National Health and Health Care 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
Feb. 11, 2026 National S 1383 Veterans Accessibility Advisory Committee Act of 2025 Bill Passed - House (218 - 213)
Jan. 27, 2026 National S 3627 Pregnant Students' Rights Act Cloture Not Invoked - Senate (47 - 45)
Jan. 22, 2026 National HR 6359 Pregnant Students' Rights Act Bill Passed - House (217 - 211)
Jan. 21, 2026 National HR 6945 Supporting Pregnant and Parenting Women and Families Act Bill Passed - House (215 - 209)
Jan. 15, 2026 National HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Bill Passed - Senate (82 - 15)
Jan. 15, 2026 National HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Cloture Invoked - Senate (85 - 14)
Jan. 13, 2026 National S J Res 84 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability" Motion Rejected - Senate (47 - 52)
Jan. 13, 2026 National S J Res 84 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability" Motion Rejected - Senate (47 - 52)
Jan. 12, 2026 National HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Cloture Invoked - Senate (80 - 13)
Jan. 8, 2026 National HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Bill Passed - House (397 - 28)
Jan. 7, 2026 National S J Res 86 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Air Plan Approval; South Dakota; Regional Haze Plan for the Second Implementation Period" Motion Rejected - Senate (43 - 50)
Jan. 6, 2026 National PN 373 Nomination of Sara Bailey to be Director of National Drug Control Policy Nomination Confirmed - Senate (52 - 48)
Dec. 18, 2025 National S J Res 82 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Office of the Secretary of the Department of Health and Human Services relating to "Policy on Adhering to the Text of the Administrative Procedure Act". Joint Resolution Failed - Senate (50 - 50)
Dec. 18, 2025 National PN 373 Nomination of Sara Bailey to be Director of National Drug Control Policy Cloture Invoked - Senate (51 - 42)
Dec. 18, 2025 National HR 498 Do No Harm in Medicaid Act Bill Passed - House (215 - 201)
Dec. 18, 2025 National HR 4776 Standardizing Permitting and Expediting Economic Development (SPEED) Act Bill Passed - House (221 - 196)
Dec. 17, 2025 National HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
Dec. 17, 2025 National HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
Dec. 12, 2025 National HR 3668 Improving Interagency Coordination for Pipeline Reviews Act Bill Passed - House (213 - 184)
Dec. 11, 2025 National S 3385 Lower Health Care Costs Act Cloture Invoked - Senate (51 - 48)
Dec. 11, 2025 National S 3386 Health Care Freedom for Patients Act of 2025 Cloture Invoked - Senate (51 - 48)
Dec. 10, 2025 National S J Res 82 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Office of the Secretary of the Department of Health and Human Services relating to "Policy on Adhering to the Text of the Administrative Procedure Act". Motion Agreed - Senate (50 - 49)
Nov. 19, 2025 National S J Res 76 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Extension of Deadlines in Standards of Performance for New, Reconstructed, and Modified Sources and Emissions Guidelines for Existing Sources: Oil and Natural Gas Sector Climate Review Final Rule" Motion Rejected - Senate (46 - 51)
Nov. 18, 2025 National S J Res 80 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "National Petroleum Reserve in Alaska Integrated Activity Plan Record of Decision". Joint Resolution Passed - House (216 - 209)
Oct. 30, 2025 National S J Res 80 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "National Petroleum Reserve in Alaska Integrated Activity Plan Record of Decision". Joint Resolution Passed - Senate (52 - 45)
Oct. 29, 2025 National S J Res 80 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "National Petroleum Reserve in Alaska Integrated Activity Plan Record of Decision". Motion Agreed - Senate (54 - 46)
Oct. 9, 2025 National H J Res 106 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "Central Yukon Record of Decision and Approved Resource Management Plan". Motion Agreed - Senate (50 - 47)
Oct. 8, 2025 National H J Res 105 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "North Dakota Field Office Record of Decision and Approved Resource Management Plan". Joint Resolution Passed - Senate (50 - 45)
Oct. 8, 2025 National H J Res 105 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "North Dakota Field Office Record of Decision and Approved Resource Management Plan". Motion Agreed - Senate (51 - 47)
Oct. 7, 2025 National H J Res 104 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "Miles City Field Office Record of Decision and Approved Resource Management Plan Amendment". Motion Agreed - Senate (50 - 47)
Sept. 16, 2025 National S J Res 60 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Emissions Budget and Allowance Allocations for Indiana Under the Revised Cross-State Air Pollution Rule Update". Motion Rejected - Senate (47 - 51)
Sept. 15, 2025 National HR 3400 Territorial Response and Access to Veterans' Essential Lifecare (TRAVEL) Act of 2025 Bill Passed - House (371 - 21)
Sept. 3, 2025 National H J Res 106 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "Central Yukon Record of Decision and Approved Resource Management Plan". Joint Resolution Passed - House (215 - 210)
Sept. 3, 2025 National H J Res 105 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "North Dakota Field Office Record of Decision and Approved Resource Management Plan". Joint Resolution Passed - House (215 - 211)
Sept. 3, 2025 National H J Res 104 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "Miles City Field Office Record of Decision and Approved Resource Management Plan Amendment". Joint Resolution Passed - House (211 - 208)
Sept. 2, 2025 National HR 747 Stop Chinese Fentanyl Act of 2025 Bill Passed - House (407 - 4)
Aug. 2, 2025 National PN 25-16 Nomination of Catherine Hanson to be Chief Financial Officer of the Environmental Protection Agency Nomination Confirmed - Senate (50 - 45)
July 29, 2025 National PN 60-14 Nomination of Susan Monarez to be Director of the Centers for Disease Control and Prevention Nomination Confirmed - Senate (51 - 47)
July 29, 2025 National PN 60-14 Nomination of Susan Monarez to be Director of the Centers for Disease Control and Prevention Cloture Invoked - Senate (52 - 47)
July 23, 2025 National PN 25-53 Nomination of Aaron Szabo to be an Assistant Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (49 - 47)
July 23, 2025 National PN 25-53 Nomination of Aaron Szabo to be an Assistant Administrator of the Environmental Protection Agency Cloture Invoked - Senate (48 - 47)
July 22, 2025 National PN 26-11 Nomination of Terrance Cole to be Administrator of Drug Enforcement Nomination Confirmed - Senate (50 - 47)
July 22, 2025 National HR 1917 Great Lakes Mass Marking Program Act Bill Passed - House (360 - 57)
July 21, 2025 National PN 26-11 Nomination of Terrance Cole to be Administrator of Drug Enforcement Cloture Invoked - Senate (44 - 43)
July 14, 2025 National S 1596 Jocelyn Nungaray National Wildlife Refuge Act Bill Passed - House (372 - 0)
July 3, 2025 National HR 1 One Big Beautiful Bill Act Concurrence Vote Passed - House (218 - 214)
July 1, 2025 National HR 1 One Big Beautiful Bill Act Bill Passed - Senate (51 - 50)
June 28, 2025 National HR 1 One Big Beautiful Bill Act Motion Agreed - Senate (51 - 49)
June 17, 2025 National PN 25-1 Nomination of Gary Andres to be an Assistant Secretary of Health and Human Services Nomination Confirmed - Senate (57 - 40)
June 16, 2025 National PN 25-1 Nomination of Gary Andres to be an Assistant Secretary of Health and Human Services Cloture Invoked - Senate (44 - 33)
June 12, 2025 National S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Bill Passed - House (321 - 104)
June 10, 2025 National PN 13-6 Nomination of David Fotouhi to be Deputy Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (53 - 41)
June 9, 2025 National PN 13-6 Nomination of David Fotouhi to be Deputy Administrator of the Environmental Protection Agency Cloture Invoked - Senate (53 - 43)
June 5, 2025 National PN 12-33 Nomination of James O'Neill to be Deputy Secretary of Health and Human Services Nomination Confirmed - Senate (52 - 43)
June 4, 2025 National PN 12-33 Nomination of James O'Neill to be Deputy Secretary of Health and Human Services Cloture Invoked - Senate (51 - 46)
June 4, 2025 National HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
June 4, 2025 National HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
May 22, 2025 National H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (51 - 44)
May 22, 2025 National S J Res 31 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Joint Resolution Passed - House (216 - 212)
May 22, 2025 National H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (49 - 46)
May 22, 2025 National H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (51 - 45)
May 22, 2025 National H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Motion Agreed - Senate (51 - 46)
May 22, 2025 National H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Motion Agreed - Senate (51 - 46)
May 22, 2025 National HR 1 One Big Beautiful Bill Act Bill Passed - House (215 - 214)
May 21, 2025 National H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Cloture Invoked - Senate (51 - 46)
May 19, 2025 National HR 1286 Simplifying Forms for Veterans Claims Act Bill Passed - House (386 - 1)
May 15, 2025 National PN 25-11 Nomination of Sean Donahue to be an Assistant Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (51 - 46)
May 14, 2025 National PN 25-11 Nomination of Sean Donahue to be an Assistant Administrator of the Environmental Protection Agency Cloture Invoked - Senate (52 - 47)
May 14, 2025 National HR 2215 Salem Maritime National Historical Park Redesignation and Boundary Study Act Bill Passed - House (382 - 31)
May 8, 2025 National H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Joint Resolution Passed - Senate (50 - 43)
May 7, 2025 National HR 1503 Stop Forced Organ Harvesting Act of 2025 Bill Passed - House (406 - 1)
May 6, 2025 National H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Motion Agreed - Senate (53 - 47)
May 5, 2025 National H J Res 61 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing". Motion Agreed - Senate (51 - 43)
May 1, 2025 National S J Res 31 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Joint Resolution Passed - Senate (52 - 46)
May 1, 2025 National H J Res 78 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the United States Fish and Wildlife Service relating to "Endangered and Threatened Wildlife and Plants; Endangered Species Status for the San Francisco Bay-Delta Distinct Population Segment of the Longfin Smelt". Joint Resolution Passed - House (216 - 195)
May 1, 2025 National H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - House (246 - 164)
April 30, 2025 National S J Res 31 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Motion Agreed - Senate (52 - 40)
April 30, 2025 National H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - House (225 - 196)
April 30, 2025 National H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - House (231 - 191)
April 29, 2025 National H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Joint Resolution Passed - House (219 - 205)
April 29, 2025 National HR 1442 Youth Poisoning Protection Act Bill Passed - House (378 - 42)
April 10, 2025 National H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Joint Resolution Passed - Senate (53 - 44)
April 9, 2025 National H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Motion Agreed - Senate (52 - 46)
April 7, 2025 National HR 586 Vietnam Veterans Liver Fluke Cancer Study Act Bill Passed - House (411 - 0)
April 1, 2025 National HR 1491 Disaster Related Extension of Deadlines Act Bill Passed - House (423 - 0)
March 31, 2025 National HR 517 Filing Relief for Natural Disasters Act Bill Passed - House (388 - 0)
March 25, 2025 National PN 12-28 Nomination of Martin Makary to be Commissioner of Food and Drugs in the Department of Health and Human Services Nomination Confirmed - Senate (56 - 44)
March 25, 2025 National PN 12-2 Nomination of Jayanta Bhattacharya to be Director of the National Institutes of Health Nomination Confirmed - Senate (53 - 47)
March 25, 2025 National PN 12-28 Nomination of Martin Makary to be Commissioner of Food and Drugs in the Department of Health and Human Services Cloture Invoked - Senate (56 - 44)
March 25, 2025 National PN 12-2 Nomination of Jayanta Bhattacharya to be Director of the National Institutes of Health Cloture Invoked - Senate (53 - 46)
March 14, 2025 National S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Bill Passed - Senate (84 - 15)
March 6, 2025 National S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Ocean Energy Management relating to "Protection of Marine Archaeological Resources". Joint Resolution Passed - House (221 - 202)
March 6, 2025 National S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Cloture Invoked - Senate (82 - 12)
March 5, 2025 National H J Res 61 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing". Joint Resolution Passed - House (216 - 202)
Feb. 27, 2025 National H J Res 35 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Joint Resolution Passed - Senate (52 - 47)
Feb. 27, 2025 National H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Joint Resolution Passed - House (221 - 198)
Feb. 26, 2025 National S J Res 12 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Motion Agreed - Senate (52 - 47)
Feb. 26, 2025 National H J Res 35 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Joint Resolution Passed - House (220 - 206)
Feb. 25, 2025 National S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Ocean Energy Management relating to "Protection of Marine Archaeological Resources". Joint Resolution Passed - Senate (54 - 42)
Feb. 13, 2025 National PN 11-8 Nomination of Robert F. Kennedy Jr. to be Secretary of Health and Human Services Nomination Confirmed - Senate (52 - 48)
Date No. Title Outcome
2/11 S 1383 Veterans Accessibility Advisory Committee Act of 2025 Bill Passed - House (218 - 213)
1/27 S 3627 Pregnant Students' Rights Act Cloture Not Invoked - Senate (47 - 45)
1/22 HR 6359 Pregnant Students' Rights Act Bill Passed - House (217 - 211)
1/21 HR 6945 Supporting Pregnant and Parenting Women and Families Act Bill Passed - House (215 - 209)
1/15 HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Bill Passed - Senate (82 - 15)
1/15 HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Cloture Invoked - Senate (85 - 14)
1/13 S J Res 84 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability" Motion Rejected - Senate (47 - 52)
1/13 S J Res 84 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability" Motion Rejected - Senate (47 - 52)
1/12 HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Cloture Invoked - Senate (80 - 13)
1/08 HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Bill Passed - House (397 - 28)
1/07 S J Res 86 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Air Plan Approval; South Dakota; Regional Haze Plan for the Second Implementation Period" Motion Rejected - Senate (43 - 50)
1/06 PN 373 Nomination of Sara Bailey to be Director of National Drug Control Policy Nomination Confirmed - Senate (52 - 48)
12/18 S J Res 82 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Office of the Secretary of the Department of Health and Human Services relating to "Policy on Adhering to the Text of the Administrative Procedure Act". Joint Resolution Failed - Senate (50 - 50)
12/18 PN 373 Nomination of Sara Bailey to be Director of National Drug Control Policy Cloture Invoked - Senate (51 - 42)
12/18 HR 498 Do No Harm in Medicaid Act Bill Passed - House (215 - 201)
12/18 HR 4776 Standardizing Permitting and Expediting Economic Development (SPEED) Act Bill Passed - House (221 - 196)
12/17 HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
12/17 HR 6703 Lower Health Care Premiums for All Americans Act Bill Passed - House (216 - 211)
12/12 HR 3668 Improving Interagency Coordination for Pipeline Reviews Act Bill Passed - House (213 - 184)
12/11 S 3385 Lower Health Care Costs Act Cloture Invoked - Senate (51 - 48)
12/11 S 3386 Health Care Freedom for Patients Act of 2025 Cloture Invoked - Senate (51 - 48)
12/10 S J Res 82 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Office of the Secretary of the Department of Health and Human Services relating to "Policy on Adhering to the Text of the Administrative Procedure Act". Motion Agreed - Senate (50 - 49)
11/19 S J Res 76 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Extension of Deadlines in Standards of Performance for New, Reconstructed, and Modified Sources and Emissions Guidelines for Existing Sources: Oil and Natural Gas Sector Climate Review Final Rule" Motion Rejected - Senate (46 - 51)
11/18 S J Res 80 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "National Petroleum Reserve in Alaska Integrated Activity Plan Record of Decision". Joint Resolution Passed - House (216 - 209)
10/30 S J Res 80 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "National Petroleum Reserve in Alaska Integrated Activity Plan Record of Decision". Joint Resolution Passed - Senate (52 - 45)
10/29 S J Res 80 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "National Petroleum Reserve in Alaska Integrated Activity Plan Record of Decision". Motion Agreed - Senate (54 - 46)
10/09 H J Res 106 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "Central Yukon Record of Decision and Approved Resource Management Plan". Motion Agreed - Senate (50 - 47)
10/08 H J Res 105 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "North Dakota Field Office Record of Decision and Approved Resource Management Plan". Joint Resolution Passed - Senate (50 - 45)
10/08 H J Res 105 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "North Dakota Field Office Record of Decision and Approved Resource Management Plan". Motion Agreed - Senate (51 - 47)
10/07 H J Res 104 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "Miles City Field Office Record of Decision and Approved Resource Management Plan Amendment". Motion Agreed - Senate (50 - 47)
9/16 S J Res 60 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Emissions Budget and Allowance Allocations for Indiana Under the Revised Cross-State Air Pollution Rule Update". Motion Rejected - Senate (47 - 51)
9/15 HR 3400 Territorial Response and Access to Veterans' Essential Lifecare (TRAVEL) Act of 2025 Bill Passed - House (371 - 21)
9/03 H J Res 106 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "Central Yukon Record of Decision and Approved Resource Management Plan". Joint Resolution Passed - House (215 - 210)
9/03 H J Res 105 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "North Dakota Field Office Record of Decision and Approved Resource Management Plan". Joint Resolution Passed - House (215 - 211)
9/03 H J Res 104 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Land Management relating to "Miles City Field Office Record of Decision and Approved Resource Management Plan Amendment". Joint Resolution Passed - House (211 - 208)
9/02 HR 747 Stop Chinese Fentanyl Act of 2025 Bill Passed - House (407 - 4)
8/02 PN 25-16 Nomination of Catherine Hanson to be Chief Financial Officer of the Environmental Protection Agency Nomination Confirmed - Senate (50 - 45)
7/29 PN 60-14 Nomination of Susan Monarez to be Director of the Centers for Disease Control and Prevention Nomination Confirmed - Senate (51 - 47)
7/29 PN 60-14 Nomination of Susan Monarez to be Director of the Centers for Disease Control and Prevention Cloture Invoked - Senate (52 - 47)
7/23 PN 25-53 Nomination of Aaron Szabo to be an Assistant Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (49 - 47)
7/23 PN 25-53 Nomination of Aaron Szabo to be an Assistant Administrator of the Environmental Protection Agency Cloture Invoked - Senate (48 - 47)
7/22 PN 26-11 Nomination of Terrance Cole to be Administrator of Drug Enforcement Nomination Confirmed - Senate (50 - 47)
7/22 HR 1917 Great Lakes Mass Marking Program Act Bill Passed - House (360 - 57)
7/21 PN 26-11 Nomination of Terrance Cole to be Administrator of Drug Enforcement Cloture Invoked - Senate (44 - 43)
7/14 S 1596 Jocelyn Nungaray National Wildlife Refuge Act Bill Passed - House (372 - 0)
7/03 HR 1 One Big Beautiful Bill Act Concurrence Vote Passed - House (218 - 214)
7/01 HR 1 One Big Beautiful Bill Act Bill Passed - Senate (51 - 50)
6/28 HR 1 One Big Beautiful Bill Act Motion Agreed - Senate (51 - 49)
6/17 PN 25-1 Nomination of Gary Andres to be an Assistant Secretary of Health and Human Services Nomination Confirmed - Senate (57 - 40)
6/16 PN 25-1 Nomination of Gary Andres to be an Assistant Secretary of Health and Human Services Cloture Invoked - Senate (44 - 33)
6/12 S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Bill Passed - House (321 - 104)
6/10 PN 13-6 Nomination of David Fotouhi to be Deputy Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (53 - 41)
6/09 PN 13-6 Nomination of David Fotouhi to be Deputy Administrator of the Environmental Protection Agency Cloture Invoked - Senate (53 - 43)
6/05 PN 12-33 Nomination of James O'Neill to be Deputy Secretary of Health and Human Services Nomination Confirmed - Senate (52 - 43)
6/04 PN 12-33 Nomination of James O'Neill to be Deputy Secretary of Health and Human Services Cloture Invoked - Senate (51 - 46)
6/04 HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
6/04 HR 2483 SUPPORT for Patients and Communities Reauthorization Act Bill Passed - House (366 - 57)
5/22 H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (51 - 44)
5/22 S J Res 31 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Joint Resolution Passed - House (216 - 212)
5/22 H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (49 - 46)
5/22 H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - Senate (51 - 45)
5/22 H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Motion Agreed - Senate (51 - 46)
5/22 H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Motion Agreed - Senate (51 - 46)
5/22 HR 1 One Big Beautiful Bill Act Bill Passed - House (215 - 214)
5/21 H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Cloture Invoked - Senate (51 - 46)
5/19 HR 1286 Simplifying Forms for Veterans Claims Act Bill Passed - House (386 - 1)
5/15 PN 25-11 Nomination of Sean Donahue to be an Assistant Administrator of the Environmental Protection Agency Nomination Confirmed - Senate (51 - 46)
5/14 PN 25-11 Nomination of Sean Donahue to be an Assistant Administrator of the Environmental Protection Agency Cloture Invoked - Senate (52 - 47)
5/14 HR 2215 Salem Maritime National Historical Park Redesignation and Boundary Study Act Bill Passed - House (382 - 31)
5/08 H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Joint Resolution Passed - Senate (50 - 43)
5/07 HR 1503 Stop Forced Organ Harvesting Act of 2025 Bill Passed - House (406 - 1)
5/06 H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Motion Agreed - Senate (53 - 47)
5/05 H J Res 61 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing". Motion Agreed - Senate (51 - 43)
5/01 S J Res 31 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Joint Resolution Passed - Senate (52 - 46)
5/01 H J Res 78 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the United States Fish and Wildlife Service relating to "Endangered and Threatened Wildlife and Plants; Endangered Species Status for the San Francisco Bay-Delta Distinct Population Segment of the Longfin Smelt". Joint Resolution Passed - House (216 - 195)
5/01 H J Res 88 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Advanced Clean Cars II; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - House (246 - 164)
4/30 S J Res 31 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Review of Final Rule Reclassification of Major Sources as Area Sources Under Section 112 of the Clean Air Act". Motion Agreed - Senate (52 - 40)
4/30 H J Res 89 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine and Nonroad Engine Pollution Control Standards; The 'Omnibus' Low NOX Regulation; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - House (225 - 196)
4/30 H J Res 87 Providing congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "California State Motor Vehicle and Engine Pollution Control Standards; Heavy-Duty Vehicle and Engine Emission Warranty and Maintenance Provisions; Advanced Clean Trucks; Zero Emission Airport Shuttle; Zero-Emission Power Train Certification; Waiver of Preemption; Notice of Decision". Joint Resolution Passed - House (231 - 191)
4/29 H J Res 60 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Park Service relating to "Glen Canyon National Recreation Area: Motor Vehicles". Joint Resolution Passed - House (219 - 205)
4/29 HR 1442 Youth Poisoning Protection Act Bill Passed - House (378 - 42)
4/10 H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Joint Resolution Passed - Senate (53 - 44)
4/09 H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Motion Agreed - Senate (52 - 46)
4/07 HR 586 Vietnam Veterans Liver Fluke Cancer Study Act Bill Passed - House (411 - 0)
4/01 HR 1491 Disaster Related Extension of Deadlines Act Bill Passed - House (423 - 0)
3/31 HR 517 Filing Relief for Natural Disasters Act Bill Passed - House (388 - 0)
3/25 PN 12-28 Nomination of Martin Makary to be Commissioner of Food and Drugs in the Department of Health and Human Services Nomination Confirmed - Senate (56 - 44)
3/25 PN 12-2 Nomination of Jayanta Bhattacharya to be Director of the National Institutes of Health Nomination Confirmed - Senate (53 - 47)
3/25 PN 12-28 Nomination of Martin Makary to be Commissioner of Food and Drugs in the Department of Health and Human Services Cloture Invoked - Senate (56 - 44)
3/25 PN 12-2 Nomination of Jayanta Bhattacharya to be Director of the National Institutes of Health Cloture Invoked - Senate (53 - 46)
3/14 S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Bill Passed - Senate (84 - 15)
3/06 S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Ocean Energy Management relating to "Protection of Marine Archaeological Resources". Joint Resolution Passed - House (221 - 202)
3/06 S 331 Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) Cloture Invoked - Senate (82 - 12)
3/05 H J Res 61 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "National Emission Standards for Hazardous Air Pollutants: Rubber Tire Manufacturing". Joint Resolution Passed - House (216 - 202)
2/27 H J Res 35 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Joint Resolution Passed - Senate (52 - 47)
2/27 H J Res 20 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Energy relating to "Energy Conservation Program: Energy Conservation Standards for Consumer Gas-fired Instantaneous Water Heaters" Joint Resolution Passed - House (221 - 198)
2/26 S J Res 12 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Motion Agreed - Senate (52 - 47)
2/26 H J Res 35 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Waste Emissions Charge for Petroleum and Natural Gas Systems: Procedures for Facilitating Compliance, Including Netting and Exemptions". Joint Resolution Passed - House (220 - 206)
2/25 S J Res 11 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Ocean Energy Management relating to "Protection of Marine Archaeological Resources". Joint Resolution Passed - Senate (54 - 42)
2/13 PN 11-8 Nomination of Robert F. Kennedy Jr. to be Secretary of Health and Human Services Nomination Confirmed - Senate (52 - 48)

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