Federal - H124

Health Insurance Pricing and Expansions

Passage

House Roll Call Vote 124, 116th Congress, 2nd Session

Date: June 29, 2020

Status: Passed

234
179

Our Position

Against

Description

Passage of the bill, as amended, that would include a number of provisions to expand enrollment in and reduce consumer costs for state- and federally-operated Affordable Care Act health insurance marketplaces; incentivize Medicaid expansion by states; and authorize maximum price negotiations for prescription drugs under Medicare. Title I of the bill would expand eligibility for federal tax subsidies toward insurance premiums and increase the percentage of premiums such subsidies would cover. It would provide $10 billion annually beginning in fiscal 2022 to help states lower costs of ACA plans, including to provide reinsurance payments to health insurance issuers and subsidies to individuals. It would provide $200 million for grants to states to establish and operate state-based ACA health insurance marketplaces; $100 million annually for Health and Human Services Department consumer outreach related to ACA marketplace plans; $100 million annually for the HHS "navigator" program, which helps individuals enroll in qualified plans; and $200 million annually through fiscal 2024 for grants to states to encourage plan enrollment. It would also prohibit implementation of August 2018 regulations related to health insurance plans that are not required to meet ACA patient protection requirements, including short-term, limited-duration plans. Title II of the bill would provide for full federal reimbursement of state Medicaid expansion costs for new enrollees for three years, then gradually decrease the federal medical assistance cost-share to 90% for those enrollees. It would authorize HHS to reduce the federal cost-share percentage for states that do not expand their Medicaid programs by 0.5% quarterly beginning in fiscal 2023, and by 10% beginning July 2027. It would permanently authorize funding for the Children's Health Insurance Program. It would require Medicaid and CHIP programs to provide at least 12 continuous months of coverage for qualifying individuals and provide one year of coverage for women after the end of a pregnancy. It would allow states to expand eligibility for Medicaid and CHIP programs to include children whose family income exceeds certain amounts, and it would make citizens of the Freely Associated States residing in the U.S. eligible for Medicaid. Title III of the bill would establish a fair price negotiation program under which the Health and Human Services Department would enter into agreements with drug manufacturers to negotiate a "maximum fair price" for insulin and up to 250 other Medicare-eligible, brand-name drugs that do not have generic competition and account for high levels of spending. It would require the department to negotiate the maximum price of at least 25 drugs for 2023 and at least 50 drugs in each subsequent year, with maximum prices not exceeding 120% of a drug's average international price or 85% of the average manufacturer price for that year. It would subject manufacturers who do not reach a negotiated agreement for a drug to excise taxes based on gross sales of that drug. It would require manufacturers to offer negotiated prices to private health insurers. It would authorize a total of $3 billion through fiscal 2023 for implementation of the price negotiation program. As amended, the bill would authorize $2 billion for National Institutes of Health cancer research and make Deferred Action for Childhood Arrivals program recipients eligible to enroll in ACA marketplace health plans.

Related Bill

HR 1425 A bill to amend the Patient Protection and Affordable Care Act to provide for a Improve Health Insurance Affordability Fund to provide for certain reinsurance payments to lower premiums in the individual health insurance market.

Vote Breakdown

D R I
Yea 232 2 0
Nay 1 176 2
No Vote 0 18 0

Democrats

  • Alma Adams Yea
  • Pete Aguilar Yea
  • Colin Allred Yea
  • Cindy Axne Yea
  • Nanette Barragán Yea
  • Karen Bass Yea
  • Joyce Beatty Yea
  • Ami Bera Yea
  • Donald S. Beyer Jr. Yea
  • Sanford D. Bishop Jr. Yea
  • Earl Blumenauer Yea
  • Lisa Blunt Rochester Yea
  • Suzanne Bonamici Yea
  • Brendan F. Boyle Yea
  • Anthony Brindisi Yea
  • Anthony G. Brown Yea
  • Julia Brownley Yea
  • Cheri Bustos Yea
  • G.K. Butterfield Yea
  • Salud Carbajal Yea
  • Tony Cárdenas Proxy Yes
  • André Carson Yea
  • Matt Cartwright Yea
  • Ed Case Yea
  • Sean Casten Yea
  • Kathy Castor Yea
  • Joaquin Castro Yea
  • Judy Chu Yea
  • David Cicilline Yea
  • Gil Cisneros Yea
  • Katherine M. Clark Yea
  • Yvette D. Clarke Yea
  • William Lacy Clay Yea
  • Emanuel Cleaver II Proxy Yes
  • James E. Clyburn Yea
  • Steve Cohen Proxy Yes
  • Gerald E. Connolly Yea
  • Jim Cooper Yea
  • Lou Correa Yea
  • Jim Costa Yea
  • Joe Courtney Yea
  • TJ Cox Yea
  • Angie Craig Yea
  • Charlie Crist Yea
  • Jason Crow Yea
  • Henry Cuellar Yea
  • Joe Cunningham Yea
  • Sharice Davids Yea
  • Danny K. Davis Yea
  • Susan A. Davis Yea
  • Madeleine Dean Yea
  • Peter A. DeFazio Yea
  • Diana DeGette Yea
  • Rosa DeLauro Yea
  • Suzan DelBene Yea
  • Antonio Delgado Yea
  • Val B. Demings Yea
  • Mark DeSaulnier Proxy Yes
  • Ted Deutch Yea
  • Debbie Dingell Yea
  • Lloyd Doggett Yea
  • Mike Doyle Yea
  • Eliot L. Engel Yea
  • Veronica Escobar Yea
  • Anna G. Eshoo Yea
  • Adriano Espaillat Yea
  • Dwight Evans Yea
  • Abby Finkenauer Yea
  • Lizzie Fletcher Yea
  • Bill Foster Yea
  • Lois Frankel Proxy Yes
  • Marcia L. Fudge Yea
  • Tulsi Gabbard Yea
  • Ruben Gallego Yea
  • John Garamendi Yea
  • Jesús "Chuy" García Yea
  • Sylvia R. Garcia Yea
  • Jared Golden Yea
  • Jimmy Gomez Yea
  • Vicente Gonzalez Yea
  • Josh Gottheimer Yea
  • Al Green Yea
  • Raúl M. Grijalva Yea
  • Deb Haaland Yea
  • Josh Harder Yea
  • Alcee L. Hastings Proxy Yes
  • Jahana Hayes Yea
  • Denny Heck Yea
  • Brian Higgins Yea
  • Jim Himes Yea
  • Kendra Horn Yea
  • Steven Horsford Yea
  • Chrissy Houlahan Yea
  • Steny H. Hoyer Yea
  • Jared Huffman Yea
  • Sheila Jackson Lee Yea
  • Pramila Jayapal Yea
  • Hakeem Jeffries Yea
  • Eddie Bernice Johnson Proxy Yes
  • Hank Johnson Yea
  • Marcy Kaptur Yea
  • William Keating Yea
  • Robin Kelly Yea
  • Joseph P. Kennedy III Yea
  • Ro Khanna Proxy Yes
  • Dan Kildee Yea
  • Derek Kilmer Yea
  • Andy Kim Yea
  • Ron Kind Yea
  • Ann Kirkpatrick Proxy Yes
  • Raja Krishnamoorthi Yea
  • Ann McLane Kuster Proxy Yes
  • Conor Lamb Yea
  • Jim Langevin Proxy Yes
  • Rick Larsen Yea
  • John B. Larson Yea
  • Brenda Lawrence Yea
  • Al Lawson Proxy Yes
  • Barbara Lee Proxy Yes
  • Susie Lee Yea
  • Andy Levin Yea
  • Mike Levin Yea
  • John Lewis Proxy Yes
  • Ted Lieu Proxy Yes
  • Daniel Lipinski Yea
  • Dave Loebsack Yea
  • Zoe Lofgren Proxy Yes
  • Alan Lowenthal Proxy Yes
  • Nita M. Lowey Proxy Yes
  • Ben Ray Luján Yea
  • Elaine Luria Yea
  • Stephen F. Lynch Yea
  • Tom Malinowski Yea
  • Carolyn B. Maloney Yea
  • Sean Patrick Maloney Yea
  • Doris Matsui Yea
  • Ben McAdams Yea
  • Lucy McBath Yea
  • Betty McCollum Yea
  • A. Donald McEachin Proxy Yes
  • Jim McGovern Yea
  • Jerry McNerney Yea
  • Gregory W. Meeks Yea
  • Grace Meng Proxy Yes
  • Kweisi Mfume Yea
  • Gwen Moore Proxy Yes
  • Joseph D. Morelle Yea
  • Seth Moulton Yea
  • Debbie Mucarsel-Powell Yea
  • Stephanie Murphy Yea
  • Jerrold Nadler Proxy Yes
  • Grace F. Napolitano Proxy Yes
  • Richard E. Neal Yea
  • Joe Neguse Yea
  • Donald Norcross Yea
  • Tom O'Halleran Yea
  • Alexandria Ocasio-Cortez Yea
  • Ilhan Omar Yea
  • Frank Pallone Jr. Yea
  • Jimmy Panetta Yea
  • Chris Pappas Yea
  • Bill Pascrell Jr. Yea
  • Donald M. Payne Jr. Proxy Yes
  • Nancy Pelosi Yea
  • Ed Perlmutter Yea
  • Scott Peters Yea
  • Collin C. Peterson Nay
  • Dean Phillips Yea
  • Chellie Pingree Proxy Yes
  • Mark Pocan Yea
  • Katie Porter Yea
  • Ayanna S. Pressley Yea
  • David E. Price Proxy Yes
  • Mike Quigley Yea
  • Jamie Raskin Yea
  • Kathleen Rice Yea
  • Cedric L. Richmond Yea
  • Max Rose Yea
  • Harley Rouda Yea
  • Lucille Roybal-Allard Yea
  • Raul Ruiz Yea
  • C.A. Dutch Ruppersberger Yea
  • Bobby L. Rush Proxy Yes
  • Tim Ryan Yea
  • Linda T. Sánchez Proxy Yes
  • John Sarbanes Yea
  • Mary Gay Scanlon Yea
  • Jan Schakowsky Yea
  • Adam B. Schiff Yea
  • Brad Schneider Yea
  • Kurt Schrader Yea
  • Kim Schrier Yea
  • David Scott Yea
  • Robert C. Scott Yea
  • José E. Serrano Proxy Yes
  • Terri A. Sewell Yea
  • Donna E. Shalala Yea
  • Brad Sherman Yea
  • Mikie Sherrill Yea
  • Albio Sires Yea
  • Elissa Slotkin Yea
  • Adam Smith Yea
  • Darren Soto Yea
  • Abigail Spanberger Yea
  • Jackie Speier Proxy Yes
  • Greg Stanton Yea
  • Haley Stevens Yea
  • Tom Suozzi Yea
  • Eric Swalwell Yea
  • Mark Takano Yea
  • Bennie Thompson Yea
  • Mike Thompson Yea
  • Dina Titus Yea
  • Rashida Tlaib Yea
  • Paul Tonko Yea
  • Norma J. Torres Yea
  • Xochitl Torres Small Yea
  • Lori Trahan Yea
  • David Trone Yea
  • Lauren Underwood Yea
  • Juan C. Vargas Proxy Yes
  • Marc Veasey Yea
  • Filemon Vela Yea
  • Nydia M. Velázquez Yea
  • Peter J. Visclosky Yea
  • Debbie Wasserman Schultz Yea
  • Maxine Waters Yea
  • Bonnie Watson Coleman Proxy Yes
  • Peter Welch Proxy Yes
  • Jennifer Wexton Yea
  • Susan Wild Yea
  • Frederica S. Wilson Proxy Yes
  • John Yarmuth Yea

Republicans

  • Ralph Abraham Announced Against
  • Robert B. Aderholt Nay
  • Rick W. Allen Nay
  • Mark Amodei Nay
  • Kelly Armstrong Nay
  • Jodey C. Arrington Nay
  • Brian Babin Nay
  • Don Bacon Nay
  • Jim Baird Nay
  • Troy Balderson Nay
  • Jim Banks Nay
  • Andy Barr Nay
  • Jack Bergman Nay
  • Andy Biggs Nay
  • Gus Bilirakis Nay
  • Rob Bishop Nay
  • Mike Bost Nay
  • Kevin Brady Nay
  • Mo Brooks Nay
  • Susan W. Brooks Nay
  • Vern Buchanan Nay
  • Ken Buck Nay
  • Larry Bucshon Nay
  • Ted Budd Nay
  • Tim Burchett Nay
  • Michael C. Burgess Nay
  • Bradley Byrne Nay
  • Dan Bishop Nay
  • Ken Calvert Nay
  • Earl L. "Buddy" Carter Nay
  • John Carter Nay
  • Steve Chabot Nay
  • Liz Cheney Nay
  • Ben Cline Nay
  • Michael Cloud Nay
  • Tom Cole Nay
  • Doug Collins Nay
  • James R. Comer Nay
  • K. Michael Conaway Nay
  • Paul Cook Nay
  • Rick Crawford Nay
  • Daniel Crenshaw Nay
  • John Curtis Announced Against
  • Warren Davidson Nay
  • Rodney Davis Nay
  • Scott DesJarlais Nay
  • Mario Diaz-Balart Nay
  • Jeff Duncan Nay
  • Neal Dunn Nay
  • Tom Emmer Announced Against
  • Ron Estes Nay
  • Drew Ferguson Nay
  • Chuck Fleischmann Nay
  • Bill Flores Nay
  • Jeff Fortenberry Nay
  • Virginia Foxx Nay
  • Russ Fulcher Nay
  • Brian Fitzpatrick Yea
  • Matt Gaetz Nay
  • Mike Gallagher Announced Against
  • Mike Garcia Nay
  • Greg Gianforte Nay
  • Bob Gibbs Nay
  • Louie Gohmert Nay
  • Anthony Gonzalez Nay
  • Lance Gooden Nay
  • Paul Gosar Not Present
  • Kay Granger Announced Against
  • Garret Graves Nay
  • Sam Graves Nay
  • Tom Graves Nay
  • Mark E. Green Nay
  • Morgan Griffith Nay
  • Glenn Grothman Nay
  • Michael Guest Nay
  • Brett Guthrie Announced Against
  • Jim Hagedorn Nay
  • Andy Harris Nay
  • Vicky Hartzler Nay
  • Kevin Hern Nay
  • Jaime Herrera Beutler Nay
  • Jody B. Hice Nay
  • Clay Higgins Nay
  • French Hill Nay
  • George Holding Nay
  • Trey Hollingsworth Nay
  • Richard Hudson Nay
  • Bill Huizenga Nay
  • Will Hurd Nay
  • Bill Johnson Nay
  • Dusty Johnson Nay
  • Mike Johnson Nay
  • Jim Jordan Nay
  • David Joyce Not Present
  • John Joyce Nay
  • John Katko Announced Against
  • Fred Keller Nay
  • Mike Kelly Nay
  • Trent Kelly Nay
  • Peter T. King Nay
  • Steve King Announced Against
  • Adam Kinzinger Nay
  • David Kustoff Nay
  • Darin LaHood Nay
  • Doug LaMalfa Nay
  • Doug Lamborn Nay
  • Bob Latta Nay
  • Debbie Lesko Nay
  • Billy Long Nay
  • Barry Loudermilk Not Present
  • Frank D. Lucas Nay
  • Blaine Luetkemeyer Nay
  • Kenny Marchant Not Present
  • Roger Marshall Nay
  • Thomas Massie Nay
  • Brian Mast Nay
  • Kevin McCarthy Nay
  • Michael McCaul Nay
  • Tom McClintock Nay
  • Patrick T. McHenry Nay
  • David B. McKinley Nay
  • Dan Meuser Nay
  • Carol Miller Nay
  • John Moolenaar Nay
  • Alex X. Mooney Nay
  • Markwayne Mullin Nay
  • Greg Murphy Nay
  • Dan Newhouse Nay
  • Ralph Norman Nay
  • Devin Nunes Nay
  • Pete Olson Nay
  • Steven M. Palazzo Not Present
  • Gary Palmer Nay
  • Greg Pence Nay
  • Scott Perry Nay
  • Bill Posey Nay
  • Tom Reed Nay
  • Guy Reschenthaler Nay
  • Tom Rice Nay
  • Denver Riggleman Nay
  • Martha Roby Announced Against
  • Cathy McMorris Rodgers Announced Against
  • Phil Roe Nay
  • Harold Rogers Nay
  • Mike D. Rogers Nay
  • Francis Rooney Not Present
  • John W. Rose Nay
  • David Rouzer Nay
  • Chip Roy Nay
  • John Rutherford Nay
  • Steve Scalise Nay
  • David Schweikert Nay
  • Austin Scott Announced Against
  • Jim Sensenbrenner Nay
  • John Shimkus Nay
  • Mike Simpson Nay
  • Adrian Smith Nay
  • Christopher H. Smith Nay
  • Jason Smith Nay
  • Lloyd K. Smucker Nay
  • Ross Spano Nay
  • Pete Stauber Nay
  • Elise Stefanik Nay
  • Bryan Steil Nay
  • Greg Steube Nay
  • Chris Stewart Nay
  • Steve Stivers Nay
  • Van Taylor Nay
  • Glenn "GT" Thompson Nay
  • Mac Thornberry Nay
  • Tom Tiffany Nay
  • William R. Timmons IV Nay
  • Scott Tipton Nay
  • Michael R. Turner Nay
  • Fred Upton Nay
  • Jeff Van Drew Yea
  • Ann Wagner Nay
  • Tim Walberg Nay
  • Greg Walden Nay
  • Mark Walker Nay
  • Jackie Walorski Nay
  • Michael Waltz Nay
  • Steve Watkins Nay
  • Randy Weber Announced Against
  • Daniel Webster Nay
  • Brad Wenstrup Nay
  • Bruce Westerman Nay
  • Roger Williams Nay
  • Joe Wilson Nay
  • Rob Wittman Nay
  • Steve Womack Nay
  • Rob Woodall Nay
  • Ron Wright Nay
  • Ted Yoho Nay
  • Don Young Nay
  • Lee Zeldin Nay