As professional psychologists become increasingly involved in shaping health care policy in our nation, it is imperative that they understand the various forces that influence congressional members to enact legislation. This article examines two major issues: (a) Congress's cautious and restrained approach to health care policy and (b) preemption and the relationship between Congress and the states. Understanding these issues will enable psychologists to become more effective representatives of both the professional and societal interests of professional psychology.