In November, for every person who enrolled in Pennie, two dropped.
A bleak glimpse into the nearly 500,000 Pennsylvanians set to lose health insurance in 2026.
Trump and Republicans in Congress can't ignore this crisis forever.

Congress Member Profile|U.S. Representative|Democrat|Pennsylvania District 4
Madeleine Dean
SoupScoreanalysis-first civic rating · view full breakdown
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Voting Record — 594
Yes43%
No55%
Present0%
Not Voting2%
Party align100%
Cross-party0%
SoupScore
District Map
Congressional District 4
U.S. Census Bureau boundary data.
Social & Web
External Resources

Madeleine Dean
U.S. RepresentativeDemocratPennsylvania District 4
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Madeleine's ATmosphere Activity
20 recent posts · 19 sponsored · 153 cosponsored
Recent ATmosphere posts, sponsorships, and cosponsorships.
A great day celebrating Penn State Abington’s Collegiate Recovery Program, a place of hope for students struggling with addiction.
Thank you for bringing the promise of recovery — the promise of a fuller, healthier life — to our young people, without stigma or shame. 💜
The deadly boat strikes in international waters are deeply disturbing.
The President and Defense Secretary must answer Americans’ concerns about the legality and rationale of targeting these boats.
These are serious issues, handled by unserious people.
The President says he's serious about protecting our national security.
His administration's actions prove otherwise.
Losing loved ones to suicide is profoundly painful.
The Addiction, Treatment, and Recovery Caucus is dedicated to breaking the stigma surrounding mental health and suicide.
As the holidays near, take the time to check in on your family and friends. ♥️
This administration's dismantling of USAID is immoral.
The Foreign Affairs Committee must be at the forefront of restoring that lifesaving aid.
Healthcare costs are skyrocketing and working families are already feeling the squeeze.
As the ACA tax credits expire in less than 30 days, millions of Americans are preparing for the worst.
Republicans must join Democrats in Congress to save healthcare.
The International Brotherhood of Electrical Workers represents more than 800,000 workers — men and women who are the backbone of our economy.
I was grateful to meet with Jason, local chapter president of LU126, who works tirelessly to protect IBEW members in our community.
From my family to yours — Happy Thanksgiving! 🦃 ❤️
What a blessing to kick off this Thanksgiving season at Old York Road Temple-Beth Am for Abington’s 75th annual interfaith service.
It was a moment for community, faith, and gratitude.
As Ukraine courageously fights Putin's invasion, Trump is negotiating without them.
We must end this war — and Ukraine must be at the table.
Nothing about Ukraine without Ukraine.
The President and Congressional Republicans aren’t looking for ways to feed people or lower costs — they are thieves looking for ways to line their own pockets.
Our service members swear an oath to the Constitution — not you, President Trump.
We must stop this dangerous rhetoric.
For too long, children and young women have been abused by the rich and elite who have the resources to buy their way out.
Today's vote on full release of the Epstein files marks the first step toward accountability, deterrence, and justice.
Millions of Americans are facing skyrocketing healthcare costs.
Families are struggling to afford groceries.
Yet Senate Republicans are profiting at the taxpayer's expense.
This is shameful.
I was heartened to join so many helping our most vulnerable this weekend.
My thanks to John, Karen, Ben, and the entire Family Promise team for organizing this Thanksgiving food drive — and for your tireless work to ensure our neighbors don't go hungry.
In June, our Commerce Secretary assured Americans that the Administration’s chaotic tariffs would bring down costs.
Now, as grocery prices skyrocket, the Trump Administration is reversing course.
Americans deserve relief, not higher costs.
I voted No on the Senate’s shutdown deal. It is a disappointing deal that does not prioritize the health of Americans — the very heart of our spending debate.
My full statement:
I will not vote for corruption and callousness.
We must do better.
Ahead of today's consequential vote — House Democrats stood united against cruel cuts to healthcare.
We hear you, and we are not backing down.
SoupScore Breakdown
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Voting History594 total votesExpandCollapse
Voting History
594 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 |
|---|---|---|---|---|---|---|
| 2025-09-10 | H.R. 3838 (119th) | Approve amendment | YES | YES | ✓ | Agreed to |
| 2025-09-09 | H. Res. 682 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-09-09 | H. Res. 682 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-09-08 | H.R. 3425 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-09-08 | H.R. 3424 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-09-04 | H.R. 4553 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-09-04 | H.R. 4553 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.R. 4553 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-09-04 | H.J. Res. 105 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-09-04 | H.J. Res. 106 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-09-04 | H.J. Res. 104 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-09-03 | H. Res. 539 (119th) | Kill the motion | YES | YES | ✓ | Passed |
| 2025-09-03 | H. Res. 672 (119th) | Approve resolution | NOT_VOTING | NO | — | Passed |
| 2025-09-03 | H. Res. 672 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-09-02 | H.R. 747 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-09-02 | H.R. 4216 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-07-23 | H.R. 4275 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-07-23 | H.R. 3357 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-07-22 | H.R. 1917 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-07-22 | H.R. 3937 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-07-21 | H.R. 3351 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-07-21 | H.R. 3095 (119th) | Fast-track passage | NO | NO | ✓ | Passed |
| 2025-07-18 | H.R. 4016 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-07-18 | H.R. 4016 (119th) | Send back to committee | YES | YES | ✓ | Failed |
| 2025-07-18 | H.R. 4016 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-07-18 | H.R. 4016 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-07-18 | H.R. 4016 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-07-18 | H.R. 4016 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-07-18 | H.R. 4016 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-07-18 | H.R. 4016 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-07-18 | H.R. 4016 (119th) | Approve amendment | NO | NO | ✓ | Failed |
| 2025-07-18 | H. Res. 590 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-07-18 | H. Res. 590 (119th) | End debate now | NO | NO | ✓ | Passed |
| 2025-07-17 | H.R. 1919 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-07-17 | S. 1582 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-07-17 | H.R. 3633 (119th) | Final passage | NO | NO | ✓ | Passed |
| 2025-07-17 | H. Res. 580 (119th) | Approve resolution | NO | NO | ✓ | Passed |
| 2025-07-16 | H. Res. 580 (119th) | Motion to Reconsider | NO | NO | ✓ | Passed |
| 2025-07-15 | H.R. 1717 (119th) | Fast-track passage | YES | YES | ✓ | Passed |
| 2025-07-15 | H. Res. 580 (119th) | Approve resolution | NO | NO | ✓ | Failed |
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.