117th Congress Advocacy Scorecard

Introduction

The purpose of our first Congressional Scorecard — which we consider to be the beta version — is to determine how Members of Congress act on policies that impact patients. This card considers how elected officials vote on key issues that impact the patient community, whether or not they cosponsor legislation that will help patients, and if they signed onto letters expressing support for or opposition to an area that either helps or hurts patients respectively. 

Methodology

Senate 

PRN selected 6 votes, 5 bills, and 8 letters on which to grade Senators. If a Senator voted in line with PRN’s stance on the bill, cosponsored legislation that PRN supports, or signed a letter that PRN supports, they received the corresponding point value for each to contribute to their overall score. The point values totaled 99.5 points, and PRN rounded up by .05 for all scores to reach an even 100. The Senate policy criteria can be found here.

House of Representatives

PRN selected 14 votes, 8 bills, and 10 letters to grade Representatives. These categories totaled 100 points, not including extra credit. Unlike the upper chamber, there were two bicameral letter opportunities for House members to earn extra credit. Extra credit does not count against a House Member’s score. The House policy criteria can be found here.

Grades

Grades in both chambers were distributed on a bell curve. A total of 15% of Senators and Representatives received an A grade, 40% would received a B grade, 30% for a C grade, 10% for a D grade, and 5% for F grade. In the House of Representatives, if a Member of Congress was not in office for at least half of the votes (elected through special election, left office, or passed away), they were given a grade of not applicable (N/A).

Votes: Highest point value

  • House: 4 points
  • Senate: 12 points for policy votes and 6 points for nomination votes

Co-sponsorship Median point value:

  • House: 3 points
  • Senate: 5.5

Dear Colleague Lowest point value

  • House: 2 points
  • Senate 3 points

Extra Credit: Additional opportunity, does not count against members

  • House: 1 point for each bicameral Dear Colleague letter and resolution
  • Senate: No extra credit available

State by State Scorecards

The shape of the state of Alabama

Alabama

California

Alaska

The shape of the state of Colorado

Arizona

The shape of the state of Connecticut

Arkansas

California

California

The shape of the state of Colorado

Colorado

The shape of the state of Connecticut

Connecticut

The shape of the state of Maine

Delaware

The shape of the state of Florida

Florida

The shape of the state of Florida

Georgia

The shape of the state of Florida

Hawaii

The shape of the state of Connecticut

Idaho

The shape of the state of Maine

Illiniois

The shape of the state of Maine

Indiana

The shape of the state of Florida

Iowa

The shape of the state of Florida

Kansas

The shape of the state of Maine

Kentucky

The shape of the state of Connecticut

Louisiana

The shape of the state of Maine

Maine

Maryland

Maryland

The shape of the state of Massachusetts

Massachusetts

The shape of the state of Michigan

Michigan

The shape of the state of Michigan

Minnesota

New Jersey

Mississippi

New Jersey

Missouri

New Jersey

Montana

The shape of the state of New York

Nebraska

The shape of the state of Oregon

Nevada

The shape of the state of Oregon

New Hampshire

New Jersey

New Jersey

New Jersey

New Mexico

The shape of the state of New York

New York

The shape of the state of New York

North Carolina

The shape of the state of New York

North Dakota

The shape of the state of New York

Ohio

The shape of the state of New York

Oklahoma

The shape of the state of Oregon

Oregon

Pennsylvania

Pennsylvania

The shape of the state of Rhode Island

Rhode Island

The shape of the state of Rhode Island

South Carolina

The shape of the state of Rhode Island

South Dakota

The shape of the state of New York

Tennessee

The shape of the state of Texas

Texas

The shape of the state of Texas

Utah

The shape of the state of Texas

Vermont

Virgnia

Virginia

The shape of the state of Washington

Washington

The shape of the state of New York

West Virginia

The shape of the state of Texas

Wisconsin

The shape of the state of Washington

Wyoming

Legislative Master Lists