Will support universal access to affordable health care, paid family and medical leave, healthy food access, affordable childcare, and quality care for aging loved ones and people with disabilities.

Nancy Pelosi · California · Democratic

policy impact 0.75 specificity 0.62 extraction confidence 73%

Commitment kind: unknown. Promised action: not established. Promised outcome: not established. Deadline: unknown; not assumed expired.

Contest this claim

Occurrences

America’s families need universal access to affordable health care. They need paid family and medical leave. They need access to healthy food, affordable childcare, and quality care for aging loved ones and people with disabilities.

Pelosi identified a package of family-support policies including universal affordable health care, paid leave, food access, childcare, and care for aging people and people with disabilities.

ICYMI -- Nancy Pelosi, Kristin Rowe-Finkbeiner: We Can Fix Health Care, But Trump Chooses Iran | Representative Nancy Pelosi
primary · press_release · model gpt-5.5

Evidence

unverified · Source version 44507 · locator unknown

Reporting in the lookback window says nearly 500,000 moderate-income New Yorkers lost health insurance on July 1, 2026 due to implementation of H.R. 1, with further nationwide coverage losses projected from Medicaid work requirements and related health funding cuts.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Recent implementation of H.R. 1 shows a concrete reversal in affordable health coverage access, not delivery of universal affordable care.

never same_term

Nearly 500,000 New Yorkers lose health insurance due to Trump cuts
secondary · model gpt-5.5 · confidence 78%

Contest this evidence item

unverified · Source version 3401 · locator unknown

The Clerk records H.R. 1, the One Big Beautiful Bill Act, as passed 218-214 on July 3, 2025. Nancy Pelosi, Democratic, California, voted No.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Pelosi took a concrete vote against the 2025 law that cut or restricted Medicaid and SNAP access, but the bill passed, so the effort was unsuccessful.

never same_term A for effort

Roll Call 190 | Bill Number: H.R. 1 | One Big Beautiful Bill Act
secondary · model gpt-5.5 · confidence 94%

Contest this evidence item

unverified · Source version 44508 · locator unknown

Public Law 119-21 includes 'Modifications to SNAP work requirements' and requires states to establish Medicaid community engagement requirements, including 80-hour monthly work, community service, work program, or education conditions for certain Medicaid beneficiaries.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): The enacted law moved federal policy away from the commitment on healthy food access and affordable health care by adding SNAP and Medicaid restrictions.

never same_term

Public Law 119-21 - One Big Beautiful Bill Act
secondary · model gpt-5.5 · confidence 92%

Contest this evidence item

unverified · Source version 44508 · locator unknown

The same enacted law also contains sections titled 'Extension and enhancement of paid family and medical leave credit,' 'Enhancement of employer-provided child care credit,' and 'Enhancement of the dependent care assistance program.'

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Although paired with major health and nutrition restrictions, the 2025 law partially delivered narrower tax-credit based support for paid leave and childcare, not universal access.

partial same_term

Public Law 119-21 - One Big Beautiful Bill Act
secondary · model gpt-5.5 · confidence 84%

Contest this evidence item

unverified · Source version 44509 · locator unknown

The Clerk records the Build Back Better Act as passing the House 220-213 on November 19, 2021. Nancy Pelosi, Democratic, California, voted Yea.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Pelosi supported a House-passed package associated with childcare, paid leave, ACA subsidies, and home-care policy, but it did not become law in that form, so this is failed serious effort rather than delivery.

never unknown A for effort

Roll Call 385 | Bill Number: H. R. 5376
secondary · model gpt-5.5 · confidence 86%

Contest this evidence item

unverified · Source version 44510 · locator unknown

GovInfo identifies Public Law 111-148 as the Patient Protection and Affordable Care Act, approved March 23, 2010, with legislative history showing the House concurred in Senate amendments on March 21, 2010.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): The Affordable Care Act substantially expanded affordable health-care access, supporting a partial delivery record on the health-care portion of the commitment, though not universal access across all named care needs.

partial unknown A for effort

Public Law 111-148 - Patient Protection and Affordable Care Act
secondary · model gpt-5.5 · confidence 88%

Contest this evidence item

verified · Source version 76901 · locator 4754

Pelosi celebrated the important work that SFMFB does in distributing food throughout the city and highlighted the recent $1 million dollars in federal Community Project Funding she secured for the Food Bank’s new 5,200 square foot walk in cooler.

Fetched verbatim passage. AI summary (separate from source): Within the lookback window, Pelosi’s office reported a concrete food-access delivery: federal Community Project Funding for San Francisco-Marin Food Bank infrastructure. This is narrow local progress, not universal healthy food access.

partial same_term A for effort

Representative Nancy Pelosi |
secondary · model gpt-5.5 · confidence 83%

Contest this evidence item

verified · Source version 65345 · locator 1105

sent a letter to Health and Human Services (HHS) demanding HHS Secretary Robert F. Kennedy Jr. withdraw their proposed rule to gut 90% of Head Start Program Performance Standards (HSPPS) that would increase costs for families and eliminate educational resources women and families rely on.

Fetched verbatim passage. AI summary (separate from source): Pelosi was listed among signers of an official House Democratic Women’s Caucus letter opposing Head Start rule changes. This is concrete defensive effort on child-care/early-learning access, but no delivery is shown.

unresolved same_term A for effort

Democratic Women’s Caucus Members Slam HHS Secretary For Proposed Plan to Gut Head Start | Democratic Women's Caucus
primary · model gpt-5.5 · confidence 86%

Contest this evidence item

verified · Source version 65345 · locator 4987

The letter was signed by: Amo, Gabe; Ansari, Yassamin; Balint, Becca; Barragán, Nanette; Beatty, Joyce; Bonamici, Suzanne; Brownley, Julia; Brown, Shontel; Budzinski, Nikki; Carbajal, Salud; Carson, André; Castor, Kathy; Chu, Judy; Clarke, Yvette; Craig, Angie; Crockett, Jasmine; Davids, Sharice; Dean, Madeleine; DeGette, Diana; DelBene, Suzan; Dexter, Maxine; Dingell, Debbie; Elfreth, Sarah; Escobar, Veronica; Foushee, Valerie; Frankel, Lois; Friedman, Laura; Garcia, Sylvia; Goodlander, Maggie; Grijalva, Adelita; Hayes, Jahana; Horsford, Steven; Houlahan, Chrissy; Hoyle, Val; Jacobs, Sara; Jayapal, Pramila; Johnson, Julie; Kamlager-Dove, Sydney; Kaptur, Marcy; Kelly, Robin; Lee, Summer; Leger Fernandez, Teresa; Matsui, Doris; McBath, Lucy; McBride, Sarah; McClain Delaney, April; McClellan, Jennifer; McCollum, Betty; McDonald Rivet, Kristen; McIver, LaMonica; Mejia, Analilia; Meng, Grace; Moore, Gwen; Moskowitz, Jared; Ocasio-Cortez, Alexandria; Omar, Ilhan; Pelosi, Nancy; Pettersen, Brittany; Pingree, Chellie; Pou, Nellie; Pressley, Ayanna; Ramirez, Delia; Randall, Emily; Rivas, Luz; Ross, Deborah; Salinas, Andrea; Scanlon, Mary Gay; Schakowsky, Janice; Scholten, Hillary; Schrier, Kim; Sewell, Terri; Simon, Lateefah; Stansbury, Melanie; Stevens, Haley; Strickland, Marilyn; Sykes, Emilia; Titus, Dina; Tlaib, Rashida; Tokuda, Jill; Torres, Norma; Trahan, Lori; Underwood, Lauren; Velázquez, Nydia; Wasserman Schultz, Debbie; Watson Coleman, Bonnie; Williams, Nikema; Wilson, Frederica

Fetched verbatim passage. AI summary (separate from source): The same official release verifies Pelosi’s participation in the Head Start letter. It records effort, not enacted or implemented affordable childcare access.

unresolved same_term A for effort

Democratic Women’s Caucus Members Slam HHS Secretary For Proposed Plan to Gut Head Start | Democratic Women's Caucus
primary · model gpt-5.5 · confidence 90%

Contest this evidence item

verified · Source version 76903 · locator 5136

Motion by Mr. McGovern to add a section to the rule providing for immediate consideration of H.R. 6088, the Restoring Food Security for American Families and Farmers Act of 2025, introduced by Representative Hayes, under a closed rule, debatable for one hour equally divided between the chair and ranking member of the Committee on Agriculture. Defeated: 3–8

Fetched verbatim passage. AI summary (separate from source): A late Rules Committee attempt to bring up a SNAP-restoration bill was defeated, showing the healthy-food-access portion remained blocked/unresolved near the lookback window.

unresolved same_term A for effort

H.R. 4795 – Protect Economic and Academic Freedom Act of 2026 | House of Representatives Committee on Rules
secondary · model gpt-5.5 · confidence 84%

Contest this evidence item

verified · Source version 76905 · locator 163

To provide paid family and medical leave benefits to certain individuals, and for other purposes.

Fetched verbatim passage. AI summary (separate from source): The FAMILY Act directly addresses the paid family and medical leave portion of the promise, but GovInfo shows it as an introduced bill rather than enacted law.

unresolved same_term A for effort

H.R. 5390 (IH) - Family and Medical Insurance Leave Act
secondary · model gpt-5.5 · confidence 86%

Contest this evidence item

unverified · Source version 76907 · locator unknown

Last Action Date Listed September 16, 2025 Action Ms. DeLauro (for herself, Mr. Figures, Ms. Sewell, Ms. Ansari, Mr. Huffman, Mr. Thompson of California, Mr. Bera, Ms. Matsui, Mr. Garamendi, Mr. DeSaulnier, Ms. Pelosi, Ms. Simon, Mr. Swalwell, Mr. Mullin, Mr. Khanna, Ms. Lofgren, Mr. Panetta, Mr. Costa, Mr. Carbajal, Mr. Ruiz, Ms. Brownley, Mr. Whitesides, Ms. Chu, Ms. Rivas, Ms. Friedman, Mr. Cisneros, Mr. Sherman, Mr. Aguilar, Mr. Gomez, Mrs. Torres of California, Mr. Lieu, Ms. Kamlager-Dove, Ms.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): GovInfo ties Pelosi to the introduced FAMILY Act and shows the last listed action was referral on introduction, so it is effort without enacted paid-leave delivery.

unresolved same_term A for effort

H.R. 5390 (IH) - Family and Medical Insurance Leave Act - BILLS-119hr5390ih | Content Details | GovInfo
secondary · model gpt-5.5 · confidence 88%

Contest this evidence item

Assessments

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): partial. unknown A for effort

The full multi-part commitment was not delivered: universal affordable health care, paid leave, healthy food access, childcare, and aging/disability care remain unmet, and the 2025 enacted law moved Medicaid and SNAP access in the opposite direction despite Pelosi voting against it. Pelosi has, however, materially supported partial progress, especially the ACA's expansion of affordable health coverage and House passage of Build Back Better provisions tied to childcare, paid leave, ACA subsidies, and home care. Because key efforts failed to become law and the fulfilled pieces are incomplete relative to the promise, this is partial rather than delivered; the timing of the positive delivery evidence relative to the specific campaign promise is not established.

provider codex_cli · model gpt-5.5 · confidence 83%