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.
Support the Work Behind the Scores.
Researching bills, tracking votes, updating scorecards, and monitoring elections takes ongoing effort. Your support keeps this resource free and independent.
Browse by State
Click any state to see its congressional districts and member scores.
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Maintaining population data, legislator records, and district-level scoring across all 50 states takes ongoing effort. Your support makes it possible.
Click a district to see member scores and votes.
Know Your State. Hold Them Accountable.
Compiling voting records, population estimates, and district maps for every state takes real work. Your support helps us keep this data accurate and accessible.
Every District Tells a Story.
Building detailed scorecards for every legislator in every district requires continuous research. Your support helps us make sure no representative goes unscored.
Full Scorecard
All current members of Congress ranked by pro-diabetes-healthcare voting record.
| Name | State | Party | Chamber | Score | Grade | Votes Cast |
|---|
Help Us Keep Every Score Up to Date.
Every vote cast in Congress is reviewed, categorized, and scored. That research doesn’t happen on its own — your support makes it possible.
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.
Support Transparency in Healthcare Policy.
Beta Cell Action is built on the belief that voters deserve to know how their representatives vote on their healthcare. Help us keep doing this work.
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.
Every Vote Takes Work to Track.
Identifying relevant bills, pulling roll call data, and determining pro-access positions requires careful research. Support the team that does it.
2026 Elections
Every two years, Americans head to the polls to elect the full U.S. House of Representatives and roughly one-third of the U.S. Senate. Senators serve six-year terms, so their seats come up for election on a rotating basis — meaning the outcome of any single election cycle can meaningfully shift the balance of power in the chamber.
In 2026, 33 Senate seats are up for their regularly scheduled election, plus two special elections for seats that were filled by appointment: Marco Rubio’s former Florida seat, now held by Ashley Moody, and JD Vance’s former Ohio seat, now held by Jon Husted. That brings the total to 35 Senate contests this cycle.
Of the 35 incumbents currently holding those seats, 10 have chosen not to seek another term — either retiring from the Senate or pursuing other office. That creates 10 open races where no incumbent is on the ballot, which historically tend to be more competitive and more likely to change party hands.
Below are scorecards for the senators running for reelection in 2026, showing their records on diabetes healthcare policy. We’ve also included the open races, so you can see where new representation — and new opportunities for advocacy — may be on the horizon.
Senators Running For Reelection
Senators Not Running For Reelection
Elections Shape the Future of Diabetes Policy.
Tracking which seats are contested, who’s running, and where advocacy can make a difference takes resources. Help us keep voters informed.
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?”
Your Voice Matters. So Does Ours.
We give you the tools to hold your legislators accountable. Your support helps us keep building them.
Privacy Policy
Last updated: March 29, 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.
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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.
Support Free, Independent Advocacy.
Beta Cell Action is entirely funded by people who believe in healthcare transparency. Your contribution helps us stay independent and keep this resource available to everyone.
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.
Support Free, Independent Advocacy.
Beta Cell Action is entirely funded by people who believe in healthcare transparency. Your contribution helps us stay independent and keep this resource available to everyone.