Congress · Laws

Nursing Home Resident Protection Amendments of 1999

Public Law 106-4 · H.R. 540 · 106th Congress · began in the House

Signed by Bill Clinton (D) on Mar 25, 1999 · Health

Sponsor: Rep. Jim Davis (D-FL-11)

Cosponsors (60): Rep. Michael Bilirakis, Rep. John Dingell,

Passage votesYeaNay

HouseRecorded vote: 398 yea, 12 nay398–12
SenateUnanimous consent

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.

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Summary

The Congressional Research Service’s plain-language summary of what the law does.

Nursing Home Resident Protection Amendments of 1999 - Amends title XIX (Medicaid) of the Social Security Act to prohibit transfers or discharges of residents of nursing facilities because of a facility's voluntary withdrawal from participation in Medicaid as long as such residents resided in the facility before the withdrawal. Requires a withdrawn facility to provide specified notice to new residents who begin residence after the withdrawal that the facility: (1) is not participating in Medicaid with respect to that resident; and (2) may transfer or discharge the resident from the facility when the resident is unable to pay facility charges, even though the resident may have become eligible for Medicaid's nursing facility services.

Who voted for it

Every House member of the 106th Congress on the ideology compass. Highlighted: the 398 who voted yea on final passage. Faded: everyone else, including those who voted nay, did not vote, or had not yet taken office.

398 yea12 nay24 present or did not vote

Dimension 2

Economic left–right

More liberalMore conservative

Democrats who voted yea(200)

Rep. Pete StarkD-CA-13
Rep. Jim McDermottD-WA-7
Rep. Maxine WatersD-CA-35
Rep. Bob FilnerD-CA-50
Rep. John ConyersD-MI-14
Rep. Barbara LeeD-CA-9
Rep. George MillerD-CA-7
Rep. Bill ClayD-MO-1
Rep. Jesse JacksonD-IL-2
Rep. Donald PayneD-NJ-10
Rep. James OberstarD-MN-8
Rep. Peter DeFazioD-OR-4
Rep. Michael CapuanoD-MA-8
Rep. Alcee HastingsD-FL-23
Rep. Dennis KucinichD-OH-10
Rep. Earl HilliardD-AL-7
Rep. Martin SaboD-MN-5
Rep. John LewisD-GA-5
Rep. Ed MarkeyD-MA-7
Rep. John OlverD-MA-1
Rep. Major OwensD-NY-11
Rep. Cynthia McKinneyD-GA-4
Rep. Jerrold NadlerD-NY-8
Rep. Bruce VentoD-MN-4
Rep. Bennie ThompsonD-MS-2
Rep. Danny DavisD-IL-7
Rep. Nydia VelázquezD-NY-12
Rep. Bernie SandersD-VT
Rep. Jan SchakowskyD-IL-9
Rep. Jim McGovernD-MA-3
Rep. Luis GutiérrezD-IL-4
Rep. Chaka FattahD-PA-2
Rep. John TierneyD-MA-6
Rep. Tammy BaldwinD-WI-2
Rep. Stephanie JonesD-OH-11
Rep. Louise SlaughterD-NY-28
Rep. Sherrod BrownD-OH-13
Rep. Lynn WoolseyD-CA-6
Rep. Barney FrankD-MA-4
Rep. Peter ViscloskyD-IN-1
Rep. David BoniorD-MI-10
Rep. Bobby RushD-IL-1
Rep. Ed TownsD-NY-10
Rep. Gregory MeeksD-NY-6
Rep. Robert BradyD-PA-1
Rep. Jim ClyburnD-SC-6
Rep. Nancy PelosiD-CA-8
Rep. Carolyn KilpatrickD-MI-15
Rep. Mel WattD-NC-12
Rep. Henry WaxmanD-CA-29
Rep. William CoyneD-PA-14
Rep. Dave ObeyD-WI-7
Rep. Carrie MeekD-FL-17
Rep. Lucille Roybal-AllardD-CA-33
Rep. Eddie JohnsonD-TX-30
Rep. George BrownD-CA-42
Rep. Julia CarsonD-IN-10
Rep. Bart StupakD-MI-1
Rep. Bill DelahuntD-MA-10
Rep. Frank PalloneD-NJ-6
Rep. Charlie RangelD-NY-15
Rep. Tom UdallD-NM-3
Rep. Bobby ScottD-VA-3
Rep. Thomas BarrettD-WI-5
Rep. Elijah CummingsD-MD-7
Rep. Robert BorskiD-PA-3
Rep. Sheila Jackson LeeD-TX-18
Rep. José SerranoD-NY-16
Rep. Gary AckermanD-NY-5
Rep. Lane EvansD-IL-17
Rep. Mark UdallD-CO-2
Rep. Diana DeGetteD-CO-1
Rep. Juanita Millender-McDonaldD-CA-37
Rep. Eva ClaytonD-NC-1
Rep. Patrick KennedyD-RI-1
Rep. Sam FarrD-CA-17
Rep. Patsy MinkD-HI-2
Rep. John DingellD-MI-16
Rep. Eliot EngelD-NY-17
Rep. Sam GejdensonD-CT-2
Rep. Anthony WeinerD-NY-9
Rep. Lloyd DoggettD-TX-10
Rep. Rosa DeLauroD-CT-3
Rep. Tom LantosD-CA-12
Rep. Joe CrowleyD-NY-7
Rep. Marty MeehanD-MA-5
Rep. Richard NealD-MA-2
Rep. Howard BermanD-CA-26
Rep. Brian BairdD-WA-3
Rep. Nita LoweyD-NY-18
Rep. Ed PastorD-AZ-2
Rep. Michael McNultyD-NY-21
Rep. Tom AllenD-ME-1
Rep. Zoe LofgrenD-CA-16
Rep. Mike ThompsonD-CA-1
Rep. Lynn RiversD-MI-13
Rep. Thomas SawyerD-OH-14
Rep. Earl BlumenauerD-OR-3
Rep. Corrine BrownD-FL-3
Rep. John LaFalceD-NY-29
Rep. Harold FordD-TN-9
Rep. Robert MatsuiD-CA-5
Rep. John MoakleyD-MA-9
Rep. Ted StricklandD-OH-6
Rep. Albert WynnD-MD-4
Rep. Anna EshooD-CA-14
Rep. Karen McCarthyD-MO-5
Rep. Grace NapolitanoD-CA-34
Rep. Sander LevinD-MI-12
Rep. Charlie GonzalezD-TX-20
Rep. William JeffersonD-LA-2
Rep. William LutherD-MN-6
Rep. Rush HoltD-NJ-12
Rep. David WuD-OR-1
Rep. Robert WexlerD-FL-19
Rep. John LarsonD-CT-1
Rep. Jerry CostelloD-IL-12
Rep. Carolyn MaloneyD-NY-14
Rep. Bob MenendezD-NJ-13
Rep. Loretta SanchezD-CA-46
Rep. Ciro RodriguezD-TX-28
Rep. Steny HoyerD-MD-5
Rep. Karen ThurmanD-FL-5
Rep. Steven RothmanD-NJ-9
Rep. Benjamin CardinD-MD-3
Rep. Darlene HooleyD-OR-5
Rep. John BaldacciD-ME-2
Rep. Neil AbercrombieD-HI-1
Rep. Dale KildeeD-MI-9
Rep. Joseph HoeffelD-PA-13
Rep. Rubén HinojosaD-TX-15
Rep. Jerry KleczkaD-WI-4
Rep. Peter DeutschD-FL-20
Rep. Rob AndrewsD-NJ-1
Rep. Robert WeygandD-RI-2
Rep. Norm DicksD-WA-6
Rep. Paul KanjorskiD-PA-11
Rep. Rod BlagojevichD-IL-5
Rep. David PriceD-NC-4
Rep. Bill PascrellD-NJ-8
Rep. Gene GreenD-TX-29
Rep. Earl PomeroyD-ND
Rep. Ken BentsenD-TX-25
Rep. Nick RahallD-WV-3
Rep. Nick LampsonD-TX-9
Rep. Jay InsleeD-WA-1
Rep. Chet EdwardsD-TX-11
Rep. Vic SnyderD-AR-2
Rep. Ron KindD-WI-3
Rep. Debbie StabenowD-MI-8
Rep. Carolyn McCarthyD-NY-4
Rep. John SprattD-SC-5
Rep. Ellen TauscherD-CA-10
Rep. Shelley BerkleyD-NV-1
Rep. Bob EtheridgeD-NC-2
Rep. Jim DavisD-FL-11
Rep. Tony HallD-OH-3
Rep. Frank MascaraD-PA-20
Rep. Jim MoranD-VA-8
Rep. James MaloneyD-CT-5
Rep. Michael DoyleD-PA-18
Rep. Baron HillD-IN-9
Rep. David PhelpsD-IL-19
Rep. Solomon OrtizD-TX-27
Rep. Robert WiseD-WV-2
Rep. Cal DooleyD-CA-20
Rep. Dennis MooreD-KS-3
Rep. Max SandlinD-TX-1
Rep. Rick BoucherD-VA-9
Rep. Adam SmithD-WA-9
Rep. Robert ClementD-TN-5
Rep. Tim HoldenD-PA-6
Rep. Marion BerryD-AR-1
Rep. John MurthaD-PA-12
Rep. Owen PickettD-VA-2
Rep. William LipinskiD-IL-3
Rep. Alan MollohanD-WV-1
Rep. Jim TurnerD-TX-2
Rep. Sanford BishopD-GA-2
Rep. Leonard BoswellD-IA-3
Rep. John TannerD-TN-8
Rep. Allen BoydD-FL-2
Rep. Ike SkeltonD-MO-4
Rep. Michael ForbesR-NY-1
Rep. Pat DannerD-MO-6
Rep. Gary ConditD-CA-18
Rep. Timothy RoemerD-IN-3
Rep. Collin PetersonD-MN-7
Rep. James BarciaD-MI-5
Rep. Norman SisiskyD-VA-4
Rep. Chris JohnD-LA-7
Rep. Bud CramerD-AL-5
Rep. Mike McIntyreD-NC-7
Rep. Charlie StenholmD-TX-17
Rep. Gene TaylorD-MS-5
Rep. Ronnie ShowsD-MS-4
Rep. Ken LucasD-KY-4
Rep. James TraficantD-OH-17
Rep. Ralph HallD-TX-4
Rep. Virgil GoodeD-VA-5

Republicans who voted yea(198)

Rep. Constance MorellaR-MD-8
Rep. Benjamin GilmanR-NY-20
Rep. Sherry BoehlertR-NY-23
Rep. Jack QuinnR-NY-30
Rep. John PorterR-IL-10
Rep. Stephen HornR-CA-38
Rep. Greg GanskeR-IA-4
Rep. Jim LeachR-IA-1
Rep. Nancy JohnsonR-CT-6
Rep. Pete KingR-NY-3
Rep. Amo HoughtonR-NY-31
Rep. Jim WalshR-NY-25
Rep. Rodney FrelinghuysenR-NJ-11
Rep. Jim SaxtonR-NJ-3
Rep. Wayne GilchrestR-MD-1
Rep. Sue KellyR-NY-19
Rep. John McHughR-NY-24
Rep. Jim GreenwoodR-PA-8
Rep. Steven LaTouretteR-OH-19
Rep. Steven KuykendallR-CA-36
Rep. Rick LazioR-NY-2
Rep. Frank LoBiondoR-NJ-2
Rep. Michael CastleR-DE
Rep. Curt WeldonR-PA-7
Rep. Lincoln Diaz-BalartR-FL-21
Rep. Heather WilsonR-NM-1
Rep. Frank WolfR-VA-10
Rep. Christopher ShaysR-CT-4
Rep. Elton GalleglyR-CA-23
Rep. Doug BereuterR-NE-1
Rep. Mark FoleyR-FL-16
Rep. Phil EnglishR-PA-21
Rep. Jerry LewisR-CA-40
Rep. Ileana Ros-LehtinenR-FL-18
Rep. John CookseyR-LA-5
Rep. Ralph RegulaR-OH-16
Rep. Bob FranksR-NJ-7
Rep. Don SherwoodR-PA-10
Rep. Doug OseR-CA-3
Rep. Paul GillmorR-OH-5
Rep. Tom DavisR-VA-11
Rep. W. Bill YoungR-FL-10
Rep. Jo Ann EmersonR-MO-8
Rep. John SweeneyR-NY-22
Rep. H. CallahanR-AL-1
Rep. Fred UptonR-MI-6
Rep. Ray LaHoodR-IL-18
Rep. Clay ShawR-FL-22
Rep. Don YoungR-AK
Rep. Ernie FletcherR-KY-6
Rep. Mary Bono MackR-CA-44
Rep. Johnny IsaksonR-GA-6
Rep. Dave HobsonR-OH-7
Rep. Michael BilirakisR-FL-9
Rep. Joseph SkeenR-NM-2
Rep. Spencer BachusR-AL-6
Rep. Herbert BatemanR-VA-1
Rep. Ed WhitfieldR-KY-1
Rep. Thomas ReynoldsR-NY-27
Rep. Hal RogersR-KY-5
Rep. Bill McCollumR-FL-8
Rep. Anne NorthupR-KY-3
Rep. Henry HydeR-IL-6
Rep. Judy BiggertR-IL-13
Rep. Jim KolbeR-AZ-5
Rep. John ThuneR-SD
Rep. Ken CalvertR-CA-43
Rep. Joe KnollenbergR-MI-11
Rep. George GekasR-PA-17
Rep. Billy TauzinR-LA-3
Rep. Vernon EhlersR-MI-3
Rep. Bud ShusterR-PA-9
Rep. Jim TalentR-MO-2
Rep. Bill BarrettR-NE-3
Rep. John ShimkusR-IL-20
Rep. Charlie BassR-NH-2
Rep. Dave CampR-MI-4
Rep. Kay GrangerR-TX-12
Rep. John PetersonR-PA-5
Rep. Tillie FowlerR-FL-4
Rep. Richard BakerR-LA-6
Rep. Deborah PryceR-OH-15
Rep. Jerry WellerR-IL-11
Rep. Saxby ChamblissR-GA-8
Rep. Matthew MartínezD-CA-31
Rep. Bill ThomasR-CA-21
Rep. Frank LucasR-OK-6
Rep. Bill JenkinsR-TN-1
Rep. Buck McKeonR-CA-25
Rep. Tom BlileyR-VA-7
Rep. Wes WatkinsR-OK-3
Rep. Charles CanadyR-FL-12
Rep. Robin HayesR-NC-8
Rep. Thomas EwingR-IL-15
Rep. Floyd SpenceR-SC-2
Rep. George NethercuttR-WA-5
Rep. Jay DickeyR-AR-4
Rep. Greg WaldenR-OR-2
Rep. Ron PackardR-CA-48
Rep. Robert AderholtR-AL-4
Rep. Roger WickerR-MS-1
Rep. Jim NussleR-IA-2
Rep. Jennifer DunnR-WA-8
Rep. James HansenR-UT-1
Rep. Mike SimpsonR-ID-2
Rep. Asa HutchinsonR-AR-3
Rep. Henry BonillaR-TX-23
Rep. Ron LewisR-KY-2
Rep. Merrill CookR-UT-2
Rep. Chip PickeringR-MS-3
Rep. Robert EhrlichR-MD-2
Rep. Tom LathamR-IA-5
Rep. Michael OxleyR-OH-4
Rep. Rob PortmanR-OH-2
Rep. David DreierR-CA-28
Rep. Lamar SmithR-TX-21
Rep. Vito FossellaR-NY-13
Rep. Nathan DealR-GA-9
Rep. John MicaR-FL-7
Rep. Duke CunninghamR-CA-51
Rep. William GoodlingR-PA-19
Rep. Jerry MoranR-KS-1
Rep. Kenny HulshofR-MO-9
Rep. Porter GossR-FL-14
Rep. Charlie NorwoodR-GA-10
Rep. Ed BryantR-TN-7
Rep. Steve BuyerR-IN-5
Rep. J.C. WattsR-OK-4
Rep. Duncan HunterR-CA-52
Rep. Edward PeaseR-IN-7
Rep. Cass BallengerR-NC-10
Rep. Bob RileyR-AL-3
Rep. Jim GibbonsR-NV-2
Rep. Roy BluntR-MO-7
Rep. Terry EverettR-AL-2
Rep. Mark GreenR-WI-8
Rep. Dave WeldonR-FL-15
Rep. Scott McInnisR-CO-3
Rep. Doc HastingsR-WA-4
Rep. Jack MetcalfR-WA-2
Rep. Mark SouderR-IN-4
Rep. David McIntoshR-IN-2
Rep. Larry CombestR-TX-19
Rep. John BoehnerR-OH-8
Rep. Lee TerryR-NE-2
Rep. James RoganR-CA-27
Rep. Zach WampR-TN-3
Rep. Rick HillR-MT
Rep. Kevin BradyR-TX-8
Rep. George RadanovichR-CA-19
Rep. Lindsey GrahamR-SC-3
Rep. Nick SmithR-MI-7
Rep. Jim RamstadR-MN-3
Rep. Bob GoodlatteR-VA-6
Rep. Ernest IstookR-OK-5
Rep. Barbara CubinR-WY
Rep. Tom PetriR-WI-6
Rep. Jack KingstonR-GA-1
Rep. Roscoe BartlettR-MD-6
Rep. Paul RyanR-WI-1
Rep. Gary MillerR-CA-41
Rep. John KasichR-OH-12
Rep. Sue MyrickR-NC-9
Rep. Joe ScarboroughR-FL-1
Rep. John LinderR-GA-11
Rep. Joseph PittsR-PA-16
Rep. Richard ArmeyR-TX-26
Rep. Van HillearyR-TN-4
Rep. Walter JonesR-NC-3
Rep. Mac CollinsR-GA-3
Rep. Pete SessionsR-TX-5
Rep. Jim RyunR-KS-2
Rep. Dan BurtonR-IN-6
Rep. Pete HoekstraR-MI-2
Rep. Gil GutknechtR-MN-1
Rep. Richard PomboR-CA-11
Rep. J.D. HayworthR-AZ-6
Rep. Christopher CoxR-CA-47
Rep. Cliff StearnsR-FL-6
Rep. Jimmy DuncanR-TN-2
Rep. Wally HergerR-CA-2
Rep. Bill ArcherR-TX-7
Rep. Chris CannonR-UT-3
Rep. John DoolittleR-CA-4
Rep. John SununuR-NH-1
Rep. Donald ManzulloR-IL-16
Rep. Pat ToomeyR-PA-15
Rep. Steve LargentR-OK-1
Rep. Matt SalmonR-AZ-1
Rep. Sam JohnsonR-TX-3
Rep. Steve ChabotR-OH-1
Rep. Tom TancredoR-CO-6
Rep. Joel HefleyR-CO-5
Rep. Phil CraneR-IL-8
Rep. Dana RohrabacherR-CA-45
Rep. Ed RoyceR-CA-39
Rep. James SensenbrennerR-WI-9
Rep. Bob SchafferR-CO-4

Data notes

The House’s recorded vote on the final version of the law (roll call 34 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.

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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.

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Timeline

From introduction to signing, newest first: the committees, the floor and the president. 16 actions.

Mar 25, 1999Became lawBecame law · Became Public Law No: 106-4.
Became lawBecame law · Signed by President.
Mar 17, 1999PresidentPresident · Presented to President.
Mar 15, 1999FloorFloor · Passed Senate without amendment by Unanimous Consent.
Mar 10, 1999FloorFloor · Motion to reconsider laid on the table Agreed to without objection.
FloorFloor · On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 398 - 12 (Roll no. 35).House roll call 35
Mar 9, 1999FloorFloor · 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 March 10.
FloorFloor · Mr. Bilirakis moved to suspend the rules and pass the bill.
Mar 8, 1999CommitteeCommittee · Reported by House Energy and Commerce Committee
Mar 4, 1999CommitteeCommittee · Markup by House Energy and Commerce Committee
Mar 2, 1999CommitteeCommittee · Reported by Health and Environment Subcommittee of the House Energy and Commerce Committee
CommitteeCommittee · Markup by Health and Environment Subcommittee of the House Energy and Commerce Committee
Feb 11, 1999CommitteeCommittee · Hearings by Health and Environment Subcommittee of the House Energy and Commerce Committee
Feb 3, 1999CommitteeCommittee · Referred to House Energy and Commerce Committee
CommitteeCommittee · Referred to Health and Environment Subcommittee of the 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.

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Official record

The bill’s full text and every action, including introduction and committee steps, are on Congress.gov. Data through Oct 7, 2026.