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Public Law117th CongressHealth
H.R. 1868Became Law

To prevent across-the-board direct spending cuts, and for other purposes.

This bill became law

Filed
Comm.
Floor
Both
Law

What it doesSummary public law (Apr 14, 2021)

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.

What just happenedApr 14, 2021

Became Public Law No: 117-7.

Who’s behind it

Rep. Yarmuth, John A. [D-KY-3](D-KY)Sponsor
7 cosponsors7 D
Read on Congress.gov
7cosponsors3committees34actions2amendments3related bills15subjects
  1. Apr 14, 2021President

    Became Public Law No: 117-7.

  2. Apr 14, 2021BecameLaw36000

    Became Public Law No: 117-7.

  3. Apr 14, 2021President

    Signed by President.

  4. Apr 14, 2021BecameLaw36000

    Signed by President.

  5. Apr 14, 2021Floor

    Presented to President.

  6. Apr 14, 2021President28000

    Presented to President.

  7. Apr 13, 2021ResolvingDifferencesH41931

    Motion to reconsider laid on the table Agreed to without objection.

  8. Apr 13, 2021ResolvingDifferencesH41610

    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)

  9. Apr 13, 2021NotUsed19500

    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)

  10. Apr 13, 2021FloorH8D000

    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.

  11. Apr 13, 2021ResolvingDifferencesH40140

    Mr. Yarmuth moved that the House suspend the rules and concur in the Senate amendment. (consideration: CR H1729-1733)

  12. Mar 26, 2021Floor

    Message on Senate action sent to the House.

  13. Mar 25, 2021Floor

    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)

  14. Mar 25, 2021Floor17000

    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)

  15. Mar 25, 2021Floor

    Measure laid before Senate by unanimous consent. (consideration: CR S1800-1804)

  16. Mar 25, 2021Calendars

    Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 31.

  17. Mar 24, 2021Calendars

    Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

  18. Mar 22, 2021IntroReferral

    Received in the Senate.

  19. Mar 19, 2021FloorH38310

    Motion to reconsider laid on the table Agreed to without objection.

  20. Mar 19, 2021FloorH37100

    On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96). (text: CR H1589-1590)

  21. Mar 19, 2021Floor8000

    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96).(text: CR H1589-1590)

  22. Mar 19, 2021FloorH36210

    On motion to recommit Failed by the Yeas and Nays: 202 - 216 (Roll no. 95).

    Budget Committee
  23. Mar 19, 2021FloorH36200

    Mr. Smith (MO) moved to recommit to the Committee on the Budget. (text: CR H1598-1600)

    Budget Committee
  24. Mar 19, 2021FloorH35000

    The previous question was ordered pursuant to the rule.

  25. Mar 19, 2021FloorH8D000

    DEBATE - The House proceeded with one hour of debate on H.R. 1868.

  26. Mar 19, 2021FloorH8D000

    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.

  27. Mar 19, 2021FloorH30000

    Considered under the provisions of rule H. Res. 233. (consideration: CR H1589-1601)

  28. Mar 16, 2021FloorH1L210

    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.

  29. Mar 16, 2021Committee

    Referred to the Subcommittee on Health.

    Health Subcommittee
  30. Mar 12, 2021IntroReferralH11100

    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.

    Ways and Means Committee
  31. Mar 12, 2021IntroReferralH11100

    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.

    Energy and Commerce Committee
  32. Mar 12, 2021IntroReferralH11100

    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.

    Budget Committee
  33. Mar 12, 2021IntroReferralIntro-H

    Introduced in House

  34. Mar 12, 2021IntroReferral1000

    Introduced in House

Public LawApr 14, 202149

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.
House agreed to Senate amendmentApr 13, 202159

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.
Passed SenateMar 25, 202155

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.
Passed HouseMar 19, 202153

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.
Introduced in HouseMar 12, 2021

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.