October 7, 2009: Alexander says health care bill “imposes onerous new costs on states and is likely to increase the federal debt.” He added,“What we know at this point is that the bill cuts Medicare, raises taxes, and increases insurance premiums for tens of millions of Americans.”

November 6, 2009: Alexander says proposal to raise health care costs “not helping” bring down high unemployment rateOn news the unemployment rate hit 10.2 percent in October 2009, Alexander said: “Record unemployment rates are hurting and Washington is not helping with its 1,000-page bills that raise taxes, utility bills, health care costs and debt. Our focus should be on one thing: creating good paying jobs.”

November 7, 2009: Alexander says health care reform should lower costs, not add to debt. Alexander added: “This bill is indeed historic in its combination of higher premiums, higher taxes, Medicare cuts and more federal debt. Millions of Americans will be forced into government plans when their employers stop offering health plans. I do not see how Tennessee can pay for its part of the Medicaid expansion without a new income tax or seriously damaging higher education, or both.”

November 21, 2009: Alexander supports Republican attempt to prevent Obamacare from being considered on the Senate floor.

November 22, 2009: Alexander tells Fox News “this bill is fundamentally flawed.” Alexander added: “Our goal is to let the American people know what it does for them and to them: that it has higher premiums, higher taxes, Medicare cuts, and puts 15 million more low-income Americans into a medical ghetto called Medicaid.”

December 3, 2009:Alexander opposes amendment to require some individuals to pay more for insurance while others pay less.

December 3, 2009: Alexander supports amendment to ensure patients receive doctor recommendations for preventative health services, without interference from government bureaucrats.

December 3, 2009: Alexander supports amendment to protect and improve Medicare benefits.

December 3, 2009: Alexander supports Republican attempt to recommit Obamacare to the Senate Finance Committee, which would effectively kill the bill.

December 4, 2009: Alexander supports amendment to promote fiscal responsibility in the Social Security and Community Living Assistance Services and Supports (CLASS) programs.

December 4, 2009: Alexander supports amendment to eliminate new health care entitlement programs created by Obamacare. This amendment proposed to limit the government control over the health care of American families.

December 4, 2009: Alexander supports amendment to ensure that there is no reduction or elimination of benefits to participants in Medicare Advantage plans.

December 4, 2009: Alexander votes to prevent health care law from including Medicare Advantage cuts for 243,000 Tennessee seniors. He said: “Cutting Medicare Advantage, which is exactly what the Democrats’ health care plan does, is not health-care reform.”

December 5, 2009: Alexander supports amendment to protect home health benefits.

December 5, 2009: Alexander supports Republican attempt to recommit Obamacare to the Senate Finance Committee, which would effectively kill the bill.

December 6, 2009: Alexander opposes amendment to let the government cap the salaries of certain corporate executives.

December 6, 2009: Alexander supports amendment to provide for medical malpractice reform.

December 7, 2009: Alexander votes to prohibit Medicare cuts in the health care bill to be used for new government spending . He said: “Senator Gregg’s and my amendment says, if you find savings in Grandma’s Medicare, you should spend those savings on Grandma. Cutting Medicare by half a trillion dollars and spending it on a new program at a time when Medicare is going broke is not real health care reform, and I’m disappointed that Senate Democrats yet again rejected Republican attempts to fix their flawed bill.” 

December 7, 2009: Alexander supports amendment to require the Health and Human Services (HHS) Secretary to survey enrollee satisfaction with qualified health plans offered through the new health insurance exchanges.

December 8, 2009: Alexander opposes motion to table amendment prohibiting federal funding for abortions. 

December 8, 2009: Alexander supports Republican attempt to recommit Obamacare to the Senate Finance Committee, which would effectively kill the bill.

December 15, 2009: Alexander votes against the health care law’s tax increases to individuals and families .  He added: “More than a million Tennesseans will likely see their taxes increase under the Senate health care bill and it’s this kind of tax increase the president was exactly right to promise during his campaign that he would oppose. I’m disappointed that the Senate chose instead to increase costs to Tennesseans when the goal of health care reform should be to lower them.”

December 15, 2009: Alexander supports amendment to allow the importation of prescription drugs.

December 15, 2009: Alexander supports amendment to allow the importation of prescription drugs.

December 16, 2009: Alexander opposes Democrats’ attempt to block Republicans from recommitting Obamacare to the Senate Finance Committee.

December 21, 2009: Alexander opposes Senator Reid’s attempt to end debate on Obamacare and clear the way for final passage of the law.

December 22, 2009: Alexander opposes motion to table amendment no. 3278.

December 22, 2009: Alexander opposes Senator Reid’s amendment with amendments and changes to Obamacare.

December 22, 2009: Alexander supports Republican efforts to filibuster Senator Reid’s substitute amendment no. 2786.

December 23, 2009: Alexander supports point of order against Senator Reid’s amendment no. 2786.

December 23, 2009: Alexander opposes motion to waive the Congressional Budget Act regarding Senator Reid's amendment.

December 23, 2009: Alexander opposes Democrats’ attempts to circumvent Rule 44 of the Senate regarding Senator Reid’s amendment no. 2786.

December 23, 2009: Alexander supports constitutional point of order raised against Senator Reid’s amendment no. 2786.

December 23, 2009: Alexander opposes Democrats’ attempts to circumvent Rule 22 of the Standing Rules of the Senate regarding Senator Reid’s amendment no. 2786.  

December 23, 2009: Alexander opposes Senator’s Reid’s substitute amendment no. 2786.

December 23, 2009: Alexander opposes ending Senate floor debate on Obamacare.

December 24, 2009Alexander votes against health care bill he says “will prove to be an historic mistake.” Alexander said, “Their written-in-secret bill will increase health insurance premiums, raise taxes, cut Medicare and dump millions of Americans into Medicaid. For Tennessee, Medicaid’s expansion and the bill’s ‘sweetheart deals’ would cost our state more than $750 million over five years when fully implemented, forcing tax increases or damaging higher education—or both.” Vote result here.

March 24, 2010: Alexander opposes motion to table amendment preventing Medicare from being raided to pay for a new entitlement.

March 24, 2010: Alexander opposes motion to table amendment rescinding certain targeted programs in the 2010 health care overhaul law.

March 24, 2010: Alexander supports Republican attempt to return the Health Care and Education Reconciliation Act (HCERA) (H.R. 4872) to the Senate Finance Committee, which would effectively kill the bill.

March 24, 2010: Alexander supports Republican attempt to return the Health Care and Education Reconciliation Act (HCERA) (H.R. 4872) to the Senate Finance Committee, which would effectively kill the bill.

March 24, 2010: Alexander opposes motion to table amendment to ensure Americans can keep the lower premiums and health coverage they have.

March 24, 2010: Alexander supports amendment ensuring the President, Members of Congress and their staff have to enroll in the health insurance exchanges created under Obamacare.

March 24, 2010: Alexander opposes Democrats’ attempts to stop his motion to recommit the Health Care and Education Reconciliation Act (HCERA) (H.R. 4872) back to the Senate Health, Education, Labor and Pensions (HELP) Committee, which would effectively kill the bill.

March 24, 2010: Alexander supports amendment requiring all Members of Congress to enroll in the Medicaid program.

March 24, 2010: Alexander supports Republican attempts to refer the Health Care and Education Reconciliation Act (HCERA) (H.R. 4872) back to the Senate Finance Committee, which would  effectively kill the bill.

March 24, 2010: Alexander opposes motion to table amendment reducing the cost of federally funded prescription drugs by eliminating fraudulent payments.

March 24, 2010: Alexander opposes motion to table amendment to allow states to opt-out of certain Medicare and Medicaid mandates.

March 24, 2010: Alexander opposes motion to table amendment on employer mandates.

March 24, 2010: Alexander supports repeal of the Community Living Assistance Services and Supports (CLASS) program

 March 24, 2010: Alexander opposes motion to table motion regarding the 3.8% Medicare surtax.

March 24, 2010: Alexander opposes motion to table amendment striking the medical device tax.

March 24, 2010: Alexander opposes motion to table amendment on the medical device tax.

March 24, 2010: Alexander opposes motion to table amendment on the medical device tax.

March 24, 2010: Alexander opposes motion to table amendment to prohibit Obamacare funding.

March 24, 2010: Alexander supports amendment to protect rural hospitals from Independent Payment Advisory Board (IPAB) cuts.

March 25, 2010: Alexander supports Republican attempts to refer the Health Care and Education Reconciliation Act of 2010 (HCERA) (H.R.4872) to the Senate Finance Committee, which would effectively kill the bill.

March 25, 2010: Alexander opposes motion to table amendment repealing the limitation on medical expenses tax deduction that benefits families with sick children.

March 25, 2010: Alexander opposes effort to prevent a vote on reducing gas taxes for mobile mammography vehicles.

March 25, 2010: Alexander opposes motion to table amendment to ensure Americans are not required to pay for illegal immigrant health insurance.

March 25, 2010: Alexander opposes motion to table amendment to repeal Obamacare.

March 25, 2010: Alexander opposes motion to table amendment ensuring Medicare beneficiary access to physicians and equitable reimbursement under the Medicare program for all rural states.

March 25, 2010: Alexander supports motion to repeal Obamacare.

March 25, 2010: Alexander opposes motion to table amendment ensuring sale of insurance across state lines.

March 25, 2010: Alexander opposes motion to table individual mandate repeal.

March 25, 2010: Alexander supports amendment to provide inflation adjustment to the Medicare Part B tax hike.

March 25, 2010: Alexander opposes motion to table amendment striking small business tax credits.

March 25, 2010: Alexander opposes motion to table amendment on Medicaid match errors.

March 25, 2010: Alexander opposes motion to table amendment to repeal the frontier state wage index which benefits some hospitals at the expense of others.

March 25, 2010: Alexander votes against health care reconciliation bill“The wisest course for our country now is to replace the new health care law with prudent insurance reforms and step-by-step reductions in health care costs so more Americans can afford to buy insurance,” he said.

June 9, 2010: Alexander opposes motion to table Senator Roberts' amendment on the medical device tax.

September 14, 2010: Alexander cosponsors, and votes for, amendment to repeal “job-killing” health care law mandate.

September 14, 2010: Alexander supports motion to invoke cloture on amendment repealing IRS Form 1099 reporting requirement for small business owners.

September 29, 2010: Alexander supports motion to consider joint resolutionThe resolution would provide for disapproval of a rule regarding grandfathering of health insurance plans under the 2010 health care overhaul law.

November 29, 2010: Alexander votes to repeal job-killing IRS mandate. Alexander voted to repeal the health care law’s mandate requiring all businesses to submit 1099 tax forms for every business transaction greater than $600 in a given year. 

November 29, 2010: Alexander opposes motion to suspend consideration of amendment to repeal the new IRS Form 1099 reporting requirements, which would add cost to the deficit.

February 2, 2011: Alexander votes for amendment repealing health care law mandate on businesses. Alexander called this provision “yet another job-destroying Washington mandate in the health care law that raises health care costs, instead of lowering them, which should have been the whole point of health care reform.”

February 2, 2011: Alexander opposes amendment that raises taxes to pay for the repeal of the new IRS form 1099 reporting mandates under Obamacare. The amendment would offset the revenue loss by increasing taxes on oil and gas producers by imposing new limits on grantor-retained annuity trusts.

February 2, 2011: Alexander votes to repeal health care law.

March 9, 2011: Alexander supports bill to defund Obamacare.

April 5, 2011: Alexander opposes amendment to study the impact of the 1099 reporting requirement on small businessesRather than delay relief for businesses by studying the impact of more IRS regulations, Alexander voted to repeal the reporting requirement altogether. 

April 5, 2011: Alexander opposes amendment on small businesses and health insurance premium increases.

April 5, 2011: Alexander votes for, and Senate passes, repeal of health care law mandate on businesses. “I hope the repeal of this bad provision of the new health care law leads soon to the law’s full repeal, so we can start over on real health care reforms that will lower the costs for all Americans.”

April 14, 2011: Alexander votes to block funding for health care law.“Employers and workers know this law was an historic mistake, one that is already starting to make private-sector jobs harder and more expensive to create and keep at a time when Tennessee faces 26 straight months of above 9 percent unemployment,” he said. “I will continue working to repeal this law and replace it with reforms that lower costs step-by-step so more people can afford insurance, rather than expanding a system that already costs too much.”

November 10, 2011: Alexander supports bill to repeal a requirement for federal, state and certain local governments to withhold three percent of payments to contractors.

February 17, 2012: Alexander opposes adoption of Conference Report to accompany H.R. 3630.

March 1, 2012: Alexander votes to restore religious conscience protections to health care law.  Alexander voted to amend the health care law to respect the right of health care professionals, insurance providers, and purchasers of insurance not to provide services that they find objectionable, saying: “Requiring our nation’s religious institutions to defy the basic tenets of their faiths shows a disturbing disregard for the Constitution’s protections of religious freedom.”

May 24, 2012: Alexander introduces student loan fix amendment to repeal the Prevention and Public Health Fund.

March 13, 2013: Alexander votes for amendment to defund Obamacare.

March 21, 2013: Alexander co-sponsors amendment to repeal the medical device tax under Obamacare.

March 22, 2013: Alexander supports amendment to repeal Obamacare.

March 22, 2013: Alexander supports amendment to prevent tax increases imposed on low- and middle-income Americans under Obamacare.

March 22, 2013: Alexander opposes amendment violating rights of conscience.

March 22, 2013: Alexander supports amendment to protect rights of conscience.

March 22, 2013: Alexander opposes amendment for Medicare wage index reform that could harm Tennessee hospitals.

March 22, 2013: Alexander supports amendment on Medicare wage index to restore some equity in hospital reimbursements.

March 22, 2013: Alexander supports amendment to repeal tax increases under Obamacare.

March 23, 2013: Alexander supports amendment to prohibit illegal immigrants from qualifying for federally subsidized health insurance.

July 16, 2014: Alexander on bill to reverse Hobby Lobby Decision: “Senate Democrats are proposing to carve a giant hole out of America’s religious freedom.”  “The Supreme Court decision was about individual freedoms,” Alexander said. “It was not about contraceptive rights. What is really happening is that [Senate Democrats] are trying to change the subject. They want to talk about health care, but they don’t want to talk about Obamacare and what it is doing to the women of this country.”

December 3, 2016: Alexander votes for legislation to repeal “historic mistake” of Obamacare.

January  11, 2017: Alexander proposes three-step plan for repealing and replacing Obamacare simultaneously and concurrently. He said, “To me, ‘simultaneously’ and ‘concurrently’ mean Obamacare should be finally repealed only when there are concrete, practical reforms in place that give Americans access to truly affordable health care. The American people deserve health care reform that’s done in the right way, for the right reasons, in the right amount of time. It’s not about developing a quick fix. It’s about working toward long-term solutions that works for everyone.”

July 25, 2017: Alexander votes to debate the House health care bill to repeal and replace Obamacare at the same time. He said, “Every senator, Republican and Democrat alike, will now have a virtually unlimited opportunity to debate and offer amendments to help put together a health care bill that helps Americans. Throughout this process, my focus will be on Tennessee, where 350,000 Tennesseans who buy their insurance in the collapsing individual market—songwriters, farmers, the self-employed, small businessmen and women—may find themselves with zero options in 2018 and 2019.”

July 25, 2017Alexander votes for a Senate health care bill to repeal and replace Obamacare at the same time. 

July 26, 2017: Alexander votes against the amendment to repeal the Affordable Care Act without a replacement plan. He said, “I agree with President Trump that we should repeal and replace major parts of the Affordable Care Act at the same time.”