House Roll Call 349

119th Congress · Session 1 · December 17, 2025

The vote on whether to pass the bill

This is the real decision in this chamber. Passing here sends the bill to the other chamber, which must pass it too before it can go to the President.

What was being voted on

119-HR-6703 — Lower Health Care Premiums for All Americans Act

This bill aims to increase access to affordable health insurance. It allows groups or associations of employers to maintain group health plans and introduces "custom health option and individual care expense arrangements" for employees. The bill also establishes strict reporting and oversight requirements for entities providing pharmacy benefit management services to increase transparency regarding drug costs. Additionally, it provides funding for cost sharing reduction payments starting in 2027.

The House recorded this as
On Passage
Lower Health Care Premiums for All Americans Act
Result: Passed
Needed a simple majority — more than half of those voting.
Yea: 216Nay: 211Not Voting: 6433 members
PartyYeaNayPresentNot Voting
Democrat D021003
Republican R216103
How each member voted (433)
216 yea, 211 nay, 6 not voting