Voting Profile

Legislative Record

255 votes analyzed

Most Active Policy Areas

#1 healthcare#2 environment energy#3 other#4 defense#5 agriculture

255

Votes Analyzed

Data sources: voteview, congress.gov

Political Position

Ideology Spectrum

0.46Conservative

Senator Bill Cassidy holds conservative positions that align with mainstream Republican views, though his voting record shows he is somewhat more moderate than the average Senate Republican. His NOMINATE score of 0.463 places him in the conservative range while being notably more centrist than many of his Republican colleagues.

LiberalModerateConservative
Republican avg

Near the average for Republicans (0.52)

Data source: VoteView NOMINATE scores (UCLA/UC San Diego)

Policy Positions

Category Breakdown

255

total votes analyzed

Overview

Bill Cassidy is a Republican Senator from Louisiana who brings a background as a physician to his legislative work. His voting record spans over 255 recorded votes across multiple policy areas, with particularly significant activity in healthcare legislation, reflecting his professional background in medicine. Senator Cassidy's voting patterns show consistent support for defense-related measures, where he has voted in favor 71% of the time. His healthcare voting record, his most active category with 136 votes, shows a 57% favorable rate, suggesting a nuanced approach to medical policy issues. His position relative to his party indicates a willingness to occasionally diverge from strict party-line voting. This moderate conservative positioning within the Republican caucus suggests he may prioritize pragmatic solutions on certain issues while maintaining core conservative principles on others.

Key Positions

  • Strong support for defense and national security measures (71% favorable)
  • Active engagement on healthcare policy, informed by his medical background
  • Support for taxation measures aligned with Republican fiscal priorities
  • Consistent voting on agricultural issues relevant to Louisiana's economy
  • Moderate conservative approach relative to Senate Republican average

By Policy Area

Healthcare136
57% yea43% nay
Environment & Energy24
58% yea42% nay
Other23
61% yea39% nay
Defense21
71% yea29% nay
Agriculture16
56% yea44% nay
Banking & Finance10
60% yea40% nay
Budget & Spending7
57% yea43% nay
Social Security7
57% yea43% nay

Analysis updated: January 9, 2026

Bill Cassidy — U.S. Senator for Louisiana: Voting Record & Donors | PowerVote