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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
103
Sponsored
744
Cosponsored
658
Votes
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

Government 2028 P·17 C·362 Y·1653 N·1356 w:23.6
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)
General Public 470 P·3 C·109 Y·360 N·347 w:10.7
Direct (328), Veterans (121), Military Families (16), Military (3), Foreign (2)
Healthcare 284 P·8 C·79 Y·196 N·189 w:7.2
Direct (262), Research (15), Community (3), Tribal (3), Patients (1)
Defense 272 P·1 C·62 Y·209 N·108 w:1.5
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)
Military 228 C·4 Y·224 N·109 w:0.4
Direct (227), Families (1)
Financial Services 224 P·12 C·129 Y·82 N·73 w:10.5
Direct (210), HSA (7), HSA Administration (2), Custody Services (1), Life & Annuity (1), Professional Liability (1), Recordkeeping (1), Surety (1)
Education 201 P·9 C·52 Y·143 N·121 w:7.1
Direct (195), Child Care (3), Immigrant Students (1), Religious Studies (1), Technical (1)
Agriculture 169 C·14 Y·155 N·151 w:2.3
Direct (161), Coffee (2), Commodities (2), Hemp (2), Livestock (2)
Law Enforcement 169 P·8 C·117 Y·44 N·40 w:11.7
Construction 160 C·3 Y·157 N·131 w:0.5
Direct (157), Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)

Negative-Effect Industries

Government 1899 P·40 C·906 Y·958 N·767 w:62.8
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)
Transportation 279 C·205 Y·74 N·44 w:2.7
Defense 204 C·62 Y·142 N·54 w:0.4
Direct (200), Nuclear (2), Logistics (1), Maintenance (1)
General Public 162 C·32 Y·130 N·119 w:3.6
Direct (141), Veterans (20), Taxpayers (1)
Healthcare 158 P·1 C·47 Y·110 N·98 w:5.1
Direct (147), Gender-Affirming Care (3), Family Planning Services (2), Public Health (2), Reproductive Health (2), Safety Net Providers (2)
Military 140 C·8 Y·132 N·53 w:0.3
Direct (139), Space Force (1)
Financial Services 138 P·3 C·81 Y·54 N·50 w:8.8
Direct (137), Transgender Individuals (1)
Immigration 127 Y·127 N·127 w:-0.1
Education 117 P·9 C·20 Y·89 N·85 w:4.4
Taxpayers 106 C·21 Y·85 N·85 w:2.0

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

All Roles Sponsor Cosponsor
All Industries Defense Education Financial Services General Public Government Healthcare Law Enforcement Military Taxpayers Transportation
Clear

s4562-119

Cosponsor In Committee

AVERT Future Violence Act of 2026

4 clauses May 19, 2026
Native American Tribes Environmental Groups Federal Government Healthcare Consumers

s4558-119

Cosponsor In Committee

PETSAFE Act

1 clause May 18, 2026
Native American Tribes Transportation Environmental Groups Federal Government

s4499-119

Primary Sponsor In Committee

ALERT Act of 2026

3 clauses May 12, 2026
Federal Administration Health Care Providers

s3492-119

Cosponsor In Committee

Essential Caregivers Act of 2025

2 clauses Dec 16, 2025
Healthcare Providers Households

s3473-119

Cosponsor In Committee

MAP for Care Act

2 clauses Dec 15, 2025
Government Healthcare Healthcare Beneficiaries

s3402-119

Cosponsor In Committee

Ensuring Excellence in Mental Health Act

13 clauses Dec 9, 2025
Government Healthcare

s3345-119

Cosponsor In Committee

PBM Price Transparency and Accountability Act

2 clauses Dec 4, 2025
Government Consumers Healthcare

s3267-119

Cosponsor In Committee

ASAP Act

1 clause Nov 20, 2025
Health Professionals Healthcare - Patients

s3064-119

Cosponsor In Committee

Relief of Chronic Pain Act of 2025

2 clauses Oct 28, 2025
Healthcare

s2709-119

Cosponsor In Committee

Telehealth Modernization Act

5 clauses Sep 4, 2025
Healthcare Consumers Healthcare Providers Community Health Centers Digital Health / Telehealth

s1748-119

Cosponsor In Committee

Kids Online Safety Act

13 clauses May 14, 2025
Social Media Video Games Nonprofit Organizations Healthcare

s1630-119

Cosponsor In Committee

MOMS Act

8 clauses May 6, 2025
Individual Taxpayers Medical Devices Rural Healthcare Family Services

sres206-119

Cosponsor In Committee

A resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2025.

1 clause May 6, 2025

s1595-119

Cosponsor Passed Senate

Improving Police CARE Act

1 clause May 5, 2025
Public Safety and Law Enforcement Government Healthcare Medical Devices and Supplies

s1261-119

Cosponsor In Committee

CONNECT for Health Act of 2025

15 clauses Apr 2, 2025
Mental Health Services Native American Health Services Telehealth Services Ambulatory Health Care Services

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

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

s526-119

Cosponsor In Committee

Pharmacy Benefit Manager Transparency Act of 2025

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

s331-119

Cosponsor Voted Yea Signed into Law

HALT Fentanyl Act

23 clauses Jan 30, 2025
Pharmaceutical Research & Development Drug Trafficking / Pharmaceutical Industry Biotechnology Research Colleges, Universities & Professional Schools
1 / 3 Next

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Click an industry from the Impact Profile to view supporting clauses

Policy Mechanisms Used

Industry Focus Distribution