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The Accountability Scorecard
119th Congress · Updated June 2026
Voting record · One representative

Paul Tonko

New York's 20th Congressional District · In office since 2009 · 9th term

Party Hidden — judge on the votes
Aligned with our positions on 4 of 4 key issues.
Paul Tonko
Official portrait
No. 01 — Health care · Federal budget

H.R. 1 — the “One Big Beautiful Bill” Act

Passed by Republicans in July 2025, H.R. 1 carries roughly $1 trillion in Medicaid cuts and raises health-care costs for millions of working families — hitting rural hospitals, nursing homes, ACA coverage, and Medicare. Its $4.3 trillion addition to the deficit sets up an estimated $490 billion Medicare cut over the next decade. The full impact was deliberately delayed until after the 2026 midterms.

What support means
  • —Higher health-care costs for millions of working families
  • —A $4.3 trillion increase to the federal deficit
  • —An estimated $490 billion cut to Medicare
No. 02 — Voting rights

The SAVE Act

The Safeguard American Voter Eligibility Act would force citizens to present a passport or birth certificate, in person, just to register to vote. Millions of eligible Americans can’t easily do that — including 69 million married women whose name doesn’t match their birth certificate and 140 million people with no passport. There is no evidence of the fraud it claims to stop.

What support means
  • —Blocks eligible citizens from exercising their right to vote
  • —Falls hardest on women, voters of color, military serving abroad, and trans citizens
No. 03 — War powers · Foreign policy

War Powers Resolution — Iran

In February 2026 the President partnered with Israel to launch major combat operations in Iran with no congressional authorization, pulling several nations into armed conflict. The Constitution gives Congress — not the President — the sole power to declare war. Congress passed legislation in June 2026 to force an end to the war.

What support means
  • —Returns the power to declare war to Congress, as the Constitution requires
  • —Limits the President’s ability to wage an unauthorized war in Iran
No. 04 — Campaign finance

AIPAC Campaign Funding

AIPAC is among the most powerful lobbying networks in the country. In recent cycles its pro-Israel network was one of the single largest outside spenders in congressional races — over $127 million in one cycle to back favored candidates and unseat critics.

What support means
  • —Financial ties to a lobby backing Israel’s wars and war crimes in Gaza

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