For the second time this week, every member of the Massachusetts congressional delegation voted the same way on one of the most emotionally charged issues facing Congress.

All nine Massachusetts representatives voted against a House bill that would have banned transgender surgeries and other gender-affirming medical care for minors. The proposal, backed largely by Republicans, was framed by supporters as a child-protection measure and criticized by opponents as an intrusion into medical decision-making.

The vote was unanimous. Not a single Massachusetts lawmaker broke ranks.

Just days earlier, the delegation had delivered another unified “no” vote — this time on the Kayla Hamilton Act.

Named after Kayla Hamilton, a 20-year-old Maryland woman killed in 2022, the bill aimed to tighten background checks and sponsor screenings for unaccompanied migrant children, with supporters arguing it would close gaps in the federal placement system and reduce the risk of abuse or exploitation.

Once again, every Massachusetts representative voted against it.

The back-to-back unanimous votes have not gone unnoticed.

As Congress wrestles with questions of child safety, medical ethics, and immigration enforcement, the Massachusetts delegation has repeatedly landed on one side of the debate — leaving little daylight between its members and little variation in how the state is represented on the House floor.

In a state with deep political divisions beneath the surface, the pattern has fueled quiet frustration among voters who say major national issues come up for debate, the roll is called, and the outcome from Massachusetts feels pre-determined.

Twice in one week, nine votes were cast. Twice in one week, they were cast the same way.

The bills may differ, but the message coming out of Massachusetts was unmistakable — and for many watching from home, increasingly familiar.