What’s My Rep Doing

Last sync: Oct 30, 2026, 4:17 AM UTC

Members

P000145

Alex Padilla

DemocraticCaliforniaCurrent Member
Sponsored
114
Cosponsored
696
Birth Year
1973

Stated Priorities & Legislative Record

Congress 119 · Automated analysis

Reviewed comparisons point both waysAll topics

511 reviewed comparisons · 184 scored · 178 measures

Comparison balance
+1.2/ 2
Supportive
180
Mixed
3
Opposing
1
Unscored
327

Health

Sponsored
1
Cosponsored
36
Linked House votes
0

What they say Official statements

Support for Medicare for All and increased access to mental health care.

Stated priority

“He is proud to support Medicare for All and is a champion for increased access to mental health care.”

Alex Padilla U.S. Senator for California · Captured 2026-10-28

Addressing systemic disparities that affect health care access.

Stated priority

“In the Senate, Alex has prioritized addressing the systemic disparities that affect health care access.”

Alex Padilla U.S. Senator for California · Captured 2026-10-28

Guaranteeing quality, affordable, and equitable health care for every American.

Stated priority

“Alex is working to guarantee quality, affordable, and equitable health care for every American.”

Alex Padilla U.S. Senator for California · Captured 2026-10-28

What they do Legislative evidence

S 694 · PLASMA Act

Cosponsor

No direct connectionCosponsorship · Reviewed automated analysis

Compared with: Support for Medicare for All and increased access to mental health care.

The stated policy goal is support for Medicare for All and increased access to mental health care. The cosponsored bill is the PLASMA Act, which only phases in price adjustments for certain plasma-derived products under the Medicare prescription drug benefit. That is a targeted drug-pricing change within Medicare, not a direct advance of Medicare for All, and the passages provided do not mention mental health care access. Because the action is narrower and does not directly address the specific policy goal, a defensible scored comparison cannot be made.

“He is proud to support Medicare for All and is a champion for increased access to mental health care.”

Official statement · Captured 2026-10-28

Supporting provisions

“Preserving Life-saving Access to Specialty Medicines in America Act or the PLASMA Act This bill phases-in certain price adjustments for plasma-derived products under the Medicare prescription drug benefit's Manufacturer Discount Program.”
“The bill phases-in discounts for plasma-derived products over several years, starting with a 1% discount in 2026 for both the initial and catastrophic coverage phases, and ending with a 10% discount beginning in 2030 for the initial coverage phase and a 20% discount beginning in 2032 for the catastrophic coverage phase.”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

Partly supportsCosponsorship · Reviewed automated analysis

Compared with: Addressing systemic disparities that affect health care access.

The cosponsored bill would reduce Medicare discount requirements for plasma-derived products for several years before gradually returning to the standard discount levels. That could modestly improve access for patients who rely on these specialty medicines, but the described mechanism is a pricing transition under Medicare rather than a direct policy targeting systemic health care disparities, so the support is narrower and indirect relative to the stated goal.

“In the Senate, Alex has prioritized addressing the systemic disparities that affect health care access.”

Official statement · Captured 2026-10-28

Supporting provisions

“Preserving Life-saving Access to Specialty Medicines in America Act or the PLASMA Act This bill phases-in certain price adjustments for plasma-derived products under the Medicare prescription drug benefit's Manufacturer Discount Program.”
“The bill phases-in discounts for plasma-derived products over several years, starting with a 1% discount in 2026 for both the initial and catastrophic coverage phases, and ending with a 10% discount beginning in 2030 for the initial coverage phase and a 20% discount beginning in 2032 for the catastrophic coverage phase.”

Opposing provisions

“Current law requires manufacturers of covered drugs under the Medicare prescription drug benefit to provide a 10% discount for covered drugs during the initial coverage phase (i.e., before a beneficiary reaches the out-of-pocket spending threshold) and a 20% discount during the catastrophic coverage phase (i.e., after a beneficiary reaches the out-of-pocket spending threshold).”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

MixedCosponsorship · Reviewed automated analysis

Compared with: Guaranteeing quality, affordable, and equitable health care for every American.

The cosponsored bill narrows and phases in Medicare prescription drug discount requirements for plasma-derived products rather than directly advancing the stated goal of guaranteeing affordable, equitable health care for every American. It could lower costs for some patients who use these specialty medicines, but the available summary is limited to a specific drug category and a phased discount adjustment, so it is not a direct or broad-based advancement of universal affordable and equitable care.

“Alex is working to guarantee quality, affordable, and equitable health care for every American.”

Official statement · Captured 2026-10-28

Supporting provisions

“The bill phases-in discounts for plasma-derived products over several years, starting with a 1% discount in 2026 for both the initial and catastrophic coverage phases, and ending with a 10% discount beginning in 2030 for the initial coverage phase and a 20% discount beginning in 2032 for the catastrophic coverage phase.”
“Preserving Life-saving Access to Specialty Medicines in America Act or the PLASMA Act This bill phases-in certain price adjustments for plasma-derived products under the Medicare prescription drug benefit's Manufacturer Discount Program.”

Opposing provisions

“Current law requires manufacturers of covered drugs under the Medicare prescription drug benefit to provide a 10% discount for covered drugs during the initial coverage phase (i.e., before a beneficiary reaches the out-of-pocket spending threshold) and a 20% discount during the catastrophic coverage phase (i.e., after a beneficiary reaches the out-of-pocket spending threshold).”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

“Preserving Life-saving Access to Specialty Medicines in America Act or the PLASMA Act This bill phases-in certain price adjustments for plasma-derived products under the Medicare prescription drug benefit's Manufacturer Discount Program.”
Official summary source
S 475 · Alternatives to PAIN Act

Cosponsor

No direct connectionCosponsorship · Reviewed automated analysis

Compared with: Support for Medicare for All and increased access to mental health care.

The cosponsored bill concerns Medicare Part D prescription drug coverage for certain non-opioid pain management drugs, reducing cost-sharing and blocking prior authorization/step therapy for those drugs. That is a limited Medicare benefit policy and does not directly advance Medicare for All. It also does not specifically address mental health care access.

“He is proud to support Medicare for All and is a champion for increased access to mental health care.”

Official statement · Captured 2026-10-28

Supporting provisions

“Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs.”
“Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any).”
“The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

Partly supportsCosponsorship · Reviewed automated analysis

Compared with: Addressing systemic disparities that affect health care access.

The cosponsored bill would reduce Medicare cost-sharing and bar prior authorization and step therapy for certain non-opioid pain drugs, which can improve prescription-drug access and ease utilization barriers. That is a meaningful but narrower policy step toward addressing health care access disparities; it targets one benefit category and specific utilization rules rather than systemic disparities broadly.

“In the Senate, Alex has prioritized addressing the systemic disparities that affect health care access.”

Official statement · Captured 2026-10-28

Supporting provisions

“Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs.”
“Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any).”
“The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope · Conditions or exceptions

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

Partly supportsCosponsorship · Reviewed automated analysis

Compared with: Guaranteeing quality, affordable, and equitable health care for every American.

The cosponsored bill would make certain non-opioid pain management drugs under Medicare prescription drug coverage cheaper and easier to access by eliminating deductibles, placing them on the lowest cost-sharing tier, and barring prior authorization and step therapy. That meaningfully supports affordability and access for a subset of care, but it is limited to a specific class of drugs within Medicare and does not establish broader equitable health care for every American.

“Alex is working to guarantee quality, affordable, and equitable health care for every American.”

Official statement · Captured 2026-10-28

Supporting provisions

“Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs.”
“Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any).”
“The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope · Conditions or exceptions

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

“Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs.”
Official summary source
S 339 · Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

Cosponsor

Insufficient evidenceCosponsorship · Reviewed automated analysis

Compared with: Support for Medicare for All and increased access to mental health care.

The cosponsored bill concerns a specific Medicare screening benefit for multi-cancer early detection tests, with age and frequency limits. That is related to Medicare coverage, but it does not directly establish support for Medicare for All or increased access to mental health care. The supplied passages do not show a broad single-payer expansion or any mental health provision.

“He is proud to support Medicare for All and is a champion for increased access to mental health care.”

Official statement · Captured 2026-10-28

Supporting provisions

“Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate.”
“Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

Partly supportsCosponsorship · Reviewed automated analysis

Compared with: Addressing systemic disparities that affect health care access.

The cosponsored bill would expand Medicare coverage for multi-cancer early detection screening, which can improve access to preventive cancer screening for Medicare beneficiaries. That meaningfully supports health care access, but the policy is limited to a specific screening benefit, begins in 2028, and applies only under CMS approval and age/frequency constraints, so it is narrower than a direct, comprehensive response to systemic disparities.

“In the Senate, Alex has prioritized addressing the systemic disparities that affect health care access.”

Official statement · Captured 2026-10-28

Supporting provisions

“Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate.”

Opposing provisions

“Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope · Conditions or exceptions · Timing unknown

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

Partly supportsCosponsorship · Reviewed automated analysis

Compared with: Guaranteeing quality, affordable, and equitable health care for every American.

The cosponsored bill would expand Medicare coverage to include FDA-approved multi-cancer early detection screening tests, which supports broader access to preventive health care for at least some Americans. However, the coverage is limited to Medicare beneficiaries above a specified age threshold, begins in 2028, and is conditioned on CMS determining the coverage is appropriate, so it is narrower than guaranteeing affordable and equitable health care for every American.

“Alex is working to guarantee quality, affordable, and equitable health care for every American.”

Official statement · Captured 2026-10-28

Supporting provisions

“Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate.”

Opposing provisions

“Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope · Conditions or exceptions · Timing unknown

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

“Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate.”
Official summary source
SRES 41 · A resolution authorizing the Sergeant at Arms and Doorkeeper of the Senate to conduct quarterly blood donation drives during the 119th Congress.

Cosponsor

No direct connectionCosponsorship · Reviewed automated analysis

Compared with: Support for Medicare for All and increased access to mental health care.

The stated policy goal is support for Medicare for All and increased access to mental health care. The cited action is cosponsoring a resolution to authorize quarterly blood donation drives in the Senate, which is a public health-related activity but does not directly advance Medicare for All or expanded mental health care access. The connection is too indirect and general to score as support for the specific policy goal.

“He is proud to support Medicare for All and is a champion for increased access to mental health care.”

Official statement · Captured 2026-10-28

Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

No direct connectionCosponsorship · Reviewed automated analysis

Compared with: Addressing systemic disparities that affect health care access.

The stated priority is reducing systemic disparities that affect health care access, but the cosponsored resolution only authorizes quarterly blood donation drives in the Senate. That is a health-related activity, yet the supplied summary does not show any mechanism targeting access disparities, underserved communities, affordability, coverage, or other systemic barriers. On this record, there is no direct substantive connection between the action and the specific policy goal.

“In the Senate, Alex has prioritized addressing the systemic disparities that affect health care access.”

Official statement · Captured 2026-10-28

Opposing provisions

“This resolution authorizes quarterly blood donation drives at the Senate during the 119th Congress.”
Official legislative summary

Summary-based analysis · Action predates captured statement

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

No direct connectionCosponsorship · Reviewed automated analysis

Compared with: Guaranteeing quality, affordable, and equitable health care for every American.

The stated priority is about guaranteeing affordable, equitable health care for every American. The cosponsored resolution only authorizes quarterly blood donation drives at the Senate, which is a limited procedural/public-service action and does not directly advance, regulate, fund, or expand access to health care. Any connection to health care is too indirect to support a scored comparison.

“Alex is working to guarantee quality, affordable, and equitable health care for every American.”

Official statement · Captured 2026-10-28

Official legislative summary

Summary-based analysis · Action predates captured statement · Timing unknown

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

“This resolution authorizes quarterly blood donation drives at the Senate during the 119th Congress.”
Official summary source
SRES 37 · A resolution expressing the sense of the Senate that the people of the United States should have continuous access to timely, up-to-date, and accurate health information.

Cosponsor

No direct connectionCosponsorship · Reviewed automated analysis

Compared with: Support for Medicare for All and increased access to mental health care.

The stated priority is support for Medicare for All and increased access to mental health care. The cosponsored resolution concerns public access to health information from HHS, which is about information availability rather than expanding insurance coverage or mental health services. It does not directly advance the specific policy goal in a substantive way.

“He is proud to support Medicare for All and is a champion for increased access to mental health care.”

Official statement · Captured 2026-10-28

Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

No direct connectionCosponsorship · Reviewed automated analysis

Compared with: Addressing systemic disparities that affect health care access.

The stated priority is about addressing systemic disparities affecting health care access. The cosponsored resolution concerns continuous access to timely, up-to-date, and accurate health information, which is related to health communication but does not directly target disparities in access to care or the mechanisms producing them. The available passage is too general to establish a substantive connection to the specific policy goal.

“In the Senate, Alex has prioritized addressing the systemic disparities that affect health care access.”

Official statement · Captured 2026-10-28

Supporting provisions

“This resolution expresses the Senate’s sense that the Department of Health and Human Services should provide the public with continuous access to timely, up-to-date, and accurate health information.”
Official legislative summary

Summary-based analysis · Action predates captured statement · Narrower scope

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

No direct connectionCosponsorship · Reviewed automated analysis

Compared with: Guaranteeing quality, affordable, and equitable health care for every American.

The cosponsored resolution concerns public access to timely and accurate health information from HHS. That is related to health generally, but it does not directly advance or address guaranteeing quality, affordable, and equitable health care for every American, such as coverage, cost, access to care, or equity in services. The available passage is informational and procedural, not a substantive health care policy mechanism.

“Alex is working to guarantee quality, affordable, and equitable health care for every American.”

Official statement · Captured 2026-10-28

Official legislative summary

Summary-based analysis · Action predates captured statement

Assessed 2026-10-28 · Review: User-authorized automated publication. Published at the user request after the bounded production backfill. Automated evidence validation passed; comparisons have not been individually audited.

“This resolution expresses the Senate’s sense that the Department of Health and Human Services should provide the public with continuous access to timely, up-to-date, and accurate health information.”
Official summary source

Prepared Legislative Analysis

119th Congress · computed from the latest committed analytics snapshot

Updated Oct 29, 2026, 11:00 AM

Sponsored
114
Cosponsored
696
Progressed
196
Floor or later
124
Final success
87
Bill actions
2,891

Top Policy Areas

Health

104

Government Operations and Politics

69

Crime and Law Enforcement

64

Education

57

Public Lands and Natural Resources

45

Agriculture and Food

40

Armed Forces and National Security

40

Labor and Employment

37

Monthly Bill Activity

Jan 2025
105
Feb 2025
178
Mar 2025
130
Apr 2025
155
May 2025
146
Jun 2025
115
Jul 2025
142
Aug 2025
12
Sep 2025
186
Oct 2025
88
Nov 2025
62
Dec 2025
143
Jan 2026
96
Feb 2026
103
Mar 2026
152
Apr 2026
147
May 2026
211
Jun 2026
204
Jul 2026
141
Aug 2026
133
Sep 2026
230
Oct 2026
12

Terms

119th

Senate

Senator · California

2021
118th

Senate

Senator · California

2021 - 2025
117th

Senate

Senator · California

2021 - 2023

Committee Assignments

Committee on Energy and Natural Resources

Member · Senate.gov

0 bills · 1,625 reports · 610 nominations · 7,981 communications

Committee on Environment and Public Works

Member · Senate.gov

0 bills · 437 reports · 620 nominations · 10,126 communications

Committee on Rules and Administration

Member · Senate.gov

0 bills · 27 reports · 108 nominations · 782 communications

Committee on the Budget

Member · Senate.gov

0 bills · 0 reports · 0 nominations · 0 communications

Committee on the Judiciary

Member · Senate.gov

0 bills · 180 reports · 5,536 nominations · 2,179 communications

Joint Committee of Congress on the Library

Member · Senate.gov

0 bills · 0 reports · 0 nominations · 0 communications

Joint Committee on Printing

Member · Senate.gov

0 bills · 0 reports · 0 nominations · 0 communications