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House roll call 648 · 108th Congress · Nov 20, 2003

Medicare Prescription Drug and Modernization Act

On Nov 20, 2003, the House voted 201–222 on “On Motion to Instruct Conferees” (HR 1). Result: Failed. By party: Republicans 3–219, Democrats 197–3, Independents 1–0. It was a party-line vote: most Democrats and most Republicans voted on opposite sides. 6 members voted against their own party.

During the 108th Congress (2003–2004), George W. Bush was president, and Republicans held majorities in both the House and Senate.

Result
Failed
Yes
201
No
222
Did not vote
17
Date
Nov 20, 2003

By party

  • Republicans3 yes · 219 no · 9 didn’t vote
  • Democrats197 yes · 3 no · 8 didn’t vote
  • Independents1 yes · 0 no

Who broke with their party

The bill

H.R. 1: Medicare Prescription Drug, Improvement, and Modernization Act of 2003

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, “Medicare Prescription Drug and Modernization…: House Vote, Nov 20…,” https://www.capitolreceipts.com/vote/108-H-648/medicare-prescription-drug-and-modernization-act (accessed 2026-10-17).