Track how every U.S. senator and representative votes on legislation that affects healthcare access, cost, and quality for people with diabetes.
Click any state to see its congressional districts and member scores.
Click a district to see member scores and votes.
All current members of Congress ranked by pro-diabetes-healthcare voting record.
| Name | State | Party | Chamber | Score | Grade | Votes Cast |
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Beta Cell Action tracks how every U.S. senator and representative votes on legislation that affects healthcare access for people with diabetes — so voters can make informed decisions about their own healthcare when they go to the polls.
We believe that transparency is power. When people know exactly how their legislators vote on issues that determine whether they can afford their insulin, access their medications, or keep their health insurance, they can hold those officials accountable. Diabetes care should not be determined by profit.
More than 38 million Americans live with diabetes — nearly 1 in 9 people. Another 98 million have prediabetes. Managing this condition is not optional: without consistent access to insulin, medications, and monitoring devices, diabetes can cause blindness, kidney failure, amputations, and death.
The financial burden is staggering. Diabetes costs the U.S. healthcare system over $379 billion per year — through hospitalizations, emergency care, and long-term complications that are almost entirely preventable with proper, affordable disease management.
At the center of this crisis is insulin. Insulin costs as little as $3–7 to manufacture, yet Americans pay hundreds of dollars per vial — more than patients in any other developed country. As a direct result, 1 in 4 Americans with diabetes ration their insulin because they cannot afford it. Rationing insulin is not a budgeting choice; it is a life-threatening gamble that leads to hospitalizations, long-term organ damage, and preventable deaths every year.
These are not abstractions. They are your neighbors, family members, and coworkers. And the laws that govern whether they can afford to stay alive are decided by the 535 people we elect to Congress.
Beta Cell Action educates voters on how their elected officials actually vote on diabetes healthcare legislation. Our scorecard gives every American a clear, factual record of their legislators’ votes — not their talking points, but their actual decisions when it mattered.
We help people take action: by making it easy to find your representatives, understand their records, and contact them directly with a clear message about what their constituents need.
We demand that our elected officials prioritize the well-being of their constituents over the profits of the healthcare industry — and we hold them accountable when they don’t.
Beta Cell Action is a 501(c)(4) organization, which focuses on advocacy and civic education. Because Beta Cell Action organizes around critical elections and key legislative battles, donations are not tax-deductible.
Beta Cell Action scores every U.S. senator and representative on votes that directly affect people with diabetes — focusing on access, cost, and quality of care.
Each tracked vote has a designated pro-access position. Score = (pro-access votes cast) ÷ (total tracked votes cast). Members who did not vote are excluded.
Vote data is sourced from the House and Senate, covering votes from the 108th Congress through the current Congress.
Estimated counts of people with diabetes are derived from the U.S. Census Bureau and rate of diabetes from the U.S. Centers for Disease Control and Prevention.
Our scorecards track the pro-healthcare access votes from every serving legislator in Congress. The bills and nominations listed below directly impact healthcare access for people with diabetes and are used to calculate each legislator’s total voting record. Scores are updated whenever new relevant votes occur.
Most major legislation goes through multiple votes before becoming law — procedural votes, amendments, passage votes, and final concurrence votes. We track individual votes, not just the final outcome, because how a legislator votes on amendments and procedural motions can be just as revealing as their vote on final passage. Each entry below represents one specific vote on legislation that affects diabetes healthcare access.
We only score legislators on their actual recorded votes for bills, amendments, and nominations. Legislators are scored as a percentage of all tracked votes they participated in. Those who have not cast any tracked votes will show “No Votes.”
If your Senators and Representatives are not voting to increase healthcare access, we encourage you to contact them and demand that they prioritize the well-being of their constituents over the profits of the healthcare industry.
Calling your representative is the single most effective thing you can do as a constituent. Phone calls get counted, tracked, and reported to elected officials in a way that form emails simply don’t. A staffer answers, logs your name and position, and that tally lands on the legislator’s desk. The people who call are the ones who vote — and politicians know it. It takes one minute. Make it count.
Call between 9 AM and 5 PM on weekdays. Tuesday–Thursday are typically the most effective days when staff are fully present and taking notes.
Always start by stating you’re a constituent from their district or state. Calls from constituents carry far more weight than calls from outside the district.
State your position in the first sentence. Name the specific bill or issue, say whether you want them to vote for or against it, and stick to your key point.
Share how the cost of insulin or diabetes care has directly affected your life or someone you love. A personal story is far more memorable than statistics alone — and it’s harder to dismiss.
Stay calm and courteous, even if you’re frustrated. Staff are more likely to accurately record and pass along a message that was delivered respectfully.
Reach out to friends and family and ask them to call too. It takes as few as 15 calls on the same issue in a single day to get a legislator’s office to take notice — your network multiplies your impact.
“Hi, my name is [YOUR NAME], and I’m calling from [YOUR CITY, STATE] as a constituent. I’m calling about insulin affordability.
Insulin costs as little as $3 to produce, yet Americans pay hundreds of dollars per vial — more than patients in any other developed country. One in four people with diabetes in the U.S. ration their insulin because they can’t afford it. That is not a statistic. Those are people choosing between food, rent, and a drug they need to stay alive. And it’s happening right here in [STATE/DISTRICT].
Beyond the human cost, the economic burden of uncontrolled diabetes falls on all of us — through emergency room visits, hospitalizations, and higher insurance premiums. The total cost of diabetes to the U.S. healthcare system exceeds $379 billion a year. Affordable insulin isn’t just the right thing to do. It saves money.
I’m asking [SENATOR / REPRESENTATIVE NAME] to support legislation that caps insulin prices and protects Medicaid coverage for the [NUMBER] people with diabetes they represent. What is their position on insulin affordability, and what steps are they taking to address it?”