Congress Swing TrackerLegislative intelligence Swing vote analysis

S. 4189: INSULIN Act of 2026 · Congress Swing Tracker

S. 4189119th CongressHealth

INSULIN Act of 2026

Sponsored by Sen. Jeanne Shaheen (D-NH) · 28 active : 14 Republicans, 13 Democrats, 1 Independent

Latest action: Placed on Senate Legislative Calendar under General Orders. Calendar No. 552.

Read the summary

Where it standsBefore the Senate

Hasn’t passed either chamber

Senate: next
House: not yet
President: not yet

3 senators score as swing votes

Summary

, via Congress.gov

Summary on Congress.gov

The Congressional Research Service has not published a summary of this bill yet.

Committees and subjects

Committees

Senate Committee on Health, Education, Labor, and Pensions · SenateReported by · Markup by · Referred to

Subjects

Administrative remedies
Civil actions and liability
Competition and antitrust
Congressional oversight
Digestive and metabolic diseases
Drug safety, medical device, and laboratory regulation
Drug therapy
Government information and archives
Government studies and investigations
Health care costs and insurance
Health care coverage and access
Health programs administration and funding

Show all 13 subjects

Prescription drugs

Senate · 100 House · 433

Model

v3defaultv2

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

How the Senate breaks down

3Swing 70–100
44Middle 30–70
53Entrenched 0–30

Members fall into . All 100 senators have enough data to score.

Key players in the Senate

Ranked by swing score, 0–100 · swing-v2, directional

: only movement toward the other party counts, so members who sit further from the center than their party no longer score as swing votes.

Bars show each input from 0 to 100: ideology gap, scorecard gap, . is the seat’s partisan lean, and shows how much of the input data a score has.

1
John FettermanDemocrat · Pennsylvania · Lean R+1

Similar past votes, Senate

Earlier behind swing-v3’s input

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

S.J.Res. 84 · Jan 13, 2026 · Roll call 667On the Motion to ProceedA joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability".
Motion to Proceed RejectedShared subjects×1.0
S.J.Res. 197 · Sep 29, 2026 · Roll call 910On the Motion to ProceedA joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program".
Motion to Proceed RejectedSame policy area×0.5
S.J.Res. 198 · Jul 16, 2026 · Roll call 858On the Motion to ProceedA joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model".
Motion to Proceed RejectedSame policy area×0.5
S. 3386 · Dec 11, 2025 · Roll call 643On the Cloture MotionA bill to provide a health savings account contribution to certain enrollees, to reduce health care costs, and for other purposes.
Cloture Motion RejectedSame policy area×0.5
S. 4445 · Sep 17, 2024 · Roll call 594On the Cloture MotionA bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization.
Cloture Motion RejectedSame policy area×0.5
S. 4554 · Jul 10, 2024 · Roll call 563On Cloture on the Motion to ProceedA bill to express support for protecting access to reproductive health care after the Dobbs v. Jackson decision on June 24, 2022.
Cloture on the Motion to Proceed RejectedSame policy area×0.5
S. 4445 · Jun 13, 2024 · Roll call 549On Cloture on the Motion to ProceedA bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization.
Cloture on the Motion to Proceed RejectedSame policy area×0.5
S. 4381 · Jun 5, 2024 · Roll call 542On Cloture on the Motion to ProceedA bill to protect an individual's ability to access contraceptives and to engage in contraception and to protect a health care provider's ability to provide contraceptives, contraception, and information related to contraception.
Cloture on the Motion to Proceed RejectedSame policy area×0.5

Show 1 more

S.J.Res. 57 · May 15, 2024 · Roll call 520On the Joint ResolutionA joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Treasury relating to "Coronavirus State and Local Fiscal Recovery Funds".
Joint Resolution DefeatedSame policy area×0.5

Cosponsors

28 active

Show all 28 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.