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2025 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
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 3386 Health Care Freedom for Patients Act of 2025 Cloture Invoked - Senate (51 - 48)
Dec. 11, 2025 National S 3385 Lower Health Care Costs Act 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 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. 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 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. 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 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 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)
Date No. Title Outcome
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 3386 Health Care Freedom for Patients Act of 2025 Cloture Invoked - Senate (51 - 48)
12/11 S 3385 Lower Health Care Costs Act 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 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)
9/03 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 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)
9/02 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 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 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)
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