H.R. 3590 (111th): Patient Protection and Affordable Care Act

This was a vote to pass H.R. 3590 (111th) in the Senate.

This is the Senate's health care bill. The bill started off with text regarding an unrelated matter but the Senate is co-opted this bill as a vehicle for passage of their reform and changed the text in whole to the health care bill. They do this because the Constitution requires all revenue bills to start in the House, and their health reform plan involves revenue. So they have chosen to work off of a bill that started in the House, even if that bill is unrelated.

Vote Outcome

Bill Passed. Simple Majority Required. Source: senate.gov.

The Yea votes represented 63% of the country’s population by apportioning each state’s population to its voting senators.

Ideology Vote Chart Democrat - Yea Republican - Nay

Seat position based on our ideology score.

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Vote Details

“Aye” and “Yea” mean the same thing, and so do “No” and “Nay”. Congress uses different words in different sorts of votes.

The U.S. Constitution says that bills should be decided on by the “yeas and nays” (Article I, Section 7). Congress takes this literally and uses “yea” and “nay” when voting on the final passage of bills.

All Senate votes use these words. But the House of Representatives uses “Aye” and “No” in other sorts of votes.

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Vote State Party Representative Score
Yea HI D Akaka, Daniel 0.264983310995
Yea MT D Baucus, Max 0.486697414179
Yea IN D Bayh, Evan 0.369666935849
Yea AK D Begich, Mark 0.248254809747
Yea CO D Bennet, Michael 0.281912015748
Yea NM D Bingaman, Jeff 0.292464451491
Yea CA D Boxer, Barbara 0.129451155072
Yea OH D Brown, Sherrod 0.0650776817406
Yea IL D Burris, Roland 0.207627733075
Yea WV D Byrd, Robert 0.392799295844
Yea WA D Cantwell, Maria 0.214671707815
Yea MD D Cardin, Benjamin 0.154194535014
Yea DE D Carper, Thomas 0.387815925444
Yea PA D Casey, Bob 0.135520099196
Yea ND D Conrad, Kent 0.469051341418
Yea CT D Dodd, Christopher 0.169371586077
Yea ND D Dorgan, Byron 0.438731741635
Yea IL D Durbin, Richard 0.115885241424
Yea WI D Feingold, Russell 0.212348477886
Yea CA D Feinstein, Dianne 0.236319465316
Yea MN D Franken, Al 0.181460466791
Yea NY D Gillibrand, Kirsten 0.0718964285071
Yea NC D Hagan, Kay 0.311096521533
Yea IA D Harkin, Tom 0.291393335959
Yea HI D Inouye, Daniel 0.24323492931
Yea SD D Johnson, Tim 0.382108461041
Yea DE D Kaufman, Edward 0.216110459356
Yea MA D Kerry, John 0.0575491136923
Yea MA D Kirk, Paul 0.24323492931
Yea MN D Klobuchar, Amy 0.199752905153
Yea WI D Kohl, Herb 0.302580739246
Yea LA D Landrieu, Mary 0.479684461925
Yea NJ D Lautenberg, Frank 0.0524296687695
Yea VT D Leahy, Patrick 0.164404272431
Yea MI D Levin, Carl 0.160618686797
Yea AR D Lincoln, Blanche 0.375308409599
Yea MO D McCaskill, Claire 0.317977718448
Yea NJ D Menendez, Bob 0.106031701813
Yea OR D Merkley, Jeff 0.13471631794
Yea MD D Mikulski, Barbara 0.164107012904
Yea WA D Murray, Patty 0.138535965366
Yea NE D Nelson, Ben 0.612090064042
Yea FL D Nelson, Bill 0.409734757648
Yea AR D Pryor, Mark 0.459424187898
Yea RI D Reed, Jack 0.182807197353
Yea NV D Reid, Harry 0.345482242862
Yea WV D Rockefeller, Jay 0.305818429525
Yea NY D Schumer, Chuck 0.0782226163368
Yea NH D Shaheen, Jeanne 0.242018416648
Yea PA D Specter, Arlen 0.363050393852
Yea MI D Stabenow, Debbie 0.164824545443
Yea MT D Tester, Jon 0.393213588907
Yea CO D Udall, Mark 0.314785716693
Yea NM D Udall, Tom 0.259796993959
Yea VA D Warner, Mark 0.318364713921
Yea VA D Webb, Jim 0.329699622144
Yea RI D Whitehouse, Sheldon 0.044702918711
Yea OR D Wyden, Ron 0.221501017953
Yea CT I Lieberman, Joseph 0.324630540511
Yea VT I Sanders, Bernie 0.0
Nay TN R Alexander, Lamar 0.755419788098
Nay WY R Barrasso, John 0.757166981467
Nay UT R Bennett, Robert 0.685800964882
Nay MO R Bond, Kit 0.649370082647
Nay KS R Brownback, Sam 0.817974350142
Nay NC R Burr, Richard 0.843722796604
Nay GA R Chambliss, Saxby 0.882763713457
Nay OK R Coburn, Thomas 1.0
Nay MS R Cochran, Thad 0.672756754284
Nay ME R Collins, Susan 0.37064587485
Nay TN R Corker, Bob 0.644144381176
Nay TX R Cornyn, John 0.869509472667
Nay ID R Crapo, Mike 0.81640433369
Nay SC R DeMint, Jim 0.996323537923
Nay NV R Ensign, John 0.86477191513
Nay WY R Enzi, Michael 0.85546340772
Nay SC R Graham, Lindsey 0.741744809804
Nay IA R Grassley, Chuck 0.653543251071
Nay NH R Gregg, Judd 0.609565798809
Nay UT R Hatch, Orrin 0.697676516742
Nay TX R Hutchison, Kay 0.716893814766
Nay OK R Inhofe, Jim 0.966692098035
Nay GA R Isakson, John 0.852814491171
Nay NE R Johanns, Mike 0.641135028574
Nay AZ R Kyl, Jon 0.857099897385
Nay FL R LeMieux, George 0.7577579975995
Nay IN R Lugar, Richard 0.437858527327
Nay AZ R McCain, John 0.674847561589
Nay KY R McConnell, Mitch 0.754181234677
Nay AK R Murkowski, Lisa 0.638186638481
Nay ID R Risch, James 0.7577579975995
Nay KS R Roberts, Pat 0.868547503403
Nay AL R Sessions, Jeff 0.879680598199
Nay AL R Shelby, Richard 0.7577579975995
Nay ME R Snowe, Olympia 0.358696210791
Nay SD R Thune, John 0.885442606765
Nay LA R Vitter, David 0.975780704682
Nay OH R Voinovich, George 0.568511876435
Nay MS R Wicker, Roger 0.758349013732
No Vote KY R Bunning, Jim 0.902838960871

Statistically Notable Votes

Statistically notable votes are the votes that are most surprising, or least predictable, given how other members of each voter’s party voted and other factors.

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Study Guide

How well do you understand this vote? Use this study guide to find out.

You can find answers to most of the questions below here on the vote page. For a guide to understanding the bill this vote was about, see here.

What was the procedure for this vote?

  1. What was this vote on?

Not all votes are meant to pass legislation. In the Senate some votes are not about legislation at all, since the Senate must vote to confirm presidential nominations to certain federal positions.

This vote is related to a bill. However, that doesn’t necessarily tell you what it is about. Congress makes many decisions in the process of passing legislation, such as on the procedures for debating the bill, whether to change the bill before voting on passage, and even whether to vote on passage at all.

You can learn more about the various motions used in Congress at EveryCRSReport.com. If you aren’t sure what the Senate was voting on, try seeing if it’s on this list.

Take a look at where this bill is in the legislative process. What might come next? Keep in mind what this specific vote was on, and the context of the bill. Will there be amendments? Will the other chamber of Congress vote on it, or let it die?

For this question it may help to briefly examine the bill itself.

What is your analysis of this vote?

  1. What trends do you see in this vote?

Members of Congress side together for many reasons beside being in the same political party, especially so for less prominent legislation or legislation specific to a certain region. What might have determined how the roll call came out in this case? Does it look like Members of Congress voted based on party, geography, or some other reason?

There are two votes here that should be more important to you than all the others. These are the votes cast by your senators, which are meant to represent you and your community. Do you agree with how your senators voted? Why do you think they voted the way they did?

If you don’t already know who your Members of Congress are you can find them by entering your address here.

GovTrack displays the percentage of the United States population represented by the yeas on some Senate votes just under the vote totals. We do this to highlight how the people of the United States are represented in the Senate. Since each state has two senators, but state populations vary significantly, the individuals living in each state have different Senate representation. For example, California’s population of near 40 million is given the same number of senators as Wyoming’s population of about 600,000.

Do the senators who voted yea represent a majority of the people of the United States? Does it matter?

Each vote’s study guide is a little different — we automatically choose which questions to include based on the information we have available about the vote. Study guides are a new feature to GovTrack. You can help us improve them by filling out this survey or by sending your feedback to hello@govtrack.us.

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