H.R. 1868 · 117th Congress

To prevent across-the-board direct spending cuts, and for other purposes.

Introduced on Mar 12, 2021 by John A. Yarmuth (D-KY-3). 7 cosponsors, all from the sponsor's party. Became Public Law 117-7.

Stage
Became law
Public Law 117-7
Introduced
Mar 12, 2021
Cosponsors
7
0 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. Reported by committee
  3. Passed one chamber
  4. Passed both chambers
  5. Sent to the President
  6. Became law

Subjects

  • Budget deficits and national debt
  • Budget process
  • Cardiovascular and respiratory health
  • Child health
  • Emergency medical services and trauma care
  • Health care costs and insurance
  • Health facilities and institutions
  • Health programs administration and funding
  • Hospital care
  • Infectious and parasitic diseases
  • Medicaid
  • Medicare
  • Poverty and welfare assistance
  • Rural conditions and development
  • Unemployment

Summary

By the Congressional Research Service (Public Law, Apr 14, 2021). Public domain.

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.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

John A. YarmuthD-KY-3Sponsor

Democrats · 7

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

  1. On Motion to Recommit
    Mar 19, 2021· House· Procedural· Failed 202–216
  2. On Passage
    Mar 19, 2021· House· Passage· Passed 246–175
  3. On the Amendment
    Mar 25, 2021· Senate· Amendments· Amendment Rejected 47–50
  4. On Passage of the Bill
    Mar 25, 2021· Senate· Passage· Bill Passed 90–2
  5. On Motion to Suspend the Rules and Concur in the Senate Amendment
    Apr 13, 2021· House· Passage· Passed 384–38

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Mar 12, 2021Introduced in House
  2. Mar 12, 2021Introduced in House
  3. Mar 12, 2021 · HouseReferred 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.
  4. Mar 12, 2021 · HouseReferred 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.
  5. Mar 12, 2021 · HouseReferred 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.
  6. Mar 16, 2021 · HouseReferred to the Subcommittee on Health.
  7. Mar 16, 2021 · HouseRules 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.
  8. Mar 19, 2021 · HouseConsidered under the provisions of rule H. Res. 233. (consideration: CR H1589-1601)
  9. Mar 19, 2021 · HouseRule 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.
  10. Mar 19, 2021 · HouseDEBATE - The House proceeded with one hour of debate on H.R. 1868.
  11. Mar 19, 2021 · HouseThe previous question was ordered pursuant to the rule.
  12. Mar 19, 2021 · HouseMr. Smith (MO) moved to recommit to the Committee on the Budget. (text: CR H1598-1600)
  13. Mar 19, 2021 · HouseOn motion to recommit Failed by the Yeas and Nays: 202 - 216 (Roll no. 95).House · Roll call 95
  14. Mar 19, 2021Passed/agreed to in House: On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96).(text: CR H1589-1590)House · Roll call 96
  15. Mar 19, 2021 · HouseOn passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96). (text: CR H1589-1590)House · Roll call 96
  16. Mar 19, 2021 · HouseMotion to reconsider laid on the table Agreed to without objection.
  17. Mar 22, 2021 · SenateReceived in the Senate.
  18. Mar 24, 2021 · SenateRead the first time. Placed on Senate Legislative Calendar under Read the First Time.
  19. Mar 25, 2021 · SenateRead the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 31.
  20. Mar 25, 2021 · SenateMeasure laid before Senate by unanimous consent. (consideration: CR S1800-1804)
  21. Mar 25, 2021Passed/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)Senate · Roll call 142
  22. Mar 25, 2021 · SenatePassed 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)Senate · Roll call 142
  23. Mar 26, 2021 · SenateMessage on Senate action sent to the House.
  24. Apr 13, 2021 · HouseMr. Yarmuth moved that the House suspend the rules and concur in the Senate amendment. (consideration: CR H1729-1733)
  25. Apr 13, 2021 · HouseDEBATE - 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.
  26. Apr 13, 2021Resolving 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)House · Roll call 98
  27. Apr 13, 2021 · HouseOn 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)House · Roll call 98
  28. Apr 13, 2021 · HouseMotion to reconsider laid on the table Agreed to without objection.
  29. Apr 14, 2021Presented to President.
  30. Apr 14, 2021 · HousePresented to President.
  31. Apr 14, 2021Signed by President.
  32. Apr 14, 2021Signed by President.
  33. Apr 14, 2021Became Public Law No: 117-7.
  34. Apr 14, 2021Became Public Law No: 117-7.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. Sanford Health2 reports
    $200K reported (all issues)Federal contractor: SANFORD HEALTH$34.5K in contracts, FY2026AI match · 100%
  2. AMERICAN COLLEGE OF GASTROENTEROLOGY1 report
  3. CVS HEALTH1 report
  4. The MetroHealth System1 report

Reports filed in 2023, 2024.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 5, 2026 · loaded Oct 5, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.