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Election 2026

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Issue record

Health care

In short

Thomas Kean Jr.'s congressional site backs pre-existing condition coverage and lower drug prices. Rebecca Bennett's campaign would protect pre-existing condition coverage and restore Medicaid and Medicare funding cut in 2025. No campaign site or statement was found for Seamus Patrick O'Toole. On the record, Kean voted for a House-passed bill extending marketplace premium credits and for the 2025 law adding Medicaid work requirements; he co-sponsored New Jersey's 2019 mental health parity law.

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Campaign positions

What each campaign says.

Thomas H. Kean Jr.

His campaign says he is working to protect healthcare. His congressional site supports keeping coverage for people with pre-existing conditions, letting young people stay on a parent's plan, ending lifetime caps and surprise billing, expanding telemedicine, and lowering drug prices partly by bringing pharmaceutical manufacturing home.

Rebecca Bennett

Would protect people with pre-existing conditions, restore Medicaid and Medicare funding cut in 2025, increase support for mental health services for young people, oppose cuts to the National Institutes of Health, and shift insurers' and providers' incentives toward keeping people healthy.

Seamus Patrick O'Toole

No campaign site, platform or public statement was found. Seven likely campaign domains have no DNS record, the state's contact list gives only an email address, no FEC registration exists, and the one news report found describes his petition, not his views.

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Evidence timeline

What the record shows.

  1. Occurred Jan 8, 2026

    campaign position

    Thomas H. Kean Jr.: 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.

    Read the full check

    Full detail

    His campaign says he is working to protect healthcare. 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.

  2. Occurred Apr 11, 2019

    official action

    Thomas H. Kean Jr.: Matches stated record claim

    He was one of three Senate sponsors of the bill, with two Democrats; its Assembly twin became law in April 2019.

    Read the full check

    Full detail

    In the September 27 debate he said Gov. Phil Murphy signed his bill in 2019 that went after insurers so people with addiction or mental health conditions are treated with parity. As a state senator he was one of three primary sponsors of S1339, with Democrats Robert Gordon and Joseph Vitale; it requires health insurers to cover mental health and substance use treatment on par with other care. The Assembly version, A2031, which also lists him as a Senate sponsor, was enacted as P.L. 2019, c.58, approved April 11, 2019. Limit: He shared the Senate bill with two Democratic prime sponsors. The law was enacted from the Assembly's version, which also lists him and the same two senators as sponsors. Sponsor and cosponsor both count here. How well the law has been enforced is not measured.

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Sources21 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: Thomas H. Kean Jr.: campaign position; Thomas H. Kean Jr.: Not comparable yet

  2. Healthhttps://kean.house.gov/issues/health

    Office of Rep. Thomas H. Kean, Jr. · Reviewed Sep 23, 2026

    His congressional office's issue page, in his own voice.

    candidate statement

    For: Thomas H. Kean Jr.: campaign position

  3. Lowering Healthcare Costshttps://rebeccabennettforcongress.com/priorities/lowering-healthcare-costs/

    Rebecca Bennett for Congress · Reviewed Sep 23, 2026

    Campaign priority page. One of its bullets concerns her opponent's votes and is not used here.

    candidate statement

    For: Rebecca Bennett: campaign position

  4. Unofficial list, candidates for U.S. House, general election, email addresses (document)

    New Jersey Division of Elections · Published Jul 27, 2026 · Reviewed Sep 23, 2026

    The state's contact list for general-election House candidates. For O'Toole it gives only a Gmail address named for his ballot slogan; it lists no website for any candidate.

    official election record

    For: Seamus Patrick O'Toole: campaign position

  5. Candidates for U.S. House, New Jersey District 07, 2026https://www.fec.gov/data/candidates/house/?state=NJ&district=07&election_year=2026

    Federal Election Commission · Reviewed Sep 23, 2026

    Read from OpenFEC on September 23, 2026: fourteen registered 2026 candidates for this seat, including Kean (H0NJ07261), Bennett (H6NJ07201) and Leguía (H4NJ07164). No Seamus O'Toole is registered for this seat, and a name search of New Jersey candidates for O'Toole returned no one.

    fec filing

    For: Seamus Patrick O'Toole: campaign position

  6. 'Stop Israel's Genocide' NJ-7 candidate survives Dem petition challengehttps://newjerseyglobe.com/congress/stop-israels-genocide-nj-7-candidate-survives-dem-petition-challenge/

    New Jersey Globe · Published Jun 9, 2026 · Reviewed Sep 23, 2026

    Reports that O'Toole filed 299 signatures against a 250 threshold, that an administrative law judge upheld 17 challenged signatures, and that the challenge was withdrawn. The only reporting found that describes him at all, and it describes his candidacy, not his views.

    original reporting

    For: Seamus Patrick O'Toole: campaign position

  7. 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: Thomas H. Kean Jr.: Not comparable yet

  8. 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: Thomas H. Kean Jr.: Not comparable yet

  9. 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: Thomas H. Kean Jr.: Not comparable yet

  10. 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: Thomas H. Kean Jr.: Not comparable yet

  11. 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: Thomas H. Kean Jr.: Not comparable yet

  12. 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: Thomas H. Kean Jr.: Not comparable yet

  13. 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: Thomas H. Kean Jr.: Not comparable yet

  14. 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: Thomas H. Kean Jr.: Not comparable yet

  15. 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: Thomas H. Kean Jr.: Not comparable yet

  16. 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: Thomas H. Kean Jr.: Not comparable yet

  17. 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: Thomas H. Kean Jr.: Not comparable yet

  18. New Jersey Globe and Rider University debate, September 27, 2026 (at 79:58)https://www.youtube.com/watch?v=S5HMVQAo8ZY&t=4798s

    New Jersey Globe · Published Sep 27, 2026 · Reviewed Sep 28, 2026

    The host's full video of the 7th District debate. Kean says Gov. Murphy signed his bill in 2019 that holds insurers to parity for mental health and addiction treatment. Described from YouTube's captions of the video, read on September 28, 2026; not quoted, because a second transcript to check the wording against was not yet available.

    candidate statement

    For: Thomas H. Kean Jr.: Matches stated record claim

  19. New Jersey Senate Bill 1339 (2018), as introducedhttps://pub.njleg.gov/Bills/2018/S1500/1339_I1.HTM

    New Jersey Legislature · Reviewed Sep 28, 2026

    Mental health and substance use parity for health insurance. Primary sponsors: Senators Robert M. Gordon, Thomas H. Kean Jr. and Joseph F. Vitale.

    official legislative record

    For: Thomas H. Kean Jr.: Matches stated record claim

  20. New Jersey Assembly Bill 2031 (2018), second reprinthttps://pub.njleg.gov/Bills/2018/A2500/2031_R2.HTM

    New Jersey Legislature · Reviewed Sep 28, 2026

    The version enacted as P.L. 2019, c.58. Its sponsor list includes Senators Robert M. Gordon, Thomas H. Kean Jr. and Joseph F. Vitale.

    official legislative record

    For: Thomas H. Kean Jr.: Matches stated record claim

  21. P.L. 2019, c.58https://pub.njleg.gov/bills/2018/AL19/58_.HTM

    New Jersey Legislature · Reviewed Sep 28, 2026

    The chapter law, approved April 11, 2019. It was enacted from Assembly Bill 2031, which replaced S1339 on the Senate side.

    official legislative record

    For: Thomas H. Kean Jr.: Matches stated record claim

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