Agency for Health Care Policy and Research Reauthorization Act of 1992
Public Law 102-410 · H.R. 5673 · 102nd Congress · began in the House
Signed by George H. W. Bush (R) on Oct 13, 1992 · Health
Sponsor: Rep. Henry Waxman (D-CA-24)
Cosponsors: None
Passage votesYeaNay
- HouseRecorded vote: 397 yea, 8 nay397–8
- SenateVoice vote
Data notes
The final version of the law, as each chamber passed it. A chamber that passed it by voice vote or unanimous consent has no count. “Method not stated” means the record does not say how the chamber voted. Where the record has a member-by-member vote, the “Who voted for it” section shows who voted yea.
Summary
The Congressional Research Service’s plain-language summary of what the law does.
Agency for Health Care Policy and Research Reauthorization Act of 1992 - Amends the Public Health Service Act to authorize the Administrator of the Agency for Health Care Policy and Research to provide training grants in the field of health services research.
Establishes an information center on health services research and selected technology assessments and clinical practice guidelines at the National Library of Medicine.
Directs the Administrator to establish an annual list of health care technology assessments under consideration by the Agency and to develop criteria for determining the priority of assessments. Authorizes the Administrator to make grants to, or enter into cooperative agreements with, appropriate entities to conduct assessments of experimental, emerging, existing, or potentially outmoded health care technologies and for related activities.
Requires the Administrator to study and report to specified congressional committees on methods for collecting and analyzing data to be used in generating cost estimates of alternative strategies for the prevention, diagnosis, treatment, or management of a disease or health condition to be included in guideline documents.
Requires the Administrator to carry out provisions relating to the Office of the Forum for Quality and Effectiveness through the Director of the Office.
Limits the percentage of members of scientific and technical review groups (regarding applications for a grant, cooperative agreement, or contract under provisions relating to the Agency) who may be U.S. officers and employees. (Current law prohibits such officers and employees from serving as members of those groups.) Revises requirements regarding which groups review which proposals.
Authorizes the Administrator to tabulate and analyze statistics and prepare studies at the request of a public or nonprofit entity, with the entity paying costs.
Sets forth requirements for the selection of individuals to serve on panels for the development and review of health care guidelines and standards.
Requires the Administrator to study and report to specified congressional committees on the process used to develop guidelines, standards, and review criteria.
Directs the Administrator to ensure that a set of guidelines, standards, performance measures, and review criteria are developed that address the prevention of no fewer than three conditions that account for significant national health expenditures.
Requires evaluations that are conducted of the effect of guidelines on the clinical practice of medicine to be developed prior to the completion of the guidelines so that baseline data concerning practice patterns and health care costs may be obtained as part of such evaluations.
Directs the Administrator, with respect to grants, cooperative agreements, or contracts for projects, to define the circumstances that constitute financial conflicts of interest and the actions to be taken in response to such conflicts.
Extends the authorization of appropriations for Agency programs and authorizes appropriations for specified activities under this Act.
Who voted for it
Every House member of the 102nd Congress on the ideology compass. Highlighted: the 397 who voted yea on final passage. Faded: everyone else, including those who voted nay, did not vote, or had not yet taken office.
397 yea8 nay27 present or did not vote
Democrats who voted yea(246)
- Rep. Bill ClayD-MO-1
- Rep. Mervyn DymallyD-CA-31
- Rep. Charles HayesD-IL-1
Rep. John ConyersD-MI-1- Rep. Ronald DellumsD-CA-8
- Rep. Major OwensD-NY-12
Rep. Maxine WatersD-CA-29- Rep. Henry GonzálezD-TX-20
Rep. Donald PayneD-NJ-10- Rep. Louis StokesD-OH-21
- Rep. Cardiss CollinsD-IL-7
Rep. Charlie RangelD-NY-16
Rep. Ed TownsD-NY-11- Rep. Barbara-Rose CollinsD-MI-13
- Rep. Edward RoybalD-CA-25
Rep. John LewisD-GA-5- Rep. Sidney YatesD-IL-9
Rep. Neil AbercrombieD-HI-1- Rep. David BoniorD-MI-12
Rep. José SerranoD-NY-18- Rep. Lucien BlackwellD-PA-2
Rep. James OberstarD-MN-8- Rep. Alan WheatD-MO-5
Rep. Nancy PelosiD-CA-5- Rep. James ScheuerD-NY-8
- Rep. Norman MinetaD-CA-13
- Rep. Don EdwardsD-CA-10
- Rep. Carl PerkinsD-KY-7
- Rep. Julian DixonD-CA-28
Rep. Jim McDermottD-WA-7- Rep. Michael KopetskiD-OR-5
- Rep. William FordD-MI-15
- Rep. William LehmanD-FL-17
- Rep. Floyd FlakeD-NY-6
- Rep. Jolene UnsoeldD-WA-3
- Rep. Martin SaboD-MN-5
- Rep. Esteban TorresD-CA-34
- Rep. William CoyneD-PA-14
- Rep. Bruce VentoD-MN-4
- Rep. Dennis HertelD-MI-14
- Rep. Patsy MinkD-HI-2
Rep. Bernie SandersD-VT- Rep. Jerome TraxlerD-MI-8
Rep. Pete StarkD-CA-9- Rep. Victor FazioD-CA-4
Rep. Dale KildeeD-MI-7- Rep. Meldon LevineD-CA-27
- Rep. Allan SwiftD-WA-2
Rep. Henry WaxmanD-CA-24- Rep. Howard WolpeD-MI-3
- Rep. Robert MatsuiD-CA-3
Rep. William JeffersonD-LA-2- Rep. Dick GephardtD-MO-3
- Rep. Dante FascellD-FL-19
- Rep. Gerry StuddsD-MA-10
Rep. Kweisi MfumeD-MD-7- Rep. Mary OakarD-OH-20
- Rep. John MoakleyD-MA-9
Rep. Barney FrankD-MA-4- Rep. Bill AlexanderD-AR-1
Rep. Howard BermanD-CA-26
Rep. John OlverD-MA-1- Rep. Lane EvansD-IL-17
Rep. Dave ObeyD-WI-7- Rep. Neal SmithD-IA-4
- Rep. Lawrence SmithD-FL-16
Rep. John DingellD-MI-16
Rep. Steny HoyerD-MD-5
Rep. Nita LoweyD-NY-20- Rep. Frank AnnunzioD-IL-11
- Rep. Sam GejdensonD-CT-2
Rep. Peter DeFazioD-OR-4- Rep. Thomas MantonD-NY-9
Rep. Barbara BoxerD-CA-6
Rep. Richard NealD-MA-2- Rep. Francis McCloskeyD-IN-8
- Rep. Harold FordD-TN-9
- Rep. Jerry KleczkaD-WI-4
- Rep. Charles RoseD-NC-7
- Rep. Chester AtkinsD-MA-5
- Rep. George BrownD-CA-36
- Rep. Michael SynarD-OK-2
- Rep. Jack BrooksD-TX-9
- Rep. Joseph KennedyD-MA-8
- Rep. Robert BorskiD-PA-3
- Rep. David NagleD-IA-3
- Rep. Albert EspyD-MS-2
- Rep. John LaFalceD-NY-32
- Rep. Matthew McHughD-NY-28
- Rep. William NatcherD-KY-2
- Rep. Ronald ColemanD-TX-16
Rep. Eliot EngelD-NY-19
Rep. Benjamin CardinD-MD-3
Rep. Sander LevinD-MI-17- Rep. Thomas AndrewsD-ME-1
- Rep. Stephen SolarzD-NY-13
- Rep. Henry NowakD-NY-33
- Rep. Thomas SawyerD-OH-14
- Rep. Robert RoeD-NJ-8
- Rep. Robert WiseD-WV-3
- Rep. Les AuCoinD-OR-1
- Rep. Anthony BeilensonD-CA-23
- Rep. George HochbruecknerD-NY-1
Rep. Richard DurbinD-IL-20- Rep. Matthew MartínezD-CA-30
Rep. Chuck SchumerD-NY-10- Rep. Bernard DwyerD-NJ-6
Rep. Michael McNultyD-NY-23- Rep. Nicholas MavroulesD-MA-6
- Rep. Daniel RostenkowskiD-IL-8
- Rep. Peter KostmayerD-PA-8
Rep. Rick BoucherD-VA-9- Rep. Barbara KennellyD-CT-1
Rep. Ron WydenD-OR-3- Rep. Ray ThorntonD-AR-2
- Rep. Edward FeighanD-OH-19
- Rep. James JontzD-IN-5
- Rep. David SkaggsD-CO-2
Rep. John MurthaD-PA-12
Rep. Rosa DeLauroD-CT-3- Rep. Brian DonnellyD-MA-11
Rep. Ed PastorD-AZ-2- Rep. Tom LantosD-CA-11
- Rep. John BryantD-TX-5
- Rep. Martin FrostD-TX-24
Rep. Peter ViscloskyD-IN-1- Rep. Glenn AndersonD-CA-32
Rep. Jack ReedD-RI-2- Rep. Kika de la GarzaD-TX-15
- Rep. Romano MazzoliD-KY-3
- Rep. Donald PeaseD-OH-13
- Rep. William RichardsonD-NM-3
Rep. Alan MollohanD-WV-1- Rep. John CoxD-IL-16
- Rep. Dennis EckartD-OH-11
Rep. David PriceD-NC-4- Rep. Harry JohnstonD-FL-14
- Rep. Martin RussoD-IL-3
- Rep. Gerald SikorskiD-MN-6
- Rep. Jim MoodyD-WI-5
Rep. Solomon OrtizD-TX-27
Rep. Nick RahallD-WV-4- Rep. Tony HallD-OH-3
Rep. Norm DicksD-WA-6- Rep. Joan HornD-MO-2
- Rep. Leon PanettaD-CA-16
- Rep. Joseph KolterD-PA-4
Rep. Paul KanjorskiD-PA-11- Rep. Leslie AspinD-WI-1
- Rep. Bill HefnerD-NC-8
- Rep. Patricia SchroederD-CO-1
Rep. Bart GordonD-TN-6- Rep. Robert TorricelliD-NJ-9
Rep. Jim MoranD-VA-8- Rep. Joseph GaydosD-PA-20
- Rep. Frank GuariniD-NJ-14
- Rep. James TraficantD-OH-17
- Rep. Peter HoaglandD-NE-2
- Rep. Harley StaggersD-WV-2
- Rep. Joseph EarlyD-MA-3
- Rep. Gus YatronD-PA-6
- Rep. Terry BruceD-IL-19
- Rep. Jill Long ThompsonD-IN-4
- Rep. Charles HatcherD-GA-2
- Rep. Jim ChapmanD-TX-1
- Rep. Butler DerrickD-SC-3
- Rep. Jake PickleD-TX-10
- Rep. Tom BevillD-AL-4
- Rep. Pete PetersonD-FL-2
- Rep. George SangmeisterD-IL-4
- Rep. Sam GibbonsD-FL-7
- Rep. Larry LaRoccoD-ID-1
- Rep. Buddy DardenD-GA-7
Rep. John SprattD-SC-5- Rep. James BacchusD-FL-11
- Rep. Ed JenkinsD-GA-9
Rep. Collin PetersonD-MN-7- Rep. John WilliamsD-MT-1
Rep. Chet EdwardsD-TX-11- Rep. Douglas OwensD-UT-2
- Rep. Philip SharpD-IN-2
Rep. Jerry CostelloD-IL-21- Rep. William HughesD-NJ-2
- Rep. Cal DooleyD-CA-17
- Rep. James BilbrayD-NV-1
- Rep. Robert ClementD-TN-5
- Rep. Richard LehmanD-CA-18
Rep. Tim JohnsonD-SD-1- Rep. Bob CarrD-MI-6
- Rep. Charles McMillenD-MD-4
- Rep. Glenn PoshardD-IL-22
Rep. Rob AndrewsD-NJ-1- Rep. John BrowderD-AL-3
- Rep. Charles WilsonD-TX-2
Rep. Frank PalloneD-NJ-3- Rep. William BrewsterD-OK-3
- Rep. William LipinskiD-IL-5
- Rep. Lee HamiltonD-IN-9
Rep. Byron DorganD-ND- Rep. Robin TallonD-SC-6
- Rep. Daniel GlickmanD-KS-4
- Rep. Michael AndrewsD-TX-25
- Rep. Robert ThomasD-GA-1
Rep. Bud CramerD-AL-5- Rep. Stephen NealD-NC-5
Rep. Jim CooperD-TN-4- Rep. Gregory LaughlinD-TX-14
- Rep. Harold VolkmerD-MO-9
- Rep. David McCurdyD-OK-4
- Rep. Richard SwettD-NH-2
- Rep. Martin LancasterD-NC-3
- Rep. James SlatteryD-KS-2
Rep. Thomas CarperD-DE- Rep. Lewis PayneD-VA-5
- Rep. Owen PickettD-VA-2
Rep. John TannerD-TN-8- Rep. James RowlandD-GA-8
- Rep. Richard StallingsD-ID-2
- Rep. Claude HarrisD-AL-7
- Rep. Douglas ApplegateD-OH-18
- Rep. Andrew JacobsD-IN-10
- Rep. Charles LukenD-OH-1
- Rep. Norman SisiskyD-VA-4
- Rep. Timothy RoemerD-IN-3
- Rep. Austin MurphyD-PA-22
- Rep. Charles BennettD-FL-3
Rep. Ike SkeltonD-MO-4- Rep. William SarpaliusD-TX-13
- Rep. Marilyn LloydD-TN-3
- Rep. Elizabeth PattersonD-SC-4
- Rep. Ben ErdreichD-AL-6
- Rep. Tim ValentineD-NC-2
- Rep. Glenn EnglishD-OK-6
- Rep. Beverly ByronD-MD-6
- Rep. Carroll HubbardD-KY-1
- Rep. Gary ConditD-CA-15
- Rep. Pete GerenD-TX-12
- Rep. William OrtonD-UT-3
- Rep. Sonny MontgomeryD-MS-3
- Rep. Mike ParkerD-MS-4
- Rep. Richard RayD-GA-3
- Rep. Billy TauzinD-LA-3
- Rep. Charlie StenholmD-TX-17
Rep. Gene TaylorD-MS-5- Rep. Earl HuttoD-FL-1
Rep. Ralph HallD-TX-4
Republicans who voted yea(151)
- Rep. Bill GreenR-NY-15
- Rep. Constance MorellaR-MD-8
- Rep. Benjamin GilmanR-NY-22
- Rep. Sherry BoehlertR-NY-25
- Rep. Frank HortonR-NY-29
- Rep. Hamilton FishR-NY-21
- Rep. Ronald MachtleyR-RI-1
Rep. Olympia SnoweR-ME-2- Rep. Sidney MorrisonR-WA-4
- Rep. Matthew RinaldoR-NJ-7
- Rep. Raymond McGrathR-NY-5
- Rep. Nancy JohnsonR-CT-6
Rep. Christopher ShaysR-CT-4
Rep. Chris SmithR-NJ-4- Rep. Marge RoukemaR-NJ-5
- Rep. Jim LeachR-IA-1
- Rep. Arthur RavenelR-SC-1
- Rep. Joseph McDadeR-PA-10
- Rep. Amo HoughtonR-NY-34
- Rep. Robert DavisR-MI-11
Rep. Jim WalshR-NY-27- Rep. Steven GundersonR-WI-3
- Rep. Steven SchiffR-NM-1
Rep. Ralph RegulaR-OH-16- Rep. Dean GalloR-NJ-11
- Rep. Scott KlugR-WI-2
- Rep. Thomas RidgeR-PA-21
- Rep. Joseph SkeenR-NM-2
- Rep. Carl PursellR-MI-2
- Rep. Susan MolinariR-NY-14
- Rep. John PorterR-IL-10
- Rep. Paul GillmorR-OH-5
Rep. Wayne GilchrestR-MD-1- Rep. William ClingerR-PA-23
- Rep. Jan MeyersR-KS-3
Rep. Ileana Ros-LehtinenR-FL-18- Rep. Donald RitterR-PA-15
- Rep. Herbert BatemanR-VA-1
- Rep. Helen BentleyR-MD-2
- Rep. Norman LentR-NY-4
Rep. Jim SaxtonR-NJ-13- Rep. John MillerR-WA-1
- Rep. John MyersR-IN-7
Rep. Don YoungR-AK- Rep. Doug BereuterR-NE-1
- Rep. Earl ColemanR-MO-6
- Rep. Curt WeldonR-PA-7
- Rep. David MartinR-NY-26
Rep. W. Bill YoungR-FL-8- Rep. William BroomfieldR-MI-18
- Rep. Willis GradisonR-OH-2
Rep. Fred UptonR-MI-4- Rep. Paul HenryR-MI-5
- Rep. Clay ShawR-FL-15
Rep. Jim RamstadR-MN-3- Rep. James QuillenR-TN-1
- Rep. John KasichR-OH-12
- Rep. Chalmers WylieR-OH-15
Rep. Hal RogersR-KY-5
Rep. Dave HobsonR-OH-7
Rep. Tom PetriR-WI-6
Rep. Frank WolfR-VA-10- Rep. Bill EmersonR-MO-8
- Rep. Frank RiggsR-CA-1
- Rep. Guy Vander JagtR-MI-9
- Rep. William GoodlingR-PA-19
- Rep. Floyd SpenceR-SC-2
Rep. Jerry LewisR-CA-35- Rep. Richard SchulzeR-PA-5
- Rep. Frederick GrandyR-IA-6
- Rep. Alex McMillanR-NC-9
- Rep. Tom CampbellR-CA-12
- Rep. Henry HydeR-IL-6
- Rep. John HammerschmidtR-AR-3
- Rep. Gary FranksR-CT-5
- Rep. Jim KolbeR-AZ-5
Rep. Dave CampR-MI-10- Rep. Rick SantorumR-PA-18
- Rep. Richard ZimmerR-NJ-12
- Rep. Michael BilirakisR-FL-9
- Rep. Bill ThomasR-CA-20
- Rep. Robert MichelR-IL-18
- Rep. William DickinsonR-AL-2
- Rep. Thomas EwingR-IL-15
- Rep. John WeberR-MN-2
- Rep. Bill McCollumR-FL-5
- Rep. Craig JamesR-FL-4
- Rep. Michael OxleyR-OH-4
- Rep. Harris FawellR-IL-13
- Rep. Donald SundquistR-TN-7
Rep. Lamar SmithR-TX-21- Rep. William PaxonR-NY-31
- Rep. James LightfootR-IA-5
- Rep. Tom BlileyR-VA-3
- Rep. Toby RothR-WI-8
- Rep. Newton GingrichR-GA-6
- Rep. Denny HastertR-IL-14
- Rep. Bud ShusterR-PA-9
- Rep. Richard NicholsR-KS-5
- Rep. Thomas LewisR-FL-12
- Rep. Alfred McCandlessR-CA-37
- Rep. George GekasR-PA-17
- Rep. Bill BarrettR-NE-3
- Rep. Robert LagomarsinoR-CA-19
Rep. Elton GalleglyR-CA-21- Rep. Porter GossR-FL-13
- Rep. Barbara VucanovichR-NV-2
- Rep. Duke CunninghamR-CA-44
- Rep. Craig ThomasR-WY
- Rep. John RhodesR-AZ-1
- Rep. Robert SmithR-OR-2
- Rep. Jim NussleR-IA-2
- Rep. William ZeliffR-NH-1
- Rep. Clarence MillerR-OH-10
- Rep. Ronald MarleneeR-MT-2
- Rep. Larry CombestR-TX-19
- Rep. Gerald SolomonR-NY-24
- Rep. Larry HopkinsR-KY-6
- Rep. Dan SchaeferR-CO-6
- Rep. Bob McEwenR-OH-6
- Rep. George AllenR-VA-7
- Rep. James HansenR-UT-1
- Rep. Charles TaylorR-NC-11
Rep. Pat RobertsR-KS-1- Rep. Richard BakerR-LA-6
- Rep. Christopher CoxR-CA-40
Rep. Cliff StearnsR-FL-6- Rep. Ron PackardR-CA-43
Rep. Jim InhofeR-OK-1- Rep. Cass BallengerR-NC-10
Rep. John BoehnerR-OH-8- Rep. Carlos MoorheadR-CA-22
Rep. Howard CobleR-NC-6
Rep. Jon KylR-AZ-4
Rep. David DreierR-CA-33
Rep. Jim BunningR-KY-4
Rep. Wally HergerR-CA-2
Rep. Jimmy DuncanR-TN-2- Rep. Joel HefleyR-CO-5
Rep. Joe BartonR-TX-6- Rep. Clyde HollowayR-LA-8
- Rep. Robert DornanR-CA-38
- Rep. Jack FieldsR-TX-8
- Rep. Bill ArcherR-TX-7
Rep. Wayne AllardR-CO-4
Rep. Dana RohrabacherR-CA-42- Rep. Robert WalkerR-PA-16
Rep. James SensenbrennerR-WI-9- Rep. Tom DeLayR-TX-22
- Rep. Richard ArmeyR-TX-26
- Rep. Phil CraneR-IL-12
Data notes
The House’s recorded vote on the final version of the law (roll call 839 in Voteview), matched to the vote the record cites and checked against its totals. Positions are each member’s DW-NOMINATE score for that Congress, as on the Ideology page; left to right is more liberal to more conservative. Paired and announced yea votes count as yea. Lists follow the compass, most liberal first. A name links to a profile only for members of the current Congress. A law passed by voice vote or unanimous consent has no member list, and neither does a vote Voteview has not yet recorded.
Committees
The committees the bill was sent to, and what each did with it.
Energy and Commerce Committee · House · markup by, referred to, reported bySubcommittee: Health and Environment Subcommittee
Data notes
A committee links to its page only where it exists in the current Congress; older and renamed committees are named without a link.
Timeline
From introduction to signing, newest first: the committees, the floor and the president. 15 actions.
- Oct 13, 1992Became lawBecame law · Became Public Law No: 102-410.
- Became lawBecame law · Signed by President.
- Oct 3, 1992PresidentPresident · Presented to President.
- Sep 30, 1992FloorFloor · Passed Senate without amendment by Voice Vote.
- Sep 24, 1992FloorFloor · Motion to reconsider laid on the table Agreed to without objection.
- FloorFloor · On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays (2/3 required): 397 - 8 (Roll No. 425).House roll call 425
- Sep 22, 1992FloorFloor · At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 5, rule I, the chair announced that further proceedings on the motion would be postponed until Sept. 23.
- FloorFloor · Mr. Waxman moved to suspend the rules and pass the bill, as amended.
- CommitteeCommittee · Reported by House Energy and Commerce Committee
- Sep 17, 1992CommitteeCommittee · Markup by House Energy and Commerce Committee
- Jul 30, 1992CommitteeCommittee · Markup by Health and Environment Subcommittee of the House Energy and Commerce Committee
- CommitteeCommittee · Referred to Health and Environment Subcommittee of the House Energy and Commerce Committee
- CommitteeCommittee · Reported by Health and Environment Subcommittee of the House Energy and Commerce Committee
- Jul 22, 1992CommitteeCommittee · Referred to House Energy and Commerce Committee
- IntroducedIntroduced · Introduced in the House
Data notes
Shows the introduction, each committee and subcommittee step the source dates (referral, hearings, markup, report, discharge), and the floor, conference, presidential and became-law steps. Calendar placements, messages between the chambers, amendments and committee report numbers are not shown for laws before the 108th Congress. Two entries the source lists twice are shown once.
Official record
The bill’s full text and every action, including introduction and committee steps, are on Congress.gov. Data through Oct 7, 2026.