United States · Law · HR
H.R. 4872 (111th)
Health Care and Education Reconciliation Act of 2010
Introduced
17 March 2010
Last action
30 March 2010 · President
Status
Became Public Law No: 111-152.
Sponsors
Rep. Spratt, John M., Jr. [D-SC-5]
Subjects
Healthcare, Taxation, Education, Budget
Source updated
7 April 2025
Healthcare · Taxation · Education · Budget
Summary
Reconciliation Act of 2010 - Sets forth legislative language on health care reform and investing in education submitted to the House Budget Committee by the Ways and Means Committee and the Education and Labor Committee pursuant to reconciliation instructions of Section 202 of S. Con. Res. 13, the Concurrent Resolution on the Budget for Fiscal Year 2010. The table of contents of H.R. 4872 as reported by the Budget Committee is presented here: Division I: Committee on Ways and Means: Health Care Reform Division short title: America's Affordable Health Choices Act of 2009 Subdivision A: Affordable Health Care Choices Title I: Protections and Standards for Qualified Health Benefits Plans Subtitle A: General Standards Subtitle B: Standards Guaranteeing Access to Affordable Coverage Subtitle C: Standards Guaranteeing Access to Essential Benefits Subtitle D: Additional Consumer Protections Subtitle E: Governance Subtitle F: Relation to Other Requirements; Miscellaneous Subtitle G: Early Investments Title II: Health Insurance Exchange and Related Provisions Subtitle A: Health Insurance Exchange Subtitle B: Public Health Insurance Option Subtitle C: Individual Affordability Credits Title III: Shared Responsibility Subtitle A: Individual Responsibility Subtitle B: Employer Responsibility Title IV: Amendments to Internal Revenue Code of 1986 Subtitle A: Shared Responsibility Subtitle B: Credit for Small Business Employee Health Coverage Expenses Subtitle C: Disclosures to Carry Out Health Insurance Exchange Subsidies Subtitle D: Other Revenue Provisions Subdivision B: Medicare and Medicaid Improvements Title I: Improving Health Care Value Subtitle A: Provisions Related to Medicare Part A Subtitle B: Provisions Related to Part B Subtitle C: Provisions Related to Medicare Parts A and B Subtitle D: Medicare Advantage Reforms Subtitle E: Improvements to Medicare Part D Subtitle F: Medicare Rural Access Protections Title II: Medicare Beneficiary Improvements Subtitle A: Improving and Simplifying Financial Assistance for Low Income Medicare Beneficiaries Subtitle B: Reducing Health Disparities Subtitle C: Miscellaneous Improvements Title III: Promoting Primary Care, Mental Health Services, and Coordinated Care Title IV: Quality Subtitle A: Comparative Effectiveness Research Subtitle B: Nursing Home Transparency Subtitle C: Quality Measurements Subtitle D: Physician Payments Sunshine Provision Subtitle E: Public Reporting on Health Care-Associated Infections Title V: Medicare Graduate Medical Education Title VI: Program Integrity Subtitle A: Increased Funding to Fight Waste, Fraud, and Abuse Subtitle B: Enhanced Penalties for Fraud and Abuse Subtitle C: Enhanced Program and Provider Protections Subtitle D: Access to Information Needed to Prevent Fraud, Waste, and Abuse Title VII: Medicaid and CHIP Subtitle A: Medicaid and Health Reform Subtitle B: Prevention Subtitle C: Access Subtitle D: Coverage Subtitle E: Financing Subtitle F: Waste, Fraud, and Abuse Subtitle G: Puerto Rico and the Territories Subtitle H: Miscellaneous Title VIII: Revenue-related Provisions Title IX: Miscellaneous Provisions Subdivision C: Public Health and Workforce Development Title I: Community Health Centers Title II: Workforce Subtitle A: Primary Care Workforce Subtitle B: Nursing Workforce Subtitle C: Public Health Workforce Subtitle D: Adapting Workforce to Evolving Health System Needs Title III: Prevention and Wellness Title IV: Quality and Surveillance Title V: Other Provisions Subtitle A: Drug Discount for Rural and Other Hospitals Subtitle B: School-Based Health Clinics Subtitle C: National Medical Device Registry Subtitle D: Grants for Comprehensive Programs to Provide Education to Nurses and Create a Pipeline to Nursing Subtitle E: States Failing to Adhere to Certain Employment Obligations Division II: Committee on Education and Labor: Health Care Reform Division short title: America's Affordable Health Choices Act of 2009 Subdivision A: Affordable Health Care Choices Title I: Protections and Standards for Qualified Health Benefits Plans Subtitle A: General Standards Subtitle B: Standards Guaranteeing Access to Affordable Coverage Subtitle C: Standards Guaranteeing Access to Essential Benefits Subtitle D: Additional Consumer Protections Subtitle E: Governance Subtitle F: Relation to Other Requirements; Miscellaneous Subtitle G: Early Investments Title II: Health Insurance Exchange and Related Provisions Subtitle A: Health Insurance Exchange Subtitle B: Public Health Insurance Option Subtitle C: Individual Affordability Credits Subtitle D: State Innovation Title III: Shared Responsibility Subtitle A: Individual Responsibility Subtitle B: Employer Responsibility Title IV: Amendments to Internal Revenue Code of 1986 Subtitle A: Shared Responsibility Subtitle B: Credit for Small Business Employee Health Coverage Expenses Subtitle C: Disclosures to Carry Out Health Insurance Exchange Subsidies Subtitle D: Other Revenue Provisions Subdivision B: Medicare and Medicaid Improvements Title I: Improving Health Care Value Subtitle A: Provisions Related to Medicare Part A Subtitle B: Provisions Related to Part B Subtitle C: Provisions Related to Medicare Parts A and B Subtitle D: Medicare Advantage Reforms Subtitle E: Improvements to Medicare Part D Subtitle F: Medicare Rural Access Protections Title II: Medicare Beneficiary Improvements Subtitle A: Improving and Simplifying Financial Assistance for Low Income Medicare Beneficiaries Subtitle B: Reducing Health Disparities Subtitle C: Miscellaneous Improvements Title III: Promoting Primary Care, Mental Health Services, and Coordinated Care Title IV: Quality Subtitle A: Comparative Effectiveness Research Subtitle B: Nursing Home Transparency Subtitle C: Quality Measurements Subtitle D: Physician Payments Sunshine Provision Subtitle E: Public Reporting on Health Care-Associated Infections Title V: Medicare Graduate Medical Education Title VI: Program Integrity Subtitle A: Increased Funding To Fight Waste, Fraud, and Abuse Subtitle B: Enhanced Penalties for Fraud and Abuse Subtitle C: Enhanced Program and Provider Protections Subtitle D: Access to Information Needed To Prevent Fraud, Waste, and Abuse Title VII: Medicaid and CHIP Subtitle A: Medicaid and Health Reform Subtitle B: Prevention Subtitle C: Access Subtitle D: Coverage Subtitle E: Financing Subtitle F: Waste, Fraud, and Abuse Subtitle G: Puerto Rico and the Territories Subtitle H: Miscellaneous Title VIII: Revenue-Related Provisions Title IX: Miscellaneous Provisions Subdivision C: Public Health and Workforce Development Title I: Community Health Centers Title II: Workforce Subtitle A: Primary Care Workforce Subtitle B: Nursing Workforce Subtitle C: Public Health Workforce Subtitle D: Adapting Workforce to Evolving Health System Needs Title III: Prevention and Wellness Title IV: Quality and Surveillance Title V: Other Provisions Subtitle A: Drug Discount for Rural and Other Hospitals Subtitle B: School-Based Health Clinics Subtitle C: National Medical Device Registry Subtitle D: Grants for Comprehensive Programs to Provide Education to Nurses and Create a Pipeline to Nursing Subtitle E: States Failing to Adhere to Certain Employment Obligations Subtitle F: Standards for Accessibility to Medical Equipment for Individuals With Disabilities Subtitle G: Other Grant Programs Subtitle H: Long-term Care and Family Caregiver Support Subtitle I: Online Resources Division III: House Committee on Education and Labor: Investing in Education Division short title: Student Aid and Fiscal Responsibility Act of 2009 Title I: Investing in Students and Families Subtitle A: Increasing College Access and Completion Subtitle B: Student Financial Aid Form Simplification Title II: Student Loan Reform Subtitle A: Stafford Loan Reform Subtitle B: Perkins Loan Reform Title III: Modernization, Renovation, and Repair Subtitle A: Elementary and Secondary Education Chapter 1: Grants for Modernization, Renovation, or Repair of Public School Facilities Chapter 2: Supplemental Grants for Louisiana, Mississippi, and Alabama Chapter 3: General Provisions Subtitle B: Higher Education Title IV: Early Learning Challenge Fund Title V: American Graduation Initiative
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
17 March 2010
Calendars
Placed on the Union Calendar, Calendar No. 256.
Source: Calendars
17 March 2010
Reported
The House Committee on The Budget reported an original measure, H. Rept. 111-443, by Mr. Spratt.
Source: Committee
17 March 2010
Reported
The House Committee on The Budget reported an original measure, H. Rept. 111-443, by Mr. Spratt.
Source: Committee
17 March 2010
Introduced
Introduced in House
Source: IntroReferral
21 March 2010
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
21 March 2010
Vote
On passage Passed by recorded vote: 220 - 211 (Roll no. 167).
Source: Floor
21 March 2010
Vote
Passed/agreed to in House: On passage Passed by recorded vote: 220 - 211 (Roll no. 167).
Source: Floor
21 March 2010
Vote
On motion to recommit with instructions Failed by recorded vote: 199 - 232 (Roll no. 166).
Source: Floor
21 March 2010
Floor
The previous question on the motion to recommit with instructions was ordered without objection. (consideration: CR H2168)
Source: Floor
21 March 2010
Floor
DEBATE - The House proceeded with 10 minutes of debate on the Camp motion to recommit with instructions.
Source: Floor
21 March 2010
Floor
Mr. Camp moved to recommit with instructions to The Budget. (consideration: CR H2167-2169; text: CR H2167)
Source: Floor
21 March 2010
Floor
Considered under the provisions of rule H. Res. 1203. (consideration: CR H1854-1890, H2153-2169)
Source: Floor
21 March 2010
Passed
Rule H. Res. 1203 passed House.
Source: Floor
21 March 2010
Reported
Rules Committee Resolution H. Res. 1203 Reported to House. Rule provides for consideration of H.R. 4872 with 2 hours of general debate. Previous question shall be considered as ordered without intervening motions. Measure will be considered read. Bill is closed to amendments. Also, upon adoption of this resolution, it shall be in order to debate topics addressed by the Senate amendments to H.R. 3590. After debate, it shall be in order to take from the Speaker's table, with the Senate amendments thereto, a single motion offered by the Majority Leader or his designee that the House concur in the Senate amendments to H.R. 3590. If the motion is adopted, it shall be in order to consider H.R. 4872.
Source: Floor
23 March 2010
Vote
Motion to proceed to consideration of measure agreed to in Senate by Yea-Nay Vote. 56 - 40. Record Vote Number: 63. (consideration: CR S1821-1822)
Source: Floor
23 March 2010
Calendars
Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
Source: Calendars
24 March 2010
Floor
Considered by Senate. (consideration: CR S1923-2012)
Source: Floor
25 March 2010
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
25 March 2010
Action
Cleared for White House.
25 March 2010
Vote
On motion that the House agree to the Senate amendments Agreed to by the Yeas and Nays: 220 - 207 (Roll no. 194). (text as House agreed to Senate amendment: CR H2429)
Source: ResolvingDifferences
25 March 2010
Vote
Resolving differences -- House actions: On motion that the House agree to the Senate amendments Agreed to by the Yeas and Nays: 220 - 207 (Roll no. 194).(text as House agreed to Senate amendment: CR H2429)
Source: NotUsed
25 March 2010
ResolvingDifferences
The previous question was ordered pursuant to the rule. (consideration: CR H2439)
Source: ResolvingDifferences
25 March 2010
ResolvingDifferences
Mr. Miller, George moved that the House agree to the Senate amendments. (consideration: CR H2429-2440)
Source: ResolvingDifferences
25 March 2010
Floor
DEBATE - Pursuant to H.Res. 1225, the House proceeded with ten minutes of debate on agreeing to the Senate amendments to H.R. 4872.
Source: Floor
25 March 2010
Passed
Rule H. Res. 1225 passed House.
Source: Floor
25 March 2010
Reported
Rules Committee Resolution H. Res. 1225 Reported to House. The resolution makes in order a motion offered by the chair of the Committee on Education and Labor that the House concur in the Senate amendments to H.R. 4872. The previous question shall be considered as ordered without intervening motion or demand for division of the question. The resolution provides 10 minutes of debate on the motion. The resolution waives all points of order against consideration of the motion except those arising under clause 10 of rule XXI.
Source: Floor
25 March 2010
Vote
Passed/agreed to in Senate: Passed Senate with amendments by Yea-Nay Vote. 56 - 43. Record Vote Number: 105.
Source: Floor
25 March 2010
Vote
Motion by Senator Roberts to commit to Senate Committee on Finance with instructions tabled in Senate by Yea-Nay Vote. 59 - 37. Record Vote Number: 86. (consideration: CR 3/24/2010 S2005-2006)
Source: Floor
30 March 2010
Became law
Became Public Law No: 111-152.
Source: President
30 March 2010
Became law
Signed by President.
Source: BecameLaw
30 March 2010
President
Signed by President.
Source: President
30 March 2010
Floor
Presented to President.
Source: Floor
30 March 2010
President
Presented to President.
Source: President
Votes
25 March 2010 · Bill Passed · On Passage of the Bill H.R. 4872 · Bill Passed · Official source
Yes 56 · No 43 · Abstain — · Absent/not voting 1
- Sen. Franken, Al [D-MN]Yea
- Sen. Klobuchar, Amy [D-MN]Yea
- Sen. Specter, Arlen [R-PA]Yea
- Sen. Boxer, Barbara [D-CA]Yea
Showing the first 4 recorded positions. Vote totals above are complete.
24 March 2010 · Motion to Table Agreed to · On the Motion to Table H.R. 4872 · Motion to Table Agreed to · Official source
Yes 59 · No 37 · Abstain — · Absent/not voting 4
- Sen. Franken, Al [D-MN]Yea
- Sen. Klobuchar, Amy [D-MN]Yea
- Sen. Specter, Arlen [R-PA]Yea
- Sen. Boxer, Barbara [D-CA]Yea
Showing the first 4 recorded positions. Vote totals above are complete.
23 March 2010 · Motion to Proceed Agreed to · On the Motion to Proceed H.R. 4872 · Motion to Proceed Agreed to · Official source
Yes 56 · No 40 · Abstain — · Absent/not voting 4
- Sen. Franken, Al [D-MN]Yea
- Sen. Klobuchar, Amy [D-MN]Yea
- Sen. Specter, Arlen [R-PA]Yea
- Sen. Boxer, Barbara [D-CA]Yea
Showing the first 4 recorded positions. Vote totals above are complete.
Versions
- Enrolled Bill · — · Download file
- Public Law · 30 March 2010 · Download file
- Engrossed Amendment Senate · 25 March 2010 · Download file
- Placed on Calendar Senate · 23 March 2010 · Download file
- Engrossed in House · 21 March 2010 · Download file
- Reported in House · 17 March 2010 · Download file
Documents
16 official files
Enrolled Bill (text)
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Enrolled Bill (text)
Enrolled Bill · EN
Enrolled Bill (PDF)
Enrolled Bill · EN
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Public Law (text)
Public Law · EN · 30 March 2010
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Public Law (PDF)
Public Law · EN · 30 March 2010
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Public Law
summary · EN · 30 March 2010
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Engrossed Amendment Senate (text)
Engrossed Amendment Senate · EN · 25 March 2010
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Engrossed Amendment Senate (PDF)
Engrossed Amendment Senate · EN · 25 March 2010
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Passed Senate amended
summary · EN · 25 March 2010
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Placed on Calendar Senate (text)
Placed on Calendar Senate · EN · 23 March 2010
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Placed on Calendar Senate (PDF)
Placed on Calendar Senate · EN · 23 March 2010
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Engrossed in House (text)
Engrossed in House · EN · 21 March 2010
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Engrossed in House (PDF)
Engrossed in House · EN · 21 March 2010
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Passed House amended
summary · EN · 21 March 2010
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Reported in House (text)
Reported in House · EN · 17 March 2010
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Reported in House (PDF)
Reported in House · EN · 17 March 2010
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Introduced in House
summary · EN · 17 March 2010
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Sponsors
- Rep. Spratt, John M., Jr. [D-SC-5] · D · Sponsor
- · hsbu00 · Standing
Related records
- related to → Patient Protection and Affordable Care Act
- related to → Providing for consideration of the Senate amendments to the bill (H.R. 3590) to amend the Internal Revenue Code of 1986 to modify the first-time homebuyers credit in the case of members of the Armed Forces and certain other Federal employees, and for other purposes, and providing for consideration of the bill (H.R. 4872) to provide for reconciliation pursuant to section 202 of the concurrent resolution on the budget for fiscal year 2010.
- related to → Providing for consideration of the Senate amendments to the bill (H.R. 4872) to provide for reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010 (S.Con.Res. 13).
- amends ← Amendment in the nature of a substitute.
- amends ← SAMDT 3573
- amends ← SAMDT 3563
- amends ← SAMDT 3583
- amends ← SAMDT 3603
- amends ← SAMDT 3613
- amends ← SAMDT 3623
- amends ← SAMDT 3653
Showing 11 of 168 related records.
Related across the Repo ecosystem
Direct relationships are identifier-backed. Topic context means shared TopicMembership — not a citation and not causation.
Direct relationships
- Legal framework · Health Care and Education Reconciliation Act of 2010 · H.R. 4872 (111th) · US
- Identifier matchPROJECTS_FROM
Same us record 111-hr-4872 projected from PoliticalRepo US row.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/111th-congress/house-bill/4872
- Open data entity: https://api.congress.gov/v3/bill/111/hr/4872
- us · 111-hr-4872 · source updated 7 April 2025