America’s rural hospitals are in crisis. Since 2010, more than 150 have closed their doors and hundreds more are at risk. That’s why I introduced the Save America’s Rural Hospitals Act, a bipartisan bill to reform the Medicare repayment structure and ease the burden on rural hospitals.

Congress Member Profile|U.S. Representative|Democrat|Illinois District 13
Nikki Budzinski
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Voting Record — 536
Yes47%
No53%
Present0%
Not Voting0%
Party align95%
Cross-party5%
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District Map
Congressional District 13
U.S. Census Bureau boundary data.

Nikki Budzinski
U.S. RepresentativeDemocratIllinois District 13
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Nikki's ATmosphere Activity
20 recent posts · 19 sponsored · 186 cosponsored
Recent ATmosphere posts, sponsorships, and cosponsorships.
Experts at the nonpartisan Congressional Budget Office are estimating that the GOP tax package would kick 16 million Americans off their health insurance. Meanwhile, the top 0.1% would get a $255,000 tax break. I refuse to fund giveaways to billionaires on the back of working families.
Congratulations to Dr. Charles Lee Isbell Jr. on his appointment as the next UIUC Chancellor and vice president of the University of Illinois System! I look forward to working together.
On this day in 1965, the Supreme Court affirmed the right to contraception with their decision in Griswold v. Connecticut. In Congress, I’m keeping up the fight to protect reproductive freedom and the right of every woman to make her own health care decisions.
Right now, Republicans in Congress are pushing their disastrous tax package that cuts taxes for billionaires while slashing $300 billion from SNAP.
It’s a giveaway to the top 1% on the backs of working families.
I can’t support any deal that leaves out Granite City. Steelworkers need a seat at the table and a real commitment that Illinois won’t be left behind.
81 years ago, thousands of troops stormed the beaches of Normandy to defeat the Nazis and liberate Europe.
The bravery of the soldiers, sailors, and airmen of the Allied Expeditionary Forces changed the course of history. Their sacrifices will never be forgotten.
I enjoyed meeting with some local realtors from Central and Southern Illinois this week! We had a great conversation about what Congress can do to support a vibrant real estate market across the United States.
Republicans on the House Ag Committee have spent the last two years pushing harmful, partisan legislation that ignores the needs of Illinois growers. Instead of just paying lip service to conservation, we need a REAL Farm Bill that funds the climate-smart agriculture programs our farmers rely on.
In case you missed it, I joined Michelle Eccles to talk tariffs, the GOP tax package, and how we should be focused on lowering costs for working families. Listen to our conversation:
Working Americans have made their priorities clear: they want Congress to lower costs, bring home good-paying jobs, and make billionaires pay their fair share. I joined @repcasar.bsky.social and @americanprogress.bsky.social for a discussion on how Democrats can put these issues front and center.
The GOP tax package is a disaster for America, but don’t just take it from me. A new analysis from experts at the nonpartisan Congressional Budget Office says the bill adds $2.4 trillion to the deficit while ripping health care away from 10.9 million people. There’s nothing beautiful about that.
Tonight, I voted for the SUPPORT Act to advance key priorities I’ve championed like bolstering maternal health programs, improving mental health for students, and addressing the opioid crisis. This bill is a vital step to build healthier, stronger communities in Illinois and across the country.
It was great to meet with the team from Birkey’s Farm Store in Champaign! We discussed how President Trump’s tariffs would impact this small business that supports farmers across the district.
Rural hospitals are a lifeline for the folks they serve. But with rising healthcare costs and outdated Medicare repayment rules, many are struggling. I’m introducing the bipartisan Save America’s Rural Hospitals Act to ensure our communities can continue to access the care they need.
Rural hospitals are a lifeline for the folks they serve. But with rising healthcare costs and outdated Medicare repayment rules, many are struggling. I’m introducing the bipartisan Save America’s Rural Hospitals Act to ensure our communities can continue to access the care they need.
Certified Community Behavioral Health Clinics provide mental health & addiction treatment to folks who otherwise wouldn't have access. After we pushed Secretary Kennedy to reverse his decision to cut their funding, I’m glad to see the new HHS budget request include $385 million for these clinics.
Too often, the Medicare Advantage prior authorization process forces physicians to spend more time doing paperwork than seeing patients. I’m proud to cosponsor the Improving Seniors Timely Access to Care Act to cut this red tape and make it easier for seniors to get the care they need.
Whether it’s tornadoes here in the Midwest or the start of hurricane season on the coast, Americans deserve to know that help is on the way when disaster strikes. The Trump administration’s cuts to NWS, NOAA, and FEMA make our communities less safe.
Applying for a passport can be a frustrating experience, but my team is here to make it easier! I’m so glad we were able to help Mark’s family, and I encourage everyone to reach out to my office for assistance if you hit a snag with the federal government.
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Voting History536 total votesExpandCollapse
Voting History
536 total votes
Recent roll calls with party-majority context so it is easier to scan how this member tends to vote.
| Date | Bill | Question | Position | Party Maj | Align? | Result |
|---|---|---|---|---|---|---|
| 2025-07-02 | H. Res. 566 (119th) | Consideration of the Resolution | NO | NO | ✓ | Passed |
| 2025-06-27 | H. Res. 516 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-06-26 | H.R. 275 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-06-26 | H.R. 875 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-06-25 | H.R. 3944 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-06-25 | H.R. 3944 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-06-25 | H.R. 3944 (119th) | Approve amendment | NO | NO | ✓ | Agreed to |
| 2025-06-25 | H. Res. 519 (119th) | Motion to Suspend the Rules and Agree, as Amended | YES | YES | ✓ | Passed |
| 2025-06-24 | — | Motion to Adjourn | YES | YES | ✓ | Failed |
| 2025-06-24 | H. Res. 530 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-06-24 | H. Res. 530 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-06-24 | H. Res. 537 (119th) | Kill the motion | YES | YES | ✓ | Passed |
| 2025-06-23 | H.R. 3422 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-06-23 | H.R. 3394 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-06-23 | H.R. 1998 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-06-12 | H.R. 2056 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-06-12 | H.R. 2056 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-06-12 | — | Motion to Adjourn | YES | YES | ✓ | Failed |
| 2025-06-12 | H.R. 4 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-06-12 | H.R. 4 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-06-12 | S. 331 (119th) | Final passage | NO | YES | ✕ | Passed |
| 2025-06-11 | H. Res. 499 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-06-11 | H. Res. 499 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-06-10 | H.R. 884 (119th) | Final passage | YES | NO | ✕↔ | Passed |
| 2025-06-10 | H.R. 2096 (119th) | Final passage | YES | NO | ✕↔ | Passed |
| 2025-06-10 | H. Res. 489 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-06-10 | H. Res. 489 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-06-09 | H. Res. 481 (119th) | Motion to Suspend the Rules and Agree | YES | YES | ✓ | Passed |
| 2025-06-09 | H. Res. 488 (119th) | Motion to Suspend the Rules and Agree | YES | NO | ✕↔ | Passed |
| 2025-06-09 | H.R. 2035 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-06-06 | H.R. 2966 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-06-05 | H.R. 2987 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-06-05 | H.R. 2987 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-06-05 | H.R. 2931 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-06-05 | H.R. 2931 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-06-04 | H.R. 2483 (119th) | Final passage | YES | YES | ✓ | Passed |
| 2025-06-04 | H.R. 2483 (119th) | Approve amendment | YES | YES | ✓ | Failed |
| 2025-06-04 | H. Res. 458 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-06-04 | H. Res. 458 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-06-03 | H.R. 1804 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-06-03 | H.R. 1642 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-05-22 | H.R. 1 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-05-22 | H.R. 1 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-05-22 | S.J. Res. 31 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-05-22 | H. Res. 436 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-05-22 | H. Res. 436 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-05-22 | H. Res. 436 (119th) | Consideration of the Resolution | NO | NO | ✓ | Passed |
| 2025-05-22 | H. Res. 436 (119th) | Consideration of the Resolution | NO | NO | ✓ | Passed |
| 2025-05-22 | — | Motion to Adjourn | YES | YES | ✓ | Failed |
| 2025-05-20 | S.J. Res. 13 (119th) | Final passage | NO | NO | ✓ | Passed |
Alignment stats consider only votes where a clear yes/no majority existed for the legislator's party. Cross-party marks divergence where the vote matched the opposite party majority. ↔ indicates cross-party divergence.