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Thom Tillis

Thom Tillis

R NC · Senate

2025–Present Senate
2023–2025 Senate
2021–2023 Senate
2019–2021 Senate
2017–2019 Senate
2015–2017 Senate
Vote Date:
to

Defense

-49
Helped 808 Hurt 857 Unclear 662

Healthcare

+109
Helped 489 Hurt 380 Unclear 443

Finance

+27
Helped 431 Hurt 404 Mixed 1 Unclear 248

Energy

-99
Helped 227 Hurt 326 Unclear 124

Veterans Affairs

+231
Helped 388 Hurt 157 Unclear 88

Transportation

-196
Helped 129 Hurt 325 Unclear 146

Government Operations

-7
Helped 61 Hurt 68 Unclear 469

Agriculture

+96
Helped 285 Hurt 189 Unclear 110

Education

+4
Helped 207 Hurt 203 Mixed 1 Unclear 152

Sanctions

-57
Helped 218 Hurt 275 Unclear 18

Criminal Justice

+86
Helped 248 Hurt 162 Unclear 42

Environment

-31
Helped 115 Hurt 146 Unclear 146

Appropriations

+93
Helped 203 Hurt 110 Unclear 17

Housing

+106
Helped 203 Hurt 97 Unclear 14

Foreign Policy

-62
Helped 107 Hurt 169 Unclear 36

Trade

+1
Helped 137 Hurt 136 Unclear 30

Federal Budget

+162
Helped 207 Hurt 45 Unclear 36

Technology

+11
Helped 123 Hurt 112 Unclear 42

Immigration

-114
Helped 29 Hurt 143 Unclear 63

Labor

-9
Helped 60 Hurt 69 Mixed 2 Unclear 70
20 policy domains
Helped Hurt Mixed Unclear

Industry Impact Profile

13831 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 (1559), Veterans Affairs (117), Defense (93), DoD (33), Executive (22), VA (19), Legislative (17), USDA (16), Justice (14), Congress (12), Treasury (12), Agriculture (11), CMS (10), Judiciary (7), NPS (7), State (7), Oversight (6), Foreign Affairs (5), DOJ (4), Education (4), ICE (4), DHS (3), Legislative Branch (3), Transportation (3), Cemeteries (2), FDA (2), FEMA (2), Federal (2), HUD (2), Housing (2), Intelligence (2), Interior/USDA (2), International Development (2), Local (2), Military Logistics (2), NASA (2), SBA (2), SSA (2), State/Local (2), USPTO (2), DOD (1), Defense R&D (1), Executive Branch (1), HHS (1), Judicial (1), Manufacturing (1), Military Personnel (1), National Security (1)
Direct (328), Veterans (121), Military Families (16), Military (3), Foreign (2)
Direct (262), Research (15), Community (3), Tribal (3), Patients (1)
Direct (259), 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 (210), HSA (7), HSA Administration (2), Custody Services (1), Life & Annuity (1), Professional Liability (1), Recordkeeping (1), Surety (1)
Direct (195), Child Care (3), Immigrant Students (1), Religious Studies (1), Technical (1)
Direct (161), Coffee (2), Commodities (2), Hemp (2), Livestock (2)
Direct (157), Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)

Negative-Effect Industries

Direct (1543), Veterans Affairs (70), Defense (65), EPA (22), Executive (18), Justice (12), Education (11), NPS (11), HHS (10), FDA (9), Agriculture (7), BLM (7), Forest Service (7), Foreign (5), Intelligence (5), Banking (4), CFPB (4), SBA (4), Treasury/IRS (4), VA (4), DHS (3), Emergency Management (3), Federal (3), GAO (3), HUD (3), Legislative (3), NOAA (3), NOAA/EPA (3), Oversight (3), SEC (3), Treasury (3), USDA (3), Acquisition (2), Congress (2), Courts (2), Defense Acquisition (2), Executive Branch (2), Judiciary (2), Military (2), Military Dependents (2), Military Personnel (2), USPTO (2), USTR (2), Veterans (2), Coast Guard (1), DoD (1), Energy/Defense (1), FDIC (1), Federal Reserve (1), Housing (1), Interior Department (1), Monetary Policy (1), NNSA (1), OCC (1), OMB (1), Regulatory Agencies (1), Space Force (1), State/Local (1), Strategic Command (1), U.S. Coast Guard (1), Waste Management (1)
Direct (200), Nuclear (2), Logistics (1), Maintenance (1)
Direct (147), Gender-Affirming Care (3), Family Planning Services (2), Public Health (2), Reproductive Health (2), Safety Net Providers (2)

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 (58 sub)
Sub-categories (total impacts, all buckets): Veterans Affairs (180), Defense (158), DoD (34), VA (23), EPA (22) +53 more
+146
General Public (5 sub)
Sub-categories (total impacts, all buckets): Veterans (141), Military Families (16), Military (3), Foreign (2), Taxpayers (1)
+243
Military (2 sub)
Sub-categories (total impacts, all buckets): Families (1), Space Force (1)
-2
Defense (14 sub)
Sub-categories (total impacts, all buckets): Naval (2), Nuclear (2), Testing (2), Ammunition (1), Ground Vehicles (1) +9 more
+1
Healthcare (8 sub)
Sub-categories (total impacts, all buckets): Research (15), Community (3), Gender-Affirming Care (3), Tribal (3), Family Planning Services (2) +3 more
+79
Education (4 sub)
Sub-categories (total impacts, all buckets): Child Care (3), Immigrant Students (1), Religious Studies (1), Technical (1)
+4
Construction (3 sub)
Sub-categories (total impacts, all buckets): Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)
+87
Taxpayers - -12
Agriculture (5 sub)
Sub-categories (total impacts, all buckets): Coffee (2), Commodities (2), Hemp (2), Livestock (2), Coffee Production (1)
+12
Immigration - +111
Transportation +29
Manufacturing (4 sub)
Sub-categories (total impacts, all buckets): Foreign (7), Electrical Equipment (2), Defense (1), Foreign Adversary (1)
+15
Financial Services (3 sub)
Sub-categories (total impacts, all buckets): HSA (7), HSA Administration (2), Transgender Individuals (1)
+17
State & Local Government (3 sub)
Sub-categories (total impacts, all buckets): Medicaid (6), Medicaid Programs (4), Non-Expansion (3)
+11
Energy (1 sub)
Sub-categories (total impacts, all buckets): Distributed Generation (1)
-20

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

s1121-119

Cosponsor In Committee

Performing Artist Tax Parity Act of 2025

2 clauses Mar 25, 2025
Foreign Affairs

s1097-119

Cosponsor Reported

To amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes.

6 clauses Mar 24, 2025
Pharmaceuticals Government Biotechnology Patents

s1064-119

Cosponsor Introduced

To preserve open competition and Federal Government neutrality towards the labor relations of Federal Government contractors on Federal and federally funded construction projects, and for other purposes.

2 clauses Mar 13, 2025
Labor Health Care Providers

s1038-119

Primary Sponsor Passed Senate

TRACE Act

10 clauses Mar 13, 2025
Federal Law Enforcement - Maritime Federal Land Management Federal Law Enforcement Government - Legislative Branch

s1031-119

Primary Sponsor In Committee

ROCR Value Based Program Act

6 clauses Mar 13, 2025
Health Care Providers Healthcare Government - CMS

s998-119

Primary Sponsor Introduced

To authorize the President to enter into trade agreements for the reciprocal elimination of duties or other import restrictions with respect to medical goods to contribute to the national security and public health of the United States, and for other purposes.

6 clauses Mar 12, 2025
Medical Supplies Government - USTR Foreign Trade Healthcare

s1012-119

Cosponsor In Committee

SOIL Act of 2025

6 clauses Mar 12, 2025
Foreign Investment Agriculture General Public Government - Treasury

s901-119

Primary Sponsor In Committee

To amend the Small Business Act and the Small Business Investment Act of 1958 to increase the maximum loan amount for certain loans, and for other purposes.

3 clauses Mar 6, 2025
Commercial Banking & Credit Unions Small Business (Cross-Sector) Community Development Finance Federal Government - SBA

s875-119

Cosponsor Reported

FIRM Act

12 clauses Mar 6, 2025
Credit Unions Government Business Banking

s858-119

Cosponsor Passed Senate

Hershel ‘Woody' Williams National Medal of Honor Monument Location Act

4 clauses Mar 5, 2025
Non-Profit Organizations Museums And Historical Sites General Public Government

s861-119

Cosponsor Passed Senate

Disaster Assistance Simplification Act

2 clauses Mar 5, 2025
Small Business Disaster Assistance Recipients State & Local Government Technology

s825-119

Cosponsor Passed Senate

Fighting Post-Traumatic Stress Disorder Act of 2025

4 clauses Mar 4, 2025
Families Government Public Safety Taxpayers

s843-119

Cosponsor Passed Senate

Sea Turtle Rescue Assistance and Rehabilitation Act of 2025

3 clauses Mar 4, 2025
Government Wildlife Rehabilitation

s817-119

Cosponsor In Committee

Falun Gong Protection Act

5 clauses Mar 3, 2025
Health Care Providers Defense Contractors Foreign Affairs Financial Services

s736-119

Cosponsor Passed Senate

Lieutenant Osvaldo Albarati Stopping Prison Contraband Act

2 clauses Feb 26, 2025
Criminal Justice Government Public Safety Corrections

s702-119

Cosponsor Reported

To require a study on the quality of care difference between mental health and addiction therapy care provided by health care providers of the Department of Veterans Affairs compared to non-Department providers, and for other purposes.

1 clause Feb 25, 2025
Government Veterans Healthcare Providers

s703-119

Cosponsor Introduced

To establish a pilot program to assess the use of technology to speed up and enhance the cargo inspection process at land ports of entry along the border.

3 clauses Feb 25, 2025
Federal Administration Health Care Providers Transportation Defense Contractors

s655-119

Cosponsor In Committee

Stop Tax Penalties on American Hostages Act of 2025

4 clauses Feb 20, 2025
Federal Administration Foreign Affairs Environmental Services

s545-119

Cosponsor Reported

Combating Illicit Xylazine Act

13 clauses Feb 12, 2025
Veterinary Services Pharmaceutical Manufacturing Local Government Animal Health

s527-119

Cosponsor Reported

Prescription Pricing for the People Act of 2025

3 clauses Feb 11, 2025
Pharmacy Benefit Managers Employers Patients Pharmacies

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Click an industry from the Impact Profile to view supporting clauses

Policy Mechanisms Used

Industry Focus Distribution