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