How Americans access and pay for healthcare is one of the most consequential policy debates in the country.
Healthcare policy shapes how over 330 million Americans access medical care and who pays for it. Some believe the government should guarantee coverage for all through expanded programs like Medicare and Medicaid, ensuring no one is left without care. Others believe private markets and competition are the most effective way to drive down costs and improve quality, with the government playing a limited role.
Higher scores (+) — Voted to expand government healthcare programs — supporting ACA protections, Medicaid expansion, or Medicare negotiation.
Lower scores (−) — Voted to reduce government's role in healthcare — opposing ACA provisions, Medicaid expansion, or new mandates.
Recent legislation that contributed to politician scores on this issue:
Republicans passed multiple repeal bills in the House; the Senate effort failed by one vote (the 'skinny repeal').
Allowed Medicare to negotiate prescription drug prices for the first time, capped insulin costs at $35.
Banned unexpected out-of-network medical bills. Passed with bipartisan support.
Every score in PartyLine is based on official roll call records. You can cross-check any vote on GovTrack or Congress.gov.
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