House Roll Call

H.R.3799

Roll 279 • Congress 118, Session 1 • Jun 21, 2023 6:13 PM • Result: Agreed to

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BillH.R.3799 — CHOICE Arrangement Act
Vote questionOn Agreeing to the Amendment
Vote typeRecorded Vote
ResultAgreed to
TotalsYea 281 / Nay 151 / Present 0 / Not Voting 7
PartyYeaNayPresentNot Voting
R220103
D6115004
I0000

Research Brief

On Agreeing to the Amendment

Bill Analysis

Bill Summary: HR 3799 - CHOICE Arrangement Act

The CHOICE Arrangement Act (HR 3799) aims to enhance healthcare flexibility for small businesses and their employees by expanding the use of Health Reimbursement Arrangements (HRAs). The legislation allows employers to offer HRAs that can be used for a wider range of health insurance premiums and qualified medical expenses, thereby promoting consumer choice in healthcare.

Key Provisions:

  1. Expanded HRA Use: The Act permits small businesses to provide HRAs that employees can use to purchase individual health insurance plans. This flexibility is intended to empower employees to select coverage that best meets their needs.
  2. Tax Treatment: The bill ensures that contributions made by employers to HRAs are tax-deductible, encouraging more businesses to adopt these arrangements.
  3. Regulatory Framework: It establishes guidelines for the administration of HRAs, ensuring compliance with existing healthcare regulations while promoting ease of use for employers and employees.

Funding and Authorities: The Act does not allocate direct federal funding but modifies existing tax provisions to incentivize the establishment of HRAs. It operates under the authority of the Internal Revenue Code and is subject to oversight by the Department of the Treasury and the Internal Revenue Service (IRS).

Affected Programs and Agencies: The primary agencies involved include the IRS and the Department of Health and Human Services (HHS), which will oversee compliance with healthcare regulations. The legislation impacts small businesses, self-employed individuals, and employees seeking health coverage options.

Beneficiaries and Regulation: Small businesses and their employees are the primary beneficiaries, as the Act aims to reduce healthcare costs and increase access to insurance options. It also regulates the use of HRAs to ensure that they meet federal standards.

Key Timelines: The latest action on the bill was a motion to reconsider, which was laid on the table and agreed to without objection, indicating a potential path forward for further legislative consideration.

Yea (281)

C
Colin Allred

TX • D • Aye

K
Kelly Armstrong

ND • R • Aye

D
Dan Bishop

NC • R • Aye

K
Ken Buck

CO • R • Aye

L
Larry Bucshon

IN • R • Aye

M
Michael Burgess

TX • R • Aye

Y
Yadira Caraveo

CO • D • Aye

J
Jerry Carl

AL • R • Aye

M
Matt Cartwright

PA • D • Aye

L
Lori Chavez-DeRemer

OR • R • Aye

J
John Duarte

CA • R • Aye

J
Jeff Duncan

SC • R • Aye

A
A. Ferguson

GA • R • Aye

B
Brad Finstad

MN • R • Aye

M
Mike Gallagher

WI • R • Aye

M
Mike Garcia

CA • R • Aye

J
Jenniffer González-Colón

PR • R • Aye

B
Bob Good

VA • R • Aye

K
Kay Granger

TX • R • Aye

G
Garret Graves

LA • R • Aye

M
Mark Green

TN • R • Aye

J
Jeff Jackson

NC • D • Aye

B
Bill Johnson

OH • R • Aye

D
Daniel Kildee

MI • D • Aye

D
Doug Lamborn

CO • R • Aye

J
Jake LaTurner

KS • R • Aye

D
Debbie Lesko

AZ • R • Aye

B
Blaine Luetkemeyer

MO • R • Aye

K
Kathy Manning

NC • D • Aye

P
Patrick McHenry

NC • R • Aye

M
Marcus Molinaro

NY • R • Aye

A
Alexander Mooney

WV • R • Aye

W
Wiley Nickel

NC • D • Aye

G
Greg Pence

IN • R • Aye

D
Dean Phillips

MN • D • Aye

A
Aumua Amata Radewagen

AS • R • Aye

C
Cathy Rodgers

WA • R • Aye

M
Matthew Rosendale

MT • R • Aye

G
George Santos

NY • R • Aye

A
Abigail Spanberger

VA • D • Aye

M
Michelle Steel

CA • R • Aye

C
Chris Stewart

UT • R • Aye

E
Emilia Sykes

OH • D • Aye

D
David Trone

MD • D • Aye

M
Michael Waltz

FL • R • Aye

B
Brad Wenstrup

OH • R • Aye

S
Susan Wild

PA • D • Aye

B
Brandon Williams

NY • R • Aye

Nay (151)

E
Earl Blumenauer

OR • D • No

J
Jamaal Bowman

NY • D • No

C
Cori Bush

MO • D • No

T
Tony Cárdenas

CA • D • No

A
André Carson

IN • D • No

G
Gerald Connolly

VA • D • No

A
Anna Eshoo

CA • D • No

B
Brian Higgins

NY • D • No

S
Sheila Jackson Lee

TX • D • No

A
Ann Kuster

NH • D • No

B
Barbara Lee

CA • D • No

G
Grace Napolitano

CA • D • No

B
Bill Pascrell

NJ • D • No

D
Donald Payne

NJ • D • No

M
Mary Peltola

AK • D • No

K
Katie Porter

CA • D • No

C
C. Ruppersberger

MD • D • No

G
Gregorio Sablan

MP • D • No

J
John Sarbanes

MD • D • No

J
Jennifer Wexton

VA • D • No

Not Voting (7)

D
Derek Kilmer

WA • D • Not Voting