Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act

On Dec 11, 2018, the House voted 400–11 on “On Motion to Suspend the Rules and Pass” (HR 7217). Result: Passed. By party: Republicans 212–11, Democrats 188–0. It was a bipartisan vote: majorities of both parties voted yes. 11 members voted against their own party.

During the 115th Congress (2017–2018), Donald Trump was president, and Republicans held majorities in both the House and Senate.

Result: Passed
Yes: 400
No: 11
Did not vote: 39
Date: Dec 11, 2018

By party

Republicans212 yes · 11 no · 27 didn’t vote
Democrats188 yes · 0 no · 12 didn’t vote

Who broke with their party

Mo Brooks R-AL voted no
Paul Gosar R-AZ voted no
Andrew S. Biggs R-AZ voted no
Matthew L. II Gaetz R-FL voted no
Francis Rooney R-FL voted no
Jody Brownlow Hice R-GA voted no
Raúl R. Labrador R-ID voted no
Thomas Massie R-KY voted no
Andy Harris R-MD voted no
Justin Amash R-MI voted no
Thomas Alexander Jr. Garrett R-VA voted no

How each representative voted: Yes

Donald Edwin Young R-AK
Bradley Byrne R-AL
Martha Roby R-AL
Mike Dennis Rogers R-AL
Robert Aderholt R-AL
Gary James Palmer R-AL
Terri Sewell D-AL
Rick Crawford R-AR
French Hill R-AR
Steve Womack R-AR
Bruce Westerman R-AR
Thomas C. O'Halleran D-AZ
Martha Mcsally R-AZ
Raúl M. Grijalva D-AZ
David Schweikert R-AZ
Ruben Gallego D-AZ
Debbie Lesko R-AZ
Kyrsten Sinema D-AZ
Doug Lamalfa R-CA
Jared Huffman D-CA
John Garamendi D-CA
Tom Mcclintock R-CA
Michael Thompson D-CA
Doris Matsui D-CA
Ami Bera D-CA
Paul Cook R-CA
Jerry Mcnerney D-CA
Jeff Denham R-CA
Mark James Desaulnier D-CA
Nancy Pelosi D-CA
Barbara Lee D-CA
Karen Lorraine Jacqueline (Jackie) Speier D-CA
Eric Swalwell D-CA
Ro Khanna D-CA
Anna Georges Eshoo D-CA
Zoe Lofgren D-CA
James Varni Panetta D-CA
David G. Valadao R-CA
Devin Nunes R-CA
Kevin Mccarthy R-CA
Salud Carbajal D-CA
Julia Brownley D-CA
Judy Chu D-CA
Adam Schiff D-CA
Tony Cárdenas D-CA
Brad Sherman D-CA
Peter Rey Aguilar D-CA
Grace Flores Napolitano D-CA
Ted Lieu D-CA
Jimmy Gomez D-CA
Norma Judith Torres D-CA
Raul Ruiz D-CA
Karen Bass D-CA
Linda T. Sánchez D-CA
Edward Randall Royce R-CA
Lucille Roybal-Allard D-CA
Mark Takano D-CA
Ken Calvert R-CA
Maxine Waters D-CA
Nanette Diaz Barragán D-CA
Jose Luis Correa D-CA
Alan Lowenthal D-CA
Dana Rohrabacher R-CA
Darrell Issa R-CA
Duncan Duane Hunter R-CA
Juan Vargas D-CA
Susan A. Davis D-CA
Diana Degette D-CO
Scott Tipton R-CO
Kenneth Robert Buck R-CO
Doug Lamborn R-CO
Mike Coffman R-CO
Ed Perlmutter D-CO
John B. Larson D-CT
Joe Courtney D-CT
Rosa L. Delauro D-CT
James A. Himes D-CT
Elizabeth Esty D-CT
Lisa Blunt Rochester D-DE
Neal Patrick Dunn R-FL
Ted Yoho R-FL
John Henry Rutherford R-FL
Alfred Jr. Lawson D-FL
Stephanie Murphy D-FL
Bill Posey R-FL
Darren Michael Soto D-FL
Valdez Demings D-FL
Daniel A. Webster R-FL
Gus Bilirakis R-FL
Charlie Joseph Crist Jr. D-FL
Kathy Castor D-FL
Brian Jeffrey Mast R-FL
Alcee Lamar Hastings D-FL
Lois Frankel D-FL
Theodore E. (Ted) Deutch D-FL
Debbie Wasserman Schultz D-FL
Frederica Wilson D-FL
Mario Diaz-Balart R-FL
Ileana Ros-Lehtinen R-FL
Buddy Carter R-GA
Sanford Dixon Bishop Jr. D-GA
Anderson Drew IV Ferguson R-GA
Hank Johnson D-GA
John R. Lewis D-GA
Karen Handel R-GA
Rob Woodall R-GA
Austin Scott R-GA
Doug Collins R-GA
Barry D. Loudermilk R-GA
Rick W. Allen R-GA
David Scott D-GA
Tom Graves R-GA
Colleen Hanabusa D-HI
Tulsi Gabbard D-HI
Rod Blum R-IA
Dave Loebsack D-IA
David Young R-IA
Steve King R-IA
Michael K. Simpson R-ID
Bobby L. Rush D-IL
Robin L. Kelly D-IL
Daniel Lipinski D-IL
Luis V. Gutiérrez D-IL
Mike Quigley D-IL
Peter Roskam R-IL
Danny K. Davis D-IL
S. Raja Krishnamoorthi D-IL
Janice D. Schakowsky D-IL
Brad Schneider D-IL
Bill Foster D-IL
Mike Bost R-IL
Rodney Davis R-IL
Randy Hultgren R-IL
John M. Shimkus R-IL
Adam Kinzinger R-IL
Cheri Bustos D-IL
Darin Lahood R-IL
Peter Visclosky D-IN
Jackie Walorski R-IN
James E. Banks R-IN
Todd Rokita R-IN
Susan Brooks R-IN
Luke Messer R-IN
André Carson D-IN
Larry Bucshon R-IN
Joseph Albert III Hollingsworth R-IN
Roger Wayne Marshall R-KS
Kevin Yoder R-KS
Ron Estes R-KS
James Comer R-KY
Brett Guthrie R-KY
John Yarmuth D-KY
Harold Dallas (Hal) Rogers R-KY
Garland H. (Andy) Barr IV R-KY
Steve Scalise R-LA
Cedric Richmond D-LA
Clay Higgins R-LA
Mike Johnson R-LA
Ralph Abraham R-LA
Garret Graves R-LA
Richard Edmund Neal D-MA
James P. Mcgovern D-MA
Nicola S. (Niki) Tsongas D-MA
Joseph P. III Kennedy D-MA
Katherine M. Clark D-MA
Seth Moulton D-MA
Michael Everett Capuano D-MA
Stephen F. Lynch D-MA
C. A. Dutch Ruppersberger D-MD
John Sarbanes D-MD
Anthony Gregory Brown D-MD
Steny Hamilton Hoyer D-MD
John Delaney D-MD
Elijah Eugene Cummings D-MD
Jamie Ben Raskin D-MD
Chellie Pingree D-ME
Bruce Lee Poliquin R-ME
John Bergman R-MI
Bill Huizenga R-MI
John Moolenaar R-MI
Dan Kildee D-MI
Frederick Stephen Upton R-MI
Tim Walberg R-MI
Sander Martin Levin D-MI
Paul Mitchell R-MI
David A. Trott R-MI
Debbie Dingell D-MI
Brenda Jones D-MI
Brenda L Lawrence D-MI
Jason Mark Lewis R-MN
Erik Paulsen R-MN
Betty Mccollum D-MN
Thomas Earl Emmer II R-MN
Collin Clark Peterson D-MN
Richard Michael Nolan D-MN
William Lacy Clay Jr. D-MO
Ann Wagner R-MO
Blaine Luetkemeyer R-MO
Emanuel Cleaver II D-MO
Samuel Graves R-MO
Billy Long R-MO
Jason Smith R-MO
Trent Kelly R-MS
Bennie Thompson D-MS
Gregg Harper R-MS
Steven Palazzo R-MS
Greg Gianforte R-MT
George Kenneth Butterfield Jr. (G.K.) D-NC
George E.B. Holding R-NC
David Eugene Price D-NC
Virginia Ann Foxx R-NC
Bradley Mark Walker R-NC
David Rouzer R-NC
Richard Hudson R-NC
Patrick T. Mchenry R-NC
Mark Meadows R-NC
Alma Adams D-NC
Theodore Paul Budd R-NC
Kevin Cramer R-ND
Jeff Fortenberry R-NE
Donald J. Bacon R-NE
Adrian Smith R-NE
Carol Shea-Porter D-NH
Ann McLane Kuster D-NH
Donald Norcross D-NJ
Frank A. Lobiondo R-NJ
Thomas Charles Macarthur R-NJ
Christopher Henry Smith R-NJ
Josh S. Gottheimer D-NJ
Frank Pallone Jr. D-NJ
Leonard Lance R-NJ
Albio Sires D-NJ
William J. Pascrell Jr. D-NJ
Donald Payne Jr. D-NJ
Rodney P. Frelinghuysen R-NJ
Bonnie Watson Coleman D-NJ
Michelle Lujan Grisham D-NM
Stevan Pearce R-NM
Ben Ray Luján D-NM
Alice (Dina) Titus D-NV
Mark E. Amodei R-NV
Jacklyn Sheryl Rosen D-NV
Ruben Jesus Kihuen D-NV
Lee M Zeldin R-NY
Peter T. King R-NY
Thomas Suozzi D-NY
Kathleen Maura Rice D-NY
Gregory W. Meeks D-NY
Grace Meng D-NY
Nydia M. Velázquez D-NY
Hakeem Jeffries D-NY
Yvette Diane Clarke D-NY
Jerrold Lewis Nadler D-NY
Daniel M. Donovan Jr. R-NY
Carolyn Bosher Maloney D-NY
Adriano J. Espaillat D-NY
Joseph Crowley D-NY
José E. Serrano D-NY
Eliot Lance Engel D-NY
Nita M. Lowey D-NY
Sean Patrick Maloney D-NY
John J. Faso R-NY
Paul Tonko D-NY
Elise M. Stefanik R-NY
Claudia Tenney R-NY
Thomas W. Reed II R-NY
John Katko R-NY
Joseph Morelle D-NY
Brian Higgins D-NY
Chris Collins R-NY
Steve Chabot R-OH
Brad Wenstrup R-OH
Joyce Beatty D-OH
Jim Jordan R-OH
Robert E. Latta R-OH
Bill Johnson R-OH
Bob Gibbs R-OH
Warren Davidson R-OH
Marcia Carolyn (Marcy) Kaptur D-OH
Michael R. Turner R-OH
Marcia L. Fudge D-OH
Troy Balderson R-OH
Timothy J. Ryan D-OH
David Joyce R-OH
Steve Stivers R-OH
Jim Renacci R-OH
Kevin Hern R-OK
Markwayne Mullin R-OK
Frank D. Lucas R-OK
Tom Cole R-OK
Steve Russell R-OK
Suzanne Bonamici D-OR
Greg Walden R-OR
Earl Blumenauer D-OR
Kurt Schrader D-OR
Robert A. Brady D-PA
Dwight Evans D-PA
Mike Kelly R-PA
Scott Perry R-PA
Glenn Thompson R-PA
Ryan Costello R-PA
Mary Gay Scanlon D-PA
Brian K. Fitzpatrick R-PA
William (Bill) Shuster R-PA
Thomas A. Marino R-PA
Lou Barletta R-PA
Keith Rothfus R-PA
Brendan Francis Boyle D-PA
Michael F. Doyle D-PA
Susan Wild D-PA
Lloyd K. Smucker R-PA
Matt Cartwright D-PA
Conor Lamb D-PA
David N. Cicilline D-RI
James Langevin D-RI
Mark Sanford R-SC
Joe Wilson R-SC
Jeff Duncan R-SC
Trey Gowdy R-SC
Ralph Norman R-SC
James Enos Clyburn D-SC
Tom Rice R-SC
David P. (Phil) Roe R-TN
John J. Duncan Jr. R-TN
Chuck Fleischmann R-TN
Scott Desjarlais R-TN
James Hayes Shofner Cooper D-TN
Diane Black R-TN
Marsha Blackburn R-TN
David Kustoff R-TN
Stephen Cohen D-TN
Louie Gohmert R-TX
Ted Poe R-TX
Sam Johnson R-TX
John Ratcliffe R-TX
Jeb Hensarling R-TX
Joe Linus Barton R-TX
John Culberson R-TX
Kevin Patrick Brady R-TX
Al Green D-TX
Michael T. Mccaul R-TX
K. Michael Conaway R-TX
Kay Granger R-TX
William McClellan (Mac) Thornberry R-TX
Randy Weber R-TX
Vicente Gonzalez Jr. D-TX
Beto O'Rourke D-TX
Bill Flores R-TX
Sheila Jackson Lee D-TX
Jodey Cook Arrington R-TX
Joaquin Castro D-TX
Lamar Seeligson Smith R-TX
Pete Olson R-TX
William Ballard Hurd R-TX
Kenny Marchant R-TX
Roger Williams R-TX
Michael C. Burgess R-TX
Michael Cloud R-TX
Henry Cuellar D-TX
Raymond Eugene (Gene) Green D-TX
Eddie Bernice Johnson D-TX
John R. Carter R-TX
Pete Sessions R-TX
Marc Veasey D-TX
Filemon Vela D-TX
Brian Babin R-TX
Robert (Rob) Bishop R-UT
Chris Stewart R-UT
John R. Curtis R-UT
Ludmya Bourdeau (Mia) Love R-UT
Robert J. Wittman R-VA
Scott William Taylor R-VA
Robert C. Scott D-VA
Aston Donald Mceachin D-VA
Robert William Goodlatte R-VA
David A. Brat R-VA
H. Morgan Griffith R-VA
Barbara J. Comstock R-VA
Gerald E. (Gerry) Connolly D-VA
Peter Welch D-VT
Suzan K. Delbene D-WA
Richard Ray (Rick) Larsen D-WA
Jaime Herrera Beutler R-WA
Daniel Milton Newhouse R-WA
Cathy Mcmorris Rodgers R-WA
Derek Kilmer D-WA
Pramila Jayapal D-WA
David G. Reichert R-WA
Adam Smith D-WA
Denny Heck D-WA
Mark Pocan D-WI
Ron Kind D-WI
Gwendolynne S. (Gwen) Moore D-WI
Frank James Sensenbrenner Jr. R-WI
Glenn Grothman R-WI
Sean Duffy R-WI
Michael Gallagher R-WI
David Mckinley R-WV
Alex X. Mooney R-WV
Liz Cheney R-WY

How each representative voted: No

Did not vote

Other votes

From Voteview roll call records.

Cite or embed this page

Capitol Receipts, “Improving Medicaid Programs and…: House Vote, Dec 11, 2018,” https://www.capitolreceipts.com/vote/115-H-1135/improving-medicaid-programs-and-opportunities-for-eligible-beneficiari (accessed 2026-10-17).