H.R. 3284 · 118th Congress

Providers and Payers COMPETE Act

Introduced on May 15, 2023 by Michael C. Burgess (R-TX-26). 4 cosponsors, 2 of them from another party. Latest action (Dec 5, 2024): Placed on the Union Calendar, Calendar No. 672.

Stage
Reported by committee
Introduced
May 15, 2023
Cosponsors
4
2 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. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To require the Secretary of Health and Human Services to submit an annual report on the impact of certain Medicare regulations on provider and payer consolidation.

Subjects

  • Administrative law and regulatory procedures
  • Congressional oversight
  • Health care costs and insurance
  • Medicare

Summary

The Congressional Research Service has not summarized this measure yet.

Sponsor and cosponsors

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

Michael C. BurgessR-TX-26Sponsor

Democrats · 2

Republicans · 2

Roll calls

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

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

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

  1. May 15, 2023Introduced in House
  2. May 15, 2023Introduced in House
  3. May 15, 2023 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committee on 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. May 15, 2023 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committee on 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. May 15, 2023 · HouseReferred to the Subcommittee on Health.
  6. May 17, 2023 · HouseSubcommittee Consideration and Mark-up Session Held.
  7. May 17, 2023 · HouseForwarded by Subcommittee to Full Committee by the Yeas and Nays: 27 - 0 .
  8. May 24, 2023 · HouseCommittee Consideration and Mark-up Session Held.
  9. May 24, 2023 · HouseOrdered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
  10. Jul 26, 2023 · HouseCommittee Consideration and Mark-up Session Held
  11. Jul 26, 2023 · HouseOrdered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 23 - 17.
  12. Nov 22, 2024Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-765, Part I.
  13. Nov 22, 2024 · HouseReported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-765, Part I.
  14. Nov 22, 2024 · HouseHouse Committee on Ways and Means Granted an extension for further consideration ending not later than Dec. 19, 2024.
  15. Dec 5, 2024Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-765, Part II.
  16. Dec 5, 2024 · HouseReported (Amended) by the Committee on Ways and Means. H. Rept. 118-765, Part II.
  17. Dec 5, 2024 · HousePlaced on the Union Calendar, Calendar No. 672.

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. American Medical Association8 reports
    $5.7M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  2. Digestive Health Physicians Association7 reports
    $430K reported (all issues)
  3. California Hospital Association5 reports
    $2M reported (all issues)
  4. KAISER FOUNDATION HEALTH PLAN INC.5 reports
    $2.9M reported (all issues)Federal contractor: KAISER FOUNDATION HEALTH PLAN OF WASHINGTONAI match · 97%
  5. NATIONAL MULTIPLE SCLEROSIS SOCIETY5 reports
    $319.3K reported (all issues)
  6. THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA5 reports
    $340K reported (all issues)Federal contractor: THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIAAI match · 100%
  7. The Cigna Group and subsidiaries (Formerly Cigna Corporation5 reports
    $10.2M reported (all issues)
  8. Large Urology Group Practice Association (LUGPA)3 reports
    $180K reported (all issues)
  9. Cigna Corporation2 reports
    $180K reported (all issues)Federal contractor: CIGNA WORLDWIDE INSURANCE BRANCH$2.5M in contracts, FY2026AI match · 99%
  10. Large Urology Group Practice Association2 reports
    $180K reported (all issues)
  11. AMERICAN HOSPITAL ASSOCIATION1 report
    Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  12. Blue Cross and Blue Shield of Florida, Inc.1 report
    $120K reported (all issues)
  13. Cleveland Clinic Foundation1 report
    Federal contractor: THE CLEVELAND CLINIC FOUNDATION$1.1M in contracts, FY2026AI match · 100%
  14. Florida Hospital Association1 report
  15. GSK (fka GLAXOSMITHKLINE INC.)1 report
    $1.5M reported (all issues)
  16. GUIDEWELL MUTUAL HOLDING CORPORATION1 report
  17. OCHSNER CLINIC FOUNDATION1 report
    $200K reported (all issues)
  18. PHARMACEUTICAL RESEARCH & MANUFACTURERS OF AMERICA1 report
    $6.4M reported (all issues)
  19. UNIVERSITY OF PITTSBURGH MEDICAL CENTER1 report
    $260K reported (all issues)

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 10, 2026 · loaded Oct 10, 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 10, 2026 · loaded Oct 10, 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.