On Passage — H R 1868 — To prevent across-the-board direct spending cuts, and for other purposes
To prevent across-the-board direct spending cuts, and for other purposes.
In plain language
- House bill in the 117th Congress.
- Makes several budgetary and technical changes to provisions under Medicare and Medicaid.
- House passed it on Mar 19, 2021 (substantive).
Official summary (Congressional Research Service)
This bill makes several budgetary and technical changes to provisions under Medicare and Medicaid. The bill continues to exempt Medicare from sequestration until December 31, 2021. (Sequestration is a process of automatic, usually across-the-board spending reductions under which budgetary resources are permanently cancelled to enforce specific budget policy goals.) The bill also specifically applies certain modified payment limits to rural health clinics that temporarily enrolled in Medicare during the public health emergency relating to COVID-19 (i.e., coronavirus disease 2019) or that applied to enroll by December 31, 2020; and preserves higher Medicaid disproportionate-share hospital payments for public hospitals in California under forthcoming payment methodology changes.
Roll-call breakdown
Democrat: 217 · Republican: 29
Republican: 175
—
Democrat: 1 · Republican: 7
How each member voted (429)
Yea (246)
- A. Donald McEachin (Democrat–VA)
- Abigail Davis Spanberger (Democrat–VA)
- Adam B. Schiff (Democrat–CA)
- 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)
- Alcee L. Hastings (Democrat–FL)
- Alexandria Ocasio-Cortez (Democrat–NY)
- Alma S. Adams (Democrat–NC)
- Ami Bera (Democrat–CA)
- André Carson (Democrat–IN)
- Andrew R. Garbarino (Republican–NY)
- Andy Kim (Democrat–NJ)
- Andy Levin (Democrat–MI)
- Angie Craig (Democrat–MN)
- Ann Kirkpatrick (Democrat–AZ)
- Ann M. Kuster (Democrat–NH)
- Anna G. Eshoo (Democrat–CA)
- Anthony G. Brown (Democrat–MD)
- Antonio Delgado (Democrat–NY)
- Ayanna Pressley (Democrat–MA)
- Barbara Lee (Democrat–CA)
- Bennie G. Thompson (Democrat–MS)
- Betty McCollum (Democrat–MN)
- Bill Foster (Democrat–IL)
- Bill Pascrell, Jr. (Democrat–NJ)
- 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 Higgins (Democrat–NY)
- Brian K. Fitzpatrick (Republican–PA)
- C. A. Dutch Ruppersberger (Democrat–MD)
- Carlos A. Gimenez (Republican–FL)
- Carolyn B. Maloney (Democrat–NY)
- Carolyn Bourdeaux (Democrat–GA)
- Charles J. "Chuck" Fleischmann (Republican–TN)
- Charlie Crist (Democrat–FL)
- Chellie Pingree (Democrat–ME)
- Cheri Bustos (Democrat–IL)
- Chris Jacobs (Republican–NY)
- Chris Pappas (Democrat–NH)
- Chrissy Houlahan (Democrat–PA)
- Christopher H. Smith (Republican–NJ)
- Claudia Tenney (Republican–NY)
- Colin Z. Allred (Democrat–TX)
- Conor Lamb (Democrat–PA)
- Cori Bush (Democrat–MO)
- Cynthia Axne (Democrat–IA)
- Dan Newhouse (Republican–WA)
- Daniel T. Kildee (Democrat–MI)
- Danny K. Davis (Democrat–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 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)
- 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 Swalwell (Democrat–CA)
- Filemon Vela (Democrat–TX)
- Frank J. Mrvan (Democrat–IN)
- Frank Pallone, Jr. (Democrat–NJ)
- Fred Upton (Republican–MI)
- Frederica S. Wilson (Democrat–FL)
- G. K. Butterfield (Democrat–NC)
- Gerald E. Connolly (Democrat–VA)
- Grace F. Napolitano (Democrat–CA)
- Grace Meng (Democrat–NY)
- Greg Stanton (Democrat–AZ)
- Gregory W. Meeks (Democrat–NY)
- Gus M. Bilirakis (Republican–FL)
- 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. Luis Correa (Democrat–CA)
- Jack Bergman (Republican–MI)
- Jackie Speier (Democrat–CA)
- Jahana Hayes (Democrat–CT)
- Jaime Herrera Beutler (Republican–WA)
- Jake Auchincloss (Democrat–MA)
- 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)
- Jeff Fortenberry (Republican–NE)
- 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)
- John A. Yarmuth (Democrat–KY)
- John B. Larson (Democrat–CT)
- John Garamendi (Democrat–CA)
- 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)
- 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)
- 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)
- 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)
- 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)
- Mark DeSaulnier (Democrat–CA)
- Mark Pocan (Democrat–WI)
- Mark Takano (Democrat–CA)
- Mary Gay Scanlon (Democrat–PA)
- Matt Cartwright (Democrat–PA)
- Maxine Waters (Democrat–CA)
- Michael F. Doyle (Democrat–PA)
- Mike Garcia (Republican–CA)
- Mike Levin (Democrat–CA)
- Mike Quigley (Democrat–IL)
- Mike Thompson (Democrat–CA)
- Mikie Sherrill (Democrat–NJ)
- Mondaire Jones (Democrat–NY)
- Nanette Diaz Barragán (Democrat–CA)
- Neal P. Dunn (Republican–FL)
- Nicole Malliotakis (Republican–NY)
- Nikema Williams (Democrat–GA)
- Norma J. Torres (Democrat–CA)
- Nydia M. Velázquez (Democrat–NY)
- Paul Tonko (Democrat–NY)
- Pete Aguilar (Democrat–CA)
- Pete Stauber (Republican–MN)
- Peter A. DeFazio (Democrat–OR)
- Peter Welch (Democrat–VT)
- Pramila Jayapal (Democrat–WA)
- Raja Krishnamoorthi (Democrat–IL)
- Rashida Tlaib (Democrat–MI)
- Raúl M. Grijalva (Democrat–AZ)
- Raul Ruiz (Democrat–CA)
- Richard E. Neal (Democrat–MA)
- Rick Larsen (Democrat–WA)
- Ritchie Torres (Democrat–NY)
- Ro Khanna (Democrat–CA)
- Robert C. "Bobby" Scott (Democrat–VA)
- Robin L. Kelly (Democrat–IL)
- Ron Kind (Democrat–WI)
- Rosa L. DeLauro (Democrat–CT)
- Ruben Gallego (Democrat–AZ)
- Salud O. Carbajal (Democrat–CA)
- Sanford D. Bishop, Jr. (Democrat–GA)
- Sara Jacobs (Democrat–CA)
- Scott H. Peters (Democrat–CA)
- Sean Casten (Democrat–IL)
- Sean Patrick Maloney (Democrat–NY)
- Seth Moulton (Democrat–MA)
- Sharice Davids (Democrat–KS)
- Sheila Jackson Lee (Democrat–TX)
- Stephanie N. Murphy (Democrat–FL)
- Stephen F. Lynch (Democrat–MA)
- Steve Cohen (Democrat–TN)
- Steven Horsford (Democrat–NV)
- 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 Malinowski (Democrat–NJ)
- Tom O’Halleran (Democrat–AZ)
- Tony Cárdenas (Democrat–CA)
- Val Butler Demings (Democrat–FL)
- Vern Buchanan (Republican–FL)
- Veronica Escobar (Democrat–TX)
- Vicente Gonzalez (Democrat–TX)
- Warren Davidson (Republican–OH)
- William R. Keating (Democrat–MA)
- Young Kim (Republican–CA)
- Yvette D. Clarke (Democrat–NY)
- Zoe Lofgren (Democrat–CA)
Nay (175)
- A. Drew Ferguson IV (Republican–GA)
- Adrian Smith (Republican–NE)
- Alexander X. Mooney (Republican–WV)
- Andrew S. Clyde (Republican–GA)
- Andy Barr (Republican–KY)
- Andy Biggs (Republican–AZ)
- Andy Harris (Republican–MD)
- Ann Wagner (Republican–MO)
- Anthony Gonzalez (Republican–OH)
- Ashley Hinson (Republican–IA)
- August Pfluger (Republican–TX)
- Austin Scott (Republican–GA)
- Barry Loudermilk (Republican–GA)
- Barry Moore (Republican–AL)
- Ben Cline (Republican–VA)
- Beth Van Duyne (Republican–TX)
- Bill Huizenga (Republican–MI)
- Bill Johnson (Republican–OH)
- Bill Posey (Republican–FL)
- Billy Long (Republican–MO)
- Blaine Luetkemeyer (Republican–MO)
- Blake D. Moore (Republican–UT)
- Bob Gibbs (Republican–OH)
- Bob Good (Republican–VA)
- Brad R. Wenstrup (Republican–OH)
- Brett Guthrie (Republican–KY)
- Brian Babin (Republican–TX)
- Brian J. Mast (Republican–FL)
- Bruce Westerman (Republican–AR)
- Bryan Steil (Republican–WI)
- Burgess Owens (Republican–UT)
- Byron Donalds (Republican–FL)
- Carol D. Miller (Republican–WV)
- Cathy McMorris Rodgers (Republican–WA)
- Chip Roy (Republican–TX)
- Chris Stewart (Republican–UT)
- Clay Higgins (Republican–LA)
- Cliff Bentz (Republican–OR)
- Dan Bishop (Republican–NC)
- Dan Crenshaw (Republican–TX)
- Daniel Meuser (Republican–PA)
- Daniel Webster (Republican–FL)
- Darin LaHood (Republican–IL)
- Darrell Issa (Republican–CA)
- David Kustoff (Republican–TN)
- David P. Joyce (Republican–OH)
- David Rouzer (Republican–NC)
- David Schweikert (Republican–AZ)
- Debbie Lesko (Republican–AZ)
- Diana Harshbarger (Republican–TN)
- Doug LaMalfa (Republican–CA)
- Doug Lamborn (Republican–CO)
- Dusty Johnson (Republican–SD)
- Earl L. "Buddy" Carter (Republican–GA)
- Eric A. "Rick" Crawford (Republican–AR)
- Frank D. Lucas (Republican–OK)
- Fred Keller (Republican–PA)
- Garret Graves (Republican–LA)
- Gary J. Palmer (Republican–AL)
- Glenn Grothman (Republican–WI)
- Glenn Thompson (Republican–PA)
- Greg Pence (Republican–IN)
- Gregory F. Murphy (Republican–NC)
- Guy Reschenthaler (Republican–PA)
- H. Morgan Griffith (Republican–VA)
- J. French Hill (Republican–AR)
- Jackie Walorski (Republican–IN)
- Jake LaTurner (Republican–KS)
- James Comer (Republican–KY)
- James R. Baird (Republican–IN)
- Jason Smith (Republican–MO)
- Jay Obernolte (Republican–CA)
- Jeff Duncan (Republican–SC)
- Jerry L. Carl (Republican–AL)
- Jim Banks (Republican–IN)
- Jim Hagedorn (Republican–MN)
- Jim Jordan (Republican–OH)
- Jodey C. Arrington (Republican–TX)
- Jody B. Hice (Republican–GA)
- John H. Rutherford (Republican–FL)
- 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)
- Ken Calvert (Republican–CA)
- Kevin Hern (Republican–OK)
- Kevin McCarthy (Republican–CA)
- Lance Gooden (Republican–TX)
- Larry Bucshon (Republican–IN)
- Lauren Boebert (Republican–CO)
- Lee M. Zeldin (Republican–NY)
- Lisa C. McClain (Republican–MI)
- Liz Cheney (Republican–WY)
- Lloyd Smucker (Republican–PA)
- Madison Cawthorn (Republican–NC)
- Mario Diaz-Balart (Republican–FL)
- Marjorie Taylor Greene (Republican–GA)
- Mark E. Amodei (Republican–NV)
- Mark E. Green (Republican–TN)
- Markwayne Mullin (Republican–OK)
- Mary E. Miller (Republican–IL)
- Matt Gaetz (Republican–FL)
- Matthew M. Rosendale, Sr. (Republican–MT)
- Michael C. Burgess (Republican–TX)
- Michael Cloud (Republican–TX)
- Michael Guest (Republican–MS)
- 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 Gallagher (Republican–WI)
- Mike Johnson (Republican–LA)
- Mike Kelly (Republican–PA)
- Mike Rogers (Republican–AL)
- Mo Brooks (Republican–AL)
- Nancy Mace (Republican–SC)
- Pat Fallon (Republican–TX)
- Paul A. Gosar (Republican–AZ)
- Pete Sessions (Republican–TX)
- Peter Meijer (Republican–MI)
- Ralph Norman (Republican–SC)
- Randy Feenstra (Republican–IA)
- Randy K. Weber, Sr. (Republican–TX)
- Richard Hudson (Republican–NC)
- Rick W. Allen (Republican–GA)
- Robert B. Aderholt (Republican–AL)
- Robert E. Latta (Republican–OH)
- Robert J. Wittman (Republican–VA)
- Rodney Davis (Republican–IL)
- Roger Williams (Republican–TX)
- Ron Estes (Republican–KS)
- Ronny Jackson (Republican–TX)
- Russ Fulcher (Republican–ID)
- Sam Graves (Republican–MO)
- Scott DesJarlais (Republican–TN)
- Scott Fitzgerald (Republican–WI)
- Scott Franklin (Republican–FL)
- Scott Perry (Republican–PA)
- Stephanie I. Bice (Republican–OK)
- Steve Chabot (Republican–OH)
- Steve Scalise (Republican–LA)
- Steve Stivers (Republican–OH)
- Steve Womack (Republican–AR)
- Steven M. Palazzo (Republican–MS)
- Ted Budd (Republican–NC)
- Thomas Massie (Republican–KY)
- Thomas P. Tiffany (Republican–WI)
- Tim Burchett (Republican–TN)
- Tim Walberg (Republican–MI)
- Tom Cole (Republican–OK)
- Tom Emmer (Republican–MN)
- Tom McClintock (Republican–CA)
- Tom Reed (Republican–NY)
- Tom Rice (Republican–SC)
- Tony Gonzales (Republican–TX)
- Tracey Mann (Republican–KS)
- Trent Kelly (Republican–MS)
- Trey Hollingsworth (Republican–IN)
- Troy Balderson (Republican–OH)
- Troy E. Nehls (Republican–TX)
- Van Taylor (Republican–TX)
- Vicky Hartzler (Republican–MO)
- Victoria Spartz (Republican–IN)
- Virginia Foxx (Republican–NC)
- W. Gregory Steube (Republican–FL)
- William R. Timmons IV (Republican–SC)
- Yvette Herrell (Republican–NM)
Not Voting (8)
- Adam Kinzinger (Republican–IL)
- Devin Nunes (Republican–CA)
- Don Young (Republican–AK)
- Joe Wilson (Republican–SC)
- Kevin Brady (Republican–TX)
- Louie Gohmert (Republican–TX)
- Patrick T. McHenry (Republican–NC)
- Steny H. Hoyer (Democrat–MD)
Party labels reflect each member’s most recent affiliation on record.