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HR 4531Support 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

Action timeline

  1. · 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.
  2. · 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.
  3. · 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.
  4. · Intro-H Introduced in House
  5. · 1000 Introduced in House
  6. Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
  7. Committee Consideration and Mark-up Session Held.
  8. Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 29 - 3.
  9. Committee Consideration and Mark-up Session Held
  10. · 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.
  11. · H8D000 DEBATE - The House proceeded with forty minutes of debate on H.R. 4531.
  12. · H30000 Considered under suspension of the rules. (consideration: CR H6789-6797)
  13. · H30300 Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
  14. · H38310 Motion to reconsider laid on the table Agreed to without objection.
  15. · 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)
  16. · 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)
  17. · H30000 Considered as unfinished business. (consideration: CR H6836)
  18. Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Text versions

Connected on the graph

Inbound (15)

datefromtypeamountrolesource
Burgess, Michael C.cosponsor_of_billcosponsorsponsorship
Allred, Colin Z.cosponsor_of_billcosponsorsponsorship
Kiley, Kevincosponsor_of_billcosponsorsponsorship
LaLota, Nickcosponsor_of_billcosponsorsponsorship
Blumenauer, Earlcosponsor_of_billcosponsorsponsorship
Trone, David J.cosponsor_of_billcosponsorsponsorship
Pence, Gregcosponsor_of_billcosponsorsponsorship
Neguse, Joecosponsor_of_billcosponsorsponsorship
Valadao, David G.cosponsor_of_billcosponsorsponsorship
Cherfilus-McCormick, Sheilacosponsor_of_billcosponsorsponsorship
Cammack, Katcosponsor_of_billcosponsorsponsorship
Davis, Donald G.cosponsor_of_billcosponsorsponsorship
Miller, Carol D.cosponsor_of_billcosponsorsponsorship
Bucshon, Larrycosponsor_of_billcosponsorsponsorship
Lee, Susiecosponsor_of_billcosponsorsponsorship

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.

#MemberRoleSpeechesVotedScore
1Davis, Donald G. (D, house NC-1)cosponsor34
2Cammack, Kat (R, house FL-3)cosponsor12
3Kiley, Kevin (I, house CA-3)cosponsor12
4Valadao, David G. (R, house CA-22)cosponsor12
5Allred, Colin Z. (D, house TX-32)cosponsor01
6Blumenauer, Earl (D, house OR-3)cosponsor01
7Bucshon, Larry (R, house IN-8)cosponsor01
8Burgess, Michael C. (R, house TX-26)cosponsor01
9Cherfilus-McCormick, Sheila (D, house FL-20)cosponsor01
10LaLota, Nick (R, house NY-1)cosponsor01
11Lee, Susie (D, house NV-3)cosponsor01
12Miller, Carol D. (R, house WV-1)cosponsor01
13Neguse, Joe (D, house CO-2)cosponsor01
14Pence, Greg (R, house IN-6)cosponsor01
15Trone, David J. (D, house MD-6)cosponsor01

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.

#OrgLDA filingsLDA spendDonor employeesEmployee donationsTotal
1not employed0$0109$57,569$57,569
2retired0$0153$18,082$18,082
3none0$028$15,820$15,820
4self employed0$020$15,455$15,455
5cordish companies0$01$7,000$7,000
6dragonfly0$01$7,000$7,000
7openai0$02$4,999$4,999
8singleton shreiber llp0$01$3,500$3,500
9third point llc0$01$3,500$3,500
10puma vineyards0$01$3,500$3,500
11method security0$01$3,500$3,500
12not employer0$02$3,400$3,400
13unitleader0$01$3,300$3,300
14thorsen french advocacy0$02$3,000$3,000
15casa0$01$3,000$3,000
16self0$07$2,865$2,865
17basco0$01$2,500$2,500
18united states hispanic business counci0$01$2,500$2,500
19odin construction solutions0$01$2,330$2,330
20state of california0$02$2,250$2,250
21disney0$03$2,250$2,250
22action behavior centers0$01$2,000$2,000
23healthcare0$01$2,000$2,000
24rancho teresita dairy0$01$2,000$2,000
25advanced eye mds0$01$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

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.

  1. 2026-05-17 · cosponsored by Davis, Donald G. (cosponsor) · sponsorship
  2. 2026-05-17 · cosponsored by Trone, David J. (cosponsor) · sponsorship
  3. 2026-05-17 · cosponsored by Miller, Carol D. (cosponsor) · sponsorship
  4. 2026-05-17 · cosponsored by Neguse, Joe (cosponsor) · sponsorship
  5. 2026-05-17 · cosponsored by Bucshon, Larry (cosponsor) · sponsorship
  6. 2026-05-17 · cosponsored by Burgess, Michael C. (cosponsor) · sponsorship
  7. 2026-05-17 · cosponsored by Allred, Colin Z. (cosponsor) · sponsorship
  8. 2026-05-17 · cosponsored by Valadao, David G. (cosponsor) · sponsorship
  9. 2026-05-17 · cosponsored by Pence, Greg (cosponsor) · sponsorship
  10. 2026-05-17 · cosponsored by LaLota, Nick (cosponsor) · sponsorship
  11. 2026-05-17 · cosponsored by Cherfilus-McCormick, Sheila (cosponsor) · sponsorship
  12. 2026-05-17 · cosponsored by Cammack, Kat (cosponsor) · sponsorship
  13. 2026-05-17 · cosponsored by Kiley, Kevin (cosponsor) · sponsorship
  14. 2026-05-17 · cosponsored by Blumenauer, Earl (cosponsor) · sponsorship
  15. 2026-05-17 · cosponsored by Lee, Susie (cosponsor) · sponsorship

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