H.R. 1868
117th Congress
House
To prevent across-the-board direct spending cuts, and for other purposes.
Health
Budget deficits and national debtBudget processCardiovascular and respiratory healthChild health
More subjectsShow fewer subjects
Emergency medical services and trauma careHealth care costs and insuranceHealth facilities and institutionsHealth programs administration and fundingHospital careInfectious and parasitic diseasesMedicaidMedicarePoverty and welfare assistanceRural conditions and developmentUnemployment
Everywhere this bill has been
26 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 14, 2021
Became Public Law No: 117-7.
Apr 14, 2021
Signed by President.
Apr 14, 2021
Presented to President.
Apr 13, 2021
Resolving differences -- House actions: On 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)
Apr 13, 2021
Motion to reconsider laid on the table Agreed to without objection.
Apr 13, 2021
DEBATE - 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.
Apr 13, 2021
Mr. Yarmuth moved that the House suspend the rules and concur in the Senate amendment. (consideration: CR H1729-1733)
Mar 26, 2021
Message on Senate action sent to the House.
Mar 25, 2021
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 31.
Mar 25, 2021
Passed 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)
Mar 25, 2021
Passed/agreed to in Senate: Passed 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)
Mar 25, 2021
Measure laid before Senate by unanimous consent. (consideration: CR S1800-1804)
Mar 24, 2021
Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
Mar 22, 2021
Received in the Senate.
Mar 19, 2021
Motion to reconsider laid on the table Agreed to without objection.
Mar 19, 2021
On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96). (text: CR H1589-1590)
Mar 19, 2021
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.
Mar 19, 2021
On motion to recommit Failed by the Yeas and Nays: 202 - 216 (Roll no. 95).
Mar 19, 2021
Mr. Smith (MO) moved to recommit to the Committee on the Budget. (text: CR H1598-1600)
Mar 19, 2021
The previous question was ordered pursuant to the rule.
Mar 19, 2021
DEBATE - The House proceeded with one hour of debate on H.R. 1868.
Mar 19, 2021
Considered under the provisions of rule H. Res. 233. (consideration: CR H1589-1601)
Mar 16, 2021
Rules 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.
Mar 16, 2021
Referred to the Subcommittee on Health.
Mar 12, 2021
Referred 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.
Mar 12, 2021
Introduced in House
Votes taken on this bill
4
| Date | Chamber | What was voted on | Result | Yes–No | |
|---|---|---|---|---|---|
| Apr 13, 2021 | House · vote #98 | On Motion to Suspend the Rules and Concur in the Senate Amendment | Passed | 384–38 | See who voted → |
| Mar 25, 2021 | Senate · vote #142 | On Passage of the Bill H.R. 1868 | Passed | 90–2 | See who voted → |
| Mar 19, 2021 | House · vote #96 | On Passage | Passed | 246–175 | See who voted → |
| Mar 19, 2021 | House · vote #95 | On Motion to Recommit | Failed | 202–216 | See who voted → |
Amendments to this bill
2
Amendments propose changes to this bill. Members vote on amendments separately before the final bill vote. An agreed amendment becomes part of the bill; a failed amendment does not.
1 agreed to 1 failed
| Amendment | Sponsor | Status |
|---|---|---|
| SAMDT 1,411 | Scott, Rick | Failed |
| SAMDT 1,410 | Shaheen, Jeanne | Agreed to |
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Latest action
Became Public Law No: 117-7.
Plain-English summary
This bill makes several budgetary and technical changes to provisions under Medicare and Medicaid.
The bill 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
- applies certain modified payment limits to rural health clinics that temporarily enrolled in Medicare during the public health emergency relating to COVID-19 (i.e., coronavirus disease 2019) 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.
Related & companion bills
3
Bill text
6 versions
- Engrossed Amendment Senate Formatted Text PDF Formatted XML
- Engrossed in House Formatted Text PDF Formatted XML
- Enrolled Bill Formatted Text PDF Formatted XML
- Introduced in House Formatted Text PDF Formatted XML
- Placed on Calendar Senate Formatted Text PDF Formatted XML
- Public Law Formatted Text PDF United States Legislative Markup
Committees of jurisdiction
4
Cite this page
U.S. Congress. (2026). H.R. 1868: To prevent across-the-board direct spending cuts, and for other purposes.. 117th Congress. Open America. https://openamerica.io/bill/117-HR-1868/
"H.R. 1868: To prevent across-the-board direct spending cuts, and for other purposes.." 117th Congress, 2026, Open America, https://openamerica.io/bill/117-HR-1868/.
H.R. 1868, 117th Cong. (2026), https://openamerica.io/bill/117-HR-1868/.
[H.R. 1868: To prevent across-the-board direct spending cuts, and for other purposes.](https://openamerica.io/bill/117-HR-1868/)