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United States · Law · HR

H.R. 1868 (117th)

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

enactedUnited States· United States Congress· EN

Introduced

12 March 2021

Last action

14 April 2021 · Floor

Status

Became Public Law No: 117-7.

Sponsors

Rep. Yarmuth, John A. [D-KY-3], Rep. Neal, Richard E. [D-MA-1], Rep. Pallone, Frank [D-NJ-6], David Scott, Rep. Larson, John B. [D-CT-1], Rep. Schakowsky, Janice D. [D-IL-9], Rep. Panetta, Jimmy [D-CA-19], Rep. Green, Al [D-TX-9]

Subjects

Healthcare, Budget

Source updated

7 April 2025

Healthcare · Budget

Official sourceDownload fileView documentsShare

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.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 12 March 2021

    Introduced

    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.

    Source: IntroReferral

  2. 12 March 2021

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 12 March 2021

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 16 March 2021

    Reported

    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.

    Source: Floor

  5. 16 March 2021

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  6. 19 March 2021

    Floor

    The previous question was ordered pursuant to the rule.

    Source: Floor

  7. 19 March 2021

    Floor

    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.

    Source: Floor

  8. 19 March 2021

    Floor

    Considered under the provisions of rule H. Res. 233. (consideration: CR H1589-1601)

    Source: Floor

  9. 19 March 2021

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

  10. 19 March 2021

    Vote

    On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96). (text: CR H1589-1590)

    Source: Floor

  11. 19 March 2021

    Vote

    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96).(text: CR H1589-1590)

    Source: Floor

  12. 19 March 2021

    Vote

    On motion to recommit Failed by the Yeas and Nays: 202 - 216 (Roll no. 95).

    Source: Floor

  13. 19 March 2021

    Floor

    Mr. Smith (MO) moved to recommit to the Committee on the Budget. (text: CR H1598-1600)

    Source: Floor

  14. 22 March 2021

    Introduced

    Received in the Senate.

    Source: IntroReferral

  15. 24 March 2021

    Calendars

    Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

    Source: Calendars

  16. 25 March 2021

    Floor

    Measure laid before Senate by unanimous consent. (consideration: CR S1800-1804)

    Source: Floor

  17. 25 March 2021

    Calendars

    Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 31.

    Source: Calendars

  18. 25 March 2021

    Vote

    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)

    Source: Floor

  19. 26 March 2021

    Floor

    Message on Senate action sent to the House.

    Source: Floor

  20. 13 April 2021

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

  21. 13 April 2021

    Vote

    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)

    Source: ResolvingDifferences

  22. 13 April 2021

    Vote

    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)

    Source: NotUsed

  23. 13 April 2021

    Floor

    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.

    Source: Floor

  24. 13 April 2021

    ResolvingDifferences

    Mr. Yarmuth moved that the House suspend the rules and concur in the Senate amendment. (consideration: CR H1729-1733)

    Source: ResolvingDifferences

  25. 14 April 2021

    Became law

    Became Public Law No: 117-7.

    Source: President

  26. 14 April 2021

    Became law

    Signed by President.

    Source: BecameLaw

  27. 14 April 2021

    President

    Signed by President.

    Source: President

  28. 14 April 2021

    President

    Presented to President.

    Source: President

  29. 14 April 2021

    Floor

    Presented to President.

    Source: Floor

Votes

13 April 2021 · passed · On Motion to Suspend the Rules and Concur in the Senate Amendment · Passed · Official source

Yes 384 · No 38 · Abstain — · Absent/not voting 6

Showing the first 4 recorded positions. Vote totals above are complete.

25 March 2021 · Bill Passed · On Passage of the Bill H.R. 1868 · Bill Passed · Official source

Yes 90 · No 2 · Abstain — · Absent/not voting 8

Showing the first 4 recorded positions. Vote totals above are complete.

19 March 2021 · passed · On Passage · Passed · Official source

Yes 246 · No 175 · Abstain — · Absent/not voting 8

Showing the first 4 recorded positions. Vote totals above are complete.

19 March 2021 · failed · On Motion to Recommit · Failed · Official source

Yes 202 · No 216 · Abstain — · Absent/not voting 11

Showing the first 4 recorded positions. Vote totals above are complete.

Versions

Documents

17 official files

Enrolled Bill (text)

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  • Enrolled Bill (text)

    Enrolled Bill · EN

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  • Enrolled Bill (PDF)

    Enrolled Bill · EN

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  • Public Law (text)

    Public Law · EN · 15 April 2021

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  • Public Law (PDF)

    Public Law · EN · 15 April 2021

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  • Public Law

    summary · EN · 14 April 2021

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  • House agreed to Senate amendment

    summary · EN · 13 April 2021

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  • Placed on Calendar Senate (text)

    Placed on Calendar Senate · EN · 25 March 2021

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  • Placed on Calendar Senate (PDF)

    Placed on Calendar Senate · EN · 25 March 2021

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  • Engrossed Amendment Senate (text)

    Engrossed Amendment Senate · EN · 25 March 2021

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  • Engrossed Amendment Senate (PDF)

    Engrossed Amendment Senate · EN · 25 March 2021

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  • Passed Senate

    summary · EN · 25 March 2021

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  • Engrossed in House (text)

    Engrossed in House · EN · 19 March 2021

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  • Engrossed in House (PDF)

    Engrossed in House · EN · 19 March 2021

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  • Passed House

    summary · EN · 19 March 2021

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  • Introduced in House (text)

    Introduced in House · EN · 12 March 2021

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  • Introduced in House (PDF)

    Introduced in House · EN · 12 March 2021

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  • Introduced in House

    summary · EN · 12 March 2021

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