State Offices of Rural Health Reauthorization Act

On Dec 19, 2018, the House voted 357–4 on “On Motion to Suspend the Rules and Pass” (S 2278). Result: Passed. By party: Republicans 191–4, Democrats 166–0. It was a bipartisan vote: majorities of both parties voted yes. 4 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: 357
No: 4
Did not vote: 89
Date: Dec 19, 2018

By party

Republicans191 yes · 4 no · 55 didn’t vote
Democrats166 yes · 0 no · 34 didn’t vote

Who broke with their party

Andrew S. Biggs R-AZ voted no
Justin Amash R-MI voted no
Mark Sanford R-SC voted no
Frank James Sensenbrenner Jr. R-WI voted no

The bill

S. 2278: State Offices of Rural Health Reauthorization Act of 2018

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
Mo Brooks 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
Raúl M. Grijalva D-AZ
Paul Gosar R-AZ
David Schweikert R-AZ
Ruben Gallego D-AZ
Debbie Lesko R-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
Mark James Desaulnier D-CA
Nancy Pelosi D-CA
Barbara Lee 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
Kevin Mccarthy R-CA
Salud Carbajal D-CA
Steve Knight R-CA
Julia Brownley D-CA
Judy Chu D-CA
Adam Schiff 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
Dana Rohrabacher R-CA
Darrell Issa R-CA
Duncan Duane Hunter R-CA
Juan Vargas D-CA
Scott Peters 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
Matthew L. II Gaetz R-FL
Neal Patrick Dunn 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
Thomas J. Rooney R-FL
Brian Jeffrey Mast R-FL
Francis Rooney R-FL
Alcee Lamar Hastings D-FL
Lois Frankel D-FL
Theodore E. (Ted) Deutch D-FL
Debbie Wasserman Schultz D-FL
Mario Diaz-Balart R-FL
Carlos Curbelo 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
Jody Brownlow Hice R-GA
Barry D. Loudermilk R-GA
Rick W. Allen R-GA
Tom Graves R-GA
Rod Blum R-IA
Dave Loebsack D-IA
David Young R-IA
Steve King R-IA
Raúl R. Labrador R-ID
Michael K. Simpson R-ID
Bobby L. Rush D-IL
Robin L. Kelly 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
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
André Carson D-IN
Larry Bucshon 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
Thomas Massie R-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
Garret Graves R-LA
Richard Edmund Neal D-MA
James P. Mcgovern D-MA
Katherine M. Clark D-MA
Michael Everett Capuano D-MA
Stephen F. Lynch D-MA
Andy Harris R-MD
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
Betty Mccollum D-MN
Thomas Earl Emmer II R-MN
Collin Clark Peterson D-MN
William Lacy Clay Jr. D-MO
Ann Wagner R-MO
Blaine Luetkemeyer R-MO
Vicky Hartzler R-MO
Samuel Graves R-MO
Billy Long R-MO
Jason Smith R-MO
Trent Kelly R-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
Robert Pittenger R-NC
Mark Meadows R-NC
Alma Adams D-NC
Theodore Paul Budd R-NC
Jeff Fortenberry R-NE
Donald J. Bacon R-NE
Adrian Smith R-NE
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
Stevan Pearce R-NM
Ben Ray Luján D-NM
Alice (Dina) Titus D-NV
Mark E. Amodei R-NV
Ruben Jesus Kihuen D-NV
Lee M Zeldin R-NY
Thomas Suozzi 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
Peter Anthony Defazio D-OR
Kurt Schrader D-OR
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
Thomas A. Marino R-PA
Keith Rothfus R-PA
Michael F. Doyle D-PA
Lloyd K. Smucker R-PA
Matt Cartwright D-PA
Conor Lamb D-PA
David N. Cicilline D-RI
James Langevin D-RI
Joe Wilson 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
David Kustoff R-TN
Stephen Cohen D-TN
Louie Gohmert R-TX
Ted Poe R-TX
Jeb Hensarling 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
Randy Weber R-TX
Vicente Gonzalez Jr. D-TX
Beto O'Rourke D-TX
Sheila Jackson Lee D-TX
Jodey Cook Arrington R-TX
Joaquin Castro D-TX
Lamar Seeligson Smith R-TX
William Ballard Hurd 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
Lloyd Alton Doggett II D-TX
Brian Babin R-TX
Robert (Rob) Bishop R-UT
Chris Stewart R-UT
John R. Curtis 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
Donald Sternoff Jr. Beyer D-VA
H. Morgan Griffith 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
Gwendolynne S. (Gwen) Moore D-WI
Glenn Grothman R-WI
Sean Duffy R-WI
Michael Gallagher R-WI
David Mckinley R-WV
Alex X. Mooney R-WV

How each representative voted: No

Did not vote

Martha Mcsally R-AZ
Trent Franks R-AZ
Kyrsten Sinema D-AZ
Jeff Denham R-CA
Karen Lorraine Jacqueline (Jackie) Speier D-CA
Jim Costa D-CA
Devin Nunes R-CA
Tony Cárdenas D-CA
Xavier Becerra D-CA
Mimi Walters R-CA
Alan Lowenthal D-CA
Jared Polis D-CO
Ted Yoho R-FL
Ron Desantis R-FL
Dennis Ross R-FL
Vernon G. Buchanan R-FL
Frederica Wilson D-FL
Ileana Ros-Lehtinen R-FL
Tom Price R-GA
Doug Collins R-GA
David Scott D-GA
Colleen Hanabusa D-HI
Tulsi Gabbard D-HI
Daniel Lipinski D-IL
Luis V. Gutiérrez D-IL
Bill Foster D-IL
Susan Brooks R-IN
Luke Messer R-IN
Joseph Albert III Hollingsworth R-IN
Lynn Jenkins R-KS
Mike Pompeo R-KS
Ralph Abraham R-LA
Nicola S. (Niki) Tsongas D-MA
Joseph P. III Kennedy D-MA
Seth Moulton D-MA
William R. Keating D-MA
Michael Dean Bishop R-MI
John Conyers Jr. D-MI
Tim Walz D-MN
Erik Paulsen R-MN
Keith Ellison D-MN
Richard Michael Nolan D-MN
Emanuel Cleaver II D-MO
Bennie Thompson D-MS
Ryan Zinke R-MT
Walter Beaman Jones Jr. R-NC
Patrick T. Mchenry R-NC
Kevin Cramer R-ND
Carol Shea-Porter D-NH
Michelle Lujan Grisham D-NM
Jacklyn Sheryl Rosen D-NV
Peter T. King R-NY
Kathleen Maura Rice D-NY
Louise McIntosh Slaughter D-NY
Patrick (Pat) Tiberi R-OH
Jim Bridenstine R-OK
Robert A. Brady D-PA
Patrick Meehan R-PA
William (Bill) Shuster R-PA
Lou Barletta R-PA
Brendan Francis Boyle D-PA
Charles W. Dent R-PA
Susan Wild D-PA
Timothy Murphy R-PA
Jeff Duncan R-SC
Trey Gowdy R-SC
Mick Mulvaney R-SC
Ralph Norman R-SC
Kristi Noem R-SD
Diane Black R-TN
Marsha Blackburn R-TN
Sam Johnson R-TX
John Ratcliffe R-TX
Joe Linus Barton R-TX
William McClellan (Mac) Thornberry R-TX
Bill Flores R-TX
Pete Olson R-TX
Kenny Marchant R-TX
Blake Farenthold R-TX
Filemon Vela D-TX
Jason Chaffetz R-UT
Ludmya Bourdeau (Mia) Love R-UT
Thomas Alexander Jr. Garrett R-VA
David A. Brat R-VA
Barbara J. Comstock R-VA
Paul D. Ryan R-WI
Ron Kind D-WI
Evan H. Jenkins R-WV
Liz Cheney R-WY

Other votes

From Voteview roll call records.

Cite or embed this page

Capitol Receipts, “State Offices of Rural Health…: House Vote, Dec 19, 2018,” https://www.capitolreceipts.com/vote/115-H-1146/state-offices-of-rural-health-reauthorization-act (accessed 2026-10-17).