Election 2026

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Checked against the record · New Jersey 7th District 2026

What has Tom Kean Jr. done to protect health care?

Not comparable yet. His record runs both ways: he voted to extend marketplace premium credits in a bill awaiting the Senate, and for the 2025 tax law that adds Medicaid work requirements.

Thomas H. Kean Jr.

Health care: protecting coverage

Not comparable yet

What they say

His campaign says he is working to protect healthcare.

“working to lower the cost of living, protect healthcare, strengthen our communities, and ensure America is strong at home and around the world”

What the record shows ·

His record runs both ways. He voted for H.R. 1 twice in 2025 (Roll Calls 145 and 190); the law requires states to set Medicaid work requirements for certain adults (section 71119) and makes other eligibility changes. He is an original cosponsor of two bipartisan health-insurance bills, the Bipartisan Premium Tax Credit Extension Act (H.R. 5145) and the Bipartisan Health Insurance Affordability Act (H.R. 6501), neither of which has left committee. On January 7 and 8, 2026 he voted to discharge and then to pass H.R. 1834, which extends those credits through 2028; it passed 230 to 196 and awaits the Senate. He has also sponsored health bills of his own, among them the HELP Copays Act (H.R. 6423), with Democratic original cosponsors, the Mental Health Parity Enforcement and Funding Act (H.R. 9551) and the Medicare Premiums Reduction Act of 2026 (H.R. 9709); none has left committee.

Limit: "Protect healthcare" names no measure, so there is nothing specific to hold the record against. His votes to extend the marketplace credits go the way the claim points; his votes for a law that tightens Medicaid eligibility go the other way. How many people either change covers is an estimate, not a record, and this card does not score it.

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Sources12 source records

How we use sources

  1. Tom Kean for Congress, home pagehttps://tomkean.com/

    Kean for Congress Inc · Reviewed Sep 23, 2026

    Campaign-controlled source; the "Paid for by Kean for Congress Inc" line matches the committee's filed website, WWW.TOMKEAN.COM. It carries one paragraph of positions and links X (@keanforcongress), Facebook (KeanForCongress), Instagram (@tomkean) and YouTube. Its Media page carries no content.

    candidate statement

    For: What has Tom Kean Jr. done to protect health care?

  2. Roll Call 145, H.R. 1, on passagehttps://clerk.house.gov/Votes/2025145

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 23, 2026

    Recorded vote of May 22, 2025, passed 215 to 214. Kean: Yea. On Roll Call 144 the same day, a motion to recommit, he voted Nay, which is a vote against sending the bill back.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  3. Roll Call 190, H.R. 1, on concurring in the Senate amendmenthttps://clerk.house.gov/Votes/2025190

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 23, 2026

    Recorded vote of July 3, 2025, passed 218 to 214. Kean: Aye.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  4. H.R. 1, 119th Congress, Public Law 119-21https://www.congress.gov/bill/119th-congress/house-bill/1

    Congress.gov · Reviewed Sep 23, 2026

    Enacted text read from GovInfo (PLAW-119publ21). Section 70120 replaces the 10,000 dollar cap on the deduction for state and local taxes with 40,000 dollars for 2025, 40,400 for 2026 and one per cent more each year through 2029, reduced by 30 per cent of income above 500,000 dollars but not below 10,000, and returning to 10,000 dollars from 2030. Section 71119 requires states to set Medicaid community engagement (work) requirements for certain adults. Section 50102 orders at least 30 Gulf of America oil and gas lease sales through 2040.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  5. H.R. 5145, Bipartisan Premium Tax Credit Extension Act, 119th Congresshttps://www.congress.gov/bill/119th-congress/house-bill/5145

    Congress.gov · Reviewed Sep 23, 2026

    Sponsored by Rep. Kiggans. Kean is an original cosponsor, from September 4, 2025. Referred to the Committee on Ways and Means.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  6. H.R. 6501, Bipartisan Health Insurance Affordability Act, 119th Congresshttps://www.congress.gov/bill/119th-congress/house-bill/6501

    Congress.gov · Reviewed Sep 23, 2026

    Sponsored by Rep. Fitzpatrick. Kean is an original cosponsor, from December 9, 2025. Referred to three committees.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  7. Roll Call 4, H. Res. 780, on the motion to dischargehttps://clerk.house.gov/Votes/20264

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 23, 2026

    Recorded vote of January 7, 2026, passed 221 to 205. The motion brought to the floor the rule for H.R. 1834. Kean: Yea.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  8. Roll Call 11, H.R. 1834, on passagehttps://clerk.house.gov/Votes/202611

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 23, 2026

    Recorded vote of January 8, 2026, passed 230 to 196. Kean: Yea.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  9. H.R. 1834, 119th Congress, as passed by the Househttps://www.congress.gov/bill/119th-congress/house-bill/1834

    Congress.gov · Reviewed Sep 23, 2026

    Engrossed text read from GovInfo (BILLS-119hr1834eh). As passed, its one section extends the enhanced premium tax credit for marketplace health insurance, and the credit for households above 400 per cent of the poverty line, through 2028. Placed on the Senate calendar February 10, 2026; not law.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  10. H.R. 6423, HELP Copays Act, 119th Congresshttps://www.congress.gov/bill/119th-congress/house-bill/6423

    Congress.gov · Reviewed Sep 23, 2026

    Sponsored by Kean; original cosponsors include Reps. Barragán, Auchincloss and Watson Coleman, Democrats.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  11. H.R. 9551, Mental Health Parity Enforcement and Funding Acthttps://www.congress.gov/bill/119th-congress/house-bill/9551

    Congress.gov · Published Jun 30, 2026 · Reviewed Sep 23, 2026

    Sponsored by Kean, introduced June 30, 2026. Referred to the Education and Workforce Committee; not reported.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?

  12. H.R. 9709, Medicare Premiums Reduction Act of 2026https://www.congress.gov/bill/119th-congress/house-bill/9709

    Congress.gov · Published Jul 15, 2026 · Reviewed Sep 23, 2026

    Sponsored by Kean, introduced July 15, 2026. Referred to the Energy and Commerce and Ways and Means Committees; not reported.

    official legislative record

    For: What has Tom Kean Jr. done to protect health care?