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2026 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:
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Date State Bill No. Title Outcome
April 23, 2026 National HR 5587 Harnessing Energy At Thermal Sources (HEATS) Act Bill Passed - House (231 - 186)
April 22, 2026 National HR 6387 Fire Improvement and Reforming Exceptional Events (FIRE) Act Bill Passed - House (220 - 198)
April 22, 2026 National HR 4690 Reliable Federal Infrastructure Act Bill Passed - House (215 - 202)
April 21, 2026 National HR 2493 Improving Care in Rural America Reauthorization Act of 2025 Bill Passed - House (406 - 4)
April 16, 2026 National HR 6409 Foreign Emissions and Nonattainment Clarification for Economic Stability (FENCES) Act Bill Passed - House (220 - 208)
April 16, 2026 National HR 6398 Reducing and Eliminating Duplicative Environmental Regulations (RED Tape) Act Bill Passed - House (222 - 205)
March 24, 2026 National HR 6422 American Water Stewardship Act Bill Passed - House (378 - 32)
March 18, 2026 National HR 556 Protecting Access for Hunters and Anglers Act Bill Passed - House (215 - 202)
March 17, 2026 National HR 4294 Mitigation Action and Watermen Support (MAWS) Act of 2026 Bill Passed - House (320 - 66)
Feb. 24, 2026 National HR 4626 Don't Mess With My Home Appliances Act Bill Passed - House (217 - 190)
Feb. 11, 2026 National S 1383 Veterans Accessibility Advisory Committee Act of 2025 Bill Passed - House (218 - 213)
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. 8, 2026 National HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Bill Passed - House (397 - 28)
Date No. Title Outcome
4/23 HR 5587 Harnessing Energy At Thermal Sources (HEATS) Act Bill Passed - House (231 - 186)
4/22 HR 6387 Fire Improvement and Reforming Exceptional Events (FIRE) Act Bill Passed - House (220 - 198)
4/22 HR 4690 Reliable Federal Infrastructure Act Bill Passed - House (215 - 202)
4/21 HR 2493 Improving Care in Rural America Reauthorization Act of 2025 Bill Passed - House (406 - 4)
4/16 HR 6409 Foreign Emissions and Nonattainment Clarification for Economic Stability (FENCES) Act Bill Passed - House (220 - 208)
4/16 HR 6398 Reducing and Eliminating Duplicative Environmental Regulations (RED Tape) Act Bill Passed - House (222 - 205)
3/24 HR 6422 American Water Stewardship Act Bill Passed - House (378 - 32)
3/18 HR 556 Protecting Access for Hunters and Anglers Act Bill Passed - House (215 - 202)
3/17 HR 4294 Mitigation Action and Watermen Support (MAWS) Act of 2026 Bill Passed - House (320 - 66)
2/24 HR 4626 Don't Mess With My Home Appliances Act Bill Passed - House (217 - 190)
2/11 S 1383 Veterans Accessibility Advisory Committee Act of 2025 Bill Passed - House (218 - 213)
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)
1/08 HR 6938 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Bill Passed - House (397 - 28)
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