IV 
118TH CONGRESS 
1ST SESSION 
H. RES. 122 
Expressing support for States to expand Medicaid under the Affordable Care 
Act to close the Medicaid coverage gap. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 10, 2023 
Mr. DAVIS of North Carolina (for himself, Mr. COHEN, Mr. JOHNSON of Geor-
gia, Mr. DOGGETT, Mr. VICENTE GONZALEZ of Texas, Mr. ALLRED, Mr. 
THOMPSON of Mississippi, and Ms. ROSS) submitted the following resolu-
tion; which was referred to the Committee on Energy and Commerce 
RESOLUTION 
Expressing support for States to expand Medicaid under 
the Affordable Care Act to close the Medicaid coverage gap. 
Whereas more than 2,200,000 low-income, uninsured adults 
fall into the Medicaid coverage gap because State govern-
ments have been unable to reach a consensus on expan-
sion; 
Whereas closing the Medicaid coverage gap will reduce the 
national uninsured rate by nearly 10 percent; 
Whereas closing the Medicaid coverage gap will generate up-
ward of $5,000,000,000 in revenue for State and local 
governments and nearly $130,000,000,000 for the Fed-
eral Government to reinvest in our communities; 
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•HRES 122 IH 
Whereas closing the Medicaid coverage gap will prevent hos-
pital closures, particularly in rural areas that have seen 
more than 150 hospital closures in the last decade; 
Whereas hospitals were 6 times less likely to close in States 
that expanded Medicaid between 2008 and 2016; 
Whereas financial margins for hospitals improved by 33 per-
cent because uncompensated care spending dropped fol-
lowing Medicaid expansion in the first 36 States to adopt 
it; 
Whereas 39 States governed by both Democratic and Repub-
lican elected officials have already adopted Medicaid ex-
pansion; 
Whereas it is unreasonable to expect an individual earning 
less than $13,000 per year to afford health insurance, re-
gardless of employment status; 
Whereas 1 American who falls into the Medicaid coverage 
gap dies per day without access to lifesaving health care; 
Whereas communities of color have been disproportionately 
disadvantaged by the failure to expand Medicaid and 
close the coverage gap; and 
Whereas Congress has a responsibility to provide accessible, 
high-quality health care to all Americans regardless of so-
cioeconomic status: Now, therefore, be it 
Resolved, That the House of Representatives— 
(1) urges the remaining 11 States that have yet 
to expand Medicaid and close the Medicaid coverage 
gap to do so; 
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•HRES 122 IH 
(2) expresses support for H.R. 31, the COVER 
Now Act, as a temporary measure to close the Med-
icaid coverage gap; 
(3) recognizes the economic and health care 
benefits of expanding Medicaid for hospitals, health 
care workers, the low-income, nonelderly, uninsured 
population in the coverage gap, and the labor mar-
ket; and 
(4) will support the cause of expanding Med-
icaid to uninsured Americans in the coverage gap 
unless and until the 11 nonexpansion States move 
forward with expansion. 
Æ 
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