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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

s275-119

Cosponsor Reported

Veterans’ Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025

11 clauses Jan 28, 2025
Caregivers Healthcare Providers Government Contractors Veterans

s186-119

Cosponsor Introduced

To prohibit taxpayer funded abortions.

14 clauses Jan 22, 2025
State Government Hospitals and Healthcare Facilities Health Insurance Healthcare Services

s4109-118

Cosponsor Introduced

To amend title 10, United States Code, to clarify roles and responsibilities within the Department of Defense relating to subconcussive and concussive brain injuries and to improve brain health initiatives of the Department of Defense, and for other purposes.

13 clauses Apr 11, 2024
Hospitals Federal Government Child Day Care Services Aerospace Product and Parts Manufacturing

s3775-118

Cosponsor Reported

To amend the Public Health Service Act to reauthorize the BOLD Infrastructure for Alzheimer’s Act, and for other purposes.

3 clauses Feb 8, 2024
Health Care Providers Native American Tribal Government Federal Government Offices Of Physicians

s2415-118

Cosponsor Reported

To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes.

2 clauses Jul 20, 2023
State Government Physicians Hospitals General Public

s2313-118

Cosponsor Introduced

To provide grants to States that do not suspend, revoke, or refuse to renew a driver's license of a person or refuse to renew a registration of a motor vehicle for failure to pay a civil or criminal fine or fee, and for other purposes.

3 clauses Jul 13, 2023
Health Care Providers Transportation Environmental Services

s2016-118

Cosponsor Introduced

To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes.

17 clauses Jun 15, 2023
Healthcare Consumers Community Health Centers Federal Government Tribal Healthcare

s1589-118

Primary Sponsor Introduced

To provide for transparency of funds appropriated for purposes of implementing part E of title XI of the Social Security Act.

3 clauses May 11, 2023
Homeowners Federal Government Regulated Industries Energy Production

s1507-118

Cosponsor Introduced

To provide grants to State, local, territorial, and Tribal law enforcement agencies to purchase chemical screening devices and train personnel to use chemical screening devices in order to enhance law enforcement efficiency and protect law enforcement officers.

4 clauses May 9, 2023
Native American Tribes Scientific Research Education Federal Government

sres201-118

Cosponsor In Committee

Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2023.

1 clause May 9, 2023
Foreign Businesses Consumers Healthcare Consumers

s1473-118

Cosponsor Introduced

To authorize the immediate expulsion of inadmissible aliens attempting to enter the United States by fraud or without a necessary entry document, and for other purposes.

2 clauses May 4, 2023
National Security Immigrant Communities Federal Government Healthcare Consumers

s1271-118

Cosponsor Introduced

To impose sanctions with respect to trafficking of illicit fentanyl and its precursors by transnational criminal organizations, including cartels, and for other purposes.

65 clauses Apr 25, 2023
National Security Immigrant Communities Foreign Businesses Federal Government

s1223-118

Cosponsor Introduced

To improve certain criminal provisions.

4 clauses Apr 20, 2023
Transportation Consumers Federal Government Healthcare Consumers

s1079-118

Cosponsor Introduced

To amend the Consolidated Farm and Rural Development Act to provide additional assistance to rural water, wastewater, and waste disposal systems, and for other purposes.

2 clauses Mar 30, 2023
Agriculture Water Infrastructure Federal Government Financial Services

s1102-118

Cosponsor Introduced

To protect the dignity of fetal remains, and for other purposes.

2 clauses Mar 30, 2023
Healthcare Consumers Federal Government

s1150-118

Cosponsor Introduced

To amend the Public Health Service Act to support and stabilize the existing nursing workforce, establish programs to increase the number of nurses, and for other purposes.

3 clauses Mar 30, 2023
Agriculture Scientific Research Education Federal Government

s1160-118

Primary Sponsor Introduced

To provide greater transparency with respect to the financial regulatory agencies, and for other purposes.

9 clauses Mar 30, 2023
Homeowners Education Federal Government Financial Services

s1037-118

Cosponsor Introduced

To prohibit the Secretary of Veterans Affairs from carrying out certain activities under the Electronic Health Record Modernization Program until certification of system stability improvements.

2 clauses Mar 29, 2023
Consumers Environmental Groups Federal Government Veterans

s1000-118

Cosponsor Introduced

To amend title XVIII of the Social Security Act to improve the accuracy of market-based Medicare payment for clinical diagnostic laboratory services, to reduce administrative burdens in the collection of data, and for other purposes.

1 clause Mar 28, 2023
Scientific Research Homeowners Federal Government Lobbying

s971-118

Cosponsor Introduced

To amend title XIX of the Social Security Act to remove the Medicaid coverage exclusion for inmates in custody pending disposition of charges, and for other purposes.

1 clause Mar 23, 2023
Environmental Groups Healthcare Consumers Federal Government Law Enforcement

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Click an industry from the Impact Profile to view supporting clauses

Policy Mechanisms Used

Industry Focus Distribution