Maine · U.S. Senate · Tuesday, November 3, 2026
Where do the candidates stand on healthcare?
Susan CollinsRepublicanIncumbent
Troy JacksonDemocrat
Part of the full Maine U.S. Senate comparison · Last reviewed October 19, 2026
Healthcare
Each position is labeled by what it rests on: a campaign proposal, a public statement, a past action such as a vote or lawsuit, or an enacted policy. Where nothing is documented, the page says so.
Documented positions
Susan Collins
Voted to begin debate on the 2025 One Big Beautiful Bill Act but against its passage, citing its Medicaid cuts; opposes Medicare for All.
Show the evidence (2)Hide the evidence
- Past actionJuly 1, 2025
Voted June 28, 2025, to proceed to the One Big Beautiful Bill Act (H.R. 1) and July 1, 2025, against its passage. She says she opposed its Medicaid cuts and that letting it reach the floor allowed her to offer a $50 billion rural health care fund, which was included in the final version of the bill. 5 sourcesRoll Call Vote 119th Congress - 1st Session, Vote Number 329: On the Motion to Proceed H.R. 1 (opens in a new tab)U.S. Senate · June 28, 2025 · Legislative recordRoll Call Vote 119th Congress - 1st Session, Vote Number 372: On Passage of the Bill H.R. 1 (opens in a new tab)U.S. Senate · July 1, 2025 · Legislative recordSusan Collins and Troy Jackson clash over abortion, ICE and other issues in first debate (opens in a new tab)Maine Public · Oct. 7, 2026 · NewsLive updates: Susan Collins and Troy Jackson debate for the first time (opens in a new tab)Portland Press Herald · Oct. 6, 2026 · NewsSusan Collins – Maine Voter Guide 2026 (opens in a new tab)Portland Press Herald · Sept. 25, 2026 · Candidate questionnaire
- Public statementOct. 6, 2026
Said in the first debate that she does not support Medicare for All because it is too expensive and would cause people to lose their private health plans. 2 sourcesLive updates: Susan Collins and Troy Jackson debate for the first time (opens in a new tab)Portland Press Herald · Oct. 6, 2026 · News‘We can’t eat road salt’: Jackson rips Sen. Collins in first Maine Senate debate (opens in a new tab)CNN · Oct. 6, 2026 · News
- Past actionJuly 1, 2025
Voted June 28, 2025, to proceed to the One Big Beautiful Bill Act (H.R. 1) and July 1, 2025, against its passage. She says she opposed its Medicaid cuts and that letting it reach the floor allowed her to offer a $50 billion rural health care fund, which was included in the final version of the bill. 5 sourcesRoll Call Vote 119th Congress - 1st Session, Vote Number 329: On the Motion to Proceed H.R. 1 (opens in a new tab)U.S. Senate · June 28, 2025 · Legislative recordRoll Call Vote 119th Congress - 1st Session, Vote Number 372: On Passage of the Bill H.R. 1 (opens in a new tab)U.S. Senate · July 1, 2025 · Legislative recordSusan Collins and Troy Jackson clash over abortion, ICE and other issues in first debate (opens in a new tab)Maine Public · Oct. 7, 2026 · NewsLive updates: Susan Collins and Troy Jackson debate for the first time (opens in a new tab)Portland Press Herald · Oct. 6, 2026 · NewsSusan Collins – Maine Voter Guide 2026 (opens in a new tab)Portland Press Herald · Sept. 25, 2026 · Candidate questionnaire
- Public statementOct. 6, 2026
Said in the first debate that she does not support Medicare for All because it is too expensive and would cause people to lose their private health plans. 2 sourcesLive updates: Susan Collins and Troy Jackson debate for the first time (opens in a new tab)Portland Press Herald · Oct. 6, 2026 · News‘We can’t eat road salt’: Jackson rips Sen. Collins in first Maine Senate debate (opens in a new tab)CNN · Oct. 6, 2026 · News
Troy Jackson
Supports Medicare for All and direct federal negotiation of drug prices; as Maine Senate president he sponsored 2019 laws on prescription drug importation and a drug affordability board.
Show the evidence (2)Hide the evidence
- Campaign proposalOct. 2026
His campaign says he would support and cosponsor the Medicare for All Act and push for the federal government to negotiate drug prices directly; at the Oct. 6, 2026 debate he said he supports Medicare for All so that people across the state have health care. 3 sourcesTroy's priorities in the Senate (opens in a new tab)Troy Jackson for Maine · Campaign‘We can’t eat road salt’: Jackson rips Sen. Collins in first Maine Senate debate (opens in a new tab)CNN · Oct. 6, 2026 · NewsMaine’s candidates for US Senate answer your questions (opens in a new tab)Bangor Daily News · Oct. 6, 2026 · Candidate questionnaire
- Past actionJune 24, 2019
Sponsored LD 1272, a wholesale prescription drug importation program requiring federal approval, and LD 1499, which created the Maine Prescription Drug Affordability Board; both were part of a package Gov. Janet Mills signed into law on June 24, 2019. 2 sourcesGovernor Mills Signs Into Law Comprehensive Prescription Drug Reform Package (opens in a new tab)Office of Governor Janet T. Mills · June 24, 2019 · GovernmentPUBLIC Law, Chapter 471, An Act To Establish the Maine Prescription Drug Affordability Board (opens in a new tab)Maine State Legislature · 2019 · Legislative record
- Campaign proposalOct. 2026
His campaign says he would support and cosponsor the Medicare for All Act and push for the federal government to negotiate drug prices directly; at the Oct. 6, 2026 debate he said he supports Medicare for All so that people across the state have health care. 3 sourcesTroy's priorities in the Senate (opens in a new tab)Troy Jackson for Maine · Campaign‘We can’t eat road salt’: Jackson rips Sen. Collins in first Maine Senate debate (opens in a new tab)CNN · Oct. 6, 2026 · NewsMaine’s candidates for US Senate answer your questions (opens in a new tab)Bangor Daily News · Oct. 6, 2026 · Candidate questionnaire
- Past actionJune 24, 2019
Sponsored LD 1272, a wholesale prescription drug importation program requiring federal approval, and LD 1499, which created the Maine Prescription Drug Affordability Board; both were part of a package Gov. Janet Mills signed into law on June 24, 2019. 2 sourcesGovernor Mills Signs Into Law Comprehensive Prescription Drug Reform Package (opens in a new tab)Office of Governor Janet T. Mills · June 24, 2019 · GovernmentPUBLIC Law, Chapter 471, An Act To Establish the Maine Prescription Drug Affordability Board (opens in a new tab)Maine State Legislature · 2019 · Legislative record
Recorded votes on healthcare
Selected votes
Susan Collins
One Big Beautiful Bill Act (H.R. 1, 119th Congress)
HealthcareBudget reconciliation law that changed federal tax policy, provided funding for various federal programs, reduced federal Medicaid spending and increased the statutory debt limit.
Passed the Senate July 1, 2025, by a 50–50 vote with the vice president voting Yea to break the tie; the House concurred in the Senate amendment 218–214 on July 3, 2025; signed into law July 4, 2025.
5 sourcesRoll Call Vote 119th Congress - 1st Session, Vote Number 372: On Passage of the Bill H.R. 1 (opens in a new tab)U.S. Senate · July 1, 2025 · Legislative recordRoll Call 190: H.R. 1, One Big Beautiful Bill Act, On Motion to Concur in the Senate Amendment (opens in a new tab)Office of the Clerk, U.S. House of Representatives · July 3, 2025 · Legislative recordHealth Provisions in P.L. 119-21, the FY2025 Reconciliation Law (R48633) (opens in a new tab)Congressional Research Service · GovernmentSusan Collins (Maine) (opens in a new tab)Ballotpedia · ReferenceSusan Collins and Troy Jackson clash over abortion, ICE and other issues in first debate (opens in a new tab)Maine Public · Oct. 7, 2026 · NewsVoted noU.S. Senate · July 1, 2025
On Passage of the Bill H.R. 1
Senate roll call 372, 119th Congress (official record, opens in a new tab)SourceRoll Call Vote 119th Congress - 1st Session, Vote Number 372: On Passage of the Bill H.R. 1 (opens in a new tab)U.S. Senate · July 1, 2025 · Legislative record
Troy Jackson
No selected votes for this candidate
In their own words
Statements
Susan Collins
One Big Beautiful Bill Act and rural health care
But if I had not allowed the bill to go to the floor, I would not have been able to offer the $50 billion fund to help rural health care
Susan Collins · First debate with Troy Jackson, hosted by CBS 13 in Portland, explaining her vote to let the One Big Beautiful Bill Act reach the Senate floor before voting against its passage · Oct. 6, 2026
2 sourcesSusan Collins and Troy Jackson clash over abortion, ICE and other issues in first debate (opens in a new tab)Maine Public · Oct. 7, 2026 · News‘We can’t eat road salt’: Jackson rips Sen. Collins in first Maine Senate debate (opens in a new tab)CNN · Oct. 6, 2026 · News
Troy Jackson
Medicare for All
I support Medicare for All so that people I know across the state have health care
Troy Jackson · First debate with Susan Collins, hosted by CBS 13 in Portland, answering a question about his support for Medicare for All · Oct. 6, 2026
2 sources‘We can’t eat road salt’: Jackson rips Sen. Collins in first Maine Senate debate (opens in a new tab)CNN · Oct. 6, 2026 · NewsSusan Collins and Troy Jackson clash over abortion, ICE and other issues in first debate (opens in a new tab)Maine Public · Oct. 7, 2026 · News
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