How we calculate scores, where the data comes from, and how to check our work.
The campaign selected three healthcare-affordability votes. One point is awarded for opposing the 2025 budget reconciliation framework, one for opposing final passage of H.R. 1, and one for supporting continued enhanced ACA premium assistance.
These are campaign ratings based on the votes identified here. They are not ratings issued by Congress, a government agency or an independent ratings organization. Vote labels on the scorecards describe the policy consequence (Supported / Opposed); the recorded YES or NO vote is shown in each vote's details.
H. Con. Res. 14
The congressional budget resolution that established the reconciliation framework later used to enact H.R. 1.
No = 1 point · Yes = 0 points
H.R. 1
The 2025 reconciliation law included major changes to Medicaid financing and eligibility, including new work/community-engagement requirements and other eligibility and funding provisions.
No = 1 point · Yes = 0 points
H.R. 1834 / S. 3385
Measures to restore and extend enhanced Affordable Care Act premium tax credits after their expiration. Because the House and Senate considered different measures, this category is described as ACA premium assistance rather than a single identical bill.
Yes = 1 point · No = 0 points
Insurer + health services • Eden Prairie, MN
Nonprofit hospital system • Minneapolis, MN
Source: IRS Form 990 / Allina Health →
Nonprofit health system • Rochester, MN
About the data
Scorecard information is compiled from public records, including official congressional roll-call votes, SEC filings, IRS Form 990 filings, government records and healthcare organizations' published financial reports.
Financial figures may reflect different reporting periods and accounting methods. Each figure is labeled with its reporting year.
Executive compensation reflects compensation reported in the cited SEC filing or IRS Form 990 and may include salary, incentive compensation, equity awards and other compensation.
Insurance claim-denial statistics are displayed only when the underlying source clearly identifies the insurer, population and type of denial measured. Narrow prior-authorization statistics are not presented as company-wide claim-denial rates.
Elected-official grades are campaign ratings based solely on the votes identified in this scorecard and should not be interpreted as government or independent ratings.
Last updated: August 2026