Skip to main content
Center for Healthcare Affordability

LESS GOVERNMENT.

BETTER CARE.

Thom Tillis

Sen · Republican · NC

Thom Tillis — Republican U.S. Senator from North Carolina (official headshot)

Where they stand

Every rated Senate 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

Thom Tillis's score per Congress against the Senate, party, and Congress-wide medians (rated members only).

By issue category

Thom Tillis vs. the Republican median and the Senate median, per issue category.

Standout votes

Votes where Thom Tillis broke from the Republican majority in the Senate.

Detailed score tables

Congress

Score

Role

Party

Dist.

119th Congress
83.52
Sen
R

Congress

119th Congress
80.65
100.00
0.00
35.71
100.00

Frequently Asked Questions

What is Sen. Thom Tillis's voting record?

Sen. Thom Tillis (R-NC) currently holds a 84% 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. Thom Tillis serves North Carolina in the U.S. Senate.

How aligned is Thom Tillis with healthcare reform and limited-government healthcare positions?

Thom Tillis earned a 84% Center for Healthcare Affordability score in 2025, showing strong alignment with healthcare reform and limited-government healthcare positions.

What is Thom Tillis's Reform Healthcare score?

Thom Tillis has a 84% Reform Healthcare score for 2025.

Where does Thom Tillis serve?

Sen. Thom Tillis (R-NC) serves North Carolina in the U.S. Senate as a Republican.

Open Options