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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

s861-119

Cosponsor Passed Senate

Disaster Assistance Simplification Act

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

s825-119

Cosponsor Passed Senate

Fighting Post-Traumatic Stress Disorder Act of 2025

4 clauses Mar 4, 2025
Government Families Public Safety Taxpayers

s843-119

Cosponsor Passed Senate

Sea Turtle Rescue Assistance and Rehabilitation Act of 2025

3 clauses Mar 4, 2025
Wildlife Rehabilitation Government

s817-119

Cosponsor In Committee

Falun Gong Protection Act

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

s736-119

Cosponsor Passed Senate

Lieutenant Osvaldo Albarati Stopping Prison Contraband Act

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

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
Veterans Healthcare Providers Government

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 Defense Contractors Transportation

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
Local Government Pharmaceutical Manufacturing Veterinary Services Animal Health

s508-119

Cosponsor In Committee

BEACH Act of 2025

2 clauses Feb 11, 2025
Health Care Providers Environmental Services

s526-119

Cosponsor In Committee

Pharmacy Benefit Manager Transparency Act of 2025

8 clauses Feb 11, 2025
Retail Pharmacy Health Insurance Government Healthcare Workers

s527-119

Cosponsor Reported

Prescription Pricing for the People Act of 2025

3 clauses Feb 11, 2025
Pharmacies Employers Patients Government

s410-119

Cosponsor Reported

Love Lives On Act of 2025

3 clauses Feb 5, 2025
Military Families Government Veterans Families

s423-119

Cosponsor Signed into Law

PRO Veterans Act of 2025

7 clauses Feb 5, 2025
Federal Executive Agencies Management Consulting Services Government Veterans Affairs Veterans Services Recipients

sres52-119

Cosponsor Reported

A resolution recognizing religious freedom as a fundamental right, expressing support for international religious freedom as a cornerstone of United States foreign policy, and expressing concern over increased threats to and attacks on religious freedom around the world.

1 clause Feb 4, 2025
Foreign Government Human Rights Government

s401-119

Cosponsor Introduced

To amend the Federal Reserve Act to prohibit certain financial service providers who deny fair access to financial services from using taxpayer funded discount window lending programs, and for other purposes.

7 clauses Feb 4, 2025
Financial Services Government - Federal Reserve Banking Government - FDIC

s359-119

Cosponsor Introduced

To implement a 5-year pilot program establishing a performance-based pay structure for certain Federal employees in order to enhance productivity, accountability, and employee satisfaction in public service.

6 clauses Feb 3, 2025
Government Government - GAO Labor Unions Government - OMB

s331-119

Cosponsor Voted Yea Signed into Law

HALT Fentanyl Act

23 clauses Jan 30, 2025
Colleges, Universities & Professional Schools Pharmaceutical Research & Development Biotechnology Research Federal Government

s342-119

Cosponsor Reported

Purple Heart Veterans Education Act of 2025

2 clauses Jan 30, 2025
Government Education Veterans Families

s300-119

Cosponsor Reported

DLARA

20 clauses Jan 29, 2025
Small Business Taxpayers Government

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Click an industry from the Impact Profile to view supporting clauses

Policy Mechanisms Used

Industry Focus Distribution