HR-1868 : Became Public Law

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.

Action Timeline

Action DateTypeTextSource
2021-04-14PresidentBecame Public Law No: 117-7.Library of Congress
2021-04-14PresidentSigned by President.Library of Congress
2021-04-14FloorPresented to President.House floor actions
2021-04-13ResolvingDifferencesMotion to reconsider laid on the table Agreed to without objection.House floor actions
2021-04-13VoteOn 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)House floor actions
2021-04-13FloorDEBATE - 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.House floor actions
2021-04-13ResolvingDifferencesMr. Yarmuth moved that the House suspend the rules and concur in the Senate amendment. (consideration: CR H1729-1733)House floor actions
2021-03-26FloorMessage on Senate action sent to the House.Senate
2021-03-25VotePassed 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)Senate
2021-03-25FloorMeasure laid before Senate by unanimous consent. (consideration: CR S1800-1804)Senate
2021-03-25CalendarsRead the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 31.Senate
2021-03-24CalendarsRead the first time. Placed on Senate Legislative Calendar under Read the First Time.Senate
2021-03-22IntroReferralReceived in the Senate.Senate
2021-03-19FloorMotion to reconsider laid on the table Agreed to without objection.House floor actions
2021-03-19VoteOn passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96). (text: CR H1589-1590)House floor actions
2021-03-19VoteOn motion to recommit Failed by the Yeas and Nays: 202 - 216 (Roll no. 95).House floor actions
2021-03-19FloorMr. Smith (MO) moved to recommit to the Committee on the Budget. (text: CR H1598-1600)House floor actions
2021-03-19FloorThe previous question was ordered pursuant to the rule.House floor actions
2021-03-19FloorDEBATE - The House proceeded with one hour of debate on H.R. 1868.House floor actions
2021-03-19FloorRule 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.House floor actions
2021-03-19FloorConsidered under the provisions of rule H. Res. 233. (consideration: CR H1589-1601)House floor actions
2021-03-16FloorRules 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.House floor actions
2021-03-16CommitteeReferred to the Subcommittee on Health.House committee actions
2021-03-12IntroReferralReferred 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.House floor actions
2021-03-12IntroReferralReferred 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.House floor actions
2021-03-12IntroReferralReferred 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.House floor actions
2021-03-12IntroReferralIntroduced in HouseLibrary of Congress

Policy Area :

Health
See Subjects
  • Budget deficits and national debt
  • Budget process
  • Cardiovascular and respiratory health
  • Child health
  • Emergency medical services and trauma care
  • Health care costs and insurance
  • Health facilities and institutions
  • Health programs administration and funding
  • Hospital care
  • Infectious and parasitic diseases
  • Medicaid
  • Medicare
  • Poverty and welfare assistance
  • Rural conditions and development
  • Unemployment

Related Bills

See Related Bills