United States · Bill · HR
H.R. 986 (116th)
Protecting Americans with Preexisting Conditions Act of 2019
Introduced
6 February 2019
Last action
15 May 2019 · Calendars
Status
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 90.
Sponsors
Rep. Kuster, Ann M. [D-NH-2], Rep. Beyer, Donald S. [D-VA-8], Rep. Courtney, Joe [D-CT-2], Sen. Welch, Peter [D-VT], Rep. Schakowsky, Janice D. [D-IL-9], Rep. Castor, Kathy [D-FL-14], Rep. Golden, Jared F. [D-ME-2], Sen. Blunt Rochester, Lisa [D-DE], Rep. Dingell, Debbie [D-MI-6], Rep. Kennedy, Joseph P., III [D-MA-4], Rep. Rush, Bobby L. [D-IL-1], Rep. Ruiz, Raul [D-CA-25], Rep. Pallone, Frank [D-NJ-6], Rep. Eshoo, Anna G. [D-CA-18], Rep. Matsui, Doris O. [D-CA-7], Rep. Van Drew, Jefferson [R-NJ-2], Rep. Clarke, Yvette D. [D-NY-9], Rep. McCollum, Betty [D-MN-4], Rep. Schrader, Kurt [D-OR-5], Rep. Mucarsel-Powell, Debbie [D-FL-26]
Subjects
Healthcare
Source updated
5 December 2025
Summary
Protecting Americans with Preexisting Conditions Act of 2019 This bill nullifies the Department of the Treasury and the Department of Health and Human Services guidance titled "State Relief and Empowerment Waivers," published on October 24, 2018. The guidance pertains to Section 1332 waivers (also known as State Innovation Waivers or State Relief and Empowerment Waivers), which allow states to forego certain requirements of the Patient Protection and Affordable Care Act in order to implement experimental plans for health care coverage, as long as the resulting coverage meets certain statutory criteria. The guidance, which supersedes earlier guidance from 2015, alters agency interpretation of how states may satisfy the statutory criteria for waiver approval. For example, the guidance (1) redefines acceptable coverage under such waivers to include short-term, limited-duration insurance and association health plans; (2) allows the comprehensiveness and affordability of coverage under such waivers to be assessed based on projected availability, rather than enrollment; and (3) allows the level of coverage to be assessed based on the effects over the entire course of the waiver, rather than per year.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
6 February 2019
Referred
Referred to the Subcommittee on Health.
Source: Committee
6 February 2019
Introduced
Referred 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.
Source: IntroReferral
6 February 2019
Introduced
Introduced in House
Source: IntroReferral
6 February 2019
Introduced
Introduced in House
Source: IntroReferral
7 February 2019
Referred
Referred to the Subcommittee on Health.
Source: Committee
27 March 2019
Vote
Forwarded by Subcommittee to Full Committee by the Yeas and Nays: 19 - 13 .
Source: Committee
27 March 2019
Committee
Subcommittee Consideration and Mark-up Session Held.
Source: Committee
3 April 2019
Reported
Ordered to be Reported by Voice Vote.
Source: Committee
3 April 2019
Committee
Committee Consideration and Mark-up Session Held.
Source: Committee
30 April 2019
Calendars
Placed on the Union Calendar, Calendar No. 22.
Source: Calendars
30 April 2019
Reported
Reported by the Committee on Energy and Commerce. H. Rept. 116-44, Part I.
Source: Committee
30 April 2019
Reported
Reported by the Committee on Energy and Commerce. H. Rept. 116-44, Part I.
Source: Committee
30 April 2019
Discharge
Committee on Ways and Means discharged.
Source: Discharge
30 April 2019
Committee
Committee on Ways and Means discharged.
Source: Committee
7 May 2019
Reported
Rules Committee Resolution H. Res. 357 Reported to House. Rule provides for consideration of H.R. 986 and H.R. 2157. Specified amendments are in order. Provides for consideration of H.R. 986 and H.R. 2157 both under structured rules. One hour of general debate provided for each measure.
Source: Floor
9 May 2019
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
9 May 2019
Vote
On passage Passed by recorded vote: 230 - 183, 1 Present (Roll no. 196).
Source: Floor
9 May 2019
Vote
Passed/agreed to in House: On passage Passed by recorded vote: 230 - 183, 1 Present (Roll no. 196).
Source: Floor
9 May 2019
Floor
The previous question on the motion to recommit with instructions was ordered without objection.
Source: Floor
9 May 2019
Floor
Mr. Walden moved to recommit with instructions to the Committee on Energy and Commerce. (text: CR H3548)
Source: Floor
9 May 2019
Floor
The previous question was ordered pursuant to the rule.
Source: Floor
9 May 2019
Floor
The House rose from the Committee of the Whole House on the state of the Union to report H.R. 986.
Source: Floor
9 May 2019
Vote
On motion to recommit with instructions Failed by recorded vote: 182 - 231 (Roll no. 195).
Source: Floor
9 May 2019
Floor
House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 357 and Rule XVIII.
Source: Floor
9 May 2019
Floor
The Speaker designated the Honorable Jesus G. "Chuy" Garcia to act as Chairman of the Committee.
Source: Floor
9 May 2019
Floor
Considered under the provisions of rule H. Res. 357. (consideration: CR H3519-3550)
Source: Floor
9 May 2019
Floor
Rule provides for consideration of H.R. 986 and H.R. 2157. Specified amendments are in order. Provides for consideration of H.R. 986 and H.R. 2157 both under structured rules. One hour of general debate provided for each measure.
Source: Floor
14 May 2019
Calendars
Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
Source: Calendars
15 May 2019
Calendars
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 90.
Source: Calendars
Votes
9 May 2019 · passed · On Passage · Passed · Official source
Yes 230 · No 183 · Abstain — · Absent/not voting 17
- Rep. Ferguson, A. Drew, IV [R-GA-3]No
- Rep. McEachin, A. Donald [D-VA-4]Aye
- Rep. Hastings, Alcee L. [D-FL-20]Aye
- Rep. Finkenauer, Abby [D-IA-1]Aye
Showing the first 4 recorded positions. Vote totals above are complete.
9 May 2019 · failed · On Motion to Recommit with Instructions · Failed · Official source
Yes 182 · No 231 · Abstain — · Absent/not voting 18
- Rep. Ferguson, A. Drew, IV [R-GA-3]Aye
- Rep. McEachin, A. Donald [D-VA-4]No
- Rep. Hastings, Alcee L. [D-FL-20]No
- Rep. Finkenauer, Abby [D-IA-1]No
Showing the first 4 recorded positions. Vote totals above are complete.
Versions
- Placed on Calendar Senate · 15 May 2019 · Download file
- Engrossed in House · 9 May 2019 · Download file
- Reported in House · 30 April 2019 · Download file
- Introduced in House · 6 February 2019 · Download file
Documents
11 official files
Placed on Calendar Senate (text)
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Placed on Calendar Senate (text)
Placed on Calendar Senate · EN · 15 May 2019
Placed on Calendar Senate (PDF)
Placed on Calendar Senate · EN · 15 May 2019
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Engrossed in House (text)
Engrossed in House · EN · 9 May 2019
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Engrossed in House (PDF)
Engrossed in House · EN · 9 May 2019
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Passed House
summary · EN · 9 May 2019
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Reported in House (text)
Reported in House · EN · 30 April 2019
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Reported in House (PDF)
Reported in House · EN · 30 April 2019
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Reported to House, Part I
summary · EN · 30 April 2019
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Introduced in House (text)
Introduced in House · EN · 6 February 2019
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Introduced in House (PDF)
Introduced in House · EN · 6 February 2019
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Introduced in House
summary · EN · 6 February 2019
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Sponsors
- Rep. Kuster, Ann M. [D-NH-2] · D · Sponsor
- Rep. Beyer, Donald S. [D-VA-8] · D · Sponsor
- Rep. Courtney, Joe [D-CT-2] · D · Sponsor
- Sen. Welch, Peter [D-VT] · D · Cosponsor
- Rep. Schakowsky, Janice D. [D-IL-9] · D · Cosponsor
- Rep. Castor, Kathy [D-FL-14] · D · Cosponsor
- Rep. Golden, Jared F. [D-ME-2] · D · Cosponsor
- Sen. Blunt Rochester, Lisa [D-DE] · D · Cosponsor
- Rep. Dingell, Debbie [D-MI-6] · D · Cosponsor
- Rep. Kennedy, Joseph P., III [D-MA-4] · D · Cosponsor
- Rep. Rush, Bobby L. [D-IL-1] · D · Cosponsor
- Rep. Ruiz, Raul [D-CA-25] · D · Cosponsor
- Rep. Pallone, Frank [D-NJ-6] · D · Cosponsor
- Rep. Eshoo, Anna G. [D-CA-18] · D · Cosponsor
- Rep. Matsui, Doris O. [D-CA-7] · D · Cosponsor
- Rep. Van Drew, Jefferson [R-NJ-2] · D · Cosponsor
- Rep. Clarke, Yvette D. [D-NY-9] · D · Cosponsor
- Rep. McCollum, Betty [D-MN-4] · D · Cosponsor
- Rep. Schrader, Kurt [D-OR-5] · D · Cosponsor
- Rep. Mucarsel-Powell, Debbie [D-FL-26] · D · Cosponsor
- · hswm00 · Standing
- · hsif00 · Standing
Related records
- related to ← Protecting Americans with Pre-existing Conditions Act of 2019
- related to ← Patient Protection and Affordable Care Enhancement Act
- related to ← Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019
- related to ← Providing for consideration of the bill (H.R. 986) to provide that certain guidance related to waivers for State innovation under the Patient Protection and Affordable Care Act shall have no force or effect, and providing for consideration of the bill (H.R. 2157) making supplemental appropriations for the fiscal year ending September 30, 2019, and for other purposes.
- amends ← An amendment numbered 1 printed in Part A of House Report 116-51 to include findings that the new guidance entitled "State Relief and Empowerment Waivers" weakens protections for the millions of Americans living with a preexisting health condition, including the one in four Americans living with a disability.
- amends ← An amendment numbered 2 printed in Part A of House Report 116-51 to ensure that nothing in the bill will be construed to affect the approval of waivers under section 1332 of the ACA that establish reinsurance programs that lower health insurance premiums, and protect health insurance coverage for people with preexisting conditions.
- amends ← An amendment numbered 3 printed in Part A of House Report 116-51 to specify that this restriction includes such actions that result in fewer people with coverage of Essential Health Benefits (as defined in Section 1302 of the Affordable Care Act), including maternity and newborn care.
- amends ← An amendment numbered 4 printed in Part A of House Report 116-51 to request a GAO report on the impacts to mental health care and treatment, and how many individuals would lose care, if the waivers for State innovation are awarded.
Showing 8 of 15 related records.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/116th-congress/house-bill/986
- Open data entity: https://api.congress.gov/v3/bill/116/hr/986
- us · 116-hr-986 · source updated 5 December 2025