 Tsongas is an advocate for universal health care and supports a public health insurance option . In 2010 she voted for the Patient Protection and Affordable Care Act and Health Care and Education Reconciliation Act . In 2012 Tsongas joined a Republican @-@ led effort to repeal a 2 @.@ 3 % sales tax on medical @-@ device manufacturers , which passed the House 270 – 146 ; 36 other Democrats voted for it . Tsongas is pro @-@ choice and received a 100 % approval rating from Planned Parenthood in 2008 . A supporter of LGBT rights , Tsongas cosponsored the Respect for Marriage Act to repeal the Defense of Marriage Act ; and voted for the Don 't Ask , Don 't Tell Repeal Act of 2010 , which allows homosexuals to serve openly in the armed forces . 
