Congress Swing TrackerLegislative intelligence Swing vote analysis

H.R. 4541: To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009. · Congress Swing Tracker

H.R. 4541119th CongressHealth

To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009.

Sponsored by Rep. Debbie Wasserman Schultz (D-FL) · 20 active : 5 Republicans, 15 Democrats

Latest action: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Read the summary

Where it standsPassed House, now in the Senate

Passed House

House: passedJul 20, 2026
Senate: next
President: not yet

9 senators score as swing votes

Summary

, via Congress.gov

Summary on Congress.gov

This bill reauthorizes and revises programs of the Centers for Disease Control and Prevention (CDC) that support services and education addressing breast and cervical cancer.

The bill reauthorizes through FY2030 and makes changes to the CDC’s National Breast and Cervical Cancer Early Detection Program. This program provides grants to states for breast and cervical cancer screening, diagnostic, and treatment services for individuals who have low incomes, are uninsured, or otherwise lack access to such services. The bill increases flexibility in how states may spend grant funds under the program.

Read full summary

The Government Accountability Office must report to Congress on the work of the National Breast and Cervical Cancer Early Detection Program, including the number of individuals served and barriers to accessing screenings.

Also, the bill reauthorizes through FY2031 CDC programs relating to young women’s awareness of breast health and breast cancer. These programs include campaigns to educate young women and health care professionals, research on preventing breast cancer in younger women, and grants for resources and services to young women diagnosed with breast cancer and precancerous conditions.

How the projections held up

Each member’s recorded vote compared with their swing projection from before the vote. A member by voting against most of their own party.

House

On Motion to Suspend the Rules and Pass, as AmendedPassed394 yea, 6 nayJuly 20, 2026 · Roll call 250

How members in each band voted on this House vote, by their projection before the vote
BandBand before the vote	VotedVoted yea or nay	BrokeBroke with party	Share
Swing	42	1	2%
Middle	233	5	2%
Entrenched	121	0	0%

Committees and subjects

Committees

House Committee on Energy and Commerce · HouseReported by · Markup by · Referred to
Health · HouseReported by · Markup by · Referred to
Senate Committee on Health, Education, Labor, and Pensions · SenateReferred to

Subjects

Cancer
Health information and medical records
Health programs administration and funding
Health promotion and preventive care
Medical tests and diagnostic methods
Women's health

Senate · 100 House · 433

Model

v3defaultv2

Directional: count only breaks toward the other party Why do scores change?

How the House breaks down

45Swing 70–100
249Middle 30–70
133Entrenched 0–30
6Insufficient data not ranked

Members fall into . 6 representatives don’t have enough data yet and are marked “insufficient data”. Non-voting delegates are not counted. The bill is not before the House right now; these scores show where members would stand.

Key players in the House

Ranked by swing score, 0–100 · swing-v3

Bars show each input from 0 to 100: ideology gap, scorecard gap, , and the . is the seat’s partisan lean, and shows how much of the input data a score has. Where the House has voted, each member’s appears with the projection made before it.

Similar past votes, House

Earlier behind swing-v3’s input

Similar votes count toward swing-v3 in the House: total similarity weight 9.0 (needs 5.0).

H.R. 6918 · Jan 18, 2024 · Roll call 735On PassageSupporting Pregnant and Parenting Women and Families Act
PassedShared subjects×1.0
H.R. 498 · Dec 18, 2025 · Roll call 361On PassageDo No Harm in Medicaid Act
PassedSame policy area×0.5
H.R. 6703 · Dec 17, 2025 · Roll call 348On PassageLower Health Care Premiums for All Americans Act
PassedSame policy area×0.5
H.R. 2483 · Jun 4, 2025 · Roll call 150On PassageSUPPORT for Patients and Communities Reauthorization Act
PassedSame policy area×0.5
H.R. 2483 · Jun 4, 2025 · Roll call 149On Agreeing to the Amendment
FailedSame policy area×0.5
H.R. 8333 · Sep 9, 2024 · Roll call 1120On Motion to Suspend the Rules and Pass, as AmendedBIOSECURE Act
PassedSame policy area×0.5
H.R. 3843 · Mar 7, 2024 · Roll call 785On Motion to Suspend the Rules and PassAction for Dental Health Act
PassedSame policy area×0.5
H.R. 485 · Feb 7, 2024 · Roll call 758On PassageProtecting Health Care for All Patients Act
PassedSame policy area×0.5

Show 9 more

H.R. 4531 · Dec 12, 2023 · Roll call 710On Motion to Suspend the Rules and Pass, as AmendedSupport for Patients and Communities Reauthorization Act
PassedSame policy area×0.5
H.R. 5378 · Dec 11, 2023 · Roll call 703On Motion to Suspend the Rules and Pass, as AmendedLower Costs, More Transparency Act
PassedSame policy area×0.5
H.R. 185 · Feb 8, 2023 · Roll call 115On PassageTo terminate the requirement imposed by the Director of the Centers for Disease Control and Prevention for proof of COVID-19 vaccination for foreign travelers, and for other purposes
PassedSame policy area×0.5
H.R. 185 · Feb 8, 2023 · Roll call 113On Agreeing to the Amendment

Cosponsors

20 active

Show all 20 cosponsors

How the swing score works

Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.

Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.

Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.

Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.

Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.

Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.

All voting members	400	6	2%

1
Jared F. GoldenDemocrat · Maine 2nd · Lean R+4On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 25% of 17 similar votes
94Swing
Vote on passage, Jul 20, 2026:YeaProjected: 94 Swing
ContactCall 202-225-6306 Website
2
Thomas H. KeanRepublican · New Jersey 7th · Lean EVENHouse Committee on Energy and CommerceHealthOn the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
Committee
Broke with party on 12% of 17 similar votes
94Swing
Vote on passage, Jul 20, 2026:YeaProjected: Swing
3
Marie Gluesenkamp PerezDemocrat · Washington 3rd · Lean R+2On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 25% of 17 similar votes
93Swing
Vote on passage, Jul 20, 2026:YeaProjected: 93 Swing
ContactCall
4
Henry CuellarDemocrat · Texas 28th · Lean R+2On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 21% of 17 similar votes
90Swing
Vote on passage, Jul 20, 2026:YeaProjected: 90 Swing
ContactCall
5
Laura GillenDemocrat · New York 4th · Lean D+2On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 19% of 4 similar votes
Today88Swing
Vote on passage, Jul 20, 2026:YeaProjected at the vote: 87 Swing (today: 88)
Contact
6
Michael LawlerRepublican · New York 17th · Lean D+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 13% of 17 similar votes
88Swing
Vote on passage, Jul 20, 2026:YeaProjected: 88 Swing
ContactCall
7
Thomas R. SuozziDemocrat · New York 3rd · Lean EVENOn the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 14% of 6 similar votes
87Swing
Vote on passage, Jul 20, 2026:YeaProjected: 87 Swing
ContactCall
8
Donald G. DavisDemocrat · North Carolina 1st · Lean R+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 25% of 17 similar votes
87Swing
Vote on passage, Jul 20, 2026:YeaProjected: 87 Swing
ContactCall
9
Adam GrayDemocrat · California 13th · Lean R+1On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 29% of 4 similar votes
Today87Swing
Vote on passage, Jul 20, 2026:YeaProjected at the vote: 88 Swing (today: 87)
Contact
10
Don BaconRepublican · Nebraska 2nd · Lean D+3On the ballot
Ideology gap
Scorecard gap
Cross-pressure
Similar votes
CommitteeNo committee seatBroke with party on 11% of 16 similar votes
85Swing
Vote on passage, Jul 20, 2026:YeaProjected: 85 Swing
ContactCall

Not enough data to rank (6)

These members have less than half of the model’s inputs, so their scores are not banded or ranked.

—
Christian D. MenefeeDemocrat · Texas 18th · Lean D+21On the ballot45% of inputs · missing scorecards, similar votes
Ideology gap
Scorecard gapNo dataCross-pressure
Similar votesNo dataCommitteeNo committee seatToo few votes on similar bills to measure
—Insufficient data
Vote on passage, Jul 20, 2026:YeaProjected: — Insufficient data
—
James GallagherRepublican · California 1st · Lean R+12On the ballot45% of inputs · missing scorecards, similar votes
Ideology gap
Scorecard gapNo dataCross-pressure
Similar votesNo dataCommitteeNo committee seatToo few votes on similar bills to measure
—Insufficient data
Vote on passage, Jul 20, 2026:YeaProjected: — Insufficient data
—
Clay FullerRepublican · Georgia 14th · Lean R+19On the ballot45% of inputs · missing scorecards, similar votes
Ideology gap
Scorecard gapNo dataCross-pressure
Similar votesNo dataCommitteeNo committee seatToo few votes on similar bills to measure
—Insufficient data
Vote on passage, Jul 20, 2026:YeaProjected: — Insufficient data
—
Analilia MejiaDemocrat · New Jersey 11th · Lean D+5On the ballot45% of inputs · missing scorecards, similar votes
Ideology gap
Scorecard gapNo dataCross-pressure
Similar votesNo dataCommitteeNo committee seatToo few votes on similar bills to measure
—Insufficient data
Vote on passage, Jul 20, 2026:YeaProjected: — Insufficient data
—
Aisha WahabDemocrat · California 14th · Lean D+20On the ballot20% of inputs · missing DW-NOMINATE, scorecards, similar votes
Ideology gapNo dataScorecard gapNo dataCross-pressure
Similar votesNo dataCommitteeNo committee seatToo few votes on similar bills to measure
—Insufficient data
—
Everton BlairDemocrat · Georgia 13th · Lean D+21On the ballot20% of inputs · missing DW-NOMINATE, scorecards, similar votes
Ideology gapNo dataScorecard gapNo dataCross-pressure
Similar votesNo dataCommitteeNo committee seatToo few votes on similar bills to measure
—Insufficient data