Bill Cassidy
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Bill Cassidy: United States Senator Representing Louisiana
Bill Cassidy, a physician by training and a Republican by political affiliation, serves as the senior United States Senator from Louisiana. First elected to the Senate in 2014 after serving three terms in the U.S. House of Representatives, Cassidy has carved a niche as a legislator focused on health care, energy policy, education reform, and fiscal responsibility. He brings a unique blend of medical expertise and policy acumen to Congress and has emerged as a voice for pragmatic conservatism and bipartisan problem-solving.
Senator Cassidy’s approach to governance is informed by decades of experience as a medical professional and public servant in Louisiana. His record reflects efforts to bridge ideological divides, strengthen the health care system, and invest in infrastructure and education to promote long-term prosperity.
Early Life and Medical Career
William Morgan Cassidy was born on September 28, 1957, in Highland Park, Illinois. He moved to Baton Rouge, Louisiana, where he attended Tara High School. He went on to receive a Bachelor of Science degree from Louisiana State University (LSU) in 1979 and earned a Doctor of Medicine from LSU School of Medicine in 1983.
Cassidy’s early professional life was devoted to medicine, particularly in the public health arena. He served as a faculty member at LSU Medical School and practiced at Earl K. Long Hospital, a public facility serving uninsured and underinsured patients. In the aftermath of Hurricane Katrina, Cassidy co-founded the Greater Baton Rouge Community Clinic, which provides free care to the working uninsured. These experiences would later shape his policy priorities and political platform.
Entry into Politics
Cassidy’s first foray into politics came in 2006 when he was elected to the Louisiana State Senate. In 2008, he won election to the U.S. House of Representatives from Louisiana’s 6th congressional district, defeating incumbent Don Cazayoux. During his time in the House, Cassidy served on the Energy and Commerce Committee and focused on health care, energy, and telecommunications policy.
His reputation as a knowledgeable, health-policy-focused conservative grew during the debates surrounding the Affordable Care Act (ACA). Cassidy was a vocal critic of the ACA, arguing for market-based solutions to increase access and lower costs. His stance gained him national visibility and prepared him for a Senate run.
Election to the U.S. Senate
In 2014, Cassidy challenged and defeated Democratic incumbent Senator Mary Landrieu. His victory marked a significant political shift in Louisiana, further entrenching Republican control of the state’s federal delegation. He was re-elected in 2020, solidifying his place as one of Louisiana’s most prominent political figures.
Cassidy’s Senate career has emphasized health care reform, disaster recovery, flood insurance reform, and investment in energy and infrastructure. He has consistently sought to pair conservative principles with practical governance, often engaging in bipartisan initiatives.
Committee Assignments and Leadership Roles
Senator Cassidy currently serves on several influential Senate committees, including:
- Senate Committee on Finance
- Senate Committee on Health, Education, Labor, and Pensions (HELP)
- Senate Committee on Energy and Natural Resources
- Senate Committee on Veterans’ Affairs
- Joint Economic Committee
These assignments allow Cassidy to impact federal policy on health care, economic strategy, education, labor standards, and energy development.
Legislative Priorities and Accomplishments
- Health Care Reform: Cassidy’s background as a physician has made him one of the Senate’s foremost voices on health care. He co-authored the Graham-Cassidy bill in 2017, which aimed to repeal and replace the ACA by shifting funding and control to states. Though the bill did not pass, it reflected Cassidy’s long-held belief in state-led innovation in health care delivery. He continues to support policies that lower drug prices, increase access to mental health services, and promote telehealth.
- Energy and Environment: Representing an energy-producing state, Cassidy supports an “all-of-the-above” approach to energy policy. He advocates for offshore drilling, pipeline expansion, and LNG exports while also supporting carbon capture and climate resilience. He has been involved in bipartisan discussions about infrastructure resilience and the future of energy production in a changing climate.
- Education and Workforce Development: Cassidy is a proponent of vocational education, STEM programs, and workforce readiness initiatives. He has introduced legislation to improve college transparency and student loan counseling. He also supports increasing access to technical training to prepare American workers for the evolving economy.
- Infrastructure and Disaster Preparedness: Louisiana’s vulnerability to hurricanes and flooding has made disaster recovery a central issue for Cassidy. He has worked to improve FEMA response protocols, increase funding for coastal restoration, and reform the National Flood Insurance Program. Cassidy was a lead negotiator on the Infrastructure Investment and Jobs Act of 2021, highlighting his bipartisan credentials.
- Fiscal Responsibility: While supportive of targeted spending to bolster infrastructure and disaster response, Cassidy is a vocal advocate for reducing the national debt and curbing entitlement spending. He has supported balanced budget amendments and has raised concerns about the long-term solvency of Social Security and Medicare.
- Veterans’ Affairs: Cassidy supports efforts to improve health care access, mental health services, and employment opportunities for veterans. He has backed legislation to expand the Veterans Choice Program and increase funding for VA clinics in underserved regions.
Bipartisanship and Political Identity
Cassidy has often been identified as a pragmatic conservative willing to cross party lines. He was one of seven Republican senators who voted to convict former President Donald Trump during his second impeachment trial. This decision drew both praise and criticism, further underscoring his independent streak.
He was also a leading Republican voice in crafting and passing the 2021 bipartisan infrastructure package. His participation in cross-party negotiations, particularly on issues such as flood insurance and mental health, reflects his legislative style: data-driven, policy-focused, and committed to long-term solutions.
Public Engagement and Communication
Cassidy maintains active communication with his constituents through town halls, newsletters, and social media. He often uses his platform to explain complex policy issues in accessible language, particularly those related to health care and energy.
Known for his calm demeanor and analytical mindset, Cassidy emphasizes transparency and problem-solving over ideological confrontation. His public appearances often focus on practical outcomes, whether in flood protection, school choice, or Medicaid expansion waivers.
Response to National Issues
- COVID-19 Response: As a physician, Cassidy took a leading role in promoting vaccinations, supporting pandemic relief legislation, and addressing rural health disparities. He backed the CARES Act and other relief efforts but pushed for targeted rather than blanket spending.
- Election Integrity and Democracy: While supporting election security improvements, Cassidy has affirmed the legitimacy of the 2020 presidential election. He condemned the January 6th Capitol riot and emphasized the need for rule of law and institutional respect.
- Mental Health and Opioids: Cassidy has co-sponsored several bipartisan bills to expand mental health coverage, combat the opioid crisis, and integrate behavioral health into primary care settings.
Personal Life and Community Roots
Bill Cassidy is married to Laura Layden, a retired surgeon, and they have three children. The Cassidy family is deeply rooted in Baton Rouge, where they are active in civic and charitable organizations.
Cassidy’s continued engagement with Louisiana’s communities—particularly its underserved populations—reflects his medical background and commitment to service. He frequently visits hospitals, schools, and local businesses to gather input and assess policy outcomes firsthand.
Final Summary
Senator Bill Cassidy brings a distinctive voice to the U.S. Senate, shaped by his dual background in medicine and public policy. His pragmatic conservatism, bipartisan spirit, and focus on data-driven governance have allowed him to navigate some of the most complex policy arenas in American politics.
References
Ballotpedia. (n.d.). Bill Cassidy. Retrieved April 7, 2025, from https://ballotpedia.org/Bill_Cassidy
United States Senate. (2025). Senator Bill Cassidy Biography. Retrieved April 7, 2025, from https://www.cassidy.senate.gov/
Louisiana Illuminator. (2024). Cassidy’s Role in Infrastructure and Health Care Legislation. Retrieved April 7, 2025, from https://lailluminator.com
National Public Radio. (2023). Senator Cassidy on Mental Health, Flood Insurance, and Bipartisanship. Retrieved April 7, 2025, from https://www.npr.org
Congressional Research Service. (2024). Biographical Directory of the United States Congress: Bill Cassidy. Retrieved April 7, 2025, from https://crsreports.congress.gov/
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Voting History
| Date | Vote | Bill | Result |
|---|---|---|---|
| Feb 3, 2026 | Yea | On the Nomination PN726-6: Nicholas Jon Ganjei, of Texas, to be United States District Judge for the Southern District of Texas | Nomination Confirmed |
| Feb 3, 2026 | Yea | Motion to Invoke Cloture: Nicholas Jon Ganjei to be U.S. District Judge for the Southern District of Texas: Nicholas Jon Ganjei, of Texas, to be United States District Judge for the Southern District of Texas | Cloture Motion Agreed to |
| Feb 3, 2026 | Yea | On the Nomination PN726-5: David Clay Fowlkes, of Arkansas, to be United States District Judge for the Western District of Arkansas | Nomination Confirmed |
| Feb 2, 2026 | Yea | Motion to Invoke Cloture: David Clay Fowlkes to be United States District Judge for the Western District of Arkansas: David Clay Fowlkes, of Arkansas, to be United States District Judge for the Western District of Arkansas | Cloture Motion Agreed to |
| Jan 30, 2026 | Yea | H.R. 7148: Consolidated Appropriations Act, 2026 | Bill Passed |
| Jan 30, 2026 | Nay | On the Motion (Motion to Waive All Applicable Budgetary Discipline Re: Merkley Amdt. No. 4287) | Motion Rejected |
| Jan 30, 2026 | Nay | S.Amdt. 4290 (Sanders) to H.R. 7148: To rescind certain amounts appropriated for U.S. Immigration and Customs Enforcement and certain changes to Medicaid. | Amendment Rejected |
| Jan 30, 2026 | Nay | On the Amendment S.Amdt. 4290 to H.R. 7148 (No short title on file) | Amendment Rejected |
| Jan 30, 2026 | Nay | On the Motion to Table S.Amdt. 4286 to H.R. 7148 (No short title on file) | Motion to Table Agreed to |
| Jan 30, 2026 | Nay | On the Motion to Table S.Amdt. 4234 to H.R. 7148 (No short title on file) | Motion to Table Agreed to |
| Jan 30, 2026 | Nay | On the Motion to Table S.Amdt. 4236 to H.R. 7148 (No short title on file) | Motion to Table Agreed to |
| Jan 30, 2026 | Not Voting | S.Amdt. 4272 (Paul) to H.R. 7148: To eliminate funding for refugee and entrant assistance. | Amendment Rejected |
| Jan 30, 2026 | Not Voting | S.Amdt. 4272 (Paul) to H.R. 7148 | Amendment Rejected |
| Jan 29, 2026 | Yea | Motion to Invoke Cloture: Motion to Proceed to H.R. 7148 | Cloture on the Motion to Proceed Rejected |
| Jan 27, 2026 | Yea | Motion to Invoke Cloture on the Motion to Proceed to S. 3627 | Cloture on the Motion to Proceed Rejected |
| Jan 15, 2026 | Yea | H.R. 6938: Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 | Bill Passed |
| Jan 15, 2026 | Yea | Motion to Invoke Cloture: H.R. 6938 | Cloture Motion Agreed to |
| Jan 14, 2026 | Yea | On the Point of Order S.J.Res. 98 | Point of Order Well Taken |
| Jan 13, 2026 | Nay | Motion to Proceed on S.J.Res. 84: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to “Patient Protection and Affordable Care Act; Market | Motion to Proceed Rejected |
| Jan 12, 2026 | Yea | Motion to Invoke Cloture: Motion to Proceed to H.R. 6938 | Cloture on the Motion to Proceed Agreed to |
| Jan 8, 2026 | Yea | On the Nomination PN615-2: Alexander C. Van Hook, of Louisiana, to be United States District Judge for the Western District of Louisiana | Nomination Confirmed |
| Jan 8, 2026 | Nay | On the Motion to Discharge S.J.Res. 98 | Motion to Discharge Agreed to |
| Jan 7, 2026 | Nay | Motion to Proceed on S.J.Res. 86: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to “Air Plan Approval; South Dakota; Regional Haze Plan for the | Motion to Proceed Rejected |
| Jan 6, 2026 | Yea | On the Nomination PN373: Sara Bailey, of Texas, to be Director of National Drug Control Policy | Nomination Confirmed |
| Jan 6, 2026 | Yea | On the Nomination PN499-11: Joshua Simmons, of Virginia, to be General Counsel of the Central Intelligence Agency | Nomination Confirmed |
| Jan 5, 2026 | Yea | On the Nomination PN12-1: Keith Bass, of Texas, to be an Assistant Secretary of Defense | Nomination Confirmed |
| Dec 18, 2025 | Yea | Motion to Invoke Cloture: Sara Bailey to be Director of National Drug Control Policy: Sara Bailey, of Texas, to be Director of National Drug Control Policy | Cloture Motion Agreed to |
| Dec 18, 2025 | Yea | Motion to Invoke Cloture: Alexander C. Van Hook to be U.S. District Judge for the Western District of Louisiana: Alexander C. Van Hook, of Louisiana, to be United States District Judge for the Western District of Louisiana | Cloture Motion Agreed to |
| Dec 18, 2025 | Yea | Motion to Invoke Cloture: Keith Bass to be Assistant Secretary of Defense: Keith Bass, of Texas, to be an Assistant Secretary of Defense | Cloture Motion Agreed to |
| Dec 18, 2025 | Yea | Motion to Invoke Cloture: Joshua Simmons to be General Counsel of the Central Intelligence Agency: Joshua Simmons, of Virginia, to be General Counsel of the Central Intelligence Agency | Cloture Motion Agreed to |
| Dec 18, 2025 | Yea | On the Nomination PN416-9 and PN141-12 and PN499-12 and PN465-1 and PN345-14 and PN345-13 and PN345-10 and PN55-2 and PN624-2 and PN624-1 and PN379-17 and PN379-16 and PN416-6 and PN519-2 and PN445-3 and PN416-12 and PN55-7 and PN345-12 and PN465-2 and PN55-26 and PN55-10 and PN416-2 and PN379-20 and PN246-6 and PN560-3 and PN462-3 and PN462-1 and PN416-5 and PN518-5 and PN499-10 and PN499-2 and PN462-4 and PN141-10 and PN26-24 and PN445-10 and PN445-7 and PN445-2 and PN379-4 and PN246-12 and PN141-27 and PN141-8 and PN129-17 and PN129-1 and PN60-17 and PN60-11 and PN60-4 and PN22-11 and PN445-5 and PN466-9 and PN466-8 and PN466-7 and PN447 and PN141-5 and PN499-8 and PN345-8 and PN246-3 and PN246-11 and PN60-8 and PN445-11 and PN416-4 and PN379-15 and PN379-13 and PN379-11 and PN141-20 and PN141-25 and PN246-2 and PN26-47 and PN60-13 and PN26-26 and PN379-19 and PN445-1 and PN379-26 and PN379-22 and PN416-3 and PN379-9 and PN379-3 and PN379-18 and PN246-1 and PN141-14 and PN416-10 and PN379-21 and PN55-13 and PN129-6 and PN55-44 and PN141-39 and PN379-7 and PN246-13 and PN246-4 and PN141-26 and PN141-22 and PN141-16 and PN129-7 and PN60-12 and PN55-34 and PN141-2 and PN26-37 and PN25-2: Daniel Aronowitz, of Virginia, to be an Assistant Secretary of Labor | Nomination Confirmed |
| Dec 18, 2025 | Nay | S.J.Res. 82: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Office of the Secretary of the Department of Health and Human Services relating to “Policy on Adhering to | Joint Resolution Defeated |
| Dec 17, 2025 | Yea | Motion to Invoke Cloture: S. Res. 532: Henry Mack III, of Florida, to be an Assistant Secretary of Labor | Cloture Motion Agreed to |
| Dec 17, 2025 | Yea | Motion to Invoke Cloture: En Bloc Nominations Provided for Under the Provisions of S. Res. 412: Scott Mayer, of Pennsylvania, to be a Member of the National Labor Relations Board for the term of five years expiring December 16, 2029 | Cloture Motion Agreed to |
| Dec 17, 2025 | Yea | On the Nomination PN645-2: Douglas Weaver, of Maryland, to be a Member of the Nuclear Regulatory Commission for the remainder of the term expiring June 30, 2026 | Nomination Confirmed |
| Dec 17, 2025 | Yea | Motion to Invoke Cloture: Douglas Weaver to be a Member of the Nuclear Regulatory Commission: Douglas Weaver, of Maryland, to be a Member of the Nuclear Regulatory Commission for the remainder of the term expiring June 30, 2026 | Cloture Motion Agreed to |
| Dec 17, 2025 | Yea | On the Nomination PN650: Jared Isaacman, of Pennsylvania, to be Administrator of the National Aeronautics and Space Administration | Nomination Confirmed |
| Dec 17, 2025 | Yea | Motion to Invoke Cloture: Jared Isaacman to be Administrator of the National Aeronautics and Space Administration: Jared Isaacman, of Pennsylvania, to be Administrator of the National Aeronautics and Space Administration | Cloture Motion Agreed to |
| Dec 17, 2025 | Yea | S. 1071: National Defense Authorization Act for Fiscal Year 2026 | Motion Agreed to |
| Dec 15, 2025 | Yea | Motion to Invoke Cloture: Motion to Concur in the House Amendment to S. 1071 | Cloture Motion Agreed to |
| Dec 11, 2025 | Yea | Motion to Proceed on S. 1071: National Defense Authorization Act for Fiscal Year 2026 | Motion to Proceed Agreed to |
| Dec 11, 2025 | Yea | S.Res. 532: An executive resolution authorizing the en bloc consideration in Executive Session of certain nominations on the Executive Calendar. | Resolution Agreed to |
| Dec 11, 2025 | Nay | Motion to Invoke Cloture: Motion to Proceed to S. 3385 | Cloture Motion Rejected |
| Dec 11, 2025 | Yea | Motion to Invoke Cloture: Motion to Proceed to S. 3386 | Cloture Motion Rejected |
| Dec 10, 2025 | Yea | Motion to Invoke Cloture: S.Res. 532 | Cloture Motion Agreed to |
| Dec 10, 2025 | Nay | Motion to Proceed on S.J.Res. 82: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Office of the Secretary of the Department of Health and Human Services relating to “Policy on Adhering to | Motion to Proceed Agreed to |
| Dec 9, 2025 | Yea | On the Nomination PN466-5: James D. Maxwell II, of Mississippi, to be United States District Judge for the Northern District of Mississippi | Nomination Confirmed |
| Dec 9, 2025 | Yea | Motion to Invoke Cloture: James D. Maxwell II to be U.S. District Judge for the Northern District of Mississippi: James D. Maxwell II, of Mississippi, to be United States District Judge for the Northern District of Mississippi | Cloture Motion Agreed to |
| Dec 9, 2025 | Yea | On the Nomination PN615-1: William J. Crain, of Louisiana, to be United States District Judge for the Eastern District of Louisiana | Nomination Confirmed |
| Dec 9, 2025 | Yea | Motion to Invoke Cloture: William J. Crain to be U.S. District Judge for the Eastern District of Louisiana: William J. Crain, of Louisiana, to be United States District Judge for the Eastern District of Louisiana | Cloture Motion Agreed to |

