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Center for Healthcare Affordability

LESS GOVERNMENT.

BETTER CARE.

Steven Horsford

Rep · Democrat · District 4 · NV

Steven Horsford — Democratic U.S. Representative for Nevada'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

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

By issue category

Steven Horsford vs. the Democrat median and the House median, per issue category.

Standout votes

Votes where Steven Horsford broke from the Democrat majority in the House.

Detailed score tables

Congress

Score

Role

Party

Dist.

119th Congress
7.23
Rep
D
4

Congress

119th Congress
3.57
0.00
0.00
0.00
50.00

Frequently Asked Questions

What is Rep. Steven Horsford's voting record?

Rep. Steven Horsford (D-NV-4) currently holds a 7% Center for Healthcare Affordability score for the 119th Congress (2025–2026), showing minimal 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. Steven Horsford represents Nevada's 4th Congressional District in the U.S. House of Representatives.

How aligned is Steven Horsford with healthcare reform and limited-government healthcare positions?

Steven Horsford earned a 7% Center for Healthcare Affordability score in 2025, showing minimal alignment with healthcare reform and limited-government healthcare positions.

What is Steven Horsford's Reform Healthcare score?

Steven Horsford has a 7% Reform Healthcare score for 2025.

Where does Steven Horsford serve?

Rep. Steven Horsford (D-NV-4) represents Nevada's 4th Congressional District in the U.S. House of Representatives as a Democrat.

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