Protecting Americans with Preexisting Conditions Act

On May 9, 2019, the House voted 230–183 on “On Passage” (HR 986). Result: Passed. By party: Democrats 226–0, Republicans 4–183. It was a party-line vote: most Democrats and most Republicans voted on opposite sides. 4 members voted against their own party.

During the 116th Congress (2019–2020), Donald Trump was president, and Democrats held the House majority and Republicans the Senate majority.

Result: Passed
Yes: 230
No: 183
Did not vote: 37
Date: May 9, 2019

By party

Republicans4 yes · 183 no · 20 didn’t vote
Democrats226 yes · 0 no · 15 didn’t vote

Who broke with their party

Christopher Henry Smith R-NJ voted yes
John Katko R-NY voted yes
Brian K. Fitzpatrick R-PA voted yes
Frank James Sensenbrenner Jr. R-WI voted yes

How each representative voted: Yes

Terri Sewell D-AL
Thomas C. O'Halleran D-AZ
Ann Kirkpatrick D-AZ
Raúl M. Grijalva D-AZ
Ruben Gallego D-AZ
Greg Stanton D-AZ
Jared Huffman D-CA
John Garamendi D-CA
Michael Thompson D-CA
Doris Matsui D-CA
Ami Bera D-CA
Jerry Mcnerney D-CA
Josh Harder D-CA
Mark James Desaulnier D-CA
Barbara Lee D-CA
Karen Lorraine Jacqueline (Jackie) Speier D-CA
Jim Costa D-CA
Ro Khanna D-CA
Anna Georges Eshoo D-CA
Zoe Lofgren D-CA
James Varni Panetta D-CA
TJ Cox D-CA
Salud Carbajal D-CA
Katie Hill D-CA
Julia Brownley D-CA
Judy Chu D-CA
Adam Schiff D-CA
Brad Sherman D-CA
Peter Rey Aguilar D-CA
Grace Flores Napolitano D-CA
Ted Lieu D-CA
Jimmy Gomez D-CA
Norma Judith Torres D-CA
Raul Ruiz D-CA
Linda T. Sánchez D-CA
Gil Cisneros D-CA
Lucille Roybal-Allard D-CA
Mark Takano D-CA
Maxine Waters D-CA
Nanette Diaz Barragán D-CA
Katie Porter D-CA
Jose Luis Correa D-CA
Alan Lowenthal D-CA
Harley Rouda D-CA
Mike Levin D-CA
Juan Vargas D-CA
Scott Peters D-CA
Susan A. Davis D-CA
Diana Degette D-CO
Joseph Neguse D-CO
Jason Crow D-CO
Ed Perlmutter D-CO
John B. Larson D-CT
Joe Courtney D-CT
Rosa L. Delauro D-CT
James A. Himes D-CT
Jahana Hayes D-CT
Lisa Blunt Rochester D-DE
Alfred Jr. Lawson D-FL
Stephanie Murphy D-FL
Darren Michael Soto D-FL
Valdez Demings D-FL
Charlie Joseph Crist Jr. D-FL
Kathy Castor D-FL
Alcee Lamar Hastings D-FL
Lois Frankel D-FL
Theodore E. (Ted) Deutch D-FL
Debbie Wasserman Schultz D-FL
Frederica Wilson D-FL
Debbie Mucarsel-Powell D-FL
Donna Shalala D-FL
Sanford Dixon Bishop Jr. D-GA
Hank Johnson D-GA
John R. Lewis D-GA
Lucy Mcbath D-GA
David Scott D-GA
Ed Case D-HI
Abby Finkenauer D-IA
Dave Loebsack D-IA
Cynthia Axne D-IA
Robin L. Kelly D-IL
Daniel Lipinski D-IL
Jesús García D-IL
Mike Quigley D-IL
Sean Casten D-IL
Danny K. Davis D-IL
S. Raja Krishnamoorthi D-IL
Janice D. Schakowsky D-IL
Brad Schneider D-IL
Bill Foster D-IL
Lauren Underwood D-IL
Cheri Bustos D-IL
Peter Visclosky D-IN
André Carson D-IN
Sharice Davids D-KS
John Yarmuth D-KY
Richard Edmund Neal D-MA
James P. Mcgovern D-MA
Lori Trahan D-MA
Joseph P. III Kennedy D-MA
Katherine M. Clark D-MA
Seth Moulton D-MA
Ayanna Pressley D-MA
Stephen F. Lynch D-MA
William R. Keating D-MA
C. A. Dutch Ruppersberger D-MD
John Sarbanes D-MD
Anthony Gregory Brown D-MD
Steny Hamilton Hoyer D-MD
David Trone D-MD
Jamie Ben Raskin D-MD
Chellie Pingree D-ME
Jared Golden D-ME
Dan Kildee D-MI
Elissa Slotkin D-MI
Andy Levin D-MI
Haley Stevens D-MI
Debbie Dingell D-MI
Rashida Tlaib D-MI
Brenda L Lawrence D-MI
Angela Craig D-MN
Dean Phillips D-MN
Betty Mccollum D-MN
Ilhan Omar D-MN
Collin Clark Peterson D-MN
William Lacy Clay Jr. D-MO
Emanuel Cleaver II D-MO
Bennie Thompson D-MS
George Kenneth Butterfield Jr. (G.K.) D-NC
David Eugene Price D-NC
Alma Adams D-NC
Chris Pappas D-NH
Ann McLane Kuster D-NH
Donald Norcross D-NJ
Jefferson Van Drew D-NJ
Andy Kim D-NJ
Christopher Henry Smith R-NJ
Josh S. Gottheimer D-NJ
Frank Pallone Jr. D-NJ
Tomaz Malinowski D-NJ
Albio Sires D-NJ
William J. Pascrell Jr. D-NJ
Donald Payne Jr. D-NJ
Mikie Sherrill D-NJ
Bonnie Watson Coleman D-NJ
Debra Haaland D-NM
Xochitl Torres Small D-NM
Ben Ray Luján D-NM
Alice (Dina) Titus D-NV
Susie Lee D-NV
Steven Horsford D-NV
Thomas Suozzi D-NY
Kathleen Maura Rice D-NY
Gregory W. Meeks D-NY
Grace Meng D-NY
Nydia M. Velázquez D-NY
Hakeem Jeffries D-NY
Yvette Diane Clarke D-NY
Jerrold Lewis Nadler D-NY
Max Rose D-NY
Carolyn Bosher Maloney D-NY
Adriano J. Espaillat D-NY
Alexandria Ocasio-Cortez D-NY
José E. Serrano D-NY
Eliot Lance Engel D-NY
Nita M. Lowey D-NY
Sean Patrick Maloney D-NY
Antonio Delgado D-NY
Paul Tonko D-NY
Anthony Brindisi D-NY
John Katko R-NY
Joseph Morelle D-NY
Brian Higgins D-NY
Joyce Beatty D-OH
Marcia Carolyn (Marcy) Kaptur D-OH
Marcia L. Fudge D-OH
Kendra Horn D-OK
Suzanne Bonamici D-OR
Earl Blumenauer D-OR
Peter Anthony Defazio D-OR
Kurt Schrader D-OR
Brian K. Fitzpatrick R-PA
Brendan Francis Boyle D-PA
Dwight Evans D-PA
Madeleine Dean D-PA
Mary Gay Scanlon D-PA
Christina Houlahan D-PA
Susan Wild D-PA
Matt Cartwright D-PA
Conor Lamb D-PA
Michael F. Doyle D-PA
David N. Cicilline D-RI
James Langevin D-RI
Joe Cunningham D-SC
James Enos Clyburn D-SC
James Hayes Shofner Cooper D-TN
Stephen Cohen D-TN
Elizabeth Fletcher D-TX
Al Green D-TX
Vicente Gonzalez Jr. D-TX
Veronica Escobar D-TX
Sheila Jackson Lee D-TX
Joaquin Castro D-TX
Henry Cuellar D-TX
Sylvia Garcia D-TX
Eddie Bernice Johnson D-TX
Colin Allred D-TX
Marc Veasey D-TX
Filemon Vela D-TX
Lloyd Alton Doggett II D-TX
Ben Mcadams D-UT
Elaine Luria D-VA
Robert C. Scott D-VA
Aston Donald Mceachin D-VA
Abigail Spanberger D-VA
Donald Sternoff Jr. Beyer D-VA
Jennifer Wexton D-VA
Gerald E. (Gerry) Connolly D-VA
Peter Welch D-VT
Suzan K. Delbene D-WA
Richard Ray (Rick) Larsen D-WA
Derek Kilmer D-WA
Pramila Jayapal D-WA
Kim Schrier D-WA
Adam Smith D-WA
Denny Heck D-WA
Mark Pocan D-WI
Ron Kind D-WI
Gwendolynne S. (Gwen) Moore D-WI
Frank James Sensenbrenner Jr. R-WI

How each representative voted: No

Voted present

Bill Flores R-TX

Did not vote

Other votes

From Voteview roll call records.

Cite or embed this page

Capitol Receipts, “Protecting Americans with Preexisting…: House Vote, May 9, 2019,” https://www.capitolreceipts.com/vote/116-H-195/protecting-americans-with-preexisting-conditions-act (accessed 2026-10-16).