U.S. HouseH.R. 4541
EARLY Act Reauthorization
Passed 394–6Bipartisan
What it does: This bill reauthorizes and revises programs of the Centers for Disease Control and Prevention (CDC) that support services and education addressing breast and cervical cancer. The bill reauthorizes through FY2030 and makes changes to the CDC’s National Breast and Cervical Cancer Early Detection Program. (official summary)
Question before the chamber: On Motion to Suspend the Rules and Pass, as Amended
The tally
Yes 394 · No 6 · Not voting 31
Bar: green = yes, brown = no, striped = not voting.
| Party | Yes | No | Not voting |
|---|---|---|---|
| Democrats | 200 | 0 | 12 |
| Republicans | 193 | 6 | 19 |
| Other or unknown party | 1 | 0 | 0 |
Most Democrats voted yes; most Republicans voted yes. 6 members voted against their party’s majority.
Voted against their party’s majority
- Chip RoyRTX-21No
- Elijah CraneRAZ-2No
- Eric BurlisonRMO-7No
- Josh BrecheenROK-2No
- Keith SelfRTX-3No
- Pat HarriganRNC-10No
The full roll (431)
Yes 394
- Aaron BeanRFL-4
- Adam GrayDCA-13
- Adam SmithDWA-9
- Addison P. McDowellRNC-6
- Adelita S. GrijalvaDAZ-7
- Adrian SmithRNE-3
- Adriano EspaillatDNY-13
- Al GreenDTX-9
- Alexandria Ocasio-CortezDNY-14
- Alma S. AdamsDNC-12
- Ami BeraDCA-6
- Analilia MejiaDNJ-11
- André CarsonDIN-7
- Andrea SalinasDOR-6
- Andrew OglesRTN-5
- Andrew R. GarbarinoRNY-2
- Andy BarrRKY-6
- Andy HarrisRMD-1
- Angie CraigDMN-2
- Ann WagnerRMO-2
- April McClain DelaneyDMD-6
- Ashley HinsonRIA-2
- August PflugerRTX-11
- Austin ScottRGA-8
- Ayanna PressleyDMA-7
- Barry LoudermilkRGA-11
- Barry MooreRAL-1
- Becca BalintDVT-AL
- Ben ClineRVA-6
- Bennie G. ThompsonDMS-2
- Beth Van DuyneRTX-24
- Bill FosterDIL-11
- Bill HuizengaRMI-4
- Blake D. MooreRUT-1
- Bonnie Watson ColemanDNJ-12
- Brad FinstadRMN-1
- Brad ShermanDCA-32
- Bradley Scott SchneiderDIL-10
- Brandon GillRTX-26
- Brendan F. BoyleDPA-2
- Brett GuthrieRKY-2
- Brian BabinRTX-36
- Brian J. MastRFL-21
- Brian JackRGA-3
- Brian K. FitzpatrickRPA-1
- Brittany PettersenDCO-7
- Bruce WestermanRAR-4
- Bryan SteilRWI-1
- Burgess OwensRUT-4
- Carlos A. GimenezRFL-28
- Carol D. MillerRWV-1
- Celeste MaloyRUT-2
- Charles J. "Chuck" FleischmannRTN-3
- Chellie PingreeDME-1
- Chris PappasDNH-1
- Chrissy HoulahanDPA-6
- Christian D. MenefeeDTX-18
- Christopher H. SmithRNJ-4
- Christopher R. DeluzioDPA-17
- Chuck EdwardsRNC-11
- Claudia TenneyRNY-24
- Clay FullerRGA-14
- Clay HigginsRLA-3
- Cleo FieldsDLA-6
- 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
- Danny K. DavisDIL-7
- Darin LaHoodRIL-16
- Darrell IssaRCA-48
- Darren SotoDFL-9
- Dave MinDCA-47
- David G. ValadaoRCA-22
- David J. TaylorROH-2
- David KustoffRTN-8
- David P. JoyceROH-14
- David RouzerRNC-7
- David SchweikertRAZ-1
- Debbie DingellDMI-6
- Debbie Wasserman SchultzDFL-25
- Deborah K. RossDNC-2
- Delia C. RamirezDIL-3
- Derek SchmidtRKS-2
- Derek TranDCA-45
- Derrick Van OrdenRWI-3
- Diana DeGetteDCO-1
- Diana HarshbargerRTN-1
- Dina TitusDNV-1
- Don BaconRNE-2
- Donald G. DavisDNC-1
- Donald NorcrossDNJ-1
- Donald S. Beyer, Jr.DVA-8
- Doris O. MatsuiDCA-7
- Dusty JohnsonRSD-AL
- Dwight EvansDPA-3
- Earl L. "Buddy" CarterRGA-1
- Ed CaseDHI-1
- Elise M. StefanikRNY-21
- Emanuel CleaverDMO-5
- Emilia Strong SykesDOH-13
- Emily RandallDWA-6
- Eric A. "Rick" CrawfordRAR-1
- Eric SorensenDIL-17
- Erin HouchinRIN-9
- Eugene Simon VindmanDVA-7
- Frank D. LucasROK-3
- Frank J. MrvanDIN-1
- Frank Pallone, Jr.DNJ-6
- Gabe AmoDRI-1
- Gabe EvansRCO-8
- Gabe VasquezDNM-2
- Gary J. PalmerRAL-6
- George LatimerDNY-16
- George WhitesidesDCA-27
- Gilbert Ray Cisneros, Jr.DCA-31
- Glenn GrothmanRWI-6
- Glenn IveyDMD-4
- Glenn ThompsonRPA-15
- Grace MengDNY-6
- Greg LandsmanDOH-1
- Greg StantonDAZ-4
- Gregory F. MurphyRNC-3
- Gregory W. MeeksDNY-5
- Gus M. BilirakisRFL-12
- Guy ReschenthalerRPA-14
- Gwen MooreDWI-4
- H. Morgan GriffithRVA-9
- Hakeem S. JeffriesDNY-8
- Haley M. StevensDMI-11
- Harold RogersRKY-5
- Harriet M. HagemanRWY-AL
- Henry C. "Hank" Johnson, Jr.DGA-4
- Henry CuellarDTX-28
- Herbert C. Conaway, Jr.DNJ-3
- Hillary J. ScholtenDMI-3
- J. French HillRAR-2
- J. Luis CorreaDCA-46
- Jack BergmanRMI-1
- Jahana HayesDCT-5
- Jake AuchinclossDMA-4
- Jake EllzeyRTX-6
- James A. HimesDCT-4
- James ComerRKY-1
- James GallagherRCA-1
- James P. McGovernDMA-2
- James R. BairdRIN-4
- James R. WalkinshawDVA-11
- Jamie RaskinDMD-8
- Janelle S. BynumDOR-5
- Jared F. GoldenDME-2
- Jared HuffmanDCA-2
- Jared MoskowitzDFL-23
- Jasmine CrockettDTX-30
- Jason CrowDCO-6
- Jason SmithRMO-8
- Jay ObernolteRCA-23
- Jeff CrankRCO-5
- Jeff HurdRCO-3
- Jefferson ShreveRIN-6
- Jefferson Van DrewRNJ-2
- Jennifer A. KiggansRVA-2
- Jennifer L. McClellanDVA-4
- Jerrold NadlerDNY-12
- Jesús G. "Chuy" GarcíaDIL-4
- Jill N. TokudaDHI-2
- Jim CostaDCA-21
- Jim JordanROH-4
- Jimmy GomezDCA-34
- Jimmy PanettaDCA-19
- Jimmy PatronisRFL-1
- Joaquin CastroDTX-20
- Jodey C. ArringtonRTX-19
- Joe CourtneyDCT-2
- Joe NeguseDCO-2
- John B. LarsonDCT-1
- John GaramendiDCA-8
- John H. RutherfordRFL-5
- John J. McGuire IIIRVA-5
- John JoyceRPA-13
- John R. CarterRTX-31
- John R. MoolenaarRMI-2
- 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
- Juan VargasDCA-52
- Judy ChuDCA-28
- Julia BrownleyDCA-26
- Julia LetlowRLA-5
- Julie FedorchakRND-AL
- Julie JohnsonDTX-32
- Kat CammackRFL-3
- Katherine M. ClarkDMA-5
- Kathy CastorDFL-14
- Kelly MorrisonDMN-3
- Ken CalvertRCA-41
- Kevin HernROK-1
- Kevin KileyICA-3
- Kevin MullinDCA-15
- Kim SchrierDWA-8
- Kristen McDonald RivetDMI-8
- Kweisi MfumeDMD-7
- LaMonica McIverDNJ-10
- Lance GoodenRTX-5
- Lateefah SimonDCA-12
- Laura FriedmanDCA-30
- Laura GillenDNY-4
- Laurel M. LeeRFL-15
- Lauren BoebertRCO-4
- Lauren UnderwoodDIL-14
- Linda T. SánchezDCA-38
- Lisa C. McClainRMI-9
- Lizzie FletcherDTX-7
- Lloyd DoggettDTX-37
- Lloyd SmuckerRPA-11
- Lois FrankelDFL-22
- Lucy McBathDGA-6
- Luz M. RivasDCA-29
- Madeleine DeanDPA-4
- Maggie GoodlanderDNH-2
- Marc A. VeaseyDTX-33
- Marcy KapturDOH-9
- Maria Elvira SalazarRFL-27
- Mariannette Miller-MeeksRIA-1
- Marie Gluesenkamp PerezDWA-3
- Marilyn StricklandDWA-10
- Mario Diaz-BalartRFL-26
- Mark AlfordRMO-4
- Mark B. MessmerRIN-8
- Mark DeSaulnierDCA-10
- Mark E. AmodeiRNV-2
- Mark HarrisRNC-8
- Mark PocanDWI-2
- Mark TakanoDCA-39
- Marlin A. StutzmanRIN-3
- Mary E. MillerRIL-15
- Mary Gay ScanlonDPA-5
- Matt Van EppsRTN-7
- Max L. MillerROH-7
- Maxine DexterDOR-3
- Maxine WatersDCA-43
- Maxwell FrostDFL-10
- Melanie A. StansburyDNM-1
- 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 LevinDCA-49
- Mike QuigleyDIL-5
- Mike RogersRAL-3
- Mike ThompsonDCA-4
- Monica De La CruzRTX-15
- Morgan LuttrellRTX-8
- Morgan McGarveyDKY-3
- Nancy PelosiDCA-11
- Nanette Diaz BarragánDCA-44
- Nathaniel MoranRTX-1
- Nellie PouDNJ-9
- Nicholas A. LangworthyRNY-23
- Nicholas J. Begich IIIRAK-AL
- Nick LaLotaRNY-1
- Nicole MalliotakisRNY-11
- Nikema WilliamsDGA-5
- Nikki BudzinskiDIL-13
- Norma J. TorresDCA-35
- Nydia M. VelázquezDNY-7
- Pat FallonRTX-4
- Patrick RyanDNY-18
- Paul TonkoDNY-20
- Pete AguilarDCA-33
- Pete SessionsRTX-17
- Pete StauberRMN-8
- Pramila JayapalDWA-7
- Raja KrishnamoorthiDIL-8
- Randy FeenstraRIA-4
- Randy FineRFL-6
- Randy K. Weber, Sr.RTX-14
- Rashida TlaibDMI-12
- Raul RuizDCA-25
- Richard E. NealDMA-1
- Richard HudsonRNC-9
- Richard McCormickRGA-7
- Rick LarsenDWA-2
- Rick W. AllenRGA-12
- Riley M. MooreRWV-2
- Ritchie TorresDNY-15
- Ro KhannaDCA-17
- Robert B. AderholtRAL-4
- Robert E. LattaROH-5
- Robert F. Onder, Jr.RMO-3
- Robert J. WittmanRVA-1
- Robert MenendezDNJ-8
- Robert P. Bresnahan, Jr.RPA-8
- Robin L. KellyDIL-2
- Roger WilliamsRTX-25
- Ron EstesRKS-4
- Ronny JacksonRTX-13
- Rosa L. DeLauroDCT-3
- Rudy Yakym IIIRIN-2
- Russ FulcherRID-1
- Ryan K. ZinkeRMT-1
- Ryan MackenzieRPA-7
- Salud O. CarbajalDCA-24
- Sam T. LiccardoDCA-16
- Sanford D. Bishop, Jr.DGA-2
- Sara JacobsDCA-51
- Sarah ElfrethDMD-3
- Sarah McBrideDDE-AL
- Scott DesJarlaisRTN-4
- Scott FitzgeraldRWI-5
- Scott FranklinRFL-18
- Scott H. PetersDCA-50
- Scott PerryRPA-10
- Sean CastenDIL-6
- Seth MagazinerDRI-2
- Sharice DavidsDKS-3
- Sheri BiggsRSC-3
- Shomari FiguresDAL-2
- Shontel M. BrownDOH-11
- Shri ThanedarDMI-13
- Steny H. HoyerDMD-5
- Stephanie I. BiceROK-5
- Stephen F. LynchDMA-8
- Steve CohenDTN-9
- Steve ScaliseRLA-1
- Steve WomackRAR-3
- 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 H. Kean, Jr.RNJ-7
- Thomas P. TiffanyRWI-7
- Thomas R. SuozziDNY-3
- Tim BurchettRTN-2
- Tim MooreRNC-14
- Tim WalbergRMI-5
- Timothy M. KennedyDNY-26
- Tom BarrettRMI-7
- Tom ColeROK-4
- Tom EmmerRMN-6
- Tom McClintockRCA-5
- Tony WiedRWI-8
- Tracey MannRKS-1
- Trent KellyRMS-1
- Troy A. CarterDLA-2
- Troy BaldersonROH-12
- Troy E. NehlsRTX-22
- Val T. HoyleDOR-4
- Valerie P. FousheeDNC-4
- Veronica EscobarDTX-16
- Vicente GonzalezDTX-34
- Victoria SpartzRIN-5
- Vince FongRCA-20
- Virginia FoxxRNC-5
- W. Gregory SteubeRFL-17
- Warren DavidsonROH-8
- Wesley BellDMO-1
- Wesley HuntRTX-38
- William R. KeatingDMA-9
- William R. Timmons IVRSC-4
- Yassamin AnsariDAZ-3
- Young KimRCA-40
- Yvette D. ClarkeDNY-9
- Zachary NunnRIA-3
- Zoe LofgrenDCA-18
No 6
- Chip RoyRTX-21
- Elijah CraneRAZ-2
- Eric BurlisonRMO-7
- Josh BrecheenROK-2
- Keith SelfRTX-3
- Pat HarriganRNC-10
Not voting 31
- Abraham J. HamadehRAZ-8
- Andrew S. ClydeRGA-9
- Andy BiggsRAZ-5
- Anna Paulina LunaRFL-13
- Betty McCollumDMN-4
- Brad KnottRNC-13
- Byron DonaldsRFL-19
- Daniel S. GoldmanDNY-10
- Frederica S. WilsonDFL-24
- Greg CasarDTX-35
- Ilhan OmarDMN-5
- James E. ClyburnDSC-6
- Janice D. SchakowskyDIL-9
- Joe WilsonRSC-2
- John JamesRMI-10
- John W. RoseRTN-6
- Joyce BeattyDOH-3
- Juan CiscomaniRAZ-6
- Lori TrahanDMA-3
- Nancy MaceRSC-1
- Neal P. DunnRFL-2
- Paul A. GosarRAZ-9
- Ralph NormanRSC-5
- Robert C. "Bobby" ScottDVA-3
- Robert GarciaDCA-42
- Russell FryRSC-7
- Sam GravesRMO-6
- Seth MoultonDMA-6
- Thomas MassieRKY-4
- Troy DowningRMT-2
- Vern BuchananRFL-16
“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.