In addition to building on the successful 2017 tax reform law, increasing access to quality, affordable health care and improving the United States' global competitiveness through free and fair trade are among his top priorities.
Increase access to quality, affordable health care.
Occurrences
Evidence
Crapo wrote that the Healthy Americans Act "aims to provide every American with health insurance" and would "Give Americans affordable choice;" "Make health care portable from job to job;" and "Reform the insurance market so that insurers compete on price, benefits and quality."
The release says a bipartisan Senate proposal co-sponsored by Crapo would "expand[] market-based health insurance to more Americans," provide "increased choice and portability," and that Crapo viewed it as a legislative option for health care reform.
Crapo's current issue page says he is focused on "solutions that make health care more affordable, cover the uninsured and strengthen the safety net" and that Idahoans deserve solutions that "improve outcomes, increase consumer choices, promote quality care and curb excessive costs."
The homepage was crawled on 2026-05-17 and lists recent health-care-related activity, including a 2026-05-18 weekly column on efforts to curb veteran overdoses and a 2026-05-11 weekly column on putting Idaho patients at the center of the health care system. It shows the promise area is still being actively worked, not that the original 1998 promise was completed.
Crapo said the Working Families Tax Cuts were making health care more accessible and affordable, citing Medicaid fraud reforms, expanded health-savings access, telehealth access, home-based care, and a rural health transformation program. This is a concrete later-term policy action in the same policy area, but it is not evidence that the original campaign promise was fully delivered.
Assessments
Crapo repeatedly advocated and co-sponsored health-care access and affordability measures after the 1999-2005 Senate term tied to the 1998 campaign, including the Healthy Americans Act and later health-care affordability provisions. However, the evidence shows advocacy, reintroduced bills, and continuing policy positions rather than enactment or measurable fulfillment of the broad promise to increase access to quality, affordable health care. Because he made serious legislative efforts but the promised outcome is not shown as delivered, this is best scored as not delivered with an effort badge.
The promise was broad but substantive: increasing access to quality, affordable health care during Crapo's first Senate term after the 1998 election. The evidence does not show an enacted federal outcome during that term or later that can be credited to Crapo as fulfilling the promise. It does show serious later-term legislative advocacy and co-sponsorship of the Healthy Americans Act and related reform efforts aimed at affordability, portability, coverage, choice, and quality, but those proposals were not enacted. Because he materially attempted to advance the promised policy area without delivering the promised outcome, this is best scored as not delivered with an effort badge.