Improving the Health of Children Act

On Dec 8, 2021, the House voted 405–20 on “On Motion to Suspend the Rules and Pass, as Amended” (HR 5551). Result: Passed. By party: Democrats 211–5, Republicans 194–15. It was a bipartisan vote: majorities of both parties voted yes. 20 members voted against their own party.

During the 117th Congress (2021–2022), Joe Biden was president, and Democrats held the House majority and Republicans the Senate majority.

Result: Passed
Yes: 405
No: 20
Did not vote: 30
Date: Dec 8, 2021

By party

Republicans194 yes · 15 no · 14 didn’t vote
Democrats211 yes · 5 no · 16 didn’t vote

Who broke with their party

Andrew S. Biggs R-AZ voted no
Tom Mcclintock R-CA voted no
Maxine Waters D-CA voted no
Lauren Boebert R-CO voted no
Matthew L. II Gaetz R-FL voted no
Jody Brownlow Hice R-GA voted no
Marjorie Taylor Greene R-GA voted no
Jesús García D-IL voted no
Sean Casten D-IL voted no
Thomas Massie R-KY voted no
Andy Harris R-MD voted no
Matthew M. Rosendale Sr. R-MT voted no
Scott Perry R-PA voted no
Ralph Norman R-SC voted no
Louie Gohmert R-TX voted no
Nicholas Taylor R-TX voted no
Veronica Escobar D-TX voted no
Charles Roy R-TX voted no
Sylvia Garcia D-TX voted no
Glenn Grothman R-WI voted no

How each representative voted: Yes

Donald Edwin Young R-AK
Jerry L. Carl R-AL
Barry Moore 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
Ann Kirkpatrick D-AZ
Raúl M. Grijalva D-AZ
Paul Gosar R-AZ
David Schweikert R-AZ
Ruben Gallego D-AZ
Debbie Lesko R-AZ
Greg Stanton D-AZ
Doug Lamalfa R-CA
Jared Huffman D-CA
John Garamendi D-CA
Michael Thompson D-CA
Doris Matsui D-CA
Ami Bera D-CA
Jay Obernolte R-CA
Jerry Mcnerney D-CA
Josh Harder D-CA
Mark James Desaulnier D-CA
Barbara Lee D-CA
Karen Lorraine Jacqueline (Jackie) Speier D-CA
Eric Swalwell D-CA
Jim Costa 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
Mike Garcia R-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
Young Kim R-CA
Lucille Roybal-Allard D-CA
Mark Takano D-CA
Ken Calvert R-CA
Nanette Diaz Barragán D-CA
Katie Porter D-CA
Jose Luis Correa D-CA
Alan Lowenthal D-CA
Michelle Steel R-CA
Mike Levin D-CA
Darrell Issa R-CA
Juan Vargas D-CA
Scott Peters D-CA
Sara Jacobs D-CA
Diana Degette D-CO
Joseph Neguse D-CO
Kenneth Robert Buck R-CO
Doug Lamborn R-CO
Jason Crow D-CO
Ed Perlmutter D-CO
John B. Larson D-CT
Joe Courtney D-CT
Rosa L. Delauro D-CT
James A. Himes D-CT
Jahana Hayes D-CT
Lisa Blunt Rochester D-DE
Neal Patrick Dunn R-FL
Kat Cammack R-FL
John Henry Rutherford R-FL
Alfred Jr. Lawson D-FL
Michael Waltz 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
C. Scott Franklin R-FL
Vernon G. Buchanan R-FL
W. Greg Steube R-FL
Brian Jeffrey Mast R-FL
Byron Donalds R-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
Carlos A. Gimenez R-FL
Maria Elvira Salazar R-FL
Sanford Dixon Bishop Jr. D-GA
Anderson Drew IV Ferguson R-GA
Hank Johnson D-GA
Nikema Williams D-GA
Lucy Mcbath D-GA
Carolyn Bourdeaux D-GA
Austin Scott R-GA
Andrew S. Clyde R-GA
Barry D. Loudermilk R-GA
Rick W. Allen R-GA
David Scott D-GA
Ed Case D-HI
Kaialiʻi Kahele D-HI
Ashley Hinson R-IA
Mariannette Miller-Meeks R-IA
Cynthia Axne D-IA
Randy Feenstra R-IA
Russell Fulcher R-ID
Michael K. Simpson R-ID
Bobby L. Rush D-IL
Robin L. Kelly D-IL
Marie Newman D-IL
Mike Quigley D-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
Lauren Underwood D-IL
Mary E. Miller R-IL
Cheri Bustos D-IL
Darin Lahood R-IL
Frank J. Mrvan D-IN
Jackie Walorski R-IN
James E. Banks R-IN
James Baird R-IN
Victoria Spartz R-IN
Gregory Pence R-IN
André Carson D-IN
Larry Bucshon R-IN
Joseph Albert III Hollingsworth R-IN
Tracey Mann R-KS
Jake Laturner R-KS
Sharice Davids D-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
Troy Carter D-LA
Clay Higgins R-LA
Mike Johnson R-LA
Julia Letlow R-LA
Garret Graves R-LA
Richard Edmund Neal D-MA
James P. Mcgovern D-MA
Lori Trahan D-MA
Jake Auchincloss D-MA
Katherine M. Clark D-MA
Seth Moulton D-MA
Ayanna Pressley D-MA
Stephen F. Lynch D-MA
William R. Keating D-MA
C. A. Dutch Ruppersberger D-MD
John Sarbanes D-MD
Anthony Gregory Brown D-MD
Steny Hamilton Hoyer D-MD
David Trone D-MD
Kweisi Mfume D-MD
Jamie Ben Raskin D-MD
Chellie Pingree D-ME
Jared Golden D-ME
John Bergman R-MI
Bill Huizenga R-MI
Peter Meijer R-MI
John Moolenaar R-MI
Dan Kildee D-MI
Frederick Stephen Upton R-MI
Tim Walberg R-MI
Andy Levin D-MI
Lisa C. Mcclain R-MI
Haley Stevens D-MI
Debbie Dingell D-MI
Rashida Tlaib D-MI
Brenda L Lawrence D-MI
Jim Hagedorn R-MN
Angela Craig D-MN
Dean Phillips D-MN
Betty Mccollum D-MN
Ilhan Omar D-MN
Thomas Earl Emmer II R-MN
Michelle Fischbach R-MN
Peter Stauber R-MN
Cori Bush D-MO
Ann Wagner R-MO
Blaine Luetkemeyer R-MO
Vicky Hartzler 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
Michael Guest R-MS
Steven Palazzo R-MS
George Kenneth Butterfield Jr. (G.K.) D-NC
Deborah K. Ross D-NC
Gregory Francis Murphy R-NC
David Eugene Price D-NC
Virginia Ann Foxx R-NC
Kathy E. Manning D-NC
David Rouzer R-NC
Richard Hudson R-NC
Dan Bishop R-NC
Patrick T. Mchenry R-NC
Madison Cawthorn R-NC
Alma Adams D-NC
Theodore Paul Budd R-NC
Kelly Armstrong R-ND
Jeff Fortenberry R-NE
Donald J. Bacon R-NE
Adrian Smith R-NE
Chris Pappas D-NH
Ann McLane Kuster D-NH
Donald Norcross D-NJ
Jefferson Van Drew R-NJ
Andy Kim D-NJ
Christopher Henry Smith R-NJ
Josh S. Gottheimer D-NJ
Frank Pallone Jr. D-NJ
Albio Sires D-NJ
William J. Pascrell Jr. D-NJ
Donald Payne Jr. D-NJ
Mikie Sherrill D-NJ
Bonnie Watson Coleman D-NJ
Melanie Ann Stansbury D-NM
Yvette Herrell R-NM
Teresa Leger Fernandez D-NM
Alice (Dina) Titus D-NV
Mark E. Amodei R-NV
Susie Lee D-NV
Steven Horsford D-NV
Lee M Zeldin R-NY
Andrew R. Garbarino 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
Nicole Malliotakis R-NY
Carolyn Bosher Maloney D-NY
Adriano J. Espaillat D-NY
Alexandria Ocasio-Cortez D-NY
Ritchie Torres D-NY
Jamaal Bowman D-NY
Mondaire Jones D-NY
Sean Patrick Maloney D-NY
Antonio Delgado D-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 Jacobs 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
Shontel M. Brown D-OH
Troy Balderson R-OH
Timothy J. Ryan D-OH
David Joyce R-OH
Mike Carey R-OH
Anthony Gonzalez R-OH
Kevin Hern R-OK
Markwayne Mullin R-OK
Frank D. Lucas R-OK
Tom Cole R-OK
Stephanie I. Bice R-OK
Suzanne Bonamici D-OR
Cliff Bentz R-OR
Earl Blumenauer D-OR
Peter Anthony Defazio D-OR
Kurt Schrader D-OR
Brian K. Fitzpatrick R-PA
Brendan Francis Boyle D-PA
Dwight Evans D-PA
Madeleine Dean D-PA
Mary Gay Scanlon D-PA
Christina Houlahan D-PA
Susan Wild D-PA
Matt Cartwright D-PA
Dan Meuser R-PA
Lloyd K. Smucker R-PA
Fred Keller R-PA
John Joyce R-PA
Guy Reschenthaler R-PA
Glenn Thompson R-PA
Mike Kelly R-PA
Conor Lamb D-PA
David N. Cicilline D-RI
James Langevin D-RI
Nancy Mace R-SC
Joe Wilson R-SC
Jeff Duncan R-SC
William Timmons R-SC
James Enos Clyburn D-SC
Tom Rice R-SC
Dustin (Dusty) Johnson R-SD
Diana Harshbarger R-TN
Timothy Burchett R-TN
Chuck Fleischmann R-TN
Scott Desjarlais R-TN
James Hayes Shofner Cooper D-TN
John Rose R-TN
Mark E. Green R-TN
David Kustoff R-TN
Stephen Cohen D-TN
Daniel Crenshaw R-TX
Pat Fallon R-TX
Lance Gooden R-TX
Jake Ellzey R-TX
Elizabeth Fletcher D-TX
Kevin Patrick Brady R-TX
Al Green D-TX
Michael T. Mccaul R-TX
August Pfluger R-TX
Kay Granger R-TX
Ronny Jackson R-TX
Randy Weber R-TX
Vicente Gonzalez Jr. D-TX
Pete Sessions R-TX
Sheila Jackson Lee D-TX
Jodey Cook Arrington R-TX
Joaquin Castro D-TX
Troy E. Nehls R-TX
Tony Gonzales R-TX
Beth Van Duyne R-TX
Roger Williams R-TX
Michael C. Burgess R-TX
Michael Cloud R-TX
Henry Cuellar D-TX
Eddie Bernice Johnson D-TX
John R. Carter R-TX
Colin Allred D-TX
Marc Veasey D-TX
Filemon Vela D-TX
Lloyd Alton Doggett II D-TX
Brian Babin R-TX
Blake D. Moore R-UT
Chris Stewart R-UT
John R. Curtis R-UT
Burgess Owens R-UT
Robert J. Wittman R-VA
Elaine Luria D-VA
Robert C. Scott D-VA
Aston Donald Mceachin D-VA
Bob Good R-VA
Benjamin Cline R-VA
Abigail Spanberger D-VA
Donald Sternoff Jr. Beyer D-VA
H. Morgan Griffith R-VA
Jennifer Wexton D-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
Kim Schrier D-WA
Adam Smith D-WA
Marilyn Strickland D-WA
Bryan Steil R-WI
Mark Pocan D-WI
Ron Kind D-WI
Gwendolynne S. (Gwen) Moore D-WI
Scott Fitzgerald R-WI
Thomas P. Tiffany R-WI
Michael Gallagher R-WI
David Mckinley R-WV
Alex X. Mooney R-WV
Carol Miller R-WV

How each representative voted: No

Did not vote

Other votes

From Voteview roll call records.

Cite or embed this page

Capitol Receipts, “Improving the Health of Children Act: House Vote, Dec 8, 2021,” https://www.capitolreceipts.com/vote/117-H-417/improving-the-health-of-children-act (accessed 2026-10-17).