Most Conservative U.S. House Members of 2026

The top-ranked members of the U.S. House of Representatives by 2026 Reform Healthcare scorecard score, based on substantive votes tracked by Center for Healthcare Affordability.

See the methodology page for how scores are calculated.

Rank	Lawmaker	Party / State / District	2026 Score
1	Rep. Andy Biggs	R-AZ-5	95%
2	Rep. Tim Moore	R-NC-14	95%
3	Rep. Eric Burlison	R-MO-7	95%
4	Rep. Tom McClintock	R-CA-5	94%
5	Rep. John McGuire	R-VA-5	94%
6	Rep. Ralph Norman	R-SC-5	94%
7	Rep. Morgan Griffith	R-VA-9	94%
8	Rep. Josh Brecheen	R-OK-2	94%
9	Rep. Ben Cline	R-VA-6	93%
10	Rep. Dan Newhouse	R-WA-4	93%
11	Rep. Jimmy Patronis	R-FL-1	93%
12	Rep. Tony Gonzales	R-TX-34	93%
13	Rep. Mike Johnson	R-LA-4	93%
14	Rep. Randy Weber	R-TX-14	93%
15	Rep. Keith Self	R-TX-3	93%
16	Rep. Nancy Mace	R-SC-1	93%
17	Rep. Matt Van Epps	R-TN-7	92%
18	Rep. Craig Goldman	R-TX-12	92%
19	Rep. Neal Dunn	R-FL-2	92%
20	Rep. August Pfluger	R-TX-11	92%
21	Rep. Kevin Hern	R-OK-1	92%
22	Rep. Pete Sessions	R-TX-17	92%
23	Rep. James Comer	R-KY-1	91%
24	Rep. Diana Harshbarger	R-TN-1	91%
25	Rep. Michael Cloud	R-TX-27	91%
26	Rep. Russ Fulcher	R-ID-1	91%
27	Rep. John Joyce	R-PA-13	91%
28	Rep. Barry Moore	R-AL-1	91%
29	Rep. Lloyd Smucker	R-PA-11	91%
30	Rep. Troy Balderson	R-OH-12	91%
31	Rep. Nathaniel Moran	R-TX-1	91%
32	Rep. Claudia Tenney	R-NY-24	91%
33	Rep. Michael Rulli	R-OH-6	90%
34	Rep. Mark Messmer	R-IN-8	90%
35	Rep. Mike Flood	R-NE-1	90%
36	Rep. Cliff Bentz	R-OR-2	90%
37	Rep. Sheri Biggs	R-SC-3	90%
38	Rep. Chip Roy	R-TX-21	90%
39	Rep. Tracey Mann	R-KS-1	90%
40	Rep. Michelle Fischbach	R-MN-7	90%
41	Rep. Mark Harris	R-NC-8	90%
42	Rep. Bill Huizenga	R-MI-4	90%
43	Rep. Tom Barrett	R-MI-7	90%
44	Rep. Bruce Westerman	R-AR-4	90%
45	Rep. Mike Kennedy	R-UT-3	90%
46	Rep. Vince Fong	R-CA-20	90%
47	Rep. Addison McDowell	R-NC-6	90%
48	Rep. Richard Hudson	R-NC-9	90%
49	Rep. Mike Haridopolos	R-FL-8	90%
50	Rep. Stephanie Bice	R-OK-5	90%