Rep. Victoria Spartz has made health care her signature issue since entering Congress, calling it "the No. 1 issue that we have to resolve." But her record tells a different story: as an Indiana state senator, she voted against protecting Hoosiers with preexisting conditions — then ran ads claiming she "guaranteed protections for Hoosiers with pre-existing conditions." In Congress, she voted against the Inflation Reduction Act, which capped insulin at $35 per month for seniors and gave Medicare the power to negotiate drug prices for the first time. She told a reporter the ACA was "broken" and called for its replacement, yet offered no alternative that would cover the 329,300 people in her district with preexisting conditions. And after initially opposing the 2025 budget reconciliation bill over deficit concerns, she caved to pressure from President Trump and voted for the One Big Beautiful Bill Act — a law projected to strip Medicaid coverage from millions and cost Indiana $800 million in uncompensated hospital care.
Spartz Voted Against Protecting Hoosiers With Preexisting Conditions In The Indiana State Senate. According to the DCCC, Spartz "voted against an amendment ensuring coverage for pre-existing conditions on short-term insurance plans" and "voted twice against requiring insurance companies to cover children with certain pre-existing conditions." [DCCC, 9/16/20]
Spartz Then Ran Campaign Ads Claiming She "Guaranteed Protections For Hoosiers With Pre-Existing Conditions." According to the DCCC, Spartz's TV ad claimed she "guaranteed protections for Hoosiers with pre-existing conditions" despite her state senate voting record, and she had "already been called out for attempting to rewrite history" on her ACA position between her primary campaign and general election messaging. [DCCC, 9/16/20]
During Her Primary, Spartz Said She "Fought Obamacare" And Promised To "Actively Support Repeal And Replacement" Of The ACA. According to the DCCC, Spartz campaigned on opposing the ACA during her Republican primary but shifted her messaging in the general election. Her plan would have put 329,300 Hoosiers in Indiana's 5th District with preexisting conditions at risk of losing coverage or facing higher charges, with 54,000 potentially losing coverage entirely. [DCCC, 9/16/20]
Spartz Voted Against The Inflation Reduction Act, Which Capped Insulin Costs At $35 Per Month For Seniors. According to GovTrack, Spartz voted Nay on H.R. 5376, the Inflation Reduction Act of 2022, which passed 220-207 on August 12, 2022. The law gave Medicare the power to negotiate prescription drug prices for the first time, capped insulin at $35 per month for Medicare beneficiaries, and capped total out-of-pocket drug costs for seniors at $2,000 per year. [GovTrack, 8/12/22]
Spartz Said The ACA Was "Broken" And Called For Funneling Billions Away From It. According to WFYI, Spartz said, "We need to stop funneling billions to special interest groups through Obamacare and let the state provide good flexibility for good options for the people." [WFYI, 9/22/20]
Spartz Supported Trump's Decision Not To Reopen ACA Enrollment During The COVID-19 Pandemic. According to the Health Policy Profiles database, Spartz supported President Trump's 2020 decision against reopening ACA enrollment during the COVID-19 pandemic, when millions of Americans were losing employer-based coverage. [Health Policy Profiles, Viewed 2/16/26]
Spartz Initially Called Herself A "Hard No" On The Budget Reconciliation Bill Over Deficit Concerns. According to The New Republic, Spartz declared she was a "hard no" on the reconciliation bill, telling CNN, "We cannot be weak, and we have to do the right thing." [New Republic, 2/27/25]
Trump Screamed At Spartz In A Phone Call, Calling Her "A Fake Republican," And She Flipped Her Vote. According to The New Republic, citing Puck News reporting, Trump made a furious phone call to Spartz in which he screamed at her, calling her "a fake Republican set on undermining his agenda." After the call, Speaker Johnson approached Spartz in the cloakroom and said, "You know what you have to do." Spartz then flipped her position, telling reporters she had a "great conversation" with Trump and that she "trust[s] his word." [New Republic, 2/27/25]
Spartz Voted For The Final One Big Beautiful Bill Act Despite Her Earlier Objections. According to Wikipedia, the House passed the Senate version of the One Big Beautiful Bill Act in a final mostly party-line vote of 218-214 on July 3, 2025. Spartz initially opposed the procedural rule vote but flipped after negotiations with Trump and Johnson. She said she would vote for the bill but against the rule "due to broken commitments" from Speaker Johnson. [Wikipedia, Viewed 2/16/26]
The Reconciliation Law Is Projected To Cost Indiana $800 Million In Uncompensated Care And Threaten 12 Hospital Closures. According to the Indiana House Democratic Caucus, Indiana hospitals and clinics are projected to face approximately $800 million in uncompensated care costs due to Medicaid cuts, which will strain budgets and potentially lead to closures and provider layoffs, particularly in rural areas. Twelve Indiana hospitals face potential closure. [Indiana House Democratic Caucus, Viewed 2/16/26]
The CBO Estimates 11.8 Million People Will Lose Medicaid Coverage Under The Law Spartz Voted For. According to the Center for Health Care Strategies, the Congressional Budget Office estimates that 11.8 million people will lose Medicaid coverage due to H.R. 1 in the next 10 years, with 4.8 million of those due to the implementation of work requirements. Hoosiers aged 19 to 64 must work at least 80 hours per month to maintain eligibility. [Center for Health Care Strategies, Viewed 2/16/26]
A Constituent Told Spartz At A Town Hall That She Felt "Not Represented" On Health Care. According to WFYI, at a March 2025 town hall in Westfield, constituent Christine Kassebnia expressed worry about potential cuts to Medicaid and Medicare, stating she felt "under-represented." The crowd chanted "Do your job" when asked why Republican members had not restrained the president's orders. [WFYI, 3/28/25]