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H.R. 748: Coronavirus Aid, Relief, and Economic Security Act

Jul 17, 2019 at 6:56 p.m. ET. On Motion to Suspend the Rules and Pass, as Amended in the House.

This was a vote to pass H.R. 748 in the House. This vote was taken under a House procedure called “suspension of the rules” which is typically used to pass non-controversial bills. Votes under suspension require a 2/3rds majority. A failed vote under suspension can be taken again.

This is the $2 trillion coronavirus stimulus bill. The bill was introduced on an unrelated matter, but on March 25, 2020, the Senate replaced its text in whole with the stimulus bill. The bill would:

  • Send $1,200 to each American making $75,000 a year or less.
  • Add $600/week to unemployment benefits for four months.
  • Give $100 billion to hospitals and health providers and increases Medicare reimbursements for treating coronavirus.
  • Give $750 million to food banks, to Puerto Rico and the other territories for food assistance, and to programs for food distribution on American Indian reservations.
  • Make $500 billion of loans or investments to businesses, states and municipalities, and $32 billion in grants to the airline industry.
  • Relief for those with federally-backed mortgages.
  • Delay student loan payments

Source: CNN

Prior to the March 25 vote, the bill was the Middle Class Health Benefits Tax Repeal Act of 2019. The text of that bill was enacted as part of H.R. 1865 on Dec. 20, 2019. Our original summary follows:

Middle Class Health Benefits Tax Repeal Act of 2019

With 369 cosponsors, it has the second-most cosponsors of any House bill in this Congress.

Context

2010’s Affordable Care Act, more popularly called Obamacare, included a planned 40% tax provision on any employer-sponsored health insurance plan above $10,200 for an individual or $27,500 for a family. This became known by the nickname “the Cadillac tax,” after the Obama Administration sold it as a tax on only the most expensive companies’ health insurance plans. However, some studies suggested that as many as 82% of plans could face the tax, including middle-class employees like schoolteachers.

As a result, the proposal attracted widespread criticism on both sides of the aisle, with even most Democrats in opposition, although Democrats had reluctantly passed the provision anyway as part of the larger Obamacare law which they mostly supported in its totality. A bipartisan coalition in Congress had more than once repealed the Cadillac tax provision’s implementation. Currently, it’s not scheduled to go into effect until 2022.

What the legislation does

The Middle Class Health Benefits Tax Repeal Act would formally repeal Obamacare’s 40% “Cadillac tax” provision.

The House version was introduced on January 24 as bill number H.R. 748, by Rep. Joe Courtney (D-CT2). The Senate version was introduced a month and a half later on March 6 as bill number S. 684 by Sen. Martin Heinrich (D-NM).

What supporters say

Supporters argue the bill would keep costs down for most Americans on their health insurance, one of the most expensive -- and fastest increasing -- costs of life.

“The American people have made it clear that they want Congress to address the rising cost of health care,” Rep. Courtney said in a press release. “Out of pocket costs are unaffordable for growing numbers of families, even those who have insurance. If the 40% excise tax goes into effect, we know this affordability crisis will dramatically worsen. Actuarial experts have repeatedly warned that this tax will disproportionately and unfairly impact older workers, women, and working families in expensive geographic areas.”

“Eliminating this onerous tax on employees' health coverage will protect important benefits for workers and ensure that businesses and families get a fair deal,” Sen. Heinrich said in a separate press release. “I'm proud to… [lead] this bipartisan effort to ensure millions of middle-class families who rely on employer-based health care aren't unfairly penalized by this tax.”

What opponents say

Opponents counter that the Cadillac tax actually keeps health care costs down, by taxing employer-sponsored plans above a certain level and thus incentivizing containing costs below that threshold.

“The excise tax has a strong policy rationale: it will help slow health care cost growth. In fact, it’s one of the ACA’s most important cost-containment measures,” Senior Fellow Paul N. Van de Water wrote for the nonpartisan Center for Budget and Policy Priorities. “It will discourage employers and employees from buying unusually high-cost health coverage that promotes the excess use of health care.”

“And the Congressional Budget Office (CBO) has concluded it will ‘encourage the dissemination of less costly ways to deliver appropriate medical services,’” Van de Water continued. “In addition, reducing the growth of health insurance premiums will allow for larger wage increases.”

Odds of passage

The bill attained 369 bipartisan cosponsors, 201 Democrats and 168 Republicans. That’s the second-most cosponsors of any House bill this year, behind only the Military Surviving Spouses Equity Act with 371.

The Middle Class Health Benefits Tax Repeal Act passed the House on July 17, by a vote of 419 to 6. The dissenters were three Democrats, two Republicans, and an independent: Reps. Jim Cooper (D-TN5), Ron Kind (D-WI3), Scott Peters (D-CA52), Reps. Andy Harris (R-MD1), Chip Roy (R-TX21, and Justin Amash (I-MI3).

It next goes to the Senate, where it has attracted 42 bipartisan cosponsors, a precisely even mix of 21 Democrats and 21 Republicans.

Though passage seems very likely, it’s not guaranteed. A previous House version also introduced by Rep. Courtney in 2015 attracted a very large 188 cosponsors, 156 Democrats and 32 Republicans, but wasn’t enacted into law.

Totals

All Votes D R I
Yea 99%
 
 
 
419
230
 
189
 
0
 
Nay 1%
 
 
 
6
3
 
2
 
1
 
Not Voting
 
 
 
8
2
 
6
 
0
 

Passed. 2/3 Required. Source: house.gov.

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Study Guide

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You can find answers to most of the questions below here on the vote page. For a guide to understanding the bill this vote was about, see here.

What was the procedure for this vote?

  1. What was this vote on?
  2. Not all votes are meant to pass legislation. In the Senate some votes are not about legislation at all, since the Senate must vote to confirm presidential nominations to certain federal positions.

    This vote is related to a bill. However, that doesn’t necessarily tell you what it is about. Congress makes many decisions in the process of passing legislation, such as on the procedures for debating the bill, whether to change the bill before voting on passage, and even whether to vote on passage at all.

    You can learn more about the various motions used in Congress at EveryCRSReport.com. If you aren’t sure what the House was voting on, try seeing if it’s on this list.

  3. What is the next step after this vote?
  4. Take a look at where this bill is in the legislative process. What might come next? Keep in mind what this specific vote was on, and the context of the bill. Will there be amendments? Will the other chamber of Congress vote on it, or let it die?

    For this question it may help to briefly examine the bill itself.

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  1. What trends do you see in this vote?
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    One tool that will be helpful in answering this question is the cartogram at the top of the page. A cartogram is a stylized map of the United States that shows each district as an identical hexagon. This view allows you to see the how the representatives from each district voted arranged by their geography and colored by their political party. What trends can you see in the cartogram for this vote?

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