Center for Healthcare Affordability

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Most Conservative U.S. Senators of 2025

The top-ranked U.S. Senators by 2025 Reform Healthcare scorecard score, based on substantive votes tracked by Center for Healthcare Affordability.

See the methodology page for how scores are calculated.

No rankings published yet for 2025.

Center for Healthcare Affordability hasn't yet finalized Senate rankings for 2025. Check back soon.

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