Who's fighting for your insulin?
Track how every U.S. senator and representative votes on legislation that affects healthcare access, cost, and quality for people with diabetes.
Browse by State
Click any state to see its congressional districts and member scores.
Click a district to see member scores and votes.
Full Scorecard
All current members of Congress ranked by pro-diabetes-healthcare voting record.
| Name | State | Party | Chamber | Score | Grade | Votes |
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About Beta Cell Action
Our Mission
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.
Why Diabetes?
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.
What We Do
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.
Organization
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.
What We Track
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.
- Bills that cap or regulate insulin prices
- ACA / Medicaid expansion and protection votes
- Medicare drug price negotiation
- Coverage mandates for CGMs, insulin pumps, and supplies
- Nominees whose positions affect HHS and CMS policy
- Reconciliation bills affecting Medicaid and ACA subsidies
How Scores Are Calculated
Each tracked vote has a designated pro-access position. Score = (pro-access votes cast) ÷ (total tracked votes applicable). Votes where a member was not yet in office are excluded. Members who were present but did not vote (abstentions) count in the denominator but not the numerator.
Data Sources
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.
Tracked Votes
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.
Senate Seats Up for Election
Every two years, Americans elect the full U.S. House of Representatives and about a third of the U.S. Senate. Senators serve six-year terms in three staggered classes, and each class comes up once every six years — so the seats on the ballot change completely from one cycle to the next, and no state elects both of its senators in the same year.
A seat left vacant mid-term is filled by appointment until a special election can be held, which is why a cycle sometimes carries more than its scheduled third.
Contact Your Legislators
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.
Effective Calling Tips
📅 Best Times to Call
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.
👤 Identify Yourself
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.
🎯 Be Clear & Concise
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.
💕 Make It Personal
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 Respectful
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.
👥 Get Others to Call
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.
Sample Script
“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?”
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Ready-made graphics and captions for social media with legislator voting records and call scripts.
Privacy Policy
Last updated: April 9, 2026
Beta Cell Action (“BCA,” “we,” “us,” or “our”) is a 501(c)(4) nonprofit organization (EIN 92-2603887). This Privacy Policy explains how we handle information when you visit betacellaction.org and use our programs, tools, and services.
Information We Collect
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Address Lookup
This site includes a web form powered by the Google Civic Information API that allows you to look up your representatives by address. When you use this feature, the address you enter is sent directly to Google to retrieve your representative information. Your address is not stored, logged, or retained by Beta Cell Action.
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Contact
If you have questions about this privacy policy, contact us at info@betacellaction.org.
Terms of Use
Last updated: March 29, 2026
Acceptance of Terms
By accessing and using this website, you agree to these terms of use. If you do not agree, please do not use this site.
Purpose
Beta Cell Action provides publicly available congressional voting data for educational and civic engagement purposes. The information on this site is intended to help voters understand how their elected officials vote on diabetes healthcare legislation.
Accuracy
We make every effort to ensure the accuracy of the voting records and scores presented on this site. However, Beta Cell Action makes no warranties or guarantees regarding the completeness or accuracy of the information provided. Vote data is sourced from official congressional records and may be subject to corrections or updates.
Non-Partisan Use
Beta Cell Action is a 501(c)(4) organization. The scores and grades on this site reflect voting records on diabetes healthcare legislation and are not endorsements or opposition of any candidate or political party.
Intellectual Property
The content, design, and branding of this site are the property of Beta Cell Action. You may share and reference the voting data with attribution, but you may not reproduce or redistribute the site’s design, code, or branding without permission.
Contact
If you have questions about these terms, contact us at info@betacellaction.org.