Mark Alford
Rep · Republican · District 4 · MO
Where they stand
Every rated House member for the selected period — dots are members, the shaded band is the middle 50% of each party, the tick is the party median.
Trend vs. medians
Mark Alford's score per Congress against the House, party, and Congress-wide medians (rated members only).
By issue category
Mark Alford vs. the Republican median and the House median, per issue category.
Standout votes
Votes where Mark Alford broke from the Republican majority in the House.
▸Detailed score tables
Congress
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Frequently Asked Questions
What is Rep. Mark Alford's voting record?
Rep. Mark Alford (R-MO-4) currently holds a 88% Center for Healthcare Affordability score for the 119th Congress (2025–2026), showing strong alignment with healthcare reform and limited-government healthcare positions. This is an ongoing scorecard, updated throughout the session as new votes and bill sponsorships are recorded. Mark Alford represents Missouri's 4th Congressional District in the U.S. House of Representatives.
How aligned is Mark Alford with healthcare reform and limited-government healthcare positions?
Mark Alford earned a 88% Center for Healthcare Affordability score in 2025, showing strong alignment with healthcare reform and limited-government healthcare positions.
What is Mark Alford's Reform Healthcare score?
Mark Alford has a 88% Reform Healthcare score for 2025.
Where does Mark Alford serve?
Rep. Mark Alford (R-MO-4) represents Missouri's 4th Congressional District in the U.S. House of Representatives as a Republican.