House roll call 667 · 108th Congress · Nov 22, 2003
Medicare Prescription Drug, Improvement, and Modernization Act
On Nov 22, 2003, the House voted 220–215 on “On Agreeing to the Conference Report” (HR 1). Result: Passed. By party: Republicans 204–25, Democrats 16–189, Independents 0–1. It was a split vote: the parties took opposite sides, with some members crossing over. 41 members voted against their own party.
During the 108th Congress (2003–2004), George W. Bush was president, and Republicans held majorities in both the House and Senate.
- Result
- Passed
- Yes
- 220
- No
- 215
- Did not vote
- 5
- Date
- Nov 22, 2003
By party
- Republicans204 yes · 25 no · 2 didn’t vote
- Democrats16 yes · 189 no · 3 didn’t vote
- Independents0 yes · 1 no
Who broke with their party
- Robert E. (Bud) Cramer Jr. D-AL voted yes
- John B. Shadegg R-AZ voted no
- Jeff Flake R-AZ voted no
- Calvin M. Dooley D-CA voted yes
- Marilyn N Musgrave R-CO voted no
- Thomas G. Tancredo R-CO voted no
- Jefferson B. (Jeff) Miller R-FL voted no
- F. Allen Boyd Jr. D-FL voted yes
- Tom Feeney R-FL voted no
- Jim Marshall D-GA voted yes
- Charles W. Norwood Jr. R-GA voted no
- David Scott D-GA voted yes
- Danny Lee Burton R-IN voted no
- Mike Pence R-IN voted no
- John Nathan Hostettler R-IN voted no
- Jerry Moran R-KS voted no
- Jim Ryun R-KS voted no
- Rodney Alexander D-LA voted yes
- Christopher John D-LA voted yes
- Nick H. Smith R-MI voted no
- Gilbert W. Gutknecht R-MN voted no
- Collin Clark Peterson D-MN voted yes
- W. Todd Akin R-MO voted no
- Jo Ann Emerson R-MO voted no
- Walter Beaman Jones Jr. R-NC voted no
- Earl Ralph Pomeroy III D-ND voted yes
- Scott Garrett R-NJ voted no
- Steve Chabot R-OH voted no
- Brad Carson D-OK voted yes
- David Wu D-OR voted yes
- Patrick Joseph Toomey R-PA voted no
- James Gresham Barrett R-SC voted no
- James W. Demint R-SC voted no
- Zachary Paul Wamp R-TN voted no
- Lincoln Davis D-TN voted yes
- Ralph Moody Hall D-TX voted yes
- John Culberson R-TX voted no
- Ronald Ernest Paul R-TX voted no
- Charles Walter Stenholm D-TX voted yes
- James David (Jim) Matheson D-UT voted yes
- Frederick C. Boucher D-VA voted yes
The bill
H.R. 1: Medicare Prescription Drug, Improvement, and Modernization Act of 2003
How each representative voted: Yes
- Donald Edwin Young R-AK
- Jr. Bonner Josiah Robins (Jo) R-AL
- Robert Terry Everett R-AL
- Mike Dennis Rogers R-AL
- Robert Aderholt R-AL
- Robert E. (Bud) Cramer Jr. D-AL
- Spencer T. Bachus III R-AL
- John Boozman R-AR
- Rick Renzi R-AZ
- Trent Franks R-AZ
- John D. Hayworth Jr. R-AZ
- James Thomas Kolbe R-AZ
- Walter William (Wally) Herger R-CA
- Doug Ose R-CA
- John Taylor Doolittle R-CA
- Richard William Pombo R-CA
- George P. Radanovich R-CA
- Calvin M. Dooley D-CA
- Devin Nunes R-CA
- William Marshall Thomas R-CA
- Elton W. Gallegly R-CA
- Howard P. (Buck) Mckeon R-CA
- David Timothy Dreier R-CA
- Edward Randall Royce R-CA
- Charles Jeremy (Jerry) Lewis R-CA
- Gary G. Miller R-CA
- Ken Calvert R-CA
- Mary Bono R-CA
- Dana Rohrabacher R-CA
- Charles Christopher Cox R-CA
- Darrell Issa R-CA
- Randall (Duke) Cunningham R-CA
- Duncan Lee Hunter R-CA
- Scott Mcinnis R-CO
- Joel M. Hefley R-CO
- Bob Beauprez R-CO
- Robert (Rob) Simmons R-CT
- Christopher H. Shays R-CT
- Nancy Lee Johnson R-CT
- Michael Newbold Castle R-DE
- F. Allen Boyd Jr. D-FL
- Ander Crenshaw R-FL
- Virginia (Ginny) Brown-Waite R-FL
- Clifford Bundy Stearns R-FL
- John L. Mica R-FL
- Richard (Ric) Keller R-FL
- Michael Bilirakis R-FL
- Charles William (Bill) Young R-FL
- Adam Putnam R-FL
- Katherine Harris R-FL
- Porter J. Goss R-FL
- David Joseph Weldon R-FL
- Mark A. Foley R-FL
- Ileana Ros-Lehtinen R-FL
- Lincoln Diaz-Balart R-FL
- Eugene Clay Shaw Jr. R-FL
- Mario Diaz-Balart R-FL
- Jack Kingston R-GA
- Jim Marshall D-GA
- Johnny Isakson R-GA
- John Elmer Linder R-GA
- Michael Allen (Mac) Collins R-GA
- John Nathan Deal R-GA
- Phil Gingrey R-GA
- Max Burns R-GA
- David Scott D-GA
- James Allen Nussle R-IA
- James Albert Smith Leach R-IA
- Thomas Latham R-IA
- Steve King R-IA
- C. L. (Butch) Otter R-ID
- Michael K. Simpson R-ID
- Henry John Hyde R-IL
- Philip Miller Crane R-IL
- Mark Steven Kirk R-IL
- Gerald C. (Jerry) Weller R-IL
- Judy Borg Biggert R-IL
- John Dennis Hastert R-IL
- Timothy V. Johnson R-IL
- Donald A. Manzullo R-IL
- Ray H. Lahood R-IL
- John M. Shimkus R-IL
- Chris Chocola R-IN
- Mark Edward Souder R-IN
- Stephen Earle Buyer R-IN
- Todd Tiahrt R-KS
- Wayne Edward (Ed) Whitfield R-KY
- Ron Lewis R-KY
- Anne Meagher Northup R-KY
- Harold Dallas (Hal) Rogers R-KY
- Ernest L. Fletcher R-KY
- David Vitter R-LA
- Wilbert Joseph (Billy) Tauzin R-LA
- James O. Mccrery III R-LA
- Rodney Alexander D-LA
- Richard Hugh Baker R-LA
- Christopher John D-LA
- Wayne Thomas Gilchrest R-MD
- Roscoe Gardner Bartlett R-MD
- Peter Hoekstra R-MI
- Vernon James Ehlers R-MI
- David Lee Camp R-MI
- Frederick Stephen Upton R-MI
- Mike Rogers R-MI
- Joseph Knollenberg R-MI
- Candice S. Miller R-MI
- Thaddeus George Mccotter R-MI
- John Kline R-MN
- James (Jim) Ramstad R-MN
- Mark Kennedy R-MN
- Collin Clark Peterson D-MN
- Samuel Graves R-MO
- Roy Blunt R-MO
- Kenny Hulshof R-MO
- Roger F. Wicker R-MS
- Charles W. (Chip) Pickering Jr. R-MS
- Denny Rehberg R-MT
- Richard M. Burr R-NC
- Howard Coble R-NC
- Robert Cannon (Robin) Hayes R-NC
- Sue Myrick R-NC
- Cass Ballenger R-NC
- Charles Hart Taylor R-NC
- Earl Ralph Pomeroy III D-ND
- Douglas Kent Bereuter R-NE
- Lee Raymond Terry R-NE
- Thomas Osborne R-NE
- Jeb Bradley R-NH
- Charles Foster Bass R-NH
- Frank A. Lobiondo R-NJ
- Hugh James Saxton R-NJ
- Christopher Henry Smith R-NJ
- Michael Ferguson R-NJ
- Rodney P. Frelinghuysen R-NJ
- Heather Wilson R-NM
- Stevan Pearce R-NM
- James A. Gibbons R-NV
- Jon C. Porter R-NV
- Peter T. King R-NY
- Vito John Fossella R-NY
- Sue W. Kelly R-NY
- John E. Sweeney R-NY
- John Michael Mchugh R-NY
- Sherwood Louis Boehlert R-NY
- James T. Walsh R-NY
- Thomas M. Reynolds R-NY
- John Francis (Jack) Quinn R-NY
- Amory Houghton Jr. R-NY
- Robert Jones (Rob) Portman R-OH
- Michael R. Turner R-OH
- Michael Garver Oxley R-OH
- Paul Eugene Gillmor R-OH
- David Lee Hobson R-OH
- John Andrew Boehner R-OH
- Patrick (Pat) Tiberi R-OH
- Steven C. Latourette R-OH
- Deborah D. Pryce R-OH
- Ralph Straus Regula R-OH
- Robert William Ney R-OH
- John Sullivan R-OK
- Brad Carson D-OK
- Frank D. Lucas R-OK
- Tom Cole R-OK
- Ernest James Istook Jr. R-OK
- David Wu D-OR
- Greg Walden R-OR
- Philip Sheridan English R-PA
- Melissa A. Hart R-PA
- John Peterson R-PA
- Jim Gerlach R-PA
- Wayne Curtis (Curt) Weldon R-PA
- James Charles Greenwood R-PA
- William (Bill) Shuster R-PA
- Don Sherwood R-PA
- Joseph R. Pitts R-PA
- Timothy Murphy R-PA
- Todd Platts R-PA
- Henry Edward Brown Jr. R-SC
- Joe Wilson R-SC
- William J. Janklow R-SD
- William Lewis Jenkins R-TN
- John J. Duncan Jr. R-TN
- Lincoln Davis D-TN
- Marsha Blackburn R-TN
- Sam Johnson R-TX
- Ralph Moody Hall D-TX
- Jeb Hensarling R-TX
- Joe Linus Barton R-TX
- Kevin Patrick Brady R-TX
- Kay Granger R-TX
- William McClellan (Mac) Thornberry R-TX
- Charles Walter Stenholm D-TX
- Randy Neugebauer R-TX
- Lamar Seeligson Smith R-TX
- Thomas Dale Delay R-TX
- Henry Bonilla R-TX
- Michael C. Burgess R-TX
- John R. Carter R-TX
- Pete Sessions R-TX
- Robert (Rob) Bishop R-UT
- James David (Jim) Matheson D-UT
- Christopher B. Cannon R-UT
- Jo Ann Davis R-VA
- Edward Schrock R-VA
- J. Randy Forbes R-VA
- Virgil H. Goode Jr. R-VA
- Robert William Goodlatte R-VA
- Eric Cantor R-VA
- Frederick C. Boucher D-VA
- Frank Rudolph Wolf R-VA
- Thomas M. Davis III R-VA
- Richard Norman (Doc) Hastings R-WA
- George R. Nethercutt Jr. R-WA
- Jennifer Blackburn Dunn R-WA
- Paul D. Ryan R-WI
- Frank James Sensenbrenner Jr. R-WI
- Thomas Evert Petri R-WI
- Mark Green R-WI
- Shelley Moore Capito R-WV
- Barbara L. Cubin R-WY
How each representative voted: No
- Artur Davis D-AL
- Robert Marion Berry D-AR
- Victor F. Snyder D-AR
- Michael Avery Ross D-AR
- John B. Shadegg R-AZ
- Ed Pastor D-AZ
- Jeff Flake R-AZ
- Raúl M. Grijalva D-AZ
- Michael Thompson D-CA
- Robert T. Matsui D-CA
- Lynn C. Woolsey D-CA
- George Miller D-CA
- Nancy Pelosi D-CA
- Barbara Lee D-CA
- Ellen O'Kane Tauscher D-CA
- Thomas Peter Lantos D-CA
- Fortney Hillman (Pete) Stark Jr. D-CA
- Anna Georges Eshoo D-CA
- Mike Honda D-CA
- Zoe Lofgren D-CA
- Sam Farr D-CA
- Dennis A. Cardoza D-CA
- Lois Capps D-CA
- Brad Sherman D-CA
- Howard Lawrence Berman D-CA
- Adam Schiff D-CA
- Henry Arnold Waxman D-CA
- Xavier Becerra D-CA
- Hilda L. Solis D-CA
- Diane Edith Watson D-CA
- Lucille Roybal-Allard D-CA
- Maxine Waters D-CA
- Jane L. Harman D-CA
- Juanita Millender-Mcdonald D-CA
- Grace Flores Napolitano D-CA
- Linda T. Sánchez D-CA
- Joe Baca D-CA
- Loretta Sanchez D-CA
- Bob Filner D-CA
- Susan A. Davis D-CA
- Diana Degette D-CO
- Mark Udall D-CO
- Marilyn N Musgrave R-CO
- Thomas G. Tancredo R-CO
- John B. Larson D-CT
- Rosa L. Delauro D-CT
- Jefferson B. (Jeff) Miller R-FL
- Corrine Brown D-FL
- Jim Davis D-FL
- Kendrick B. Meek D-FL
- Robert Wexler D-FL
- Peter R. Deutsch D-FL
- Alcee Lamar Hastings D-FL
- Tom Feeney R-FL
- Sanford Dixon Bishop Jr. D-GA
- Denise L. Majette D-GA
- John R. Lewis D-GA
- Charles W. Norwood Jr. R-GA
- Neil Abercrombie D-HI
- Ed Case D-HI
- Leonard L. Boswell D-IA
- Bobby L. Rush D-IL
- Jesse L. Jackson Jr. D-IL
- William Oliver Lipinski D-IL
- Luis V. Gutiérrez D-IL
- Rahm Emanuel D-IL
- Danny K. Davis D-IL
- Janice D. Schakowsky D-IL
- Jerry Francis Costello D-IL
- Lane Allen Evans D-IL
- Peter Visclosky D-IN
- Danny Lee Burton R-IN
- Mike Pence R-IN
- Julia May Carson D-IN
- John Nathan Hostettler R-IN
- Baron P. Hill D-IN
- Jerry Moran R-KS
- Jim Ryun R-KS
- Dennis Moore D-KS
- Ken Lucas D-KY
- William Jennings Jefferson D-LA
- John Walter Olver D-MA
- Richard Edmund Neal D-MA
- James P. Mcgovern D-MA
- Barney Frank D-MA
- Martin Thomas Meehan D-MA
- John F. Tierney D-MA
- Edward John Markey D-MA
- Michael Everett Capuano D-MA
- Stephen F. Lynch D-MA
- Bill Delahunt D-MA
- C. A. Dutch Ruppersberger D-MD
- Benjamin Louis Cardin D-MD
- Albert Russell Wynn D-MD
- Steny Hamilton Hoyer D-MD
- Elijah Eugene Cummings D-MD
- Christopher Van Hollen D-MD
- Thomas H. Allen D-ME
- Michael H. Michaud D-ME
- Bart T. Stupak D-MI
- Dale Edward Kildee D-MI
- Nick H. Smith R-MI
- Sander Martin Levin D-MI
- Carolyn Cheeks Kilpatrick D-MI
- John Conyers Jr. D-MI
- John David Dingell Jr. D-MI
- Gilbert W. Gutknecht R-MN
- Betty Mccollum D-MN
- Martin Olav Sabo D-MN
- James Louis Oberstar D-MN
- William Lacy Clay Jr. D-MO
- W. Todd Akin R-MO
- Richard Andrew Gephardt D-MO
- Isaac Newton Skelton IV (Ike) D-MO
- Karen Mccarthy D-MO
- Jo Ann Emerson R-MO
- Bennie Thompson D-MS
- Gary Eugene (Gene) Taylor D-MS
- Frank W. Ballance Jr. D-NC
- Bobby R. Etheridge D-NC
- Walter Beaman Jones Jr. R-NC
- David Eugene Price D-NC
- Mike Mcintyre D-NC
- Melvin L. Watt D-NC
- Brad Miller D-NC
- Robert Ernest Andrews D-NJ
- Scott Garrett R-NJ
- Frank Pallone Jr. D-NJ
- William J. Pascrell Jr. D-NJ
- Steven Rothman D-NJ
- Donald Milford Payne D-NJ
- Rush Holt D-NJ
- Robert Menendez D-NJ
- Thomas (Tom) Udall D-NM
- Shelley Berkley D-NV
- Timothy H. Bishop D-NY
- Steve Israel D-NY
- Carolyn Mccarthy D-NY
- Gary Leonard Ackerman D-NY
- Gregory W. Meeks D-NY
- Joseph Crowley D-NY
- Jerrold Lewis Nadler D-NY
- Anthony D. Weiner D-NY
- Edolphus Towns D-NY
- Major Robert Odell Owens D-NY
- Nydia M. Velázquez D-NY
- Carolyn Bosher Maloney D-NY
- Charles B. Rangel D-NY
- José E. Serrano D-NY
- Eliot Lance Engel D-NY
- Nita M. Lowey D-NY
- Michael Robert Mcnulty D-NY
- Maurice Dunlea Hinchey D-NY
- Louise McIntosh Slaughter D-NY
- Steve Chabot R-OH
- Ted Strickland D-OH
- Marcia Carolyn (Marcy) Kaptur D-OH
- Dennis Kucinich D-OH
- Stephanie Tubbs Jones D-OH
- Sherrod Brown D-OH
- Timothy J. Ryan D-OH
- Earl Blumenauer D-OR
- Peter Anthony Defazio D-OR
- Darlene Hooley D-OR
- Robert A. Brady D-PA
- Chaka Fattah D-PA
- Paul E. Kanjorski D-PA
- John Patrick Murtha Jr. D-PA
- Joseph M. Hoeffel D-PA
- Michael F. Doyle D-PA
- Patrick Joseph Toomey R-PA
- Thomas Timothy (Tim) Holden D-PA
- Patrick Joseph Kennedy D-RI
- James Langevin D-RI
- James Gresham Barrett R-SC
- James W. Demint R-SC
- John McKee Spratt Jr. D-SC
- James Enos Clyburn D-SC
- Zachary Paul Wamp R-TN
- James Hayes Shofner Cooper D-TN
- Barton Jennings Gordon D-TN
- John S. Tanner D-TN
- Harold Ford Jr. D-TN
- Max A. Sandlin D-TX
- Jim Turner D-TX
- John Culberson R-TX
- Nicholas V. Lampson D-TX
- Lloyd Alton Doggett II D-TX
- Thomas Chester (Chet) Edwards D-TX
- Ronald Ernest Paul R-TX
- Rubén Hinojosa D-TX
- Silvestre Reyes D-TX
- Sheila Jackson Lee D-TX
- Charles A. Gonzalez D-TX
- Jonas Martin Frost D-TX
- Chris Bell D-TX
- Solomon P. Ortiz D-TX
- Ciro D. Rodriguez D-TX
- Raymond Eugene (Gene) Green D-TX
- Eddie Bernice Johnson D-TX
- Robert C. Scott D-VA
- James P. Moran D-VA
- Bernard Sanders I-VT
- Jay Robert Inslee D-WA
- Richard Ray (Rick) Larsen D-WA
- Brian Baird D-WA
- Norman DeValois Dicks D-WA
- James A. Mcdermott D-WA
- Adam Smith D-WA
- Tammy Baldwin D-WI
- Ron Kind D-WI
- Gerald Daniel Kleczka D-WI
- David Ross Obey D-WI
- Alan Bowlby Mollohan D-WV
- Nick Joe Rahall II D-WV
Did not vote
Other votes
From Voteview roll call records.
Cite or embed this page
Capitol Receipts, “Medicare Prescription Drug, Improvement, and…: House Vote, Nov 22…,” https://www.capitolreceipts.com/vote/108-H-667/medicare-prescription-drug-improvement-and-modernization-act (accessed 2026-10-17).