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.


results per page:
Date State Bill No. Title Outcome
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 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 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 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". Joint Resolution Passed - Senate (49 - 46)
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)
Date No. Title Outcome
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 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 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 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". Joint Resolution Passed - Senate (49 - 46)
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)

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