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.

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

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.

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%

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.

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%

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.

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%

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.'

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%

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

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%

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.

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%