U.S. HouseH.R. 6703
Lower Health Care Premiums for All Americans Act
Passed 216–211Party-lineClose
What it does: Allows employer groups to form association health plans, changes treatment of stop-loss insurance and health reimbursement arrangements, adds oversight of pharmacy benefit managers, and funds cost-sharing reduction payments from 2027. (AI-written summary of the bill; the official record shows the exact version voted)
Question before the chamber: On Passage
The tally
Yes 216 · No 211 · Not voting 6
Bar: green = yes, brown = no, striped = not voting.
| Party | Yes | No | Not voting |
|---|---|---|---|
| Democrats | 0 | 210 | 3 |
| Republicans | 215 | 1 | 3 |
| Other or unknown party | 1 | 0 | 0 |
Most Democrats voted no; most Republicans voted yes. 1 member voted against their party’s majority.
Voted against their party’s majority
- Thomas MassieRKY-4No
The full roll (433)
Yes 216
- Aaron BeanRFL-4
- Abraham J. HamadehRAZ-8
- Addison P. McDowellRNC-6
- Adrian SmithRNE-3
- Andrew OglesRTN-5
- Andrew R. GarbarinoRNY-2
- Andrew S. ClydeRGA-9
- Andy BarrRKY-6
- Andy BiggsRAZ-5
- Andy HarrisRMD-1
- Ann WagnerRMO-2
- Anna Paulina LunaRFL-13
- Ashley HinsonRIA-2
- August PflugerRTX-11
- Austin ScottRGA-8
- Barry LoudermilkRGA-11
- Barry MooreRAL-1
- Ben ClineRVA-6
- Beth Van DuyneRTX-24
- Bill HuizengaRMI-4
- Blake D. MooreRUT-1
- Brad FinstadRMN-1
- Brad KnottRNC-13
- Brandon GillRTX-26
- Brett GuthrieRKY-2
- Brian BabinRTX-36
- Brian J. MastRFL-21
- Brian JackRGA-3
- Brian K. FitzpatrickRPA-1
- Bruce WestermanRAR-4
- Bryan SteilRWI-1
- Burgess OwensRUT-4
- Byron DonaldsRFL-19
- Carlos A. GimenezRFL-28
- Carol D. MillerRWV-1
- Celeste MaloyRUT-2
- Charles J. "Chuck" FleischmannRTN-3
- Chip RoyRTX-21
- Christopher H. SmithRNJ-4
- Chuck EdwardsRNC-11
- Claudia TenneyRNY-24
- Clay HigginsRLA-3
- Cliff BentzROR-2
- Cory MillsRFL-7
- Craig A. GoldmanRTX-12
- Dale W. StrongRAL-5
- Dan CrenshawRTX-2
- Dan NewhouseRWA-4
- Daniel MeuserRPA-9
- Daniel WebsterRFL-11
- Darin LaHoodRIL-16
- Darrell IssaRCA-48
- David G. ValadaoRCA-22
- David J. TaylorROH-2
- David KustoffRTN-8
- David P. JoyceROH-14
- David RouzerRNC-7
- David SchweikertRAZ-1
- Derek SchmidtRKS-2
- Derrick Van OrdenRWI-3
- Diana HarshbargerRTN-1
- Don BaconRNE-2
- Dusty JohnsonRSD-AL
- Earl L. "Buddy" CarterRGA-1
- Elijah CraneRAZ-2
- Elise M. StefanikRNY-21
- Eric A. "Rick" CrawfordRAR-1
- Eric BurlisonRMO-7
- Erin HouchinRIN-9
- Frank D. LucasROK-3
- Gabe EvansRCO-8
- Glenn GrothmanRWI-6
- Glenn ThompsonRPA-15
- Gus M. BilirakisRFL-12
- Guy ReschenthalerRPA-14
- H. Morgan GriffithRVA-9
- Harold RogersRKY-5
- Harriet M. HagemanRWY-AL
- J. French HillRAR-2
- Jack BergmanRMI-1
- Jake EllzeyRTX-6
- James ComerRKY-1
- James R. BairdRIN-4
- Jason SmithRMO-8
- Jay ObernolteRCA-23
- Jeff CrankRCO-5
- Jeff HurdRCO-3
- Jefferson ShreveRIN-6
- Jefferson Van DrewRNJ-2
- Jennifer A. KiggansRVA-2
- Jim JordanROH-4
- Jimmy PatronisRFL-1
- Jodey C. ArringtonRTX-19
- Joe WilsonRSC-2
- John H. RutherfordRFL-5
- John J. McGuire IIIRVA-5
- John JamesRMI-10
- John JoyceRPA-13
- John R. CarterRTX-31
- John R. MoolenaarRMI-2
- John W. RoseRTN-6
- Josh BrecheenROK-2
- Juan CiscomaniRAZ-6
- Julia LetlowRLA-5
- Julie FedorchakRND-AL
- Kat CammackRFL-3
- Keith SelfRTX-3
- Ken CalvertRCA-41
- Kevin HernROK-1
- Kevin KileyICA-3
- Lance GoodenRTX-5
- Laurel M. LeeRFL-15
- Lauren BoebertRCO-4
- Lisa C. McClainRMI-9
- Lloyd SmuckerRPA-11
- Maria Elvira SalazarRFL-27
- Mariannette Miller-MeeksRIA-1
- Mario Diaz-BalartRFL-26
- Mark AlfordRMO-4
- Mark B. MessmerRIN-8
- Mark E. AmodeiRNV-2
- Mark HarrisRNC-8
- Marlin A. StutzmanRIN-3
- Mary E. MillerRIL-15
- Matt Van EppsRTN-7
- Max L. MillerROH-7
- Michael A. RulliROH-6
- Michael BaumgartnerRWA-5
- Michael CloudRTX-27
- Michael GuestRMS-3
- Michael K. SimpsonRID-2
- Michael LawlerRNY-17
- Michael R. TurnerROH-10
- Michael T. McCaulRTX-10
- Michelle FischbachRMN-7
- Mike BostRIL-12
- Mike CareyROH-15
- Mike CollinsRGA-10
- Mike EzellRMS-4
- Mike FloodRNE-1
- Mike HaridopolosRFL-8
- Mike JohnsonRLA-4
- Mike KellyRPA-16
- Mike KennedyRUT-3
- Mike RogersRAL-3
- Monica De La CruzRTX-15
- Morgan LuttrellRTX-8
- Nancy MaceRSC-1
- Nathaniel MoranRTX-1
- Neal P. DunnRFL-2
- Nicholas A. LangworthyRNY-23
- Nicholas J. Begich IIIRAK-AL
- Nick LaLotaRNY-1
- Nicole MalliotakisRNY-11
- Pat FallonRTX-4
- Pat HarriganRNC-10
- Paul A. GosarRAZ-9
- Pete SessionsRTX-17
- Pete StauberRMN-8
- Ralph NormanRSC-5
- Randy FeenstraRIA-4
- Randy FineRFL-6
- Randy K. Weber, Sr.RTX-14
- Richard HudsonRNC-9
- Richard McCormickRGA-7
- Rick W. AllenRGA-12
- Riley M. MooreRWV-2
- Robert B. AderholtRAL-4
- Robert E. LattaROH-5
- Robert F. Onder, Jr.RMO-3
- Robert J. WittmanRVA-1
- Robert P. Bresnahan, Jr.RPA-8
- Roger WilliamsRTX-25
- Ron EstesRKS-4
- Ronny JacksonRTX-13
- Rudy Yakym IIIRIN-2
- Russ FulcherRID-1
- Russell FryRSC-7
- Ryan K. ZinkeRMT-1
- Ryan MackenzieRPA-7
- Sam GravesRMO-6
- Scott DesJarlaisRTN-4
- Scott FitzgeraldRWI-5
- Scott FranklinRFL-18
- Scott PerryRPA-10
- Sheri BiggsRSC-3
- Stephanie I. BiceROK-5
- Steve ScaliseRLA-1
- Thomas H. Kean, Jr.RNJ-7
- Thomas P. TiffanyRWI-7
- Tim BurchettRTN-2
- Tim MooreRNC-14
- Tim WalbergRMI-5
- Tom BarrettRMI-7
- Tom ColeROK-4
- Tom EmmerRMN-6
- Tom McClintockRCA-5
- Tony WiedRWI-8
- Tracey MannRKS-1
- Trent KellyRMS-1
- Troy BaldersonROH-12
- Troy DowningRMT-2
- Troy E. NehlsRTX-22
- Vern BuchananRFL-16
- Victoria SpartzRIN-5
- Vince FongRCA-20
- Virginia FoxxRNC-5
- W. Gregory SteubeRFL-17
- Warren DavidsonROH-8
- Wesley HuntRTX-38
- William R. Timmons IVRSC-4
- Young KimRCA-40
- Zachary NunnRIA-3
- Former memberR
- Former memberR
- Former memberR
No 211
- Adam GrayDCA-13
- Adam SmithDWA-9
- Adelita S. GrijalvaDAZ-7
- Adriano EspaillatDNY-13
- Al GreenDTX-9
- Alexandria Ocasio-CortezDNY-14
- Alma S. AdamsDNC-12
- Ami BeraDCA-6
- André CarsonDIN-7
- Andrea SalinasDOR-6
- Angie CraigDMN-2
- April McClain DelaneyDMD-6
- Ayanna PressleyDMA-7
- Becca BalintDVT-AL
- Bennie G. ThompsonDMS-2
- Betty McCollumDMN-4
- Bill FosterDIL-11
- Bonnie Watson ColemanDNJ-12
- Brad ShermanDCA-32
- Bradley Scott SchneiderDIL-10
- Brendan F. BoyleDPA-2
- Brittany PettersenDCO-7
- Chellie PingreeDME-1
- Chris PappasDNH-1
- Chrissy HoulahanDPA-6
- Christopher R. DeluzioDPA-17
- Cleo FieldsDLA-6
- Daniel S. GoldmanDNY-10
- Danny K. DavisDIL-7
- Darren SotoDFL-9
- Dave MinDCA-47
- Debbie DingellDMI-6
- Debbie Wasserman SchultzDFL-25
- Deborah K. RossDNC-2
- Delia C. RamirezDIL-3
- Derek TranDCA-45
- Diana DeGetteDCO-1
- Dina TitusDNV-1
- Donald G. DavisDNC-1
- Donald NorcrossDNJ-1
- Donald S. Beyer, Jr.DVA-8
- Doris O. MatsuiDCA-7
- Dwight EvansDPA-3
- Ed CaseDHI-1
- Emanuel CleaverDMO-5
- Emilia Strong SykesDOH-13
- Emily RandallDWA-6
- Eric SorensenDIL-17
- Eugene Simon VindmanDVA-7
- Frank J. MrvanDIN-1
- Frank Pallone, Jr.DNJ-6
- Frederica S. WilsonDFL-24
- Gabe AmoDRI-1
- Gabe VasquezDNM-2
- George LatimerDNY-16
- George WhitesidesDCA-27
- Gilbert Ray Cisneros, Jr.DCA-31
- Glenn IveyDMD-4
- Grace MengDNY-6
- Greg CasarDTX-35
- Greg LandsmanDOH-1
- Greg StantonDAZ-4
- Gregory W. MeeksDNY-5
- Gwen MooreDWI-4
- Hakeem S. JeffriesDNY-8
- Haley M. StevensDMI-11
- Henry C. "Hank" Johnson, Jr.DGA-4
- Henry CuellarDTX-28
- Herbert C. Conaway, Jr.DNJ-3
- Hillary J. ScholtenDMI-3
- Ilhan OmarDMN-5
- J. Luis CorreaDCA-46
- Jahana HayesDCT-5
- Jake AuchinclossDMA-4
- James A. HimesDCT-4
- James E. ClyburnDSC-6
- James P. McGovernDMA-2
- James R. WalkinshawDVA-11
- Jamie RaskinDMD-8
- Janelle S. BynumDOR-5
- Janice D. SchakowskyDIL-9
- Jared F. GoldenDME-2
- Jared HuffmanDCA-2
- Jared MoskowitzDFL-23
- Jasmine CrockettDTX-30
- Jason CrowDCO-6
- Jennifer L. McClellanDVA-4
- Jerrold NadlerDNY-12
- Jesús G. "Chuy" GarcíaDIL-4
- Jill N. TokudaDHI-2
- Jim CostaDCA-21
- Jimmy GomezDCA-34
- Jimmy PanettaDCA-19
- Joaquin CastroDTX-20
- Joe NeguseDCO-2
- John B. LarsonDCT-1
- John GaramendiDCA-8
- John W. MannionDNY-22
- Johnny Olszewski, Jr.DMD-2
- Jonathan L. JacksonDIL-1
- Joseph D. MorelleDNY-25
- Josh GottheimerDNJ-5
- Josh HarderDCA-9
- Josh RileyDNY-19
- Joyce BeattyDOH-3
- Juan VargasDCA-52
- Judy ChuDCA-28
- Julia BrownleyDCA-26
- Julie JohnsonDTX-32
- Katherine M. ClarkDMA-5
- Kathy CastorDFL-14
- Kelly MorrisonDMN-3
- Kevin MullinDCA-15
- Kim SchrierDWA-8
- Kristen McDonald RivetDMI-8
- Kweisi MfumeDMD-7
- LaMonica McIverDNJ-10
- Lateefah SimonDCA-12
- Laura FriedmanDCA-30
- Laura GillenDNY-4
- Lauren UnderwoodDIL-14
- Linda T. SánchezDCA-38
- Lizzie FletcherDTX-7
- Lloyd DoggettDTX-37
- Lois FrankelDFL-22
- Lori TrahanDMA-3
- Luz M. RivasDCA-29
- Madeleine DeanDPA-4
- Maggie GoodlanderDNH-2
- Marc A. VeaseyDTX-33
- Marcy KapturDOH-9
- Marie Gluesenkamp PerezDWA-3
- Marilyn StricklandDWA-10
- Mark DeSaulnierDCA-10
- Mark PocanDWI-2
- Mark TakanoDCA-39
- Mary Gay ScanlonDPA-5
- Maxine DexterDOR-3
- Maxine WatersDCA-43
- Maxwell FrostDFL-10
- Melanie A. StansburyDNM-1
- Mike LevinDCA-49
- Mike QuigleyDIL-5
- Mike ThompsonDCA-4
- Morgan McGarveyDKY-3
- Nancy PelosiDCA-11
- Nanette Diaz BarragánDCA-44
- Nellie PouDNJ-9
- Nikema WilliamsDGA-5
- Nikki BudzinskiDIL-13
- Norma J. TorresDCA-35
- Nydia M. VelázquezDNY-7
- Patrick RyanDNY-18
- Paul TonkoDNY-20
- Pete AguilarDCA-33
- Pramila JayapalDWA-7
- Raja KrishnamoorthiDIL-8
- Rashida TlaibDMI-12
- Raul RuizDCA-25
- Richard E. NealDMA-1
- Rick LarsenDWA-2
- Ritchie TorresDNY-15
- Ro KhannaDCA-17
- Robert C. "Bobby" ScottDVA-3
- Robert GarciaDCA-42
- Robert MenendezDNJ-8
- Robin L. KellyDIL-2
- Rosa L. DeLauroDCT-3
- Salud O. CarbajalDCA-24
- Sam T. LiccardoDCA-16
- Sanford D. Bishop, Jr.DGA-2
- Sara JacobsDCA-51
- Sarah ElfrethDMD-3
- Sarah McBrideDDE-AL
- Scott H. PetersDCA-50
- Sean CastenDIL-6
- Seth MagazinerDRI-2
- Seth MoultonDMA-6
- Sharice DavidsDKS-3
- Shomari FiguresDAL-2
- Shontel M. BrownDOH-11
- Shri ThanedarDMI-13
- Steny H. HoyerDMD-5
- Stephen F. LynchDMA-8
- Steve CohenDTN-9
- Steven HorsfordDNV-4
- Suhas SubramanyamDVA-10
- Summer L. LeeDPA-12
- Susie LeeDNV-3
- Suzan K. DelBeneDWA-1
- Suzanne BonamiciDOR-1
- Sydney Kamlager-DoveDCA-37
- Sylvia R. GarciaDTX-29
- Ted LieuDCA-36
- Teresa Leger FernandezDNM-3
- Terri A. SewellDAL-7
- Thomas MassieRKY-4
- Thomas R. SuozziDNY-3
- Timothy M. KennedyDNY-26
- Troy A. CarterDLA-2
- Val T. HoyleDOR-4
- Valerie P. FousheeDNC-4
- Veronica EscobarDTX-16
- Vicente GonzalezDTX-34
- Wesley BellDMO-1
- William R. KeatingDMA-9
- Yassamin AnsariDAZ-3
- Yvette D. ClarkeDNY-9
- Zoe LofgrenDCA-18
- Former memberD
- Former memberD
Not voting 6
- Gary J. PalmerRAL-6
- Gregory F. MurphyRNC-3
- Joe CourtneyDCT-2
- Lucy McBathDGA-6
- Steve WomackRAR-3
- Former memberD
“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.