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Sarah Elfreth

Sarah Elfreth

D MD-3 · House

2025–Present House Of Representatives (District 3)
Vote Date:
to

Defense

+271
Helped 1420 Hurt 1149 Unclear 870

Healthcare

+293
Helped 873 Hurt 580 Mixed 39 Unclear 420

Finance

-47
Helped 749 Hurt 796 Mixed 4 Unclear 337

Energy

-159
Helped 329 Hurt 488 Mixed 3 Unclear 219

Education

+144
Helped 470 Hurt 326 Unclear 165

Transportation

+214
Helped 450 Hurt 236 Unclear 206

Trade

-41
Helped 258 Hurt 299 Mixed 2 Unclear 163

Veterans Affairs

+261
Helped 417 Hurt 156 Unclear 100

Criminal Justice

-79
Helped 264 Hurt 343 Mixed 4 Unclear 45

Agriculture

+160
Helped 339 Hurt 179 Unclear 106

Labor

+112
Helped 281 Hurt 169 Unclear 153

Maritime

-480
Helped 20 Hurt 500 Unclear 17

Immigration

-185
Helped 82 Hurt 267 Mixed 4 Unclear 50

Housing

+134
Helped 242 Hurt 108 Unclear 39

Military Procurement

+17
Helped 142 Hurt 125 Unclear 101

Technology

+88
Helped 210 Hurt 122 Unclear 33

Foreign Affairs

-116
Helped 106 Hurt 222 Unclear 32

Environment

-60
Helped 79 Hurt 139 Unclear 137

Government Operations

-29
Helped 45 Hurt 74 Unclear 224

Federal Budget

+162
Helped 207 Hurt 45 Unclear 36
20 policy domains
Helped Hurt Mixed Unclear

Industry Impact Profile

21947 industry impacts

All entities →
How this is computed

P Primary sponsor · C Co-sponsor · Y Yea vote · N Nay vote

Weighted score (w:) uses strongest role per bill. Weights: Primary 1.0, Co-sponsor 0.3, Yea 0.1, Nay -0.1.

Bills where the legislator voted nay (without sponsorship) contribute -0.1 per bill. Equal yea and nay roll calls on the same bill contribute 0.

Vote date filters affect vote attribution; sponsorship is always included.

Positive-Effect Industries

Direct (1948), Defense (128), Veterans Affairs (114), DoD (32), Legislative Branch (20), State (19), VA (19), Executive (16), USDA (16), Legislative (14), Treasury (13), Agriculture (11), Congress (11), Coast Guard (9), NPS (7), CMS (6), Justice (6), Oversight (6), DOJ (4), Education (4), Foreign Affairs (4), ICE (4), Judiciary (4), Research (4), Local (3), Medicare (3), Transportation (3), Army Corps (2), Cemeteries (2), DHS (2), FDA (2), FEMA (2), Housing (2), Interior/USDA (2), International Development (2), Military Logistics (2), NASA (2), NOAA (2), SBA (2), SSA (2), Defense R&D (1), EPA (1), Federal Executive (1), Federal Law Enforcement (1), HHS (1), IBWC (1), Intelligence (1), Judicial (1), Manufacturing (1), Municipal (1), National Security (1), Science Agencies (1)
Direct (563), Veterans (121), Military Families (17), Military (3), Foreign (2)
Direct (535), Research (15), Community (3), Tribal (3), Providers (1), Women's Health (1)
Direct (431), Child Care (3), Maritime Training (2), Immigrant Students (1), K12 (1), K12 Administration (1), Religious Studies (1), Research Universities (1), State Administration (1), Technical (1)
Direct (384), Naval (2), Testing (2), Ammunition (1), Ground Vehicles (1), Missiles (1), Missiles/Hypersonics (1), Nuclear C3 (1), Rotorcraft (1), Small Business (1), Small/Innovative (1), Space Systems (1)
Direct (229), Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)

Negative-Effect Industries

Direct (3067), Defense (101), Veterans Affairs (69), Regulatory (43), EPA (30), Coast Guard (27), NPS (11), FDA (9), Education (8), Agriculture (7), BLM (7), Forest Service (7), SEC (7), HHS (6), Federal Reserve (5), Foreign (5), CFPB (4), Federal Child Welfare (4), Treasury/IRS (4), VA (4), Executive (3), Legislative (3), Legislative Branch (3), NOAA (3), NOAA/EPA (3), Natural Resources (3), Acquisition (2), Congress (2), Defense Acquisition (2), Foreign Diplomatic (2), Law Enforcement (2), Military (2), CMS (1), DOE (1), DOJ (1), DoD (1), Energy Department (1), Energy/Defense (1), Environmental Regulation (1), Executive Branch (1), FDIC (1), Federal (1), Federal Immigration (1), Federal Law Enforcement (1), Intelligence (1), Interior Department (1), Multi-Agency (1), NNSA (1), OCC (1), Property Management (1), Science Agencies (1), Space Force (1), State (1), Strategic Command (1), Treasury (1), U.S. Coast Guard (1), USDA (1), Waste Management (1)
Direct (251), Nuclear (2), Logistics (1), Maintenance (1)
Direct (244), Family Planning Services (2), Public Health (2)
Direct (242), Intercontinental Ballistic Missile Systems (3), Space Force (1)
Direct (218), Veterans (20), Family Sponsors (4), Environmental Health (1), Environmental Justice (1), Water Quality (1)
Direct (178), Foreign (2), Technology (2), Tourism (2), Moving (1), Research Vessels (1)

Click any row to see supporting clauses

Showing positive and negative-direction effects only. Mixed and uncertain effects are not included in these counts.

Votes by Industry (Yea/Nay Alignment)

How this legislator's Yea/Nay votes landed across industries; distinct from overall bill exposure above.

Analysis coverage
100.0% of votes
Show vote-alignment table
S+ Supported Benefits
S- Supported Burdens
O+ Opposed Benefits
O- Opposed Burdens
Industry S+ S- O+ O- Net
Government (75 sub)
Sub-categories (total impacts, all buckets): Defense (229), Veterans Affairs (183), Coast Guard (36), DoD (33), EPA (31) +70 more
-225
General Public (8 sub)
Sub-categories (total impacts, all buckets): Veterans (141), Military Families (17), Family Sponsors (4), Military (3), Foreign (2) +3 more
-188
Military (4 sub)
Sub-categories (total impacts, all buckets): Intercontinental Ballistic Missile Systems (3), Air Force (2), Families (1), Space Force (1)
-45
Defense (14 sub)
Sub-categories (total impacts, all buckets): Naval (2), Nuclear (2), Testing (2), Ammunition (1), Ground Vehicles (1) +9 more
-64
Healthcare (5 sub)
Sub-categories (total impacts, all buckets): Research (15), Community (3), Tribal (3), Family Planning Services (2), Public Health (2)
+9
Education (6 sub)
Sub-categories (total impacts, all buckets): Child Care (3), Maritime Training (2), Immigrant Students (1), Religious Studies (1), Research Universities (1) +1 more
+61
Cryptocurrency - - -71
Transportation (6 sub)
Sub-categories (total impacts, all buckets): Foreign (2), Labor (2), Technology (2), Tourism (2), Moving (1) +1 more
+2
Financial Services (1 sub)
Sub-categories (total impacts, all buckets): HSA (7)
-115
State & Local Government (2 sub)
Sub-categories (total impacts, all buckets): Medicaid (6), Non-Expansion (3)
+68
Construction (4 sub)
Sub-categories (total impacts, all buckets): Federal Projects (1), Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)
-45
Manufacturing (4 sub)
Sub-categories (total impacts, all buckets): Foreign (8), Electrical Equipment (2), Defense (1), Foreign Adversary (1)
+8
Taxpayers - - -15
Agriculture (6 sub)
Sub-categories (total impacts, all buckets): Coffee (2), Commodities (2), Hemp (2), Livestock (2), Coffee Production (1) +1 more
-119
Law Enforcement -44

Votes are cast on entire bills; attribution to individual clauses does not imply clause-level intent. Learn more

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Sponsored & Cosponsored Bills

hr6797-119

Cosponsor In Committee

Bipartisan IVF for Military Families Act

3 clauses Dec 17, 2025
Defense Healthcare Providers General Public Healthcare

hr6766-119

Cosponsor In Committee

Essential Caregivers Act of 2025

2 clauses Dec 16, 2025
Healthcare Providers State & Local Government Social Services Government

hr6630-119

Primary Sponsor In Committee

Expanding Mental Health Access for Cyber Command Personnel Act

1 clause Dec 11, 2025
Defense Government Healthcare Providers

hr6597-119

Cosponsor In Committee

LET’S Protect Workers Act

4 clauses Dec 10, 2025
Labor Agriculture Professional Services Government

hr6595-119

Cosponsor In Committee

To direct the Secretary of Defense and the Secretary of Veterans Affairs to improve the availability of care for veterans at facilities of the Department of Defense.

1 clause Dec 10, 2025
Defense Healthcare Providers Veterans Education

hr6434-119

Cosponsor In Committee

Freedom to Heal Act of 2025

1 clause Dec 4, 2025
Healthcare Providers Pharmaceuticals Government Healthcare

hr5943-119

Primary Sponsor Introduced

To direct the Secretary of Veterans Affairs to establish a Task Force on Complementary and Integrative Health/Whole Health, and for other purposes.

1 clause Nov 7, 2025
Government Veterans Healthcare

hr5278-119

Cosponsor Introduced

To amend title XXVII of the Public Health Service Act, the Internal Revenue Code of 1986, and the Employee Retirement Income Security Act of 1974 to reduce patient cost sharing for prescription drug inhaler products used to treat breathing disorders such as asthma and chronic obstructive pulmonary disease, and for other purposes.

5 clauses Sep 10, 2025
Healthcare Providers Health Insurance Federal Government Pharmaceuticals

hr4876-119

Cosponsor In Committee

Reproductive Freedom for Veterans Act

2 clauses Aug 5, 2025
Healthcare Providers Veterans Government Government Employees

hr4796-119

Cosponsor In Committee

Restoring Essential Healthcare Act

1 clause Jul 29, 2025
Medicaid Health Care Providers Healthcare Providers Government

hr4611-119

Cosponsor In Committee

EACH Act of 2025

2 clauses Jul 22, 2025
Medicaid Defense Health Health Insurance Veterans

hr4525-119

Cosponsor In Committee

Right to FDA-Approved Medicines Act

5 clauses Jul 17, 2025
State Government Healthcare Providers Health Care Consumers Judiciary

hr4541-119

Cosponsor Reported

EARLY Act Reauthorization of 2025

1 clause Jul 17, 2025
Healthcare - Women's Health Healthcare - Providers

hr4253-119

Cosponsor In Committee

Expanding Access to Mental Health Services in Schools Act of 2025

2 clauses Jun 30, 2025
Government Healthcare Providers Education

hr4206-119

Cosponsor In Committee

CONNECT for Health Act of 2025

15 clauses Jun 26, 2025
Government Healthcare Providers Medicare

hr3277-119

Cosponsor In Committee

Ensuring Lasting Smiles Act

4 clauses May 8, 2025
Government Healthcare Providers Healthcare Health Insurance

hr3243-119

Cosponsor In Committee

Therapeutic Fraud Prevention Act of 2025

1 clause May 7, 2025
State Government Advertising Healthcare Providers Civil Rights

hr3069-119

Cosponsor In Committee

Medicare for All Act

39 clauses Apr 29, 2025
Employers Insurance Disability Government

hr3037-119

Cosponsor In Committee

Access to Breast Cancer Diagnosis Act of 2025

2 clauses Apr 28, 2025
Government Healthcare Insurance Employers

hr2767-119

Cosponsor In Committee

BRAIN Act

10 clauses Apr 9, 2025
Government Science Healthcare Taxpayers
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Policy Mechanisms Used

Industry Focus Distribution