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Center for Healthcare Affordability

LESS GOVERNMENT.

BETTER CARE.

Tom Cole

Rep · Republican · District 4 · OK

Tom Cole — Republican U.S. Representative for Oklahoma's 4th Congressional District (official headshot)

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

Tom Cole's score per Congress against the House, party, and Congress-wide medians (rated members only).

By issue category

Tom Cole vs. the Republican median and the House median, per issue category.

Standout votes

Votes where Tom Cole broke from the Republican majority in the House.

Detailed score tables

Congress

Score

Role

Party

Dist.

119th Congress
87.76
Rep
R
4

Congress

119th Congress
82.86
0.00
0.00
100.00
100.00

Frequently Asked Questions

What is Rep. Tom Cole's voting record?

Rep. Tom Cole (R-OK-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. Tom Cole represents Oklahoma's 4th Congressional District in the U.S. House of Representatives.

How aligned is Tom Cole with healthcare reform and limited-government healthcare positions?

Tom Cole earned a 88% Center for Healthcare Affordability score in 2025, showing strong alignment with healthcare reform and limited-government healthcare positions.

What is Tom Cole's Reform Healthcare score?

Tom Cole has a 88% Reform Healthcare score for 2025.

Where does Tom Cole serve?

Rep. Tom Cole (R-OK-4) represents Oklahoma's 4th Congressional District in the U.S. House of Representatives as a Republican.

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