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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
May 14, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
May 14, 2025 IA HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - Senate (31 - 15)
May 13, 2025 IA SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - Senate (33 - 13)
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 8, 2025 IA HF 933 Establishes Pediatric Hospice Centers Concurrence Vote Passed - House (84 - 0)
April 28, 2025 IA SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
April 23, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
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 IA SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
March 25, 2025 IA HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
April 27, 2019 IA HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
May 23, 2013 IA SF 446 2013-2014 Health and Human Services Budget Conference Report Adopted - House (80 - 17)
May 22, 2013 IA SF 446 2013-2014 Health and Human Services Budget Conference Report Adopted - Senate (26 - 24)
May 1, 2013 IA SF 446 2013-2014 Health and Human Services Budget Bill Passed - House (52 - 46)
Feb. 2, 2011 IA HF 111 Purchase of Health Care Bill Passed - House (59 - 39)
Date No. Title Outcome
5/14 SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - House (56 - 30)
5/14 HF 1049 Increases Medicaid Beneficiaries' Monthly Personal Needs Allowance from $50 to $55 Each Month Bill Passed - Senate (31 - 15)
5/13 SF 615 Extends and Expands Medicaid Work Requirements Concurrence Vote Passed - Senate (33 - 13)
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)
5/08 HF 933 Establishes Pediatric Hospice Centers Concurrence Vote Passed - House (84 - 0)
4/28 SF 383 Establishes New Standards for Pharmacy Benefit Managers Bill Passed - Senate (36 - 14)
4/23 HF 933 Establishes Pediatric Hospice Centers Bill Passed - Senate (47 - 0)
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 SF 615 Extends and Expands Medicaid Work Requirements Bill Passed - Senate (33 - 15)
3/25 HF 933 Establishes Pediatric Hospice Centers Bill Passed - House (97 - 0)
4/27 HF 732 Increases THC Allowance for Medical Marijuana Bill Passed - Senate (40 - 7)
5/23 SF 446 2013-2014 Health and Human Services Budget Conference Report Adopted - House (80 - 17)
5/22 SF 446 2013-2014 Health and Human Services Budget Conference Report Adopted - Senate (26 - 24)
5/01 SF 446 2013-2014 Health and Human Services Budget Bill Passed - House (52 - 46)
2/02 HF 111 Purchase of Health Care Bill Passed - House (59 - 39)
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