HR 4531 — Support for Patients and Communities Reauthorization Act
Congress 118
Latest action: — Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Sponsors
- Allred, Colin Z. (D, TX-32) — cosponsor
- Burgess, Michael C. (R, TX-26) — cosponsor
- Blumenauer, Earl (D, OR-3) — cosponsor
- Valadao, David G. (R, CA-22) — cosponsor
- Trone, David J. (D, MD-6) — cosponsor
- Pence, Greg (R, IN-6) — cosponsor
- Cherfilus-McCormick, Sheila (D, FL-20) — cosponsor
- LaLota, Nick (R, NY-1) — cosponsor
- Kiley, Kevin (I, CA-3) — cosponsor
- Cammack, Kat (R, FL-3) — cosponsor
- Neguse, Joe (D, CO-2) — cosponsor
- Davis, Donald G. (D, NC-1) — cosponsor
- Miller, Carol D. (R, WV-1) — cosponsor
- Bucshon, Larry (R, IN-8) — cosponsor
- Lee, Susie (D, NV-3) — cosponsor
Action timeline
- · H11100 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, and Education and the Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- · H11100 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, and Education and the Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- · H11100 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, and Education and the Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- · Intro-H — Introduced in House
- · 1000 — Introduced in House
- — Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
- — Committee Consideration and Mark-up Session Held.
- — Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 29 - 3.
- — Committee Consideration and Mark-up Session Held
- · H37220 — At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
- · H8D000 — DEBATE - The House proceeded with forty minutes of debate on H.R. 4531.
- · H30000 — Considered under suspension of the rules. (consideration: CR H6789-6797)
- · H30300 — Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
- · H38310 — Motion to reconsider laid on the table Agreed to without objection.
- · H37300 — On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 386 - 37 (Roll no. 715). (text: 12/11/2023 CR H6790-6794)
- · 8000 — Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 386 - 37 (Roll no. 715). (text: 12/11/2023 CR H6790-6794)
- · H30000 — Considered as unfinished business. (consideration: CR H6836)
- — Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Text versions
- Introduced in House · 2023-07-11 — open
- Engrossed in House · 2023-12-12 — open
- Referred in Senate · 2023-12-13 — open
Connected on the graph
Inbound (15)
| date | from | type | amount | role | source |
|---|---|---|---|---|---|
| — | Burgess, Michael C. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Allred, Colin Z. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Kiley, Kevin | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | LaLota, Nick | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Blumenauer, Earl | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Trone, David J. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Pence, Greg | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Neguse, Joe | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Valadao, David G. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Cherfilus-McCormick, Sheila | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Cammack, Kat | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Davis, Donald G. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Miller, Carol D. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Bucshon, Larry | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Lee, Susie | cosponsor_of_bill | — | cosponsor | sponsorship |
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Davis, Donald G. (D, house NC-1) | cosponsor | 3 | — | 4 |
| 2 | Cammack, Kat (R, house FL-3) | cosponsor | 1 | — | 2 |
| 3 | Kiley, Kevin (I, house CA-3) | cosponsor | 1 | — | 2 |
| 4 | Valadao, David G. (R, house CA-22) | cosponsor | 1 | — | 2 |
| 5 | Allred, Colin Z. (D, house TX-32) | cosponsor | 0 | — | 1 |
| 6 | Blumenauer, Earl (D, house OR-3) | cosponsor | 0 | — | 1 |
| 7 | Bucshon, Larry (R, house IN-8) | cosponsor | 0 | — | 1 |
| 8 | Burgess, Michael C. (R, house TX-26) | cosponsor | 0 | — | 1 |
| 9 | Cherfilus-McCormick, Sheila (D, house FL-20) | cosponsor | 0 | — | 1 |
| 10 | LaLota, Nick (R, house NY-1) | cosponsor | 0 | — | 1 |
| 11 | Lee, Susie (D, house NV-3) | cosponsor | 0 | — | 1 |
| 12 | Miller, Carol D. (R, house WV-1) | cosponsor | 0 | — | 1 |
| 13 | Neguse, Joe (D, house CO-2) | cosponsor | 0 | — | 1 |
| 14 | Pence, Greg (R, house IN-6) | cosponsor | 0 | — | 1 |
| 15 | Trone, David J. (D, house MD-6) | cosponsor | 0 | — | 1 |
Who's influencing them
Orgs ranked by combined money flow on this bill: LDA filings citing the bill + individual contributions in cycle 2026from donors whose employer matches the org name (Schedule A) to any principal committee in the "who matters" list above.
| # | Org | LDA filings | LDA spend | Donor employees | Employee donations | Total |
|---|---|---|---|---|---|---|
| 1 | not employed | 0 | $0 | 109 | $57,569 | $57,569 |
| 2 | retired | 0 | $0 | 153 | $18,082 | $18,082 |
| 3 | none | 0 | $0 | 28 | $15,820 | $15,820 |
| 4 | self employed | 0 | $0 | 20 | $15,455 | $15,455 |
| 5 | cordish companies | 0 | $0 | 1 | $7,000 | $7,000 |
| 6 | dragonfly | 0 | $0 | 1 | $7,000 | $7,000 |
| 7 | openai | 0 | $0 | 2 | $4,999 | $4,999 |
| 8 | singleton shreiber llp | 0 | $0 | 1 | $3,500 | $3,500 |
| 9 | third point llc | 0 | $0 | 1 | $3,500 | $3,500 |
| 10 | puma vineyards | 0 | $0 | 1 | $3,500 | $3,500 |
| 11 | method security | 0 | $0 | 1 | $3,500 | $3,500 |
| 12 | not employer | 0 | $0 | 2 | $3,400 | $3,400 |
| 13 | unitleader | 0 | $0 | 1 | $3,300 | $3,300 |
| 14 | thorsen french advocacy | 0 | $0 | 2 | $3,000 | $3,000 |
| 15 | casa | 0 | $0 | 1 | $3,000 | $3,000 |
| 16 | self | 0 | $0 | 7 | $2,865 | $2,865 |
| 17 | basco | 0 | $0 | 1 | $2,500 | $2,500 |
| 18 | united states hispanic business counci | 0 | $0 | 1 | $2,500 | $2,500 |
| 19 | odin construction solutions | 0 | $0 | 1 | $2,330 | $2,330 |
| 20 | state of california | 0 | $0 | 2 | $2,250 | $2,250 |
| 21 | disney | 0 | $0 | 3 | $2,250 | $2,250 |
| 22 | action behavior centers | 0 | $0 | 1 | $2,000 | $2,000 |
| 23 | healthcare | 0 | $0 | 1 | $2,000 | $2,000 |
| 24 | rancho teresita dairy | 0 | $0 | 1 | $2,000 | $2,000 |
| 25 | advanced eye mds | 0 | $0 | 1 | $1,625 | $1,625 |
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
329 predicted yes (61%) · 32 predicted no (6%) · 182 unknown (33%)
By party: · R: 158 yes / 23 no / 96 unknown · D: 168 yes / 9 no / 86 unknown · I: 3 yes / 0 no
50 high-confidence positions (voted + sponsor + cosponsor) — showing top 50
- Adams, Alma S. (D · house · NC-12) · voted
- Aderholt, Robert B. (R · house · AL-4) · voted
- Aguilar, Pete (D · house · CA-33) · voted
- Alford, Mark (R · house · MO-4) · voted
- Allen, Rick W. (R · house · GA-12) · voted
- Amo, Gabe (D · house · RI-1) · voted
- Amodei, Mark E. (R · house · NV-2) · voted
- Arrington, Jodey C. (R · house · TX-19) · voted
- Auchincloss, Jake (D · house · MA-4) · voted
- Babin, Brian (R · house · TX-36) · voted
- Bacon, Don (R · house · NE-2) · voted
- Baird, James R. (R · house · IN-4) · voted
- Balderson, Troy (R · house · OH-12) · voted
- Balint, Becca (D · house · VT) · voted
- Banks, Jim (R · senate · IN) · voted
- Barr, Andy (R · house · KY-6) · voted
- Barragán, Nanette Diaz (D · house · CA-44) · voted
- Bean, Aaron (R · house · FL-4) · voted
- Beatty, Joyce (D · house · OH-3) · voted
- Bentz, Cliff (R · house · OR-2) · voted
- Bera, Ami (D · house · CA-6) · voted
- Bergman, Jack (R · house · MI-1) · voted
- Beyer, Donald S. (D · house · VA-8) · voted
- Bice, Stephanie I. (R · house · OK-5) · voted
- Biggs, Andy (R · house · AZ-5) · voted
- Bilirakis, Gus M. (R · house · FL-12) · voted
- Bishop, Sanford D. (D · house · GA-2) · voted
- Blunt Rochester, Lisa (D · senate · DE) · voted
- Boebert, Lauren (R · house · CO-4) · voted
- Bonamici, Suzanne (D · house · OR-1) · voted
- Bost, Mike (R · house · IL-12) · voted
- Boyle, Brendan F. (D · house · PA-2) · voted
- Brecheen, Josh (R · house · OK-2) · voted
- Brown, Shontel M. (D · house · OH-11) · voted
- Brownley, Julia (D · house · CA-26) · voted
- Buchanan, Vern (R · house · FL-16) · voted
- Budzinski, Nikki (D · house · IL-13) · voted
- Burchett, Tim (R · house · TN-2) · voted
- Burlison, Eric (R · house · MO-7) · voted
- Calvert, Ken (R · house · CA-41) · voted
- Cammack, Kat (R · house · FL-3) · voted
- Carbajal, Salud O. (D · house · CA-24) · voted
- Carey, Mike (R · house · OH-15) · voted
- Carson, André (D · house · IN-7) · voted
- Carter, Earl L. "Buddy" (R · house · GA-1) · voted
- Carter, John R. (R · house · TX-31) · voted
- Carter, Troy A. (D · house · LA-2) · voted
- Casar, Greg (D · house · TX-35) · voted
- Case, Ed (D · house · HI-1) · voted
- Casten, Sean (D · house · IL-6) · voted
Activity
Every typed-graph event involving this entity, newest first. Each row is one edge in the influence graph; click the date to jump to its provenance.
- 2026-05-17 · cosponsored by Davis, Donald G. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Trone, David J. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Miller, Carol D. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Neguse, Joe (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Bucshon, Larry (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Burgess, Michael C. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Allred, Colin Z. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Valadao, David G. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Pence, Greg (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by LaLota, Nick (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Cherfilus-McCormick, Sheila (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Cammack, Kat (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Kiley, Kevin (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Blumenauer, Earl (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Lee, Susie (cosponsor) · sponsorship