House Bill 1868
117th Congress(2021-2022)
To prevent across-the-board direct spending cuts, and for other purposes.
Became Law
Amendments
Became Public Law 117-7 on Apr 14, 2021
Origin Chamber
House
Type
Bill
Bill
The primary form of legislative measure used to propose law. Depending on the chamber of origin, bills begin with a designation of either H.R. or S. Joint resolution is another form of legislative measure used to propose law.
Bill Number
1868
Congress
117
Policy Area
Health
Health
Primary focus of measure is science or practice of the diagnosis, treatment, and prevention of disease; health services administration and funding, including such programs as Medicare and Medicaid; health personnel and medical education; drug use and safety; health care coverage and insurance; health facilities. Measures concerning controlled substances and drug trafficking may fall under Crime and Law Enforcement policy area.
Question
On Motion to Suspend the Rules and Concur in the Senate Amendment
Status
Passed
Type
Roll Call Vote
Roll Call Vote
A vote that records the individual position of each Member who voted. Such votes occurring on the House floor (by the "yeas and nays" or by "recorded vote") are taken by electronic device. The Senate has no electronic voting system; in such votes, Senators answer "yea" or "nay" as the clerk calls each name aloud. Each vote is compiled by clerks and receives a roll call number (referenced in Congress.gov as a "Record Vote" [Senate] or "Roll no." [House]).
Roll Call Type
2/3 Yea-And-Nay
Roll Number
98
House Roll Call Votes
Yes
Alabama
Alabama
Yes
Alabama
Alabama
Yes
Alabama
Alabama
Yes
Alabama
Alabama
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Alabama
Alabama
Yes
Alabama
Alabama
Yes
Alabama
Alabama
Yes
Alaska
Alaska
No
Arizona
Arizona
Yes
Arizona
Arizona
No
Arizona
Arizona
Yes
Arizona
Arizona
Yes
Arizona
Arizona
Yes
Arizona
Arizona
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Arizona
Arizona
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Arizona
Arizona
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Arizona
Arizona
Yes
Arkansas
Arkansas
Yes
Arkansas
Arkansas
Yes
Arkansas
Arkansas
Yes
Arkansas
Arkansas
Yes
California
California
Yes
California
California
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California
California
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California
California
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California
California
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California
California
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California
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California
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California
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California
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California
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California
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California
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California
California
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California
California
Yes
California
California
Yes
California
California
No
California
California
Yes
California
California
Yes
California
California
Yes
California
California
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Colorado
Colorado
Yes
Colorado
Colorado
Yes
Colorado
Colorado
Yes
Colorado
Colorado
Yes
Colorado
Colorado
Yes
Colorado
Colorado
No
Colorado
Colorado
Yes
Connecticut
Connecticut
Yes
Connecticut
Connecticut
Yes
Connecticut
Connecticut
Yes
Connecticut
Connecticut
Yes
Connecticut
Connecticut
Yes
Delaware
Delaware
Yes
Florida
Florida
Yes
Florida
Florida
No
Florida
Florida
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Florida
Florida
Yes
Florida
Florida
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Florida
Florida
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Florida
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Florida
Florida
Yes
Florida
Florida
Yes
Florida
Florida
Yes
Florida
Florida
Yes
Florida
Florida
No
Georgia
Georgia
Yes
Georgia
Georgia
Didn't Vote
Georgia
Georgia
Yes
Georgia
Georgia
Yes
Georgia
Georgia
Yes
Georgia
Georgia
No
Georgia
Georgia
Yes
Georgia
Georgia
Yes
Georgia
Georgia
Yes
Georgia
Georgia
Didn't Vote
Georgia
Georgia
Yes
Georgia
Georgia
No
Georgia
Georgia
Yes
Georgia
Georgia
Yes
Hawaii
Hawaii
Yes
Hawaii
Hawaii
Yes
Idaho
Idaho
Yes
Idaho
Idaho
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
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Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
No
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Illinois
Illinois
Yes
Indiana
Indiana
Yes
Indiana
Indiana
Yes
Indiana
Indiana
Yes
Indiana
Indiana
Yes
Indiana
Indiana
No
Indiana
Indiana
Yes
Indiana
Indiana
Yes
Indiana
Indiana
Yes
Indiana
Indiana
Yes
Iowa
Iowa
Yes
Iowa
Iowa
Yes
Iowa
Iowa
Yes
Iowa
Iowa
Yes
Kansas
Kansas
No
Kansas
Kansas
Yes
Kansas
Kansas
No
Kansas
Kansas
Yes
Kentucky
Kentucky
Yes
Kentucky
Kentucky
Yes
Kentucky
Kentucky
No
Kentucky
Kentucky
Yes
Kentucky
Kentucky
No
Kentucky
Kentucky
Yes
Louisiana
Louisiana
Yes
Louisiana
Louisiana
Yes
Louisiana
Louisiana
Yes
Louisiana
Louisiana
Yes
Maine
Maine
Yes
Maine
Maine
Yes
Maryland
Maryland
Yes
Maryland
Maryland
Yes
Maryland
Maryland
Yes
Maryland
Maryland
Yes
Maryland
Maryland
Yes
Maryland
Maryland
Yes
Maryland
Maryland
Yes
Maryland
Maryland
Yes
Massachusetts
Massachusetts
Yes
Massachusetts
Massachusetts
Yes
Massachusetts
Massachusetts
Yes
Massachusetts
Massachusetts
Yes
Massachusetts
Massachusetts
Yes
Massachusetts
Massachusetts
Yes
Massachusetts
Massachusetts
Yes
Massachusetts
Massachusetts
Yes
Massachusetts
Massachusetts
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
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Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Michigan
Michigan
Yes
Minnesota
Minnesota
Yes
Minnesota
Minnesota
Yes
Minnesota
Minnesota
Yes
Minnesota
Minnesota
Yes
Minnesota
Minnesota
Yes
Minnesota
Minnesota
Yes
Minnesota
Minnesota
Yes
Minnesota
Minnesota
Yes
Mississippi
Mississippi
Yes
Mississippi
Mississippi
Yes
Mississippi
Mississippi
Yes
Mississippi
Mississippi
Yes
Missouri
Missouri
Yes
Missouri
Missouri
Yes
Missouri
Missouri
Yes
Missouri
Missouri
Yes
Missouri
Missouri
Yes
Missouri
Missouri
Yes
Missouri
Missouri
Yes
Missouri
Missouri
No
Montana
Montana
Yes
Nebraska
Nebraska
Yes
Nebraska
Nebraska
Yes
Nebraska
Nebraska
Yes
Nevada
Nevada
Yes
Nevada
Nevada
Yes
Nevada
Nevada
Yes
Nevada
Nevada
Yes
New Hampshire
New Hampshire
Yes
New Hampshire
New Hampshire
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Jersey
New Jersey
Yes
New Mexico
New Mexico
No
New Mexico
New Mexico
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
New York
New York
Yes
North Carolina
North Carolina
No
North Carolina
North Carolina
Yes
North Carolina
North Carolina
Yes
North Carolina
North Carolina
Yes
North Carolina
North Carolina
Yes
North Carolina
North Carolina
Yes
North Carolina
North Carolina
Yes
North Carolina
North Carolina
Didn't Vote
North Carolina
North Carolina
Yes
North Carolina
North Carolina
Yes
North Carolina
North Carolina
No
North Carolina
North Carolina
No
North Carolina
North Carolina
Yes
North Dakota
North Dakota
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
No
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Ohio
Ohio
Yes
Oklahoma
Oklahoma
No
Oklahoma
Oklahoma
Yes
Oklahoma
Oklahoma
Yes
Oklahoma
Oklahoma
Yes
Oklahoma
Oklahoma
Yes
Oregon
Oregon
Yes
Oregon
Oregon
Yes
Oregon
Oregon
Yes
Oregon
Oregon
Yes
Oregon
Oregon
Yes
Pennsylvania
Pennsylvania
Yes
Pennsylvania
Pennsylvania
Yes
Pennsylvania
Pennsylvania
Yes
Pennsylvania
Pennsylvania
Yes
Pennsylvania
Pennsylvania
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Pennsylvania
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Pennsylvania
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Pennsylvania
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Pennsylvania
Pennsylvania
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Pennsylvania
Pennsylvania
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Pennsylvania
Pennsylvania
Yes
Rhode Island
Rhode Island
Yes
Rhode Island
Rhode Island
Yes
South Carolina
South Carolina
Didn't Vote
South Carolina
South Carolina
Yes
South Carolina
South Carolina
No
South Carolina
South Carolina
No
South Carolina
South Carolina
Yes
South Carolina
South Carolina
Yes
South Carolina
South Carolina
Yes
South Dakota
South Dakota
Yes
Tennessee
Tennessee
Yes
Tennessee
Tennessee
Yes
Tennessee
Tennessee
Yes
Tennessee
Tennessee
Yes
Tennessee
Tennessee
Yes
Tennessee
Tennessee
Yes
Tennessee
Tennessee
Yes
Tennessee
Tennessee
Yes
Tennessee
Tennessee
Yes
Texas
Texas
No
Texas
Texas
Yes
Texas
Texas
Yes
Texas
Texas
No
Texas
Texas
Yes
Texas
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Texas
Yes
Texas
Texas
Yes
Texas
Texas
Yes
Texas
Texas
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Texas
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No
Texas
Texas
Yes
Texas
Texas
Yes
Texas
Texas
Didn't Vote
Texas
Texas
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Texas
Yes
Texas
Texas
Yes
Texas
Texas
Yes
Texas
Texas
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Texas
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Yes
Texas
Texas
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Texas
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Texas
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Texas
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Texas
Texas
Yes
Texas
Texas
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Texas
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Texas
Texas
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Texas
Texas
Yes
Texas
Texas
Yes
Utah
Utah
Yes
Utah
Utah
No
Utah
Utah
Yes
Utah
Utah
Yes
Vermont
Vermont
Yes
Virginia
Virginia
Yes
Virginia
Virginia
No
Virginia
Virginia
Yes
Virginia
Virginia
Yes
Virginia
Virginia
Yes
Virginia
Virginia
Yes
Virginia
Virginia
Yes
Virginia
Virginia
Yes
Virginia
Virginia
Yes
Virginia
Virginia
Yes
Virginia
Virginia
Yes
Washington
Washington
Yes
Washington
Washington
Yes
Washington
Washington
Yes
Washington
Washington
Yes
Washington
Washington
Yes
Washington
Washington
Yes
Washington
Washington
Yes
Washington
Washington
Yes
Washington
Washington
Yes
Washington
Washington
Yes
West Virginia
West Virginia
Yes
West Virginia
West Virginia
Yes
West Virginia
West Virginia
Yes
Wisconsin
Wisconsin
Yes
Wisconsin
Wisconsin
Yes
Wisconsin
Wisconsin
Yes
Wisconsin
Wisconsin
Yes
Wisconsin
Wisconsin
Yes
Wisconsin
Wisconsin
Yes
Wisconsin
Wisconsin
Didn't Vote
Wisconsin
Wisconsin
Yes
Wyoming
Wyoming
Summary
This bill makes several budgetary and technical changes to provisions under Medicare, Medicaid, and the American Rescue Plan Act of 2021, which provided additional relief to address the ongoing impact of COVID-19 (i.e., coronavirus disease 2019).
The bill exempts the budgetary effects of the American Rescue Plan Act of 2021 and this bill from the Statutory Pay-As-You-Go Act of 2010 (PAYGO), and exempts this bill from the Senate PAYGO rule. The bill also 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
- excludes mixed-earner unemployment compensation from Medicaid and Children's Health Insurance Program (CHIP) eligibility determinations;
- applies certain modified payment limits to rural health clinics that temporarily enrolled in Medicare during the public health emergency 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.
March 25, 2021
March 25, 2021
March 19, 2021
March 12, 2021
Amendments (2)
Mar 25, 2021
Not Agreed to in Senate
1
Sponsorship
Active
Mar 25, 2021
Agreed to in Senate
2
Sponsorship
Senate Amendment 1410
In the nature of a substitute.
Agreed To
Amendments
Sort by most recent
04/14/2021
Became Public Law No: 117-7.
04/14/2021
Signed by President.
04/14/2021
Presented to President.
04/13/2021
Motion to reconsider laid on the table Agreed to without objection.
04/13/2021
On motion that the House suspend the rules and agree to the Senate amendment Agreed to by the Yeas and Nays: (2/3 required): 384 - 38 (Roll no. 98). (text: CR H1729-1730)
04/13/2021
Resolving differences -- House actions: On motion that the House suspend the rules and agree to the Senate amendment Agreed to by the Yeas and Nays: (2/3 required): 384 - 38 (Roll no. 98).(text: CR H1729-1730)
04/13/2021
DEBATE - The House proceeded with forty minutes of debate on the motion to suspend the rules and concur in the Senate amendment to H.R. 1868.
04/13/2021
Mr. Yarmuth moved that the House suspend the rules and concur in the Senate amendment. (consideration: CR H1729-1733)
03/26/2021
Message on Senate action sent to the House.
03/25/2021
Passed Senate, having achieved 60 votes in the affirmative, with an amendment by Yea-Nay Vote. 90 - 2. Record Vote Number: 142. (text of amendment in the nature of a substitute: CR S1801-1802)
03/25/2021
Passed/agreed to in Senate: Passed Senate, having achieved 60 votes in the affirmative, with an amendment by Yea-Nay Vote. 90 - 2. Record Vote Number: 142.(text of amendment in the nature of a substitute: CR S1801-1802)
03/25/2021
Measure laid before Senate by unanimous consent. (consideration: CR S1800-1804)
03/25/2021
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 31.
03/24/2021
Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
03/22/2021
Received in the Senate.
03/19/2021
Motion to reconsider laid on the table Agreed to without objection.
03/19/2021
On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96). (text: CR H1589-1590)
03/19/2021
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96).(text: CR H1589-1590)
03/19/2021
On motion to recommit Failed by the Yeas and Nays: 202 - 216 (Roll no. 95).
03/19/2021
Mr. Smith (MO) moved to recommit to the Committee on the Budget. (text: CR H1598-1600)
03/19/2021
The previous question was ordered pursuant to the rule.
03/19/2021
DEBATE - The House proceeded with one hour of debate on H.R. 1868.
03/19/2021
Rule provides for consideration of H.R. 1620, H.R. 6, H.R. 1603, H.R. 1868 and H.J. Res. 17. The resolution provides for one hour of general debate on H.R. 1620, H.R. 6, H.R. 1603, H.R. 1868, and H.J.Res. 17. The resolution provides that H.Res. 232 is hereby adopted.
03/19/2021
Considered under the provisions of rule H. Res. 233. (consideration: CR H1589-1601)
03/16/2021
Rules Committee Resolution H. Res. 233 Reported to House. Rule provides for consideration of H.R. 1620, H.R. 6, H.R. 1603, H.R. 1868 and H.J. Res. 17. The resolution provides for one hour of general debate on H.R. 1620, H.R. 6, H.R. 1603, H.R. 1868, and H.J.Res. 17. The resolution provides that H.Res. 232 is hereby adopted.
03/16/2021
Referred to the Subcommittee on Health.
03/12/2021
Referred to the Committee on the Budget, and in addition to the Committees on Energy and Commerce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
03/12/2021
Introduced in House
Public Record
Record Updated
Sep 5, 2023 5:28:34 PM