U.S. Senate · April 22, 2026

Roll call 91 · 119th Congress, session 2

S.Amdt. 4897 — To create a point of order against reconciliation legislation fails to address the practice of insurance companies stepping between patients and their doctors to delay or deny access to care.

A vote to set aside an objection that the measure breaks a budget rule A senator objected that the measure spends or cuts more than the budget allows. Sixty votes set that objection aside; fewer, and the measure is stopped by the objection without a vote on what it would do.

Blocked

49 yes 49 no

The Senate said no · recorded as “Motion Rejected”

Needed three-fifths (60 of 100 senators), the bar for ending debate.

Yea: 49 Nay: 49 Not Voting: 2 100 members

What was being voted on

119-SAMDT-4897 — To create a point of order against reconciliation legislation fails to address the practice of insurance companies stepping between patients and their doctors to delay or deny access to care.

SA 4897, proposed by Mr. Ossoff, aims to add a new section to title IV of S. Con. Res. 33. The purpose of this amendment is to create a point of order in the Senate. This means it would stop the consideration of certain bills, joint resolutions, amendments, or conference reports if they do not hold health insurance companies accountable for improperly delaying or denying medically necessary health care.

Where the votes came from

The buttons outline the members the breakdown below talks about.

How each senator votedFailed 49–49.Lisa Murkowski (R-AK) · No; Dan Sullivan (R-AK) · YesKatie Britt (R-AL) · No; Tommy Tuberville (R-AL) · NoJohn Boozman (R-AR) · No; Tom Cotton (R-AR) · NoRuben Gallego (D-AZ) · Yes; Mark Kelly (D-AZ) · YesAlex Padilla (D-CA) · Yes; Adam Schiff (D-CA) · YesMichael Bennet (D-CO) · Yes; John Hickenlooper (D-CO) · YesRichard Blumenthal (D-CT) · Yes; Christopher Murphy (D-CT) · YesLisa Blunt Rochester (D-DE) · Yes; Christopher Coons (D-DE) · YesAshley Moody (R-FL) · No; Rick Scott (R-FL) · NoJon Ossoff (D-GA) · Yes; Raphael Warnock (D-GA) · YesMazie Hirono (D-HI) · Yes; Brian Schatz (D-HI) · YesJoni Ernst (R-IA) · No; Chuck Grassley (R-IA) · Didn't voteMike Crapo (R-ID) · No; James Risch (R-ID) · NoRichard Durbin (D-IL) · Yes; Tammy Duckworth (D-IL) · YesJim Banks (R-IN) · No; Todd Young (R-IN) · NoJerry Moran (R-KS) · No; Roger Marshall (R-KS) · NoMitch McConnell (R-KY) · No; Rand Paul (R-KY) · NoBill Cassidy (R-LA) · No; John Kennedy (R-LA) · NoEdward Markey (D-MA) · Yes; Elizabeth Warren (D-MA) · YesAngela Alsobrooks (D-MD) · Yes; Chris Van Hollen (D-MD) · YesSusan Collins (R-ME) · Yes; Angus King (I-ME) · YesGary Peters (D-MI) · Yes; Elissa Slotkin (D-MI) · YesAmy Klobuchar (D-MN) · Yes; Tina Smith (D-MN) · YesJosh Hawley (R-MO) · Yes; Eric Schmitt (R-MO) · NoCindy Hyde-Smith (R-MS) · No; Roger Wicker (R-MS) · NoSteve Daines (R-MT) · No; Tim Sheehy (R-MT) · NoTed Budd (R-NC) · No; Thomas Tillis (R-NC) · NoKevin Cramer (R-ND) · No; John Hoeven (R-ND) · NoDeb Fischer (R-NE) · No; Pete Ricketts (R-NE) · NoMaggie Hassan (D-NH) · Yes; Jeanne Shaheen (D-NH) · YesCory Booker (D-NJ) · Yes; Andy Kim (D-NJ) · YesMartin Heinrich (D-NM) · Yes; Ben Luján (D-NM) · YesCatherine Cortez Masto (D-NV) · Yes; Jacky Rosen (D-NV) · YesKirsten Gillibrand (D-NY) · Yes; Charles Schumer (D-NY) · YesJon Husted (R-OH) · No; Bernie Moreno (R-OH) · NoAlan Armstrong (R-OK) · No; James Lankford (R-OK) · NoJeff Merkley (D-OR) · Yes; Ron Wyden (D-OR) · YesJohn Fetterman (D-PA) · Yes; David McCormick (R-PA) · NoJohn Reed (D-RI) · Yes; Sheldon Whitehouse (D-RI) · YesLindsey Graham (R-SC) · No; Tim Scott (R-SC) · NoMike Rounds (R-SD) · No; John Thune (R-SD) · NoMarsha Blackburn (R-TN) · No; Bill Hagerty (R-TN) · NoJohn Cornyn (R-TX) · No; Ted Cruz (R-TX) · NoJohn Curtis (R-UT) · No; Mike Lee (R-UT) · NoTimothy Kaine (D-VA) · Yes; Mark Warner (D-VA) · Didn't voteBernie Sanders (I-VT) · Yes; Peter Welch (D-VT) · YesMaria Cantwell (D-WA) · Yes; Patty Murray (D-WA) · YesTammy Baldwin (D-WI) · Yes; Ron Johnson (R-WI) · NoShelley Capito (R-WV) · No; James Justice (R-WV) · NoJohn Barrasso (R-WY) · No; Cynthia Lummis (R-WY) · No
  • Yes
  • No
  • Senators split
  • One didn't vote
Each state coloured by how its two senators voted
Show as a table
How each senator voted
AK-S1Lisa Murkowski (R-AK) · No
AK-S2Dan Sullivan (R-AK) · Yes
AL-S1Katie Britt (R-AL) · No
AL-S2Tommy Tuberville (R-AL) · No
AR-S1John Boozman (R-AR) · No
AR-S2Tom Cotton (R-AR) · No
AZ-S1Ruben Gallego (D-AZ) · Yes
AZ-S2Mark Kelly (D-AZ) · Yes
CA-S1Alex Padilla (D-CA) · Yes
CA-S2Adam Schiff (D-CA) · Yes
CO-S1Michael Bennet (D-CO) · Yes
CO-S2John Hickenlooper (D-CO) · Yes
CT-S1Richard Blumenthal (D-CT) · Yes
CT-S2Christopher Murphy (D-CT) · Yes
DE-S1Lisa Blunt Rochester (D-DE) · Yes
DE-S2Christopher Coons (D-DE) · Yes
FL-S1Ashley Moody (R-FL) · No
FL-S2Rick Scott (R-FL) · No
GA-S1Jon Ossoff (D-GA) · Yes
GA-S2Raphael Warnock (D-GA) · Yes
HI-S1Mazie Hirono (D-HI) · Yes
HI-S2Brian Schatz (D-HI) · Yes
IA-S1Joni Ernst (R-IA) · No
IA-S2Chuck Grassley (R-IA) · Didn't vote
ID-S1Mike Crapo (R-ID) · No
ID-S2James Risch (R-ID) · No
IL-S1Richard Durbin (D-IL) · Yes
IL-S2Tammy Duckworth (D-IL) · Yes
IN-S1Jim Banks (R-IN) · No
IN-S2Todd Young (R-IN) · No
KS-S1Jerry Moran (R-KS) · No
KS-S2Roger Marshall (R-KS) · No
KY-S1Mitch McConnell (R-KY) · No
KY-S2Rand Paul (R-KY) · No
LA-S1Bill Cassidy (R-LA) · No
LA-S2John Kennedy (R-LA) · No
MA-S1Edward Markey (D-MA) · Yes
MA-S2Elizabeth Warren (D-MA) · Yes
MD-S1Angela Alsobrooks (D-MD) · Yes
MD-S2Chris Van Hollen (D-MD) · Yes
ME-S1Susan Collins (R-ME) · Yes
ME-S2Angus King (I-ME) · Yes
MI-S1Gary Peters (D-MI) · Yes
MI-S2Elissa Slotkin (D-MI) · Yes
MN-S1Amy Klobuchar (D-MN) · Yes
MN-S2Tina Smith (D-MN) · Yes
MO-S1Josh Hawley (R-MO) · Yes
MO-S2Eric Schmitt (R-MO) · No
MS-S1Cindy Hyde-Smith (R-MS) · No
MS-S2Roger Wicker (R-MS) · No
MT-S1Steve Daines (R-MT) · No
MT-S2Tim Sheehy (R-MT) · No
NC-S1Ted Budd (R-NC) · No
NC-S2Thomas Tillis (R-NC) · No
ND-S1Kevin Cramer (R-ND) · No
ND-S2John Hoeven (R-ND) · No
NE-S1Deb Fischer (R-NE) · No
NE-S2Pete Ricketts (R-NE) · No
NH-S1Maggie Hassan (D-NH) · Yes
NH-S2Jeanne Shaheen (D-NH) · Yes
NJ-S1Cory Booker (D-NJ) · Yes
NJ-S2Andy Kim (D-NJ) · Yes
NM-S1Martin Heinrich (D-NM) · Yes
NM-S2Ben Luján (D-NM) · Yes
NV-S1Catherine Cortez Masto (D-NV) · Yes
NV-S2Jacky Rosen (D-NV) · Yes
NY-S1Kirsten Gillibrand (D-NY) · Yes
NY-S2Charles Schumer (D-NY) · Yes
OH-S1Jon Husted (R-OH) · No
OH-S2Bernie Moreno (R-OH) · No
OK-S1Alan Armstrong (R-OK) · No
OK-S2James Lankford (R-OK) · No
OR-S1Jeff Merkley (D-OR) · Yes
OR-S2Ron Wyden (D-OR) · Yes
PA-S1John Fetterman (D-PA) · Yes
PA-S2David McCormick (R-PA) · No
RI-S1John Reed (D-RI) · Yes
RI-S2Sheldon Whitehouse (D-RI) · Yes
SC-S1Lindsey Graham (R-SC) · No
SC-S2Tim Scott (R-SC) · No
SD-S1Mike Rounds (R-SD) · No
SD-S2John Thune (R-SD) · No
TN-S1Marsha Blackburn (R-TN) · No
TN-S2Bill Hagerty (R-TN) · No
TX-S1John Cornyn (R-TX) · No
TX-S2Ted Cruz (R-TX) · No
UT-S1John Curtis (R-UT) · No
UT-S2Mike Lee (R-UT) · No
VA-S1Timothy Kaine (D-VA) · Yes
VA-S2Mark Warner (D-VA) · Didn't vote
VT-S1Bernie Sanders (I-VT) · Yes
VT-S2Peter Welch (D-VT) · Yes
WA-S1Maria Cantwell (D-WA) · Yes
WA-S2Patty Murray (D-WA) · Yes
WI-S1Tammy Baldwin (D-WI) · Yes
WI-S2Ron Johnson (R-WI) · No
WV-S1Shelley Capito (R-WV) · No
WV-S2James Justice (R-WV) · No
WY-S1John Barrasso (R-WY) · No
WY-S2Cynthia Lummis (R-WY) · No

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The vote, broken down

Failed 49–49.

How your senators voted

  • 3 Republicans voted yes, against most of their party

    For Sullivan that is unusual: they vote against most of their party about 1 vote in 26. Collins does it about 1 in 6 votes.

How each member voted (100)

49 yea, 49 nay, 2 not voting
The Senate recorded this as… (show)

On the Motion (Motion to Waive All Applicable Budgetary Discipline Re: Ossoff Amdt. No. 4897) — To create a point of order against reconciliation legislation fails to address the practice of insurance companies stepping between patients and their doctors to delay or deny access to care.

The voting data is collected from the Senate's own data file for this vote (raw XML).