H.R. 1868: To prevent across-the-board direct spending cuts, and for other purposes.

Bill · 117th Congress (2021–2022). Became law, 14 Apr 2021 · Public Law 117-7. Introduced 12 Mar 2021.

Vote results

How each member voted

White House

Signed (1): Joseph Biden (D, President).

Not in office (2): Donald Trump (R, President); Mike Pence (R, Vice President).

Senate

Yea (90): Chuck Grassley (R-IA); Patrick J. Leahy (D-VT); Edward J. Markey (D-MA); Richard C. Shelby (R-AL); Charles E. Schumer (D-NY); Ron Wyden (D-OR); Richard J. Durbin (D-IL); Mitch McConnell (R-KY); Benjamin L. Cardin (D-MD); James M. Inhofe (R-OK); Thomas R. Carper (D-DE); Jack Reed (D-RI); Bernard Sanders (I-VT); Dianne Feinstein (D-CA); Sherrod Brown (D-OH); Mike Crapo (R-ID); Patty Murray (D-WA); Robert Menendez (D-NJ); Richard Burr (R-NC); Lindsey Graham (R-SC); Roger F. Wicker (R-MS); Roy Blunt (R-MO); Susan M. Collins (R-ME); Debbie Stabenow (D-MI); Tammy Baldwin (D-WI); Maria Cantwell (D-WA); John Thune (R-SD); Rob Portman (R-OH); Shelley Moore Capito (R-WV); John Boozman (R-AR); Lisa Murkowski (R-AK); Marsha Blackburn (R-TN); Chris Van Hollen (D-MD); Robert P. Casey, Jr. (D-PA); Kirsten E. Gillibrand (D-NY); Mazie K. Hirono (D-HI); Amy Klobuchar (D-MN); Christopher Murphy (D-CT); Jon Tester (D-MT); Sheldon Whitehouse (D-RI); Bill Cassidy (R-LA); Martin Heinrich (D-NM); Ben Ray Luján (D-NM); Jeff Merkley (D-OR); Gary C. Peters (D-MI); James E. Risch (R-ID); Jeanne Shaheen (D-NH); Mark R. Warner (D-VA); Michael F. Bennet (D-CO); Christopher A. Coons (D-DE); Joe Manchin, III (D-WV); Richard Blumenthal (D-CT); John Hoeven (R-ND); James Lankford (R-OK); Mike Lee (R-UT); Marco Rubio (R-FL); Tim Scott (R-SC); Todd Young (R-IN); Brian Schatz (D-HI); Tom Cotton (R-AR); Kevin Cramer (R-ND); Steve Daines (R-MT); Tammy Duckworth (D-IL); Deb Fischer (R-NE); Tim Kaine (D-VA); Angus S. King, Jr. (I-ME); Cynthia M. Lummis (R-WY); Kyrsten Sinema (I-AZ); Elizabeth Warren (D-MA); Cory A. Booker (D-NJ); Joni Ernst (R-IA); Mike Rounds (R-SD); Dan Sullivan (R-AK); Thom Tillis (R-NC); Catherine Cortez Masto (D-NV); Margaret Wood Hassan (D-NH); John Kennedy (R-LA); Roger Marshall (R-KS); Jacky Rosen (D-NV); Tina Smith (D-MN); Mike Braun (R-IN); Josh Hawley (R-MO); Mitt Romney (R-UT); Rick Scott (R-FL); Mark Kelly (D-AZ); Bill Hagerty (R-TN); John W. Hickenlooper (D-CO); Jon Ossoff (D-GA); Alex Padilla (D-CA); Raphael G. Warnock (D-GA).

Nay (2): Patrick J. Toomey (R-PA); Rand Paul (R-KY).

Not voting (8): Jerry Moran (R-KS); John Cornyn (R-TX); John Barrasso (R-WY); Ron Johnson (R-WI); Ted Cruz (R-TX); Ben Sasse (R-NE); Cindy Hyde-Smith (R-MS); Tommy Tuberville (R-AL).

Not in office (2): Kamala D. Harris (D-CA); Kelly Loeffler (R-GA).

House

Yea (384): Harold Rogers (R-KY-5); Christopher H. Smith (R-NJ-4); Steny H. Hoyer (D-MD-5); Marcy Kaptur (D-OH-9); Peter A. DeFazio (D-OR-4); Fred Upton (R-MI-6); Frank Pallone, Jr. (D-NJ-6); Richard E. Neal (D-MA-1); David E. Price (D-NC-4); Jim Cooper (D-TN-5); Rosa L. DeLauro (D-CT-3); Maxine Waters (D-CA-43); Jerrold Nadler (D-NY-10); Sanford D. Bishop, Jr. (D-GA-2); Ken Calvert (R-CA-42); James E. Clyburn (D-SC-6); Anna G. Eshoo (D-CA-18); Eddie Bernice Johnson (D-TX-30); Carolyn B. Maloney (D-NY-12); Lucille Roybal-Allard (D-CA-40); Bobby L. Rush (D-IL-1); Robert C. "Bobby" Scott (D-VA-3); Nydia M. Velázquez (D-NY-7); Bennie G. Thompson (D-MS-2); Frank D. Lucas (R-OK-3); Lloyd Doggett (D-TX-35); Sheila Jackson Lee (D-TX-18); Zoe Lofgren (D-CA-19); Earl Blumenauer (D-OR-3); Steve Chabot (R-OH-1); Robert B. Aderholt (R-AL-4); Danny K. Davis (D-IL-7); Diana DeGette (D-CO-1); Kay Granger (R-TX-12); Ron Kind (D-WI-3); James P. McGovern (D-MA-2); Bill Pascrell, Jr. (D-NJ-9); Brad Sherman (D-CA-30); Adam Smith (D-WA-9); Gregory W. Meeks (D-NY-5); Barbara Lee (D-CA-13); John B. Larson (D-CT-1); Grace F. Napolitano (D-CA-32); Janice D. Schakowsky (D-IL-9); Michael K. Simpson (R-ID-2); Mike Thompson (D-CA-5); Pete Sessions (R-TX-17); Sam Graves (R-MO-6); James R. Langevin (D-RI-2); Rick Larsen (D-WA-2); Betty McCollum (D-MN-4); Adam B. Schiff (D-CA-28); Stephen F. Lynch (D-MA-8); Joe Wilson (R-SC-2); Michael C. Burgess (R-TX-26); John R. Carter (R-TX-31); Tom Cole (R-OK-4); Mario Diaz-Balart (R-FL-25); Raúl M. Grijalva (D-AZ-3); Mike Rogers (R-AL-3); C. A. Dutch Ruppersberger (D-MD-2); Tim Ryan (D-OH-13); David Scott (D-GA-13); Linda T. Sánchez (D-CA-38); Michael R. Turner (R-OH-10); Darrell Issa (R-CA-50); Emanuel Cleaver (D-MO-5); Jim Costa (D-CA-16); Henry Cuellar (D-TX-28); Louie Gohmert (R-TX-1); Al Green (D-TX-9); Brian Higgins (D-NY-26); Michael T. McCaul (R-TX-10); Patrick T. McHenry (R-NC-10); Cathy McMorris Rodgers (R-WA-5); Gwen Moore (D-WI-4); Debbie Wasserman Schultz (D-FL-23); Doris O. Matsui (D-CA-6); Albio Sires (D-NJ-8); Gus M. Bilirakis (R-FL-12); Vern Buchanan (R-FL-16); Kathy Castor (D-FL-14); Yvette D. Clarke (D-NY-9); Steve Cohen (D-TN-9); Joe Courtney (D-CT-2); Henry C. "Hank" Johnson, Jr. (D-GA-4); Doug Lamborn (R-CO-5); Kevin McCarthy (R-CA-23); Jerry McNerney (D-CA-9); Ed Perlmutter (D-CO-7); John P. Sarbanes (D-MD-3); Adrian Smith (R-NE-3); Peter Welch (D-VT-AL); John A. Yarmuth (D-KY-3); Robert E. Latta (R-OH-5); Robert J. Wittman (R-VA-1); André Carson (D-IN-7); Jackie Speier (D-CA-14); Steve Scalise (R-LA-1); Tim Walberg (R-MI-7); Gerald E. Connolly (D-VA-11); Brett Guthrie (R-KY-2); James A. Himes (D-CT-4); Blaine Luetkemeyer (R-MO-3); Chellie Pingree (D-ME-1); Bill Posey (R-FL-8); Glenn Thompson (R-PA-15); Paul Tonko (D-NY-20); Kurt Schrader (D-OR-5); Mike Quigley (D-IL-5); Judy Chu (D-CA-27); John Garamendi (D-CA-3); Bill Foster (D-IL-11); Karen Bass (D-CA-37); Larry Bucshon (R-IN-8); David N. Cicilline (D-RI-1); Eric A. "Rick" Crawford (R-AR-1); Scott DesJarlais (R-TN-4); Charles J. "Chuck" Fleischmann (R-TN-3); Bob Gibbs (R-OH-7); Paul A. Gosar (R-AZ-4); H. Morgan Griffith (R-VA-9); Andy Harris (R-MD-1); Vicky Hartzler (R-MO-4); Jaime Herrera Beutler (R-WA-3); Bill Huizenga (R-MI-2); Bill Johnson (R-OH-6); William R. Keating (D-MA-9); Mike Kelly (R-PA-16); Adam Kinzinger (R-IL-16); Billy Long (R-MO-7); David B. McKinley (R-WV-1); Steven M. Palazzo (R-MS-4); Austin Scott (R-GA-8); Terri A. Sewell (D-AL-7); Daniel Webster (R-FL-11); Frederica S. Wilson (D-FL-24); Steve Womack (R-AR-3); Dina Titus (D-NV-1); Kweisi Mfume (D-MD-7); Mark E. Amodei (R-NV-2); Suzanne Bonamici (D-OR-1); Suzan K. DelBene (D-WA-1); Donald M. Payne, Jr. (D-NJ-10); Andy Barr (R-KY-6); Joyce Beatty (D-OH-3); Ami Bera (D-CA-7); Julia Brownley (D-CA-26); Cheri Bustos (D-IL-17); Matt Cartwright (D-PA-8); Joaquin Castro (D-TX-20); Tony Cárdenas (D-CA-29); Rodney Davis (R-IL-13); Lois Frankel (D-FL-21); Richard Hudson (R-NC-8); Jared Huffman (D-CA-2); Hakeem S. Jeffries (D-NY-8); David P. Joyce (R-OH-14); Daniel T. Kildee (D-MI-5); Derek Kilmer (D-WA-6); Ann Kirkpatrick (D-AZ-2); Ann M. Kuster (D-NH-2); Doug LaMalfa (R-CA-1); Alan S. Lowenthal (D-CA-47); Sean Patrick Maloney (D-NY-18); Grace Meng (D-NY-6); Markwayne Mullin (R-OK-2); Scott H. Peters (D-CA-52); Mark Pocan (D-WI-2); Tom Rice (R-SC-7); Raul Ruiz (D-CA-36); Eric Swalwell (D-CA-15); Mark Takano (D-CA-41); Juan Vargas (D-CA-51); Marc A. Veasey (D-TX-33); Ann Wagner (R-MO-2); Brad R. Wenstrup (R-OH-2); Roger Williams (R-TX-25); Robin L. Kelly (D-IL-2); Jason Smith (R-MO-8); Katherine M. Clark (D-MA-5); Alma S. Adams (D-NC-12); Donald Norcross (D-NJ-1); Pete Aguilar (D-CA-31); Brian Babin (R-TX-36); Donald S. Beyer, Jr. (D-VA-8); Mike Bost (R-IL-12); Brendan F. Boyle (D-PA-2); Ken Buck (R-CO-4); Earl L. "Buddy" Carter (R-GA-1); Ed Case (D-HI-1); Mark DeSaulnier (D-CA-11); Debbie Dingell (D-MI-12); Tom Emmer (R-MN-6); Ruben Gallego (D-AZ-7); Garret Graves (R-LA-6); Glenn Grothman (R-WI-6); Jody B. Hice (R-GA-10); J. French Hill (R-AR-2); John Katko (R-NY-24); Brenda L. Lawrence (D-MI-14); Ted Lieu (D-CA-33); John R. Moolenaar (R-MI-4); Alexander X. Mooney (R-WV-2); Seth Moulton (D-MA-6); Dan Newhouse (R-WA-4); Gary J. Palmer (R-AL-6); Kathleen M. Rice (D-NY-4); David Rouzer (R-NC-7); Elise M. Stefanik (R-NY-21); Norma J. Torres (D-CA-35); Bonnie Watson Coleman (D-NJ-12); Bruce Westerman (R-AR-4); Lee M. Zeldin (R-NY-1); Bradley Scott Schneider (D-IL-10); David G. Valadao (R-CA-21); Trent Kelly (R-MS-1); Darin LaHood (R-IL-18); Warren Davidson (R-OH-8); Dwight Evans (D-PA-3); Don Bacon (R-NE-2); Nanette Diaz Barragán (D-CA-44); Jack Bergman (R-MI-1); Lisa Blunt Rochester (D-DE-AL); Anthony G. Brown (D-MD-4); Salud O. Carbajal (D-CA-24); Liz Cheney (R-WY-AL); J. Luis Correa (D-CA-46); Val Butler Demings (D-FL-10); Neal P. Dunn (R-FL-2); Adriano Espaillat (D-NY-13); Brian K. Fitzpatrick (R-PA-1); Mike Gallagher (R-WI-8); Vicente Gonzalez (D-TX-15); Josh Gottheimer (D-NJ-5); Clay Higgins (R-LA-3); Trey Hollingsworth (R-IN-9); Steven Horsford (D-NV-4); Pramila Jayapal (D-WA-7); Mike Johnson (R-LA-4); Ro Khanna (D-CA-17); Raja Krishnamoorthi (D-IL-8); David Kustoff (R-TN-8); Al Lawson, Jr. (D-FL-5); Stephanie N. Murphy (D-FL-7); Tom O’Halleran (D-AZ-1); Jimmy Panetta (D-CA-20); Jamie Raskin (D-MD-8); John H. Rutherford (R-FL-4); Lloyd Smucker (R-PA-11); Darren Soto (D-FL-9); Thomas R. Suozzi (D-NY-3); Jimmy Gomez (D-CA-34); John R. Curtis (R-UT-3); Conor Lamb (D-PA-17); Debbie Lesko (R-AZ-8); Troy Balderson (R-OH-12); Joseph D. Morelle (D-NY-25); Mary Gay Scanlon (D-PA-5); Susan Wild (D-PA-7); Colin Z. Allred (D-TX-32); Kelly Armstrong (R-ND-AL); Cynthia Axne (D-IA-3); James R. Baird (R-IN-4); Tim Burchett (R-TN-2); Sean Casten (D-IL-6); Ben Cline (R-VA-6); Angie Craig (D-MN-2); Dan Crenshaw (R-TX-2); Jason Crow (D-CO-6); Sharice Davids (D-KS-3); Madeleine Dean (D-PA-4); Veronica Escobar (D-TX-16); Lizzie Fletcher (D-TX-7); Russ Fulcher (R-ID-1); Sylvia R. Garcia (D-TX-29); Jesús G. "Chuy" García (D-IL-4); Jared F. Golden (D-ME-2); Anthony Gonzalez (R-OH-16); Mark E. Green (R-TN-7); Michael Guest (R-MS-3); Josh Harder (D-CA-10); Jahana Hayes (D-CT-5); Chrissy Houlahan (D-PA-6); Dusty Johnson (R-SD-AL); John Joyce (R-PA-13); Andy Kim (D-NJ-3); Susie Lee (D-NV-3); Andy Levin (D-MI-9); Mike Levin (D-CA-49); Elaine G. Luria (D-VA-2); Tom Malinowski (D-NJ-7); Lucy McBath (D-GA-6); Daniel Meuser (R-PA-9); Carol D. Miller (R-WV-3); Joe Neguse (D-CO-2); Alexandria Ocasio-Cortez (D-NY-14); Ilhan Omar (D-MN-5); Chris Pappas (D-NH-1); Greg Pence (R-IN-6); Dean Phillips (D-MN-3); Katie Porter (D-CA-45); Ayanna Pressley (D-MA-7); Guy Reschenthaler (R-PA-14); John W. Rose (R-TN-6); Kim Schrier (D-WA-8); Mikie Sherrill (D-NJ-11); Elissa Slotkin (D-MI-8); Abigail Davis Spanberger (D-VA-7); Greg Stanton (D-AZ-9); Pete Stauber (R-MN-8); Bryan Steil (R-WI-1); Haley M. Stevens (D-MI-11); William R. Timmons IV (R-SC-4); Rashida Tlaib (D-MI-13); Lori Trahan (D-MA-3); David J. Trone (D-MD-6); Lauren Underwood (D-IL-14); Jefferson Van Drew (R-NJ-2); Michael Waltz (R-FL-6); Jennifer Wexton (D-VA-10); Claudia Tenney (R-NY-22); Fred Keller (R-PA-12); Gregory F. Murphy (R-NC-3); Mike Garcia (R-CA-25); Chris Jacobs (R-NY-27); Jake Auchincloss (D-MA-4); Cliff Bentz (R-OR-2); Stephanie I. Bice (R-OK-5); Carolyn Bourdeaux (D-GA-7); Jamaal Bowman (D-NY-16); Cori Bush (D-MO-1); Jerry L. Carl (R-AL-1); Pat Fallon (R-TX-4); Randy Feenstra (R-IA-4); Michelle Fischbach (R-MN-7); Scott Fitzgerald (R-WI-5); Scott Franklin (R-FL-15); Andrew R. Garbarino (R-NY-2); Carlos A. Gimenez (R-FL-26); Tony Gonzales (R-TX-23); Diana Harshbarger (R-TN-1); Ashley Hinson (R-IA-1); Ronny Jackson (R-TX-13); Sara Jacobs (D-CA-53); Mondaire Jones (D-NY-17); Kaiali’i Kahele (D-HI-2); Young Kim (R-CA-39); Jake LaTurner (R-KS-2); Teresa Leger Fernandez (D-NM-3); Nicole Malliotakis (R-NY-11); Kathy E. Manning (D-NC-6); Lisa C. McClain (R-MI-10); Peter Meijer (R-MI-3); Mariannette Miller-Meeks (R-IA-2); Barry Moore (R-AL-2); Blake D. Moore (R-UT-1); Frank J. Mrvan (D-IN-1); Troy E. Nehls (R-TX-22); Marie Newman (D-IL-3); Jay Obernolte (R-CA-8); Burgess Owens (R-UT-4); Deborah K. Ross (D-NC-2); Maria Elvira Salazar (R-FL-27); Victoria Spartz (R-IN-5); Michelle Steel (R-CA-48); Marilyn Strickland (D-WA-10); Ritchie Torres (D-NY-15); Beth Van Duyne (R-TX-24); Nikema Williams (D-GA-5); Don Young (R-AK-AL); Michael F. Doyle (D-PA-18); Devin Nunes (R-CA-22); G. K. Butterfield (D-NC-1); Jeff Fortenberry (R-NE-1); Theodore E. Deutch (D-FL-22); Tom Reed (R-NY-23); Steve Stivers (R-OH-15); Jackie Walorski (R-IN-2); Filemon Vela (D-TX-34); A. Donald McEachin (D-VA-4); Charlie Crist (D-FL-13); Antonio Delgado (D-NY-19); Jim Hagedorn (R-MN-1).

Nay (38): Virginia Foxx (R-NC-5); Jim Jordan (R-OH-4); Tom McClintock (R-CA-4); Mo Brooks (R-AL-5); David Schweikert (R-AZ-6); Thomas Massie (R-KY-4); Scott Perry (R-PA-10); Chris Stewart (R-UT-2); Randy K. Weber, Sr. (R-TX-14); Rick W. Allen (R-GA-12); James Comer (R-KY-1); Jodey C. Arrington (R-TX-19); Jim Banks (R-IN-3); Andy Biggs (R-AZ-5); Ted Budd (R-NC-13); A. Drew Ferguson IV (R-GA-3); Matt Gaetz (R-FL-1); Brian J. Mast (R-FL-18); Ron Estes (R-KS-4); Ralph Norman (R-SC-5); Michael Cloud (R-TX-27); Kevin Hern (R-OK-1); Lance Gooden (R-TX-5); Chip Roy (R-TX-21); W. Gregory Steube (R-FL-17); Van Taylor (R-TX-3); Dan Bishop (R-NC-9); Lauren Boebert (R-CO-3); Kat Cammack (R-FL-3); Andrew S. Clyde (R-GA-9); Byron Donalds (R-FL-19); Bob Good (R-VA-5); Yvette Herrell (R-NM-2); Nancy Mace (R-SC-1); Tracey Mann (R-KS-1); Mary E. Miller (R-IL-15); August Pfluger (R-TX-11); Matthew M. Rosendale, Sr. (R-MT-AL).

Not voting (6): Kevin Brady (R-TX-8); Jeff Duncan (R-SC-3); Barry Loudermilk (R-GA-11); Thomas P. Tiffany (R-WI-7); Madison Cawthorn (R-NC-11); Marjorie Taylor Greene (R-GA-14).

Speaker, not listed (1): Nancy Pelosi (D-CA-12).

Not in office (20): Julia Letlow (R-LA-5); Troy A. Carter (D-LA-2); Melanie A. Stansbury (D-NM-1); Jake Ellzey (R-TX-6); Shontel M. Brown (D-OH-11); Mike Carey (R-OH-15); Sheila Cherfilus-McCormick (D-FL-20); Connie Conway (R-CA-22); Mayra Flores (R-TX-34); Mike Flood (R-NE-1); Brad Finstad (R-MN-1); Mary Sattler Peltola (D-AK-AL); Patrick Ryan (D-NY-19); Joseph Sempolinski (R-NY-23); Rudy Yakym III (R-IN-2); Alcee L. Hastings (D-FL-20); Marcia L. Fudge (D-OH-11); Cedric L. Richmond (D-LA-2); Debra A. Haaland (D-NM-1); Ron Wright (R-TX-6).

Summary

Main subject: Extends the temporary suspension of Medicare sequestration through December 31, 2021, and makes technical changes to Medicare rural health clinic payment limits and Medicaid disproportionate share hospital payment rules. Sec. 1, Sec. 2

Its core areas: Medicare sequestration suspension; Medicare rural health clinic payment limits; Medicaid disproportionate share hospital payments.

Unexpected Items: 1 provision

These provisions fall outside the bill’s main subject or apply narrowly. This describes the text; it is not a judgment.

Applies only to a specific place or group (1)

What it does

Written automatically from the official text by Claude Sonnet 5.5, an AI model. Written 15 Oct 2026 and published after the automatic checks, without a person reading it first. Every line names the section it came from.

Changed after House passage

Compares the bill as passed by the House, 19 Mar 2021, with the final text passed by both chambers. About 30% of the wording the House passed stands in the final text.

Removed before the final vote (1)

Added after House passage (1)

Sources