Cold Ischemia Foundation · Accountability Project

CONGRESS
SCORECARD

Every vote that touches kidney disease, ESRD, transplant access, and caregiver compensation. Every member of Congress. Letter grades. No euphemisms. Published publicly so care partners know exactly who is fighting for them — and who is not.

12 bills tracked across 119th Congress
Key committee members flagged
Updated after every relevant vote
Live — Last updated March 2025
Grading Scale
A
85–100
Champion
B
70–84
Ally
C
50–69
Inconsistent
D
30–49
Neglectful
F
0–29
Opposed
INC
—
Incomplete
0Grades A — Champions
0Grades C/D — Inconsistent or Neglectful
0Grades F — Actively Opposed
0Incomplete Record — No Relevant Votes
Democrat
Average grade across tracked members
B+
Republican
Average grade across tracked members
C
Legislation Tracked

Every bill that affects your care.

BillTitle & PurposeStatusVoteImpact
Member Grades

Every member. Their actual record.

Filter: Showing 0 members
Methodology

Scores are calculated from documented votes, co-sponsorship records, and committee actions on legislation directly affecting ESRD patients, transplant access, organ procurement, and caregiver compensation. Absences are scored as 0. Active opposition votes are scored as negative. Co-sponsorship of care partner or kidney legislation adds points independent of final passage vote.

Scores reflect the 119th Congress (2025–present) and selected legacy votes from the 117th–118th Congress where they remain material to current policy. This is not a partisan document. Grades are determined entirely by voting record. Sources: Congress.gov, GovTrack, Senate and House Clerk roll call records.