House Roll Call

H.R.3799

Roll 282 • Congress 118, Session 1 • Jun 21, 2023 6:35 PM • Result: Passed

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BillH.R.3799 — CHOICE Arrangement Act
Vote questionOn Passage
Vote typeYea-and-Nay
ResultPassed
TotalsYea 220 / Nay 209 / Present 0 / Not Voting 5
PartyYeaNayPresentNot Voting
R220002
D020903
I0000

Research Brief

On Passage

Bill Analysis

Bill Summary: HR 3799 - CHOICE Arrangement Act

The CHOICE Arrangement Act (HR 3799) aims to enhance healthcare options for individuals and families by expanding the use of health reimbursement arrangements (HRAs). The bill seeks to facilitate the establishment of “CHOICE Arrangements,” which are designed to allow employers to provide employees with more flexible healthcare benefits, particularly for those who may not have access to traditional employer-sponsored health insurance.

Key Provisions:

  • The bill allows employers to offer HRAs that can be used for a wider range of healthcare expenses, including premiums for individual health insurance plans purchased through the individual market.
  • It establishes guidelines for the implementation of CHOICE Arrangements, ensuring that they comply with existing federal regulations while providing greater flexibility in how healthcare benefits are structured.
  • The legislation also aims to simplify the tax treatment of these arrangements, making it easier for both employers and employees to utilize HRAs effectively.

Funding and Authorities: While the bill does not allocate specific funding, it provides the framework for HRAs to be used more broadly, potentially impacting the financial landscape of healthcare benefits. The Internal Revenue Service (IRS) and the Department of Health and Human Services (HHS) will oversee compliance and implementation.

Programs and Agencies Affected: The primary agencies involved include the IRS, which will manage tax implications, and HHS, which will ensure adherence to healthcare regulations. The bill impacts employers who wish to offer flexible benefits and employees who seek more control over their healthcare spending.

Beneficiaries and Regulation: The primary beneficiaries are employees, particularly those in small businesses or those working part-time, who may not have access to comprehensive health insurance. Employers benefit by having a streamlined method to provide healthcare benefits without the burden of traditional insurance costs.

Key Timelines: The bill has been agreed to with a motion to reconsider laid on the table, indicating that it has passed through initial legislative hurdles but may still be subject to further discussion or amendments in the future.

Yea (220)

D
Dan Bishop

NC • R • Yea

K
Ken Buck

CO • R • Yea

L
Larry Bucshon

IN • R • Yea

M
Michael Burgess

TX • R • Yea

J
Jerry Carl

AL • R • Yea

L
Lori Chavez-DeRemer

OR • R • Yea

A
Anthony D'Esposito

NY • R • Yea

J
John Duarte

CA • R • Yea

J
Jeff Duncan

SC • R • Yea

A
A. Ferguson

GA • R • Yea

M
Matt Gaetz

FL • R • Yea

M
Mike Gallagher

WI • R • Yea

M
Mike Garcia

CA • R • Yea

B
Bob Good

VA • R • Yea

K
Kay Granger

TX • R • Yea

G
Garret Graves

LA • R • Yea

M
Mark Green

TN • R • Yea

B
Bill Johnson

OH • R • Yea

D
Doug Lamborn

CO • R • Yea

J
Jake LaTurner

KS • R • Yea

D
Debbie Lesko

AZ • R • Yea

B
Blaine Luetkemeyer

MO • R • Yea

K
Kevin McCarthy

CA • R • Yea

P
Patrick McHenry

NC • R • Yea

M
Marcus Molinaro

NY • R • Yea

A
Alexander Mooney

WV • R • Yea

G
Greg Pence

IN • R • Yea

C
Cathy Rodgers

WA • R • Yea

M
Matthew Rosendale

MT • R • Yea

G
George Santos

NY • R • Yea

M
Michelle Steel

CA • R • Yea

C
Chris Stewart

UT • R • Yea

M
Michael Waltz

FL • R • Yea

B
Brad Wenstrup

OH • R • Yea

B
Brandon Williams

NY • R • Yea

Nay (209)

C
Colin Allred

TX • D • Nay

E
Earl Blumenauer

OR • D • Nay

J
Jamaal Bowman

NY • D • Nay

C
Cori Bush

MO • D • Nay

Y
Yadira Caraveo

CO • D • Nay

T
Tony Cárdenas

CA • D • Nay

M
Matt Cartwright

PA • D • Nay

G
Gerald Connolly

VA • D • Nay

A
Anna Eshoo

CA • D • Nay

R
Raúl Grijalva

AZ • D • Nay

B
Brian Higgins

NY • D • Nay

J
Jeff Jackson

NC • D • Nay

S
Sheila Jackson Lee

TX • D • Nay

D
Daniel Kildee

MI • D • Nay

A
Ann Kuster

NH • D • Nay

B
Barbara Lee

CA • D • Nay

K
Kathy Manning

NC • D • Nay

G
Grace Napolitano

CA • D • Nay

W
Wiley Nickel

NC • D • Nay

B
Bill Pascrell

NJ • D • Nay

D
Donald Payne

NJ • D • Nay

M
Mary Peltola

AK • D • Nay

D
Dean Phillips

MN • D • Nay

K
Katie Porter

CA • D • Nay

C
C. Ruppersberger

MD • D • Nay

J
John Sarbanes

MD • D • Nay

E
Eric Swalwell

CA • D • Nay

D
David Trone

MD • D • Nay

J
Jennifer Wexton

VA • D • Nay

S
Susan Wild

PA • D • Nay

Not Voting (5)

D
Derek Kilmer

WA • D • Not Voting

B
Bill Posey

FL • R • Not Voting