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

Bill: 117-hr-1868
Sponsor: Rep. Yarmuth, John A. [D-KY-3]
Introduced: 2021-03-12 in the House
Policy area: Health
Subjects: Budget deficits and national debt
Budget process
Cardiovascular and respiratory health
Child health
Emergency medical services and trauma care
Health care costs and insurance
Health facilities and institutions
Health programs administration and funding
Hospital care
Infectious and parasitic diseases
Medicaid
Medicare
Poverty and welfare assistance
Rural conditions and development
Unemployment

Summary:
action_date: 2021-03-12
text: 
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.
 

action_date: 2021-03-19
text: 
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.
 

action_date: 2021-03-25
text: 
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.
 

action_date: 2021-04-13
text: 
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.
 

action_date: 2021-04-14
text: 
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.
 


Legislative actions:
action_date: 2021-04-14
text: Became Public Law No: 117-7.
action_date: 2021-04-14
text: Became Public Law No: 117-7.
action_date: 2021-04-14
text: Signed by President.
action_date: 2021-04-14
text: Signed by President.
action_date: 2021-04-14
text: Presented to President.
action_date: 2021-04-14
text: Presented to President.
action_date: 2021-04-13
text: Motion to reconsider laid on the table Agreed to without objection.
action_date: 2021-04-13
text: 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)
action_date: 2021-04-13
text: 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)
action_date: 2021-04-13
text: 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.
action_date: 2021-04-13
text: Mr. Yarmuth moved that the House suspend the rules and concur in the Senate amendment. (consideration: CR H1729-1733)
action_date: 2021-03-26
text: Message on Senate action sent to the House.
action_date: 2021-03-25
text: 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)
action_date: 2021-03-25
text: 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)
action_date: 2021-03-25
text: Measure laid before Senate by unanimous consent. (consideration: CR S1800-1804)
action_date: 2021-03-25
text: Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 31.
action_date: 2021-03-24
text: Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
action_date: 2021-03-22
text: Received in the Senate.
action_date: 2021-03-19
text: Motion to reconsider laid on the table Agreed to without objection.
action_date: 2021-03-19
text: On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96). (text: CR H1589-1590)
action_date: 2021-03-19
text: Passed/agreed to in House: On passage Passed by the Yeas and Nays: 246 - 175 (Roll no. 96).(text: CR H1589-1590)
action_date: 2021-03-19
text: On motion to recommit Failed by the Yeas and Nays: 202 - 216 (Roll no. 95).
action_date: 2021-03-19
text: Mr. Smith (MO) moved to recommit to the Committee on the Budget. (text: CR H1598-1600)
action_date: 2021-03-19
text: The previous question was ordered pursuant to the rule.
action_date: 2021-03-19
text: DEBATE - The House proceeded with one hour of debate on H.R. 1868.
action_date: 2021-03-19
text: 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.
action_date: 2021-03-19
text: Considered under the provisions of rule H. Res. 233. (consideration: CR H1589-1601)
action_date: 2021-03-16
text: 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.
action_date: 2021-03-16
text: Referred to the Subcommittee on Health.
action_date: 2021-03-12
text: 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.
action_date: 2021-03-12
text: 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.
action_date: 2021-03-12
text: 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.
action_date: 2021-03-12
text: Introduced in House
action_date: 2021-03-12
text: Introduced in House

Enacted as: number: 117-7