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TRICARE Affirmation Act

Public Law 111-159 · H.R. 4887 · 111th Congress · began in the House

Signed by Barack Obama (D) on Apr 26, 2010 · Taxation

Sponsor: Rep. Ike Skelton (D-MO-4)

Cosponsors (20): Rep. Susan Davis,

Passage votesYeaNay

  • HouseRecorded vote: 403 yea, 0 nay403–0
  • 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.

TRICARE Affirmation Act - Amends the Internal Revenue Code to provide that health care coverage provided by the TRICARE program and the Nonappropriated Fund Health Benefits Program of the Department of Defense (DOD) shall constitute minimal essential health care coverage as required by the Patient Protection and Affordable Care Act.

Who voted for it

Every House member of the 111th Congress on the ideology compass. Highlighted: the 403 who voted yea on final passage. Faded: everyone else, including those who voted nay, did not vote, or had not yet taken office.

403 yea0 nay27 present or did not vote

Dimension 2
Economic left–right
More liberalMore conservative

Democrats who voted yea(232)

  • Rep. Barbara LeeD-CA-9
  • Rep. Lynn WoolseyD-CA-6
  • Rep. Jim McDermottD-WA-7
  • Rep. Gwen MooreD-WI-4
  • Rep. Donna EdwardsD-MD-4
  • Rep. Maxine WatersD-CA-35
  • Rep. Marcia FudgeD-OH-11
  • Rep. Yvette ClarkeD-NY-11
  • Rep. John OlverD-MA-1
  • Rep. Tammy BaldwinD-WI-2
  • Rep. Bob FilnerD-CA-51
  • Rep. Diane WatsonD-CA-33
  • Rep. John ConyersD-MI-14
  • Rep. Jim ClyburnD-SC-6
  • Rep. Eddie JohnsonD-TX-30
  • Rep. Mazie HironoD-HI-2
  • Rep. John LewisD-GA-5
  • Rep. Mike HondaD-CA-15
  • Rep. Jim McGovernD-MA-3
  • Rep. Barney FrankD-MA-4
  • Rep. José SerranoD-NY-16
  • Rep. Linda SánchezD-CA-39
  • Rep. Nydia VelázquezD-NY-12
  • Rep. Jan SchakowskyD-IL-9
  • Rep. Mel WattD-NC-12
  • Rep. Xavier BecerraD-CA-31
  • Rep. Lucille Roybal-AllardD-CA-34
  • Rep. Sheila Jackson LeeD-TX-18
  • Rep. Carolyn KilpatrickD-MI-13
  • Rep. Henry WaxmanD-CA-30
  • Rep. Louise SlaughterD-NY-28
  • Rep. George MillerD-CA-7
  • Rep. Judy ChuD-CA-32
  • Rep. Bill DelahuntD-MA-10
  • Rep. Alcee HastingsD-FL-23
  • Rep. Jesse JacksonD-IL-2
  • Rep. Sam FarrD-CA-17
  • Rep. Grace NapolitanoD-CA-38
  • Rep. Michael DoyleD-PA-14
  • Rep. Bennie ThompsonD-MS-2
  • Rep. David PriceD-NC-4
  • Rep. Michael CapuanoD-MA-8
  • Rep. Niki TsongasD-MA-5
  • Rep. Chellie PingreeD-ME-1
  • Rep. Doris MatsuiD-CA-5
  • Rep. Robert BradyD-PA-1
  • Rep. Chaka FattahD-PA-2
  • Rep. John GaramendiD-CA-10
  • Rep. André CarsonD-IN-7
  • Rep. Danny DavisD-IL-7
  • Rep. Peter WelchD-VT
  • Rep. Lois CappsD-CA-23
  • Rep. John LarsonD-CT-1
  • Rep. Joe CrowleyD-NY-7
  • Rep. John TierneyD-MA-6
  • Rep. Emanuel CleaverD-MO-5
  • Rep. Charlie RangelD-NY-15
  • Rep. Luis GutiérrezD-IL-4
  • Rep. Patrick KennedyD-RI-1
  • Rep. James OberstarD-MN-8
  • Rep. Brad ShermanD-CA-27
  • Rep. Dave ObeyD-WI-7
  • Rep. John DingellD-MI-15
  • Rep. Rosa DeLauroD-CT-3
  • Rep. Betty McCollumD-MN-4
  • Rep. Howard BermanD-CA-28
  • Rep. Eliot EngelD-NY-17
  • Rep. G.K. ButterfieldD-NC-1
  • Rep. Frank PalloneD-NJ-6
  • Rep. Elijah CummingsD-MD-7
  • Rep. Kathy CastorD-FL-11
  • Rep. Steve CohenD-TN-9
  • Rep. Corrine BrownD-FL-3
  • Rep. Jim MoranD-VA-8
  • Rep. Richard NealD-MA-2
  • Rep. Diana DeGetteD-CO-1
  • Rep. Ed PastorD-AZ-4
  • Rep. Hank JohnsonD-GA-4
  • Rep. Al GreenD-TX-9
  • Rep. Bobby ScottD-VA-3
  • Rep. Phil HareD-IL-17
  • Rep. Debbie Wasserman SchultzD-FL-20
  • Rep. Rob AndrewsD-NJ-1
  • Rep. Anna EshooD-CA-14
  • Rep. Steny HoyerD-MD-5
  • Rep. Nick RahallD-WV-3
  • Rep. Albio SiresD-NJ-13
  • Rep. Sander LevinD-MI-12
  • Rep. Betty SuttonD-OH-13
  • Rep. Steven RothmanD-NJ-9
  • Rep. Jackie SpeierD-CA-12
  • Rep. Chris Van HollenD-MD-8
  • Rep. Silvestre ReyesD-TX-16
  • Rep. Tim RyanD-OH-17
  • Rep. Dale KildeeD-MI-5
  • Rep. Gary AckermanD-NY-5
  • Rep. Paul TonkoD-NY-21
  • Rep. Anthony WeinerD-NY-9
  • Rep. Bruce BraleyD-IA-1
  • Rep. Ben LujánD-NM-3
  • Rep. Rubén HinojosaD-TX-15
  • Rep. David ScottD-GA-13
  • Rep. Nita LoweyD-NY-18
  • Rep. Brad MillerD-NC-13
  • Rep. Charlie GonzalezD-TX-20
  • Rep. Susan DavisD-CA-53
  • Rep. Adam SchiffD-CA-29
  • Rep. Rick LarsenD-WA-2
  • Rep. Bill PascrellD-NJ-8
  • Rep. Joe BacaD-CA-43
  • Rep. Jim LangevinD-RI-2
  • Rep. Jared PolisD-CO-2
  • Rep. Carolyn MaloneyD-NY-14
  • Rep. Steve IsraelD-NY-2
  • Rep. Steve KagenD-WI-8
  • Rep. Bobby RushD-IL-1
  • Rep. Solomon OrtizD-TX-27
  • Rep. Brian HigginsD-NY-27
  • Rep. John YarmuthD-KY-3
  • Rep. Jay InsleeD-WA-1
  • Rep. Ed PerlmutterD-CO-7
  • Rep. Jane HarmanD-CA-36
  • Rep. Stephen LynchD-MA-9
  • Rep. Joe CourtneyD-CT-2
  • Rep. Norm DicksD-WA-6
  • Rep. Bart StupakD-MI-1
  • Rep. Mike ThompsonD-CA-1
  • Rep. Alan GraysonD-FL-8
  • Rep. John SprattD-SC-5
  • Rep. Charles WilsonD-OH-6
  • Rep. Russ CarnahanD-MO-3
  • Rep. Sanford BishopD-GA-2
  • Rep. Shelley BerkleyD-NV-1
  • Rep. A. Dutch RuppersbergerD-MD-2
  • Rep. Allyson SchwartzD-PA-13
  • Rep. Kendrick MeekD-FL-17
  • Rep. Paul KanjorskiD-PA-11
  • Rep. Carol Shea-PorterD-NH-1
  • Rep. Christopher MurphyD-CT-5
  • Rep. John HallD-NY-19
  • Rep. Carolyn McCarthyD-NY-4
  • Rep. Lloyd DoggettD-TX-25
  • Rep. David WuD-OR-1
  • Rep. Mary Jo KilroyD-OH-15
  • Rep. Peter ViscloskyD-IN-1
  • Rep. Ciro RodriguezD-TX-23
  • Rep. David LoebsackD-IA-2
  • Rep. Mike QuigleyD-IL-5
  • Rep. Peter DeFazioD-OR-4
  • Rep. Marion BerryD-AR-1
  • Rep. Jerry CostelloD-IL-12
  • Rep. Dennis KucinichD-OH-10
  • Rep. Leonard BoswellD-IA-3
  • Rep. Bart GordonD-TN-6
  • Rep. Vic SnyderD-AR-2
  • Rep. Gerald ConnollyD-VA-11
  • Rep. John SalazarD-CO-3
  • Rep. Earl PomeroyD-ND
  • Rep. Bob EtheridgeD-NC-2
  • Rep. Joe SestakD-PA-7
  • Rep. Timothy BishopD-NY-1
  • Rep. Marcy KapturD-OH-9
  • Rep. Timothy WalzD-MN-1
  • Rep. Ron KleinD-FL-22
  • Rep. Dennis MooreD-KS-3
  • Rep. Kurt SchraderD-OR-5
  • Rep. Martin HeinrichD-NM-1
  • Rep. Lincoln DavisD-TN-4
  • Rep. Adam SmithD-WA-9
  • Rep. Patrick MurphyD-PA-8
  • Rep. Dennis CardozaD-CA-18
  • Rep. Daniel LipinskiD-IL-3
  • Rep. Larry KissellD-NC-8
  • Rep. Rick BoucherD-VA-9
  • Rep. Ben ChandlerD-KY-6
  • Rep. Daniel MaffeiD-NY-25
  • Rep. Dina TitusD-NV-3
  • Rep. Chet EdwardsD-TX-17
  • Rep. Henry CuellarD-TX-28
  • Rep. Mark SchauerD-MI-7
  • Rep. Michael MichaudD-ME-2
  • Rep. Ron KindD-WI-3
  • Rep. Artur DavisD-AL-7
  • Rep. Ike SkeltonD-MO-4
  • Rep. John TannerD-TN-8
  • Rep. Collin PetersonD-MN-7
  • Rep. Mike RossD-AR-4
  • Rep. Paul HodesD-NH-2
  • Rep. Jim CostaD-CA-20
  • Rep. Allen BoydD-FL-2
  • Rep. Jim HimesD-CT-4
  • Rep. Jerry McNerneyD-CA-11
  • Rep. Betsy MarkeyD-CO-4
  • Rep. William OwensD-NY-23
  • Rep. Brian BairdD-WA-3
  • Rep. John BarrowD-GA-12
  • Rep. Steve DriehausD-OH-1
  • Rep. Deborah HalvorsonD-IL-11
  • Rep. John BoccieriD-OH-16
  • Rep. Gary PetersD-MI-9
  • Rep. Kathleen DahlkemperD-PA-3
  • Rep. Melissa BeanD-IL-8
  • Rep. Bill FosterD-IL-14
  • Rep. Jim CooperD-TN-5
  • Rep. Michael ArcuriD-NY-24
  • Rep. Suzanne KosmasD-FL-24
  • Rep. Zack SpaceD-OH-18
  • Rep. Michael McMahonD-NY-13
  • Rep. Christopher CarneyD-PA-10
  • Rep. Harry TeagueD-NM-2
  • Rep. Stephanie Herseth SandlinD-SD
  • Rep. Charles MelanconD-LA-3
  • Rep. Jim MarshallD-GA-8
  • Rep. Jason AltmireD-PA-4
  • Rep. Thomas PerrielloD-VA-5
  • Rep. Dan BorenD-OK-2
  • Rep. Mike McIntyreD-NC-7
  • Rep. John AdlerD-NJ-3
  • Rep. Scott MurphyD-NY-20
  • Rep. Brad EllsworthD-IN-8
  • Rep. Joe DonnellyD-IN-2
  • Rep. Gabrielle GiffordsD-AZ-8
  • Rep. Ann KirkpatrickD-AZ-1
  • Rep. Baron HillD-IN-9
  • Rep. Frank KratovilD-MD-1
  • Rep. Heath ShulerD-NC-11
  • Rep. Glenn NyeD-VA-2
  • Rep. Travis ChildersD-MS-1
  • Rep. Harry MitchellD-AZ-5
  • Rep. Gene TaylorD-MS-4
  • Rep. Bobby BrightD-AL-2
  • Rep. Walter MinnickD-ID-1

Republicans who voted yea(171)

  • Rep. Joseph CaoR-LA-2
  • Rep. Tim MurphyR-PA-18
  • Rep. Chris SmithR-NJ-4
  • Rep. David ReichertR-WA-8
  • Rep. Walter JonesR-NC-3
  • Rep. Frank LoBiondoR-NJ-2
  • Rep. Ileana Ros-LehtinenR-FL-18
  • Rep. Lincoln Diaz-BalartR-FL-21
  • Rep. Michael TurnerR-OH-3
  • Rep. Mario Diaz-BalartR-FL-25
  • Rep. Charles DentR-PA-15
  • Rep. Pete KingR-NY-3
  • Rep. Don YoungR-AK
  • Rep. Jim GerlachR-PA-6
  • Rep. Shelley CapitoR-WV-2
  • Rep. Todd PlattsR-PA-19
  • Rep. Michael CastleR-DE
  • Rep. Rodney FrelinghuysenR-NJ-11
  • Rep. W. Bill YoungR-FL-10
  • Rep. Frank WolfR-VA-10
  • Rep. Jo Ann EmersonR-MO-8
  • Rep. Mark KirkR-IL-10
  • Rep. Judy BiggertR-IL-13
  • Rep. Tom LathamR-IA-4
  • Rep. Candice MillerR-MI-10
  • Rep. Mike RogersR-AL-3
  • Rep. Ed WhitfieldR-KY-1
  • Rep. Vern BuchananR-FL-13
  • Rep. Leonard LanceR-NJ-7
  • Rep. Ander CrenshawR-FL-4
  • Rep. Hal RogersR-KY-5
  • Rep. Vernon EhlersR-MI-3
  • Rep. Tom ColeR-OK-4
  • Rep. Adam PutnamR-FL-12
  • Rep. Christopher LeeR-NY-26
  • Rep. Fred UptonR-MI-6
  • Rep. Glenn ThompsonR-PA-5
  • Rep. Brett GuthrieR-KY-2
  • Rep. Robert AderholtR-AL-4
  • Rep. Denny RehbergR-MT
  • Rep. Lamar SmithR-TX-21
  • Rep. Aaron SchockR-IL-18
  • Rep. Jo BonnerR-AL-1
  • Rep. Ginny Brown-WaiteR-FL-5
  • Rep. Ken CalvertR-CA-44
  • Rep. Dave CampR-MI-4
  • Rep. Rodney AlexanderR-LA-5
  • Rep. Henry BrownR-SC-1
  • Rep. Bill ShusterR-PA-9
  • Rep. Spencer BachusR-AL-6
  • Rep. Frank LucasR-OK-3
  • Rep. Jerry LewisR-CA-41
  • Rep. Brian BilbrayR-CA-50
  • Rep. Gus BilirakisR-FL-9
  • Rep. David DreierR-CA-26
  • Rep. Greg WaldenR-OR-2
  • Rep. Mary Bono MackR-CA-45
  • Rep. Robert WittmanR-VA-1
  • Rep. Buck McKeonR-CA-25
  • Rep. Elton GalleglyR-CA-24
  • Rep. Parker GriffithD-AL-5
  • Rep. Bill PoseyR-FL-15
  • Rep. Thad McCotterR-MI-11
  • Rep. Kay GrangerR-TX-12
  • Rep. Gary MillerR-CA-42
  • Rep. Timothy JohnsonR-IL-15
  • Rep. Steve BuyerR-IN-4
  • Rep. Erik PaulsenR-MN-3
  • Rep. John MicaR-FL-7
  • Rep. Lee TerryR-NE-2
  • Rep. Geoff DavisR-KY-4
  • Rep. Randy ForbesR-VA-4
  • Rep. Mike RogersR-MI-8
  • Rep. Pat TiberiR-OH-12
  • Rep. Steve AustriaR-OH-7
  • Rep. Doc HastingsR-WA-4
  • Rep. Mark SouderR-IN-3
  • Rep. Gregg HarperR-MS-3
  • Rep. John BoozmanR-AR-3
  • Rep. Thomas RooneyR-FL-16
  • Rep. John CulbersonR-TX-7
  • Rep. Cathy McMorris RodgersR-WA-5
  • Rep. Zach WampR-TN-3
  • Rep. Michael McCaulR-TX-10
  • Rep. George RadanovichR-CA-19
  • Rep. John ShimkusR-IL-19
  • Rep. Daniel LungrenR-CA-3
  • Rep. Duncan HunterR-CA-52
  • Rep. John CarterR-TX-31
  • Rep. Roscoe BartlettR-MD-6
  • Rep. Todd TiahrtR-KS-4
  • Rep. Mary FallinR-OK-5
  • Rep. Joe BartonR-TX-6
  • Rep. Peter RoskamR-IL-6
  • Rep. Blaine LuetkemeyerR-MO-9
  • Rep. Kevin McCarthyR-CA-22
  • Rep. Bill CassidyR-LA-6
  • Rep. Sam GravesR-MO-6
  • Rep. Phil RoeR-TN-1
  • Rep. Dean HellerR-NV-2
  • Rep. Jean SchmidtR-OH-2
  • Rep. Donald ManzulloR-IL-16
  • Rep. John FlemingR-LA-4
  • Rep. John SullivanR-OK-1
  • Rep. Adrian SmithR-NE-3
  • Rep. Charles BoustanyR-LA-7
  • Rep. Jerry MoranR-KS-1
  • Rep. Joe WilsonR-SC-2
  • Rep. Lynn JenkinsR-KS-2
  • Rep. Rob BishopR-UT-1
  • Rep. Robert LattaR-OH-5
  • Rep. John KlineR-MN-2
  • Rep. Joseph PittsR-PA-16
  • Rep. Tom PetriR-WI-6
  • Rep. Phil GingreyR-GA-11
  • Rep. Pete OlsonR-TX-22
  • Rep. Kevin BradyR-TX-8
  • Rep. Eric CantorR-VA-7
  • Rep. Cliff StearnsR-FL-6
  • Rep. Bob GoodlatteR-VA-6
  • Rep. Dan BurtonR-IN-5
  • Rep. Mike CoffmanR-CO-6
  • Rep. Steve ScaliseR-LA-1
  • Rep. Devin NunesR-CA-21
  • Rep. Sue MyrickR-NC-9
  • Rep. John BoehnerR-OH-8
  • Rep. Howard CobleR-NC-6
  • Rep. Patrick McHenryR-NC-10
  • Rep. Wally HergerR-CA-2
  • Rep. Michele BachmannR-MN-6
  • Rep. Ted PoeR-TX-2
  • Rep. Bob InglisR-SC-4
  • Rep. Michael BurgessR-TX-26
  • Rep. Paul RyanR-WI-1
  • Rep. Connie MackR-FL-14
  • Rep. Jeff MillerR-FL-1
  • Rep. Pete SessionsR-TX-32
  • Rep. Mac ThornberryR-TX-13
  • Rep. Louie GohmertR-TX-1
  • Rep. Marsha BlackburnR-TN-7
  • Rep. J. Gresham BarrettR-SC-3
  • Rep. Darrell IssaR-CA-49
  • Rep. Dana RohrabacherR-CA-46
  • Rep. Sam JohnsonR-TX-3
  • Rep. Jack KingstonR-GA-1
  • Rep. Kenny MarchantR-TX-24
  • Rep. Todd AkinR-MO-2
  • Rep. Mike PenceR-IN-6
  • Rep. Randy NeugebauerR-TX-19
  • Rep. John LinderR-GA-7
  • Rep. Michael ConawayR-TX-11
  • Rep. Steve KingR-IA-5
  • Rep. Jim JordanR-OH-4
  • Rep. Tom PriceR-GA-6
  • Rep. Ed RoyceR-CA-40
  • Rep. James SensenbrennerR-WI-5
  • Rep. Lynn WestmorelandR-GA-3
  • Rep. Jimmy DuncanR-TN-2
  • Rep. Cynthia LummisR-WY
  • Rep. Virginia FoxxR-NC-5
  • Rep. Doug LambornR-CO-5
  • Rep. Trent FranksR-AZ-2
  • Rep. Scott GarrettR-NJ-5
  • Rep. Jason ChaffetzR-UT-3
  • Rep. Jeb HensarlingR-TX-5
  • Rep. Tom McClintockR-CA-4
  • Rep. John CampbellR-CA-48
  • Rep. John ShadeggR-AZ-3
  • Rep. Paul BrounR-GA-10
  • Rep. Jeff FlakeR-AZ-6
  • Rep. Ron PaulR-TX-14
Data notes

The House’s recorded vote on the final version of the law (roll call 1137 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.

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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Related bills

1 bill the Library of Congress relates to this one.

  • S. 3148Identical bill

    A bill to amend the Internal Revenue Code of 1986 to provide for the treatment of Department of Defense health coverage as minimal essential coverage.

Data notes

Related bills are identified by the Congressional Research Service, the House and the Senate: companion and identical bills, bills with similar text, bills that were folded into this law, and rules that brought it to the floor. A bill that is itself a public law in this site’s data links here; the others link to Congress.gov.

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Timeline

From introduction to signing, newest first: the committees, the floor and the president. 17 actions.

  1. Apr 26, 2010Became lawBecame law · Became Public Law No: 111-159.
  2. Became lawBecame law · Signed by President.
  3. Apr 14, 2010FloorFloor · Presented to President.
  4. Apr 13, 2010FloorFloor · Message on Senate action sent to the House.
  5. Apr 12, 2010FloorFloor · Passed Senate without amendment by Unanimous Consent.
  6. CommitteeCommittee · Senate Committee on Finance discharged by Unanimous Consent.
  7. OtherOther · Cleared for White House.
  8. Mar 22, 2010CommitteeCommittee · Received in the Senate and Read twice and referred to the Committee on Finance.
  9. Mar 20, 2010FloorFloor · Motion to reconsider laid on the table Agreed to without objection.
  10. FloorFloor · On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 403 - 0 (Roll no. 152).House roll call 152
  11. FloorFloor · Considered as unfinished business.
  12. FloorFloor · 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.
  13. FloorFloor · DEBATE - The House proceeded with forty minutes of debate on H.R. 4887.
  14. FloorFloor · Considered under suspension of the rules.
  15. FloorFloor · Mr. Levin moved to suspend the rules and pass the bill, as amended.
  16. Mar 19, 2010CommitteeCommittee · Referred to the House Committee on Ways and Means.
  17. IntroducedIntroduced · Introduced in House
Data notes

Every action the Library of Congress lists for the bill, from introduction to signing, plus the dated committee hearings. The source lists many steps twice (the chamber’s own entry and the Library of Congress copy, or a presidential and a became-law entry with the same words); those are shown once. Amendments are listed in their own section.

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Amendments

No amendments to this bill are on record.

Data notes

Amendments offered to this bill in either chamber, as the Library of Congress records them: each with a status read from its last recorded step: agreed to, rejected, withdrawn, ruled out of order, fell with another amendment, or offered with no vote recorded (most Senate amendments are only ever offered). The wording of each amendment is the source’s. Amendments to amendments and amendments to other bills are not listed.

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Official record

The bill’s full text is on Congress.gov. Data through Oct 7, 2026.