H.R.3799 — CHOICE Arrangement Act

House Roll Call

H.R.3799

Roll 278 • Congress 118, Session 1 • Jun 21, 2023 6:07 PM • Result: Failed

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BillH.R.3799 — CHOICE Arrangement Act
Vote questionOn Agreeing to the Amendment
Vote typeRecorded Vote
ResultFailed
TotalsYea 211 / Nay 220 / Present 0 / Not Voting 9
PartyYeaNayPresentNot Voting
R022005
D211004
I0000

Research Brief

On Agreeing to the Amendment

Bill Analysis

Bill Summary: HR 3799 - CHOICE Arrangement Act

The CHOICE Arrangement Act, introduced in the 118th Congress, aims to enhance healthcare coverage options for employees by allowing employers to offer health reimbursement arrangements (HRAs) that can be used for purchasing individual health insurance plans. This legislation seeks to provide greater flexibility in how employees can utilize their healthcare benefits, particularly in the context of rising healthcare costs and the evolving insurance market.

Key Provisions:

  • The Act permits employers to establish HRAs that can be used by employees to purchase qualified health insurance plans, including those available through state-based exchanges.
  • It expands the types of expenses that can be reimbursed through HRAs, thereby increasing the financial support available for healthcare costs.
  • The legislation also includes provisions to ensure that these arrangements comply with existing regulations under the Affordable Care Act (ACA).

Funding and Authorities: While the bill does not directly allocate federal funding, it modifies existing tax provisions related to HRAs, allowing employers to provide tax-free reimbursements for health insurance premiums. This change is expected to incentivize more employers to adopt these arrangements, potentially increasing the number of employees with access to health insurance.

Programs and Agencies Affected: The CHOICE Arrangement Act primarily impacts private employers and their employees, as well as state health insurance exchanges. The Internal Revenue Service (IRS) and the Department of Health and Human Services (HHS) will oversee compliance with tax and healthcare regulations associated with these HRAs.

Beneficiaries and Regulation: Employees, particularly those in small to medium-sized businesses, will benefit from increased access to personalized health insurance options. Employers will gain flexibility in how they provide health benefits, potentially leading to cost savings.

Key Timelines: The latest action on the bill involved a motion to reconsider, which was laid on the table and agreed to without objection, indicating bipartisan support for the legislation. Further legislative steps may follow as the bill progresses through Congress.

View bill source • Clerk record • API record

Yea (211)

C
Colin Allred

TX • D • Aye

E
Earl Blumenauer

OR • D • Aye

J
Jamaal Bowman

NY • D • Aye

C
Cori Bush

MO • D • Aye

Y
Yadira Caraveo

CO • D • Aye

T
Tony Cárdenas

CA • D • Aye

M
Matt Cartwright

PA • D • Aye

G
Gerald Connolly

VA • D • Aye

J
Jason Crow

CO • D • Aye

L
Lloyd Doggett

TX • D • Aye

A
Anna Eshoo

CA • D • Aye

R
Ruben Gallego

AZ • D • Aye

J
John Garamendi

CA • D • Aye

R
Raúl Grijalva

AZ • D • Aye

B
Brian Higgins

NY • D • Aye

J
Jeff Jackson

NC • D • Aye

S
Sheila Jackson Lee

TX • D • Aye

D
Daniel Kildee

MI • D • Aye

A
Ann Kuster

NH • D • Aye

B
Barbara Lee

CA • D • Aye

K
Kathy Manning

NC • D • Aye

L
Lucy McBath

GA • D • Aye

G
Grace Napolitano

CA • D • Aye

W
Wiley Nickel

NC • D • Aye

B
Bill Pascrell

NJ • D • Aye

D
Donald Payne

NJ • D • Aye

M
Mary Peltola

AK • D • Aye

D
Dean Phillips

MN • D • Aye

K
Katie Porter

CA • D • Aye

C
C. Ruppersberger

MD • D • Aye

G
Gregorio Sablan

MP • D • Aye

J
John Sarbanes

MD • D • Aye

A
Abigail Spanberger

VA • D • Aye

E
Eric Swalwell

CA • D • Aye

R
Rashida Tlaib

MI • D • Aye

D
David Trone

MD • D • Aye

N
Nydia Velázquez

NY • D • Aye

D
Debbie Wasserman Schultz

FL • D • Aye

J
Jennifer Wexton

VA • D • Aye

S
Susan Wild

PA • D • Aye

Nay (220)

K
Kelly Armstrong

ND • R • No

D
Dan Bishop

NC • R • No

K
Ken Buck

CO • R • No

L
Larry Bucshon

IN • R • No

M
Michael Burgess

TX • R • No

K
Ken Calvert

CA • R • No

J
Jerry Carl

AL • R • No

L
Lori Chavez-DeRemer

OR • R • No

A
Anthony D'Esposito

NY • R • No

J
John Duarte

CA • R • No

J
Jeff Duncan

SC • R • No

A
A. Ferguson

GA • R • No

S
Scott Franklin

FL • R • No

M
Matt Gaetz

FL • R • No

M
Mike Gallagher

WI • R • No

M
Mike Garcia

CA • R • No

J
Jenniffer González-Colón

PR • R • No

B
Bob Good

VA • R • No

K
Kay Granger

TX • R • No

G
Garret Graves

LA • R • No

M
Mark Green

TN • R • No

B
Bill Johnson

OH • R • No

D
Doug Lamborn

CO • R • No

J
Jake LaTurner

KS • R • No

D
Debbie Lesko

AZ • R • No

B
Blaine Luetkemeyer

MO • R • No

K
Kevin McCarthy

CA • R • No

L
Lisa McClain

MI • R • No

P
Patrick McHenry

NC • R • No

M
Marcus Molinaro

NY • R • No

A
Alexander Mooney

WV • R • No

G
Greg Pence

IN • R • No

C
Cathy Rodgers

WA • R • No

M
Matthew Rosendale

MT • R • No

J
John Rutherford

FL • R • No

G
George Santos

NY • R • No

D
David Schweikert

AZ • R • No

P
Pete Sessions

TX • R • No

M
Michelle Steel

CA • R • No

C
Chris Stewart

UT • R • No

M
Michael Waltz

FL • R • No

B
Brad Wenstrup

OH • R • No

B
Brandon Williams

NY • R • No

Not Voting (9)

D
Derek Kilmer

WA • D • Not Voting

B
Bill Posey

FL • R • Not Voting