authorizes Insurance Companies and the Arizona Health Care Cost Containment System (AHCCCS) to Limit Coverage for Genetic Sequencing Concurrence Vote Passed - House (32 - 23)
4/28 HB 2449 Establishes New Enrollment Verification Requirements and Presumptive Eligibility Determinations for Arizona Health Care Cost Containment System (AHCCCS) Concurrence Vote Passed - House (32 - 23)
4/28 HB 496 Establishes Protections for Policyholders Against Any Rate Increases Tied to a Lapse in Auto Coverage Bill Passed - House (87 - 3)
4/28 HB 450 Repeals the Housley Presumption that says Courts Should Assume a Plaintiff's Injuries Resulted from the Accident in Question Bill Passed - House (68 - 24)
4/28 HB 434 Limits Bodily Injury Claims by Plaintiffs Who Did Not Carry Auto Insurance At The Time Of The Accident Bill Passed - House (76 - 14)
4/24 SB 140 Requires PBMs to Provide Adequate Coverage Networks, Prohibits Them From Steering Business to Their Own Affiliated Pharmacies, and Requires PBMs to Reimburse Independent Pharmacies at Cost, Plus a Dispensing Fee Conference Report Adopted - House (84 - 1)
4/24 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
4/16 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Bill Passed - House (55 - 37)
4/16 SB 444 Amends the Medical Ethics and Diversity Act Bill Passed - House (82 - 13)
4/16 SB 1626 Requires Health Insurance Companies to Notify Enrollees About Their Right to Dispute Surprise Out-of-Network Bills Bill Passed - House (50 - 5)
4/09 HB 35 Prohibits Health Insurance Companies from Relying Only on AI to Deny, Reduce, or Terminate Coverage for Patients Receiving Care Bill Passed - House (79 - 35)
4/08 SB 2 Establishes State Medicaid Restrictions Bill Passed - House (66 - 28)
4/08 HB 2805 Prohibits Insurance Co-Pays for Sexual Assault Exams Bill Passed - House (114 - 0)
4/06 HB 25-1309 Defines "Gender-Affirming Care" Into State Statute and Prohibits Health Insurance Providers from Denying or Limiting Such Care Bill Passed - House (40 - 20)
3/26 SB 250 Establishes the Right to Try for Individualized Treatments Act Conference Report Adopted - House (119 - 3)
3/26 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - House (61 - 35)
3/26 HF 571 Authorizes Medical Practitioners, Health Care Institutions, or Health Care Payors to Refuse to Participate in or Pay for a Health Care Service that Violates Their Conscience Bill Passed - House (64 - 32)
3/25 HB 618 Prohibits Health Insurers From Denying Coverage Based on Pre-Existing Health Conditions Bill Passed - House (125 - 77)
3/25 HB 755 Requires Health Insurers to Cover Preventative Care Without Cost Sharing Bill Passed - House (133 - 69)
3/25 HB 404 Authorizes Children to Remain on Their Parents' Health Insurance Until the Age of 26 Bill Passed - House (123 - 79)
3/25 HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
3/25 HB 535 Prohibits Health Insurers From Placing Caps on Coverage Benefits Bill Passed - House (121 - 81)
3/21 SB 88 Establishes a Medicaid Trust Fund and a State Supported Medicaid Fund Bill Passed - House (52 - 13)
3/21 SB 221 Prohibits Additional Unfair Claims Practices Under New Mexico Insurance Code Bill Passed - House (57 - 4)
3/21 SB 120 Prohibits Group Health Coverage that Offers Coverage of Behavioral Health Services from Imposing Cost Sharing on those Behavioral Health Services in Network Bill Passed - House (46 - 17)
3/18 SB 39 Prohibits Prior Authorization or Step Therapy Bill Passed - House (61 - 6)
3/17 HB 111 Prohibits Life Insurers From Discriminating Against Applicants Based on a Prescription for an Opioid Overdose Reversal Agent Bill Passed - House (153 - 49)
3/15 HB 78 Prohibits Discrimination Against 340B Entities Bill Passed - House (36 - 28)
3/13 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Concurrence Vote Passed - House (58 - 9)
3/10 HB 1389 Requires Mammograms and Other Breast Cancer Screenings to Be Covered by Health Insurance Bill Passed - House (95 - 0)
3/03 HB 1160 Amends State Insurance Laws to Protect Policyholders in the Event of an Insurance Company's Insolvency Bill Passed - House (93 - 2)
2/28 HB 25-1002 Requires Health Insurance Companies Cover Behavioral Health, Mental Health and Substance Use Disorder Treatment Concurrence Vote Passed - House (50 - 10)
2/24 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
2/21 HB 56 Authorizes Medicaid Reimbursements for Birth Centers Bill Passed - House (62 - 1)
2/20 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
2/19 H 138 Requires Policy Changes to State Medicaid Bill Passed - House (38 - 32)
2/17 HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
2/13 HB 342 Prohibits Juries from Calculating Malpractice Damages Based on Anything Other than the Standard of Care Bill Passed - House (57 - 42)
2/11 H 59 Authorizes Medical Practitioners to Refuse Services and Procedures they Don't Morally Agree With Bill Passed - House (58 - 11)
1/30 SB 30 Repeals Outdated Provisions Within the Insurance Code Bill Passed - House (52 - 14)
1/22 S 929 Establishes the Health Information Privacy Act Bill Passed - House (96 - 41)
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