Republican Medicaid cuts are starting to hit rural communities across the country, pushing providers to the brink and making it even harder for folks to access care. For Illinois, this means 535,849 people are at risk of losing their health insurance and nine rural hospitals could shut their doors.

Congress Member Profile|U.S. Representative|Democrat|Illinois District 13
Nikki Budzinski
SoupScoreanalysis-first civic rating · view full breakdown
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Voting Record — 498
Yes46%
No53%
Present0%
Not Voting0%
Party align95%
Cross-party5%
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District Map
Congressional District 13
U.S. Census Bureau boundary data.

Nikki Budzinski
U.S. RepresentativeDemocratIllinois District 13
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Nikki's ATmosphere Activity
20 recent posts · 19 sponsored · 183 cosponsored
Recent ATmosphere posts, sponsorships, and cosponsorships.
Applications for a Spring internship in my DC office are due THIS FRIDAY! Apply now for an opportunity to learn about the legislative process and serve the constituents of IL-13. Learn more: budzinski.house.gov/internships
I joined @houseagdems.bsky.social in a letter to USDA urging them to use their emergency funds to continue SNAP past November 1st. We can’t let our seniors, veterans, children, and families go hungry.
This project will create jobs, lower emissions, and strengthen our local energy grid in the Decatur area. Excited to see it happening right here in IL-13!
Trump Math: Money for ballrooms and billionaire giveaways, nothing for the millions of hardworking Americans who are going to see their healthcare costs skyrocket.
I enjoyed touring Millikin University in Decatur and meeting with leadership this week! Millikin is one of many amazing colleges that make Illinois 13th District a destination for students from across the country.
This week, my team met with Pastor Jon Weatherly from Urbana and the ONE Campaign to talk about lifesaving foreign aid programs like PEPFAR. President Trump’s attacks on funding for this successful HIV-prevention initiative are cruel and unacceptable.
Working harder than House Republicans.
While Illinois farmers suffer, President Trump is doubling on his $20 billion bailout to help Argentina undercut our soy growers here at home. What happened to putting America first?
Yesterday, I sat down with Decatur families at the YMCA to hear how they’re being impacted by Republican healthcare cuts. We need Republicans to hear the anxiety and fear they’ve created through their cuts to Medicaid and refusal to extend the ACA tax credits.
It’s Day 2⃣2⃣ of the Republican government shutdown. I want to know how you’re being impacted. Visit my website to share your story:
As House Republicans refuse to extend tax credits to lower health care costs for millions of working Americans, let’s not forget they passed a law to give away $1.4 TRILLION to millionaires, billionaires, and big corporations.
Thank you to the Decatur YMCA for giving me a tour today! From swim lessons and wellness classes to senior programs and childcare, it was great to learn more about the important services they provide to our community.
Last night, I sat down with local farmers to hear what concerns are top of mind for them. We talked about market uncertainty, the Farm Bill, and the government shutdown which is impacting many programs that Illinois farmers rely on.
Healthcare costs are out of control in America and Republican policies are going to make them rise even higher. If they let the ACA tax credits expire, a 60-year-old couple in IL-13 making $85,000 a year will see their health insurance costs increase by $24,861 per year.
Honored to be with the Downstate Illinois Laborers District Council to dedicate their building to lifelong labor champion Glyn Ramage! A pillar of Illinois’ labor movement, Glyn has inspired so many. Now, this building will stand as a permanent testament to his incredible career.
Today, I met with seniors in Alton to hear how they’re being impacted by President Trump’s policies and the government shutdown. From delays at the Social Security Administration to protecting programs like Meal on Wheels, we need to make sure our seniors can still access the services they rely on.
It's Day 2⃣0⃣ of the Republican government shutdown.
My heart is with Sonya Massey’s family today. I hope that this trial is a step towards justice and healing.
Happy Diwali to everyone celebrating in IL-13! I hope your holiday is full of joy and light!
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Voting History498 total votesExpandCollapse
Voting History
498 total votes
Recent roll calls with party-majority context so it is easier to scan how this member tends to vote.
| Date | Bill | Question | Position | Party Maj | Align? | Result |
|---|---|---|---|---|---|---|
| 2026-04-23 | H.R. 5587 (119th) | Final passage | YES | NO | ✕↔ | Passed |
| 2026-04-22 | H.R. 6387 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-04-22 | H.R. 6387 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2026-04-22 | H.R. 4690 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-04-22 | H.R. 4690 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2026-04-22 | H. Res. 1182 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2026-04-22 | H. Res. 1189 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2026-04-22 | H. Res. 1189 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2026-04-21 | S. 1020 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-04-21 | H.R. 2493 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-04-21 | H.R. 5201 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-04-20 | H.R. 5200 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-04-20 | H.R. 1681 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-04-17 | H. Res. 1175 (119th) | Approve resolution | NO | NO | ✓ | Failed |
| 2026-04-17 | H. Res. 1175 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2026-04-17 | H. Res. 1175 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2026-04-16 | H. Res. 1156 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2026-04-16 | H.R. 1689 (119th) | Final passage | YES | YES | ✓ | Passed |
| 2026-04-16 | H. Res. 965 (119th) | Approve resolution | YES | YES | ✓ | Passed |
| 2026-04-16 | H.R. 6398 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-04-16 | H.R. 6398 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2026-04-16 | H.R. 6409 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-04-16 | H.R. 6409 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2026-04-16 | H. Con. Res. 40 (119th) | Approve resolution | YES | YES | ✓ | Failed |
| 2026-04-15 | H. Res. 965 (119th) | Motion to Discharge | YES | YES | ✓ | Passed |
| 2026-04-15 | H. Res. 1174 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2026-04-15 | H. Res. 1174 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2026-04-14 | H.R. 7613 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-04-14 | H.R. 1011 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-03-28 | H. Res. 1142 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2026-03-28 | H. Res. 1142 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2026-03-28 | — | Motion to Adjourn | NO | NO | ✓ | Passed |
| 2026-03-27 | H.R. 7084 (119th) | Final passage | YES | NO | ✕↔ | Passed |
| 2026-03-26 | H.R. 8029 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-03-26 | H.R. 8029 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2026-03-26 | H. Res. 1128 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2026-03-25 | H.R. 5103 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-03-25 | H.R. 5103 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2026-03-25 | H. Res. 1131 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2026-03-25 | H. Res. 1131 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2026-03-24 | H.R. 6422 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-03-19 | H.R. 4638 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-03-18 | H.J. Res. 139 (119th) | Fast-track passage | NO | NO | ✓ | Failed |
| 2026-03-18 | H.R. 1958 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-03-18 | H.R. 556 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2026-03-18 | H.R. 556 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2026-03-17 | H. Res. 1115 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2026-03-17 | H. Res. 1115 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2026-03-17 | S. 3971 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2026-03-17 | H.R. 4294 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
Alignment stats consider only votes where a clear yes/no majority existed for the legislator's party. Cross-party marks divergence where the vote matched the opposite party majority. ↔ indicates cross-party divergence.
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