H.R.4250 by gingrich (r-ga) -- patient protection act of 1998 (house rejected the dingell amendment in the nature of a substitute that sought to establish stand

On Jul 24, 1998, the House voted 212–217 on “On Agreeing to the Amendment” (HR 4250). Result: Failed. By party: Republicans 10–217, Democrats 201–0, Independents 1–0. It was a party-line vote: most Democrats and most Republicans voted on opposite sides. 10 members voted against their own party.

During the 105th Congress (1997–1998), Bill Clinton was president, and Republicans held majorities in both the House and Senate.

Result: Failed
Yes: 212
No: 217
Did not vote: 15
Date: Jul 24, 1998

By party

Republicans10 yes · 217 no · 4 didn’t vote
Democrats201 yes · 0 no · 11 didn’t vote
Independents1 yes · 0 no

Who broke with their party

John Stephen (Steve) Horn R-CA voted yes
Brian P. Bilbray R-CA voted yes
James Albert Smith Leach R-IA voted yes
Greg Ganske R-IA voted yes
Constance A. Morella R-MD voted yes
Margaret Scafati Roukema R-NJ voted yes
Michael Patrick Forbes R-NY voted yes
Sherwood Louis Boehlert R-NY voted yes
Steven C. Latourette R-OH voted yes
Jon D. Fox R-PA voted yes

How each representative voted: Yes

How each representative voted: No

Did not vote

Other votes

From Voteview roll call records.

Cite or embed this page

Capitol Receipts, “H.R.4250 by gingrich (r-ga) -- patient…: House Vote, Jul 24, 1998,” https://www.capitolreceipts.com/vote/105-H-959/h-r-4250-by-gingrich-r-ga-patient-protection (accessed 2026-10-17).