Susan Collins (R) Maine: Voting Record and Its Costs
Susan Collins is the Republican U.S. Senator from Maine and is seeking reelection to the U.S. Senate in the November 3, 2026 general election; this page lists the votes she cast in the 119th Congress, recorded on the Senate's roll calls, and what followed in Maine.
During the 2025 vote-a-rama on the One Big Beautiful Bill Act, Collins voted against motions to strike the law's Medicaid cuts and its SNAP provisions, and against extending the ACA premium tax credits. She voted to confirm Robert F. Kennedy Jr., Mehmet Oz, Russell Vought, Pam Bondi, Howard Lutnick and Jamieson Greer, and in September 2025 she voted to table an amendment to force release of the Epstein files.
About Susan Collins
- Full name
- Susan Margaret Collins (U.S. Senate)
- Current role
- U.S. Senator from Maine, Republican, and chair of the Senate Appropriations Committee (U.S. Senate)
- In office since
- Elected in 1996 and reelected in 2002, 2008, 2014 and 2020 (U.S. Senate biography)
- Seeking
- Reelection to the U.S. Senate from Maine in the November 3, 2026 general election, against Democrat Troy Jackson (Maine Public)
- Key votes
- No on striking the Medicaid cuts from H.R. 1 (June 30, 2025); no on striking the SNAP cuts (June 30, 2025); no on extending the ACA premium tax credits (June 30, 2025); yes on confirming Robert F. Kennedy Jr. (February 13, 2025); yes on tabling the Epstein files amendment (September 10, 2025)
What Susan Collins Is Responsible For
- Health care. On June 30, 2025, Susan Collins voted no on a motion to strike every Medicaid cut from the One Big Beautiful Bill Act, a law CBO says will lead to a 10 million increase in the country's uninsured population; studies cited by Maine Public projected 40,000 to 60,000 Maine residents could lose health insurance.
- ACA premiums. Collins voted no on extending the enhanced ACA premium tax credits on June 30, 2025; after they expired, Maine's marketplace saw a 9.5 percent decline in total enrollment and 2,722 people cancel coverage because they could not afford it.
- Paperwork barriers. Collins voted no on a motion to remove the law's new administrative burdens and paperwork requirements; Maine's health department says MaineCare renewals will move to every six months for 100,000 members.
- Food assistance. Collins voted no on striking the law's SNAP provisions and voted no on protecting SNAP for veterans and parents, both 49 to 51; about 13,000 Mainers who once relied on SNAP no longer use it.
- SNAP cost to Maine. Under the SNAP cost shift that Collins voted against striking, Maine could face up to $50 million in penalties beginning in October 2027.
- Medicare. On July 16, 2026, Collins voted no on taking up a repeal of Medicare's AI-driven WISeR prior authorization pilot, which drew reports of denials that appear inaccurate or inconsistent with applicable criteria.
- Medicare drug prices. On July 1, 2025, Collins voted no on an amendment to cut the price of prescription drugs under Medicare in half and add dental, vision and hearing coverage.
- Public health. Collins voted to confirm Robert F. Kennedy Jr. as health secretary on February 13, 2025; weeks later $91 million in federal U.S. public health contracts to Maine ended and at least 40 Maine CDC contract workers lost their jobs.
- Marketplace rule. Collins voted to confirm Mehmet Oz to run CMS and in January 2026 voted no on taking up a repeal of his agency's marketplace rule, which barred DACA recipients from enrollment in a health plan through the health insurance marketplaces.
- Federal workers. Collins voted to confirm Russell Vought, who co-signed the memo ordering large-scale reductions in force, and voted no on reinstating fired Park Service workers as eight full-time Acadia National Park staff got layoff notices.
- Veterans in federal jobs. Collins voted no on a motion to limit mass firings of federal workers who are veterans, months after probationary staff at Maine's Togus VA Medical Center were fired by email.
- Tariffs. Collins voted no on an April 2025 amendment relating to preventing Trump's tariffs from increasing the cost of groceries, and confirmed Howard Lutnick and Jamieson Greer, to whom she later wrote that $170 million worth of goods from Maine face Canadian retaliation.
- Epstein files. Collins voted to table an amendment to force release of the Epstein files on September 10, 2025, and confirmed Pam Bondi, whose Justice Department's 2026 release produced thousands of redaction failures exposing survivors.
How This Page Is Sourced
Every vote on this page was checked against the official Senate roll call for the 119th Congress and the Voteview record of Susan Collins's position; roll-call links go to senate.gov. Motion texts come from the Congressional Record and the Senate Press Gallery. Effects on Maine come from Maine state agencies, Maine news outlets and national research groups linked on each line. Last updated October 28, 2026.
Frequently Asked Questions Susan Collins
What is Susan Collins's record under Trump?
Susan Collins voted against motions to strike the One Big Beautiful Bill Act's Medicaid and SNAP cuts and against extending the ACA premium tax credits in June 2025. She voted to confirm Robert F. Kennedy Jr., Mehmet Oz, Russell Vought and Pam Bondi, and voted to table an amendment forcing release of the Epstein files. In Maine, SNAP use fell by about 13,000 people and 2026 marketplace enrollment fell 9.5 percent.
How did Susan Collins vote on the Medicaid cuts?
Susan Collins voted no on June 30, 2025 on Senator Ron Wyden's motion to strike any provision of the 2025 law that cuts Medicaid funding, which failed 47 to 53. CBO estimates the law's Medicaid work requirement alone will make 5.3 million more people uninsured by 2034.
Did Susan Collins vote to extend the ACA tax credits?
No. Susan Collins voted no on June 30, 2025 on waiving a budget rule for the Ossoff amendment to extend the enhanced premium tax credits, which failed 47 to 53. The credits expired at the end of 2025, and Maine's marketplace reported thousands of Mainers dropping coverage due to affordability reasons.
Did Susan Collins vote to confirm RFK Jr.?
Yes. Susan Collins voted to confirm Robert F. Kennedy Jr. as Secretary of Health and Human Services on February 13, 2025, and he was confirmed 52 to 48.
How did Susan Collins vote on releasing the Epstein files?
Susan Collins voted on September 10, 2025 to table an amendment directing the Attorney General to release the Epstein files, which was tabled 51 to 49, and the Portland Press Herald reported she voted with her party to defeat the effort.
What has Susan Collins done on SNAP in Maine?
Susan Collins voted against three June 30, 2025 motions to strike or limit the 2025 law's SNAP cuts, including one that failed 49 to 51. Maine SNAP use has fallen to roughly 150,000 people, and Maine could owe up to $50 million under the new cost shift.
Last updated: 2026-10-28