substantiveApr 5, 2022 · House roll call · passage · Result: Passed
On Motion to Suspend the Rules and Pass, as Amended — H R 1916 — Ensuring Lasting Smiles Act
Ensuring Lasting Smiles Act
In plain language
- House bill in the 117th Congress.
- Requires private health insurance plans to cover diagnosis and treatment of congenital anomalies and birth defects.
- House passed it on Apr 5, 2022 (substantive).
Official summary (Congressional Research Service)
Ensuring Lasting Smiles Act This bill requires private health insurance plans to cover diagnosis and treatment of congenital anomalies and birth defects, such as reconstructive services and items. Coverage must include services and items that functionally improve, repair, or restore any body part that is medically necessary for normal bodily functions or appearance, as determined by the treating physician. Coverage limits and cost-sharing requirements for such services and items may not be more restrictive than those applicable to all medical and surgical benefits under the plan.
Roll-call breakdown
Yea310
Democrat: 218 · Republican: 92
Nay110
Republican: 110
Present0
—
Not Voting9
Democrat: 2 · Republican: 7
How each member voted (429)
Yea (310)
- A. Donald McEachin (Democrat–VA)
- A. Drew Ferguson IV (Republican–GA)
- Abigail Davis Spanberger (Democrat–VA)
- Adam B. Schiff (Democrat–CA)
- Adam Kinzinger (Republican–IL)
- Adam Smith (Democrat–WA)
- Adriano Espaillat (Democrat–NY)
- Al Green (Democrat–TX)
- Al Lawson, Jr. (Democrat–FL)
- Alan S. Lowenthal (Democrat–CA)
- Albio Sires (Democrat–NJ)
- Alexander X. Mooney (Republican–WV)
- Alexandria Ocasio-Cortez (Democrat–NY)
- Alma S. Adams (Democrat–NC)
- Ami Bera (Democrat–CA)
- André Carson (Democrat–IN)
- Andrew R. Garbarino (Republican–NY)
- Andy Barr (Republican–KY)
- Andy Kim (Democrat–NJ)
- Andy Levin (Democrat–MI)
- Angie Craig (Democrat–MN)
- Ann Kirkpatrick (Democrat–AZ)
- Ann M. Kuster (Democrat–NH)
- Ann Wagner (Republican–MO)
- Anna G. Eshoo (Democrat–CA)
- Anthony G. Brown (Democrat–MD)
- Antonio Delgado (Democrat–NY)
- Ashley Hinson (Republican–IA)
- Ayanna Pressley (Democrat–MA)
- Barbara Lee (Democrat–CA)
- Barry Loudermilk (Republican–GA)
- Barry Moore (Republican–AL)
- Bennie G. Thompson (Democrat–MS)
- Betty McCollum (Democrat–MN)
- Bill Foster (Democrat–IL)
- Bill Pascrell, Jr. (Democrat–NJ)
- Bill Posey (Republican–FL)
- Billy Long (Republican–MO)
- Blake D. Moore (Republican–UT)
- Bobby L. Rush (Democrat–IL)
- Bonnie Watson Coleman (Democrat–NJ)
- Brad Sherman (Democrat–CA)
- Bradley Scott Schneider (Democrat–IL)
- Brenda L. Lawrence (Democrat–MI)
- Brendan F. Boyle (Democrat–PA)
- Brian Babin (Republican–TX)
- Brian Higgins (Democrat–NY)
- Brian K. Fitzpatrick (Republican–PA)
- Bryan Steil (Republican–WI)
- Burgess Owens (Republican–UT)
- C. A. Dutch Ruppersberger (Democrat–MD)
- Carlos A. Gimenez (Republican–FL)
- Carolyn B. Maloney (Democrat–NY)
- Carolyn Bourdeaux (Democrat–GA)
- Charlie Crist (Democrat–FL)
- Chellie Pingree (Democrat–ME)
- Cheri Bustos (Democrat–IL)
- Chris Jacobs (Republican–NY)
- Chris Pappas (Democrat–NH)
- Chris Stewart (Republican–UT)
- Chrissy Houlahan (Democrat–PA)
- Christopher H. Smith (Republican–NJ)
- Claudia Tenney (Republican–NY)
- Clay Higgins (Republican–LA)
- Colin Z. Allred (Democrat–TX)
- Conor Lamb (Democrat–PA)
- Cori Bush (Democrat–MO)
- Cynthia Axne (Democrat–IA)
- Dan Newhouse (Republican–WA)
- Daniel Meuser (Republican–PA)
- Daniel T. Kildee (Democrat–MI)
- Daniel Webster (Republican–FL)
- Danny K. Davis (Democrat–IL)
- Darin LaHood (Republican–IL)
- Darren Soto (Democrat–FL)
- David B. McKinley (Republican–WV)
- David E. Price (Democrat–NC)
- David G. Valadao (Republican–CA)
- David J. Trone (Democrat–MD)
- David N. Cicilline (Democrat–RI)
- David P. Joyce (Republican–OH)
- David Rouzer (Republican–NC)
- David Scott (Democrat–GA)
- Dean Phillips (Democrat–MN)
- Debbie Dingell (Democrat–MI)
- Debbie Wasserman Schultz (Democrat–FL)
- Deborah K. Ross (Democrat–NC)
- Derek Kilmer (Democrat–WA)
- Diana DeGette (Democrat–CO)
- Dina Titus (Democrat–NV)
- Don Bacon (Republican–NE)
- Donald M. Payne, Jr. (Democrat–NJ)
- Donald Norcross (Democrat–NJ)
- Donald S. Beyer, Jr. (Democrat–VA)
- Doris O. Matsui (Democrat–CA)
- Doug Lamborn (Republican–CO)
- Dusty Johnson (Republican–SD)
- Dwight Evans (Democrat–PA)
- Earl Blumenauer (Democrat–OR)
- Ed Case (Democrat–HI)
- Ed Perlmutter (Democrat–CO)
- Eddie Bernice Johnson (Democrat–TX)
- Elaine G. Luria (Democrat–VA)
- Elise M. Stefanik (Republican–NY)
- Elissa Slotkin (Democrat–MI)
- Emanuel Cleaver (Democrat–MO)
- Eric A. "Rick" Crawford (Republican–AR)
- Eric Swalwell (Democrat–CA)
- Frank J. Mrvan (Democrat–IN)
- Frank Pallone, Jr. (Democrat–NJ)
- Fred Upton (Republican–MI)
- Frederica S. Wilson (Democrat–FL)
- G. K. Butterfield (Democrat–NC)
- Garret Graves (Republican–LA)
- Gerald E. Connolly (Democrat–VA)
- Glenn Grothman (Republican–WI)
- Glenn Thompson (Republican–PA)
- Grace F. Napolitano (Democrat–CA)
- Grace Meng (Democrat–NY)
- Greg Stanton (Democrat–AZ)
- Gregory W. Meeks (Democrat–NY)
- Gwen Moore (Democrat–WI)
- Hakeem S. Jeffries (Democrat–NY)
- Haley M. Stevens (Democrat–MI)
- Harold Rogers (Republican–KY)
- Henry C. "Hank" Johnson, Jr. (Democrat–GA)
- Henry Cuellar (Democrat–TX)
- Ilhan Omar (Democrat–MN)
- J. French Hill (Republican–AR)
- J. Luis Correa (Democrat–CA)
- Jack Bergman (Republican–MI)
- Jackie Speier (Democrat–CA)
- Jackie Walorski (Republican–IN)
- Jahana Hayes (Democrat–CT)
- Jaime Herrera Beutler (Republican–WA)
- Jake Auchincloss (Democrat–MA)
- Jake LaTurner (Republican–KS)
- Jamaal Bowman (Democrat–NY)
- James A. Himes (Democrat–CT)
- James E. Clyburn (Democrat–SC)
- James P. McGovern (Democrat–MA)
- James R. Langevin (Democrat–RI)
- Jamie Raskin (Democrat–MD)
- Janice D. Schakowsky (Democrat–IL)
- Jared F. Golden (Democrat–ME)
- Jared Huffman (Democrat–CA)
- Jason Crow (Democrat–CO)
- Jay Obernolte (Republican–CA)
- Jefferson Van Drew (Republican–NJ)
- Jennifer Wexton (Democrat–VA)
- Jerrold Nadler (Democrat–NY)
- Jerry McNerney (Democrat–CA)
- Jesús G. "Chuy" García (Democrat–IL)
- Jim Cooper (Democrat–TN)
- Jim Costa (Democrat–CA)
- Jimmy Gomez (Democrat–CA)
- Jimmy Panetta (Democrat–CA)
- Joaquin Castro (Democrat–TX)
- Joe Courtney (Democrat–CT)
- Joe Neguse (Democrat–CO)
- Joe Wilson (Republican–SC)
- John A. Yarmuth (Democrat–KY)
- John Garamendi (Democrat–CA)
- John H. Rutherford (Republican–FL)
- John Katko (Republican–NY)
- John P. Sarbanes (Democrat–MD)
- Joseph D. Morelle (Democrat–NY)
- Josh Gottheimer (Democrat–NJ)
- Josh Harder (Democrat–CA)
- Joyce Beatty (Democrat–OH)
- Juan Vargas (Democrat–CA)
- Judy Chu (Democrat–CA)
- Julia Brownley (Democrat–CA)
- Julia Letlow (Republican–LA)
- Kaiali’i Kahele (Democrat–HI)
- Karen Bass (Democrat–CA)
- Katherine M. Clark (Democrat–MA)
- Kathleen M. Rice (Democrat–NY)
- Kathy Castor (Democrat–FL)
- Kathy E. Manning (Democrat–NC)
- Katie Porter (Democrat–CA)
- Ken Calvert (Republican–CA)
- Kim Schrier (Democrat–WA)
- Kurt Schrader (Democrat–OR)
- Kweisi Mfume (Democrat–MD)
- Lauren Underwood (Democrat–IL)
- Linda T. Sánchez (Democrat–CA)
- Lisa Blunt Rochester (Democrat–DE)
- Liz Cheney (Republican–WY)
- Lizzie Fletcher (Democrat–TX)
- Lloyd Doggett (Democrat–TX)
- Lois Frankel (Democrat–FL)
- Lori Trahan (Democrat–MA)
- Lucille Roybal-Allard (Democrat–CA)
- Lucy McBath (Democrat–GA)
- Madeleine Dean (Democrat–PA)
- Madison Cawthorn (Republican–NC)
- Marc A. Veasey (Democrat–TX)
- Marcy Kaptur (Democrat–OH)
- Maria Elvira Salazar (Republican–FL)
- Mariannette Miller-Meeks (Republican–IA)
- Marie Newman (Democrat–IL)
- Marilyn Strickland (Democrat–WA)
- Mario Diaz-Balart (Republican–FL)
- Mark DeSaulnier (Democrat–CA)
- Mark E. Amodei (Republican–NV)
- Mark Pocan (Democrat–WI)
- Mark Takano (Democrat–CA)
- Mary Gay Scanlon (Democrat–PA)
- Matt Cartwright (Democrat–PA)
- Matt Gaetz (Republican–FL)
- Maxine Waters (Democrat–CA)
- Melanie A. Stansbury (Democrat–NM)
- Michael F. Doyle (Democrat–PA)
- Michael K. Simpson (Republican–ID)
- Michael R. Turner (Republican–OH)
- Michael T. McCaul (Republican–TX)
- Michael Waltz (Republican–FL)
- Michelle Fischbach (Republican–MN)
- Michelle Steel (Republican–CA)
- Mike Bost (Republican–IL)
- Mike Garcia (Republican–CA)
- Mike Kelly (Republican–PA)
- Mike Levin (Democrat–CA)
- Mike Quigley (Democrat–IL)
- Mike Thompson (Democrat–CA)
- Mikie Sherrill (Democrat–NJ)
- Mo Brooks (Republican–AL)
- Mondaire Jones (Democrat–NY)
- Nanette Diaz Barragán (Democrat–CA)
- Nicole Malliotakis (Republican–NY)
- Nikema Williams (Democrat–GA)
- Norma J. Torres (Democrat–CA)
- Nydia M. Velázquez (Democrat–NY)
- Patrick T. McHenry (Republican–NC)
- Paul A. Gosar (Republican–AZ)
- Paul Tonko (Democrat–NY)
- Pete Aguilar (Democrat–CA)
- Pete Sessions (Republican–TX)
- Peter A. DeFazio (Democrat–OR)
- Peter Meijer (Republican–MI)
- Peter Welch (Democrat–VT)
- Pramila Jayapal (Democrat–WA)
- Raja Krishnamoorthi (Democrat–IL)
- Randy Feenstra (Republican–IA)
- Rashida Tlaib (Democrat–MI)
- Raul Ruiz (Democrat–CA)
- Richard E. Neal (Democrat–MA)
- Richard Hudson (Republican–NC)
- Rick Larsen (Democrat–WA)
- Ritchie Torres (Democrat–NY)
- Ro Khanna (Democrat–CA)
- Robert B. Aderholt (Republican–AL)
- Robert C. "Bobby" Scott (Democrat–VA)
- Robert J. Wittman (Republican–VA)
- Robin L. Kelly (Democrat–IL)
- Roger Williams (Republican–TX)
- Ron Kind (Democrat–WI)
- Rosa L. DeLauro (Democrat–CT)
- Ruben Gallego (Democrat–AZ)
- Salud O. Carbajal (Democrat–CA)
- Sam Graves (Republican–MO)
- Sanford D. Bishop, Jr. (Democrat–GA)
- Sara Jacobs (Democrat–CA)
- Scott DesJarlais (Republican–TN)
- Scott Franklin (Republican–FL)
- Scott H. Peters (Democrat–CA)
- Sean Casten (Democrat–IL)
- Sean Patrick Maloney (Democrat–NY)
- Seth Moulton (Democrat–MA)
- Sharice Davids (Democrat–KS)
- Sheila Cherfilus-McCormick (Democrat–FL)
- Sheila Jackson Lee (Democrat–TX)
- Shontel M. Brown (Democrat–OH)
- Steny H. Hoyer (Democrat–MD)
- Stephanie N. Murphy (Democrat–FL)
- Stephen F. Lynch (Democrat–MA)
- Steve Cohen (Democrat–TN)
- Steven Horsford (Democrat–NV)
- Steven M. Palazzo (Republican–MS)
- Susan Wild (Democrat–PA)
- Susie Lee (Democrat–NV)
- Suzan K. DelBene (Democrat–WA)
- Suzanne Bonamici (Democrat–OR)
- Sylvia R. Garcia (Democrat–TX)
- Ted Lieu (Democrat–CA)
- Teresa Leger Fernandez (Democrat–NM)
- Terri A. Sewell (Democrat–AL)
- Theodore E. Deutch (Democrat–FL)
- Thomas R. Suozzi (Democrat–NY)
- Tim Ryan (Democrat–OH)
- Tom Cole (Republican–OK)
- Tom Malinowski (Democrat–NJ)
- Tom O’Halleran (Democrat–AZ)
- Tom Reed (Republican–NY)
- Tom Rice (Republican–SC)
- Tony Cárdenas (Democrat–CA)
- Tony Gonzales (Republican–TX)
- Tracey Mann (Republican–KS)
- Trey Hollingsworth (Republican–IN)
- Troy A. Carter (Democrat–LA)
- Val Butler Demings (Democrat–FL)
- Van Taylor (Republican–TX)
- Veronica Escobar (Democrat–TX)
- Vicente Gonzalez (Democrat–TX)
- Vicky Hartzler (Republican–MO)
- William R. Keating (Democrat–MA)
- Young Kim (Republican–CA)
- Yvette D. Clarke (Democrat–NY)
- Zoe Lofgren (Democrat–CA)
Nay (110)
- Adrian Smith (Republican–NE)
- Andrew S. Clyde (Republican–GA)
- Andy Biggs (Republican–AZ)
- Andy Harris (Republican–MD)
- August Pfluger (Republican–TX)
- Austin Scott (Republican–GA)
- Ben Cline (Republican–VA)
- Beth Van Duyne (Republican–TX)
- Bill Huizenga (Republican–MI)
- Bill Johnson (Republican–OH)
- Blaine Luetkemeyer (Republican–MO)
- Bob Gibbs (Republican–OH)
- Bob Good (Republican–VA)
- Brad R. Wenstrup (Republican–OH)
- Brett Guthrie (Republican–KY)
- Brian J. Mast (Republican–FL)
- Bruce Westerman (Republican–AR)
- Byron Donalds (Republican–FL)
- Carol D. Miller (Republican–WV)
- Cathy McMorris Rodgers (Republican–WA)
- Charles J. "Chuck" Fleischmann (Republican–TN)
- Chip Roy (Republican–TX)
- Cliff Bentz (Republican–OR)
- Dan Bishop (Republican–NC)
- Dan Crenshaw (Republican–TX)
- Darrell Issa (Republican–CA)
- David Kustoff (Republican–TN)
- David Schweikert (Republican–AZ)
- Debbie Lesko (Republican–AZ)
- Diana Harshbarger (Republican–TN)
- Doug LaMalfa (Republican–CA)
- Earl L. "Buddy" Carter (Republican–GA)
- Frank D. Lucas (Republican–OK)
- Fred Keller (Republican–PA)
- Gary J. Palmer (Republican–AL)
- Greg Pence (Republican–IN)
- Gregory F. Murphy (Republican–NC)
- Gus M. Bilirakis (Republican–FL)
- Guy Reschenthaler (Republican–PA)
- H. Morgan Griffith (Republican–VA)
- Jake Ellzey (Republican–TX)
- James Comer (Republican–KY)
- James R. Baird (Republican–IN)
- Jason Smith (Republican–MO)
- Jeff Duncan (Republican–SC)
- Jerry L. Carl (Republican–AL)
- Jim Banks (Republican–IN)
- Jim Jordan (Republican–OH)
- Jodey C. Arrington (Republican–TX)
- John Joyce (Republican–PA)
- John R. Carter (Republican–TX)
- John R. Curtis (Republican–UT)
- John R. Moolenaar (Republican–MI)
- John W. Rose (Republican–TN)
- Kat Cammack (Republican–FL)
- Kay Granger (Republican–TX)
- Kelly Armstrong (Republican–ND)
- Ken Buck (Republican–CO)
- Kevin Hern (Republican–OK)
- Kevin McCarthy (Republican–CA)
- Lance Gooden (Republican–TX)
- Larry Bucshon (Republican–IN)
- Lauren Boebert (Republican–CO)
- Lisa C. McClain (Republican–MI)
- Lloyd Smucker (Republican–PA)
- Marjorie Taylor Greene (Republican–GA)
- Mark E. Green (Republican–TN)
- Markwayne Mullin (Republican–OK)
- Mary E. Miller (Republican–IL)
- Matthew M. Rosendale, Sr. (Republican–MT)
- Michael C. Burgess (Republican–TX)
- Michael Cloud (Republican–TX)
- Mike Carey (Republican–OH)
- Mike Gallagher (Republican–WI)
- Mike Johnson (Republican–LA)
- Mike Rogers (Republican–AL)
- Nancy Mace (Republican–SC)
- Neal P. Dunn (Republican–FL)
- Pat Fallon (Republican–TX)
- Pete Stauber (Republican–MN)
- Ralph Norman (Republican–SC)
- Randy K. Weber, Sr. (Republican–TX)
- Rick W. Allen (Republican–GA)
- Robert E. Latta (Republican–OH)
- Rodney Davis (Republican–IL)
- Ron Estes (Republican–KS)
- Ronny Jackson (Republican–TX)
- Russ Fulcher (Republican–ID)
- Scott Fitzgerald (Republican–WI)
- Scott Perry (Republican–PA)
- Stephanie I. Bice (Republican–OK)
- Steve Chabot (Republican–OH)
- Steve Scalise (Republican–LA)
- Steve Womack (Republican–AR)
- Ted Budd (Republican–NC)
- Thomas Massie (Republican–KY)
- Thomas P. Tiffany (Republican–WI)
- Tim Burchett (Republican–TN)
- Tim Walberg (Republican–MI)
- Tom McClintock (Republican–CA)
- Trent Kelly (Republican–MS)
- Troy Balderson (Republican–OH)
- Troy E. Nehls (Republican–TX)
- Vern Buchanan (Republican–FL)
- Victoria Spartz (Republican–IN)
- Virginia Foxx (Republican–NC)
- W. Gregory Steube (Republican–FL)
- Warren Davidson (Republican–OH)
- William R. Timmons IV (Republican–SC)
- Yvette Herrell (Republican–NM)
Not Voting (9)
- Anthony Gonzalez (Republican–OH)
- Jody B. Hice (Republican–GA)
- John B. Larson (Democrat–CT)
- Kevin Brady (Republican–TX)
- Lee M. Zeldin (Republican–NY)
- Louie Gohmert (Republican–TX)
- Michael Guest (Republican–MS)
- Raúl M. Grijalva (Democrat–AZ)
- Tom Emmer (Republican–MN)
Party labels reflect each member’s most recent affiliation on record.