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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 663

Healthcare

+109
Helped 489 Hurt 380 Unclear 441

Finance

+30
Helped 434 Hurt 404 Mixed 1 Unclear 245

Energy

-99
Helped 227 Hurt 326 Unclear 124

Veterans Affairs

+232
Helped 389 Hurt 157 Unclear 88

Government Operations

-21
Helped 67 Hurt 88 Unclear 465

Transportation

-194
Helped 131 Hurt 325 Unclear 144

Agriculture

+96
Helped 285 Hurt 189 Unclear 110

Education

+15
Helped 220 Hurt 205 Mixed 1 Unclear 153

Sanctions

-57
Helped 218 Hurt 275 Unclear 18

Criminal Justice

+86
Helped 248 Hurt 162 Unclear 42

Environment

-33
Helped 119 Hurt 152 Unclear 147

Appropriations

+93
Helped 203 Hurt 110 Unclear 17

Housing

+105
Helped 202 Hurt 97 Unclear 14

Foreign Policy

-62
Helped 108 Hurt 170 Unclear 33

Trade

+2
Helped 138 Hurt 136 Unclear 31

Federal Budget

+162
Helped 207 Hurt 45 Unclear 36

Technology

+11
Helped 124 Hurt 113 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

13947 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 (1561), 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 (332), 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 (212), HSA (7), HSA Administration (2), Custody Services (1), Life & Annuity (1), Professional Liability (1), Recordkeeping (1), Surety (1)
Direct (200), Child Care (3), Immigrant Students (1), Religious Studies (1), Technical (1)
Direct (161), Coffee (2), Commodities (2), Hemp (2), Livestock (2)
Direct (156), Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)

Negative-Effect Industries

Direct (1553), 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
+140
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)
+86
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 +28
Manufacturing (4 sub)
Sub-categories (total impacts, all buckets): Foreign (7), Electrical Equipment (2), Defense (1), Foreign Adversary (1)
+18
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

s2493-118

Cosponsor Introduced

To require the Medicare Payment Advisory Commission (MedPAC) submit to Congress two reports on arrangements with pharmacy benefit managers with respect to prescription drug plans and MA–PD plans.

2 clauses Jul 25, 2023
Health Care Providers

sres310-118

Cosponsor In Committee

Recognizing the Motorcycle Safety Foundation for 50 years of safety education.

0 clauses Jul 25, 2023

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
Healthcare Quality Organizations Hospitals General Public Physicians

s2430-118

Cosponsor Introduced

To amend the Emergency Planning and Community Right-To-Know Act of 1986 to exclude certain air emissions from emergency notification requirements, and for other purposes.

1 clause Jul 20, 2023
Environmental Services

s2370-118

Cosponsor Introduced

To amend the Bill Emerson Good Samaritan Food Donation Act to provide protection for the good faith donation of pet products, and for other purposes.

1 clause Jul 19, 2023
Agricultural Producers

s2347-118

Cosponsor Introduced

To amend title 18, United States Code, to prohibit a foreign official from demanding a bribe, and for other purposes.

1 clause Jul 18, 2023
Environmental Services

sres298-118

Cosponsor

Designating July 30, 2023, as National Whistleblower Appreciation Day.

1 clause Jul 13, 2023
Labor

s2304-118

Cosponsor Introduced

To amend the Public Health Service Act to support dual or concurrent enrollment programs in allied health.

2 clauses Jul 13, 2023
Health Care Providers

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
Transportation Health Care Providers Environmental Services

s2324-118

Cosponsor Introduced

To provide support for nationals of Afghanistan who supported the United States mission in Afghanistan and adjustment of status for eligible individuals, to support at-risk Afghan allies and relatives of certain members of the Armed Forces, and to amend section 212(d)(5) of the Immigration and Nationality Act to reform the parole process, and for other purposes.

8 clauses Jul 13, 2023
Health Care Providers Federal Administration Defense Contractors

s2296-118

Cosponsor Introduced

To cancel recent changes made by the Federal Housing Finance Agency to the up-front loan level pricing adjustments charged by Fannie Mae and Freddie Mac for guarantee of single-family mortgages, and for other purposes.

5 clauses Jul 13, 2023
Financial Services

s2327-118

Cosponsor Introduced

To provide support for nationals of Afghanistan who supported the United States mission in Afghanistan, adequate vetting for parolees from Afghanistan, adjustment of status for eligible individuals, and special immigrant status for at-risk Afghan allies and relatives of certain members of the Armed Forces, and for other purposes.

9 clauses Jul 13, 2023
Health Care Providers Federal Administration Defense Contractors

s2254-118

Cosponsor Introduced

To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA–PD plans under Medicare part D.

1 clause Jul 12, 2023
Federal Administration Health Care Providers

s2231-118

Cosponsor Passed Senate

To amend title V of the Social Security Act to support stillbirth prevention and research, and for other purposes.

2 clauses Jul 11, 2023
Nonprofit - Health Services Scientific Research State Government - Health Consumers

s2235-118

Cosponsor Introduced

To amend the Animal Health Protection Act to provide compensation for poultry growers and layers in control areas, and for other purposes.

0 clauses Jul 11, 2023

s2220-118

Cosponsor Reported

To amend title 35, United States Code, to invest in inventors in the United States, maintain the United States as the leading innovation economy in the world, and protect the property rights of the inventors that grow the economy of the United States, and for other purposes.

33 clauses Jul 10, 2023
Financial Services Federal Administration Defense Contractors Education

s2115-118

Cosponsor 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 Jun 22, 2023
Health Care Providers

s2173-118

Cosponsor Introduced

To amend the Trademark Act of 1946 to provide that the licensing of a mark for use by a related company may not be construed as establishing an employment relationship between the owner of the mark, or an authorizing person, and either that related company or the employees of that related company, and for other purposes.

1 clause Jun 22, 2023
Agricultural Producers

s2191-118

Cosponsor Introduced

To amend the Public Health Service Act to ensure the consensual donation and respectful disposition of human bodies and human body parts donated or transferred for education, research, or the advancement of medical, dental, or mortuary science and not for use in human transplantation, and for other purposes.

2 clauses Jun 22, 2023
Federal Administration Health Care Providers

s2210-118

Cosponsor Introduced

To provide for congressional review of actions to terminate or waive sanctions imposed with respect to Iran.

2 clauses Jun 22, 2023
Defense Contractors Foreign Affairs

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Policy Mechanisms Used

Industry Focus Distribution