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. Morgan Griffith	R-VA-9	94%
7	Rep. Ralph Norman	R-SC-5	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. Pete Sessions	R-TX-17	92%
21	Rep. Kevin Hern	R-OK-1	92%
22	Rep. August Pfluger	R-TX-11	92%
23	Rep. Diana Harshbarger	R-TN-1	91%
24	Rep. James Comer	R-KY-1	91%
25	Rep. Michael Cloud	R-TX-27	91%
26	Rep. John Joyce	R-PA-13	91%
27	Rep. Russ Fulcher	R-ID-1	91%
28	Rep. Claudia Tenney	R-NY-24	91%
29	Rep. Barry Moore	R-AL-1	91%
30	Rep. Nathaniel Moran	R-TX-1	91%
31	Rep. Lloyd Smucker	R-PA-11	91%
32	Rep. Troy Balderson	R-OH-12	91%
33	Rep. Michael Rulli	R-OH-6	90%
34	Rep. Mark Messmer	R-IN-8	90%
35	Rep. Cliff Bentz	R-OR-2	90%
36	Rep. Mike Flood	R-NE-1	90%
37	Rep. Bill Huizenga	R-MI-4	90%
38	Rep. Mark Harris	R-NC-8	90%
39	Rep. Tom Barrett	R-MI-7	90%
40	Rep. Sheri Biggs	R-SC-3	90%
41	Rep. Chip Roy	R-TX-21	90%
42	Rep. Michelle Fischbach	R-MN-7	90%
43	Rep. Tracey Mann	R-KS-1	90%
44	Rep. Vince Fong	R-CA-20	90%
45	Rep. Richard Hudson	R-NC-9	90%
46	Rep. Mike Haridopolos	R-FL-8	90%
47	Rep. Mike Kelly	R-PA-16	90%
48	Rep. Mike Kennedy	R-UT-3	90%
49	Rep. Bruce Westerman	R-AR-4	90%
50	Rep. Addison McDowell	R-NC-6	90%