State Offices of Rural Health Reauthorization Act of 2018
Public Law 115-408 · S. 2278 · 115th Congress · began in the Senate
Signed by Donald Trump (R) on Dec 31, 2018 · Health
Sponsor: Sen. Pat Roberts (R-KS)
Cosponsors (17): Sen. Heidi Heitkamp, Sen. John Barrasso,
Passage votesYeaNay
- HouseRecorded vote: 357 yea, 4 nay357–4
- 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.
Summary
The Congressional Research Service’s plain-language summary of what the law does.
State Offices of Rural Health Reauthorization Act of 2018
(Sec. 2) This bill amends the Public Health Service Act to reauthorize through FY2022 and revise the grant program for state offices of rural health. Among other changes, the bill requires (rather than authorizes) the Department of Health and Human Services to make such grants and also alters matching fund requirements.
Who voted for it
Every House member of the 115th Congress on the ideology compass. Highlighted: the 357 who voted yea on final passage. Faded: everyone else, including those who voted nay, did not vote, or had not yet taken office.
357 yea4 nay71 present or did not vote
Democrats who voted yea(166)
Rep. Barbara LeeD-CA-13
Rep. Bonnie Watson ColemanD-NJ-12
Rep. Jan SchakowskyD-IL-9
Rep. Pramila JayapalD-WA-7
Rep. Karen BassD-CA-37
Rep. John LewisD-GA-5
Rep. Yvette ClarkeD-NY-9
Rep. Jim McGovernD-MA-2
Rep. Frank PalloneD-NJ-6
Rep. Raúl GrijalvaD-AZ-3
Rep. Adriano EspaillatD-NY-13
Rep. Marcia FudgeD-OH-11
Rep. Ro KhannaD-CA-17
Rep. Jimmy GomezD-CA-34
Rep. Nydia VelázquezD-NY-7
Rep. Cedric RichmondD-LA-2
Rep. Michael CapuanoD-MA-7- Rep. Brenda JonesD-MI-13
Rep. Joseph MorelleD-NY-25
Rep. Sheila Jackson LeeD-TX-18
Rep. Mark DeSaulnierD-CA-11
Rep. Donald PayneD-NJ-10
Rep. Jamie RaskinD-MD-8
Rep. José SerranoD-NY-15
Rep. Alcee HastingsD-FL-20
Rep. Linda SánchezD-CA-38
Rep. Maxine WatersD-CA-43
Rep. Gwen MooreD-WI-4
Rep. John SarbanesD-MD-3
Rep. Mark PocanD-WI-2
Rep. Joe CrowleyD-NY-14
Rep. Nanette BarragánD-CA-44
Rep. Robin KellyD-IL-2
Rep. Jim ClyburnD-SC-6
Rep. Jerrold NadlerD-NY-10
Rep. Katherine ClarkD-MA-5
Rep. Hakeem JeffriesD-NY-8
Rep. Hank JohnsonD-GA-4
Rep. Al GreenD-TX-9
Rep. Bobby RushD-IL-1
Rep. Mark TakanoD-CA-41
Rep. Eddie JohnsonD-TX-30
Rep. Donald NorcrossD-NJ-1
Rep. Kathy CastorD-FL-14
Rep. Alma AdamsD-NC-12
Rep. Michael DoyleD-PA-14
Rep. Elijah CummingsD-MD-7
Rep. Juan VargasD-CA-51
Rep. Grace NapolitanoD-CA-32
Rep. Dwight EvansD-PA-2
Rep. Judy ChuD-CA-27
Rep. Lucille Roybal-AllardD-CA-40
Rep. Richard NealD-MA-1
Rep. Steny HoyerD-MD-5
Rep. David PriceD-NC-4
Rep. Nancy PelosiD-CA-12
Rep. André CarsonD-IN-7
Rep. Brenda LawrenceD-MI-14
Rep. Paul TonkoD-NY-20
Rep. Sander LevinD-MI-9
Rep. Albio SiresD-NJ-8
Rep. Danny DavisD-IL-7
Rep. Ruben GallegoD-AZ-7
Rep. Jared HuffmanD-CA-2
Rep. Zoe LofgrenD-CA-19
Rep. Carolyn MaloneyD-NY-12
Rep. Lloyd DoggettD-TX-35
Rep. Ted LieuD-CA-33
Rep. Tim RyanD-OH-13
Rep. Donald BeyerD-VA-8
Rep. Jim LangevinD-RI-2
Rep. Peter DeFazioD-OR-4
Rep. Nita LoweyD-NY-17
Rep. Eliot EngelD-NY-16
Rep. Joyce BeattyD-OH-3
Rep. Doris MatsuiD-CA-6
Rep. Steve CohenD-TN-9
Rep. Marc VeaseyD-TX-33
Rep. Peter ViscloskyD-IN-1
Rep. Terri SewellD-AL-7
Rep. Ruben KihuenD-NV-4
Rep. Adam SchiffD-CA-28
Rep. Adam SmithD-WA-9
Rep. Wm. ClayD-MO-1
Rep. Donald McEachinD-VA-4
Rep. Peter WelchD-VT
Rep. Suzanne BonamiciD-OR-1
Rep. Joaquin CastroD-TX-20
Rep. Earl BlumenauerD-OR-3
Rep. Gene GreenD-TX-29
Rep. Grace MengD-NY-6
Rep. Bobby ScottD-VA-3
Rep. G.K. ButterfieldD-NC-1
Rep. Mike ThompsonD-CA-5
Rep. Chellie PingreeD-ME-1
Rep. Darren SotoD-FL-9
Rep. Diana DeGetteD-CO-1
Rep. David CicillineD-RI-1
Rep. Stephen LynchD-MA-8
Rep. Bill PascrellD-NJ-9
Rep. Brian HigginsD-NY-26
Rep. Debbie DingellD-MI-12
Rep. Debbie Wasserman SchultzD-FL-23
Rep. John YarmuthD-KY-3
Rep. Rosa DeLauroD-CT-3
Rep. Vicente GonzalezD-TX-15
Rep. Lois FrankelD-FL-21
Rep. Marcy KapturD-OH-9
Rep. Betty McCollumD-MN-4
Rep. Gerald ConnollyD-VA-11
Rep. Eric SwalwellD-CA-15
Rep. John LarsonD-CT-1
Rep. Daniel KildeeD-MI-5
Rep. Mike QuigleyD-IL-5
Rep. Norma TorresD-CA-35
Rep. Dina TitusD-NV-1
Rep. Ben LujánD-NM-3
Rep. Val DemingsD-FL-10
Rep. Rick LarsenD-WA-2
Rep. Anthony BrownD-MD-4
Rep. Derek KilmerD-WA-6
Rep. Joe CourtneyD-CT-2
Rep. Sanford BishopD-GA-2
Rep. Elizabeth EstyD-CT-5
Rep. Gregory MeeksD-NY-5
Rep. Ted DeutchD-FL-22
Rep. Anna EshooD-CA-18
Rep. Lisa Blunt RochesterD-DE
Rep. Susan DavisD-CA-53
Rep. Julia BrownleyD-CA-26
Rep. Brad ShermanD-CA-30
Rep. Raja KrishnamoorthiD-IL-8
Rep. Pete AguilarD-CA-31
Rep. Jimmy PanettaD-CA-20
Rep. Jerry McNerneyD-CA-9
Rep. Matt CartwrightD-PA-17
Rep. Salud CarbajalD-CA-24
Rep. Suzan DelBeneD-WA-1
Rep. Sean MaloneyD-NY-18
Rep. John GaramendiD-CA-3
Rep. Denny HeckD-WA-10
Rep. John DelaneyD-MD-6
Rep. Luis CorreaD-CA-46
Rep. Raul RuizD-CA-36
Rep. David LoebsackD-IA-2
Rep. Ami BeraD-CA-7
Rep. A. Dutch RuppersbergerD-MD-2
Rep. Al LawsonD-FL-5
Rep. Ed PerlmutterD-CO-7
Rep. Beto O’RourkeD-TX-16
Rep. Jim HimesD-CT-4
Rep. Ann KusterD-NH-2
Rep. Cheri BustosD-IL-17
Rep. Kurt SchraderD-OR-5
Rep. Mary ScanlonD-PA-7
Rep. Henry CuellarD-TX-28
Rep. Collin PetersonD-MN-7
Rep. Charlie CristD-FL-13
Rep. Thomas SuozziD-NY-3
Rep. Scott PetersD-CA-52
Rep. Tom O’HalleranD-AZ-1
Rep. Jim CooperD-TN-5
Rep. Stephanie MurphyD-FL-7
Rep. Brad SchneiderD-IL-10
Rep. Josh GottheimerD-NJ-5
Rep. Conor LambD-PA-18
Republicans who voted yea(191)
Rep. Frank LoBiondoR-NJ-2
Rep. Tom MacArthurR-NJ-3
Rep. Brian FitzpatrickR-PA-8
Rep. John KatkoR-NY-24
Rep. Ryan CostelloR-PA-6
Rep. David JoyceR-OH-14
Rep. Chris SmithR-NJ-4
Rep. John FasoR-NY-19
Rep. Mario Diaz-BalartR-FL-25
Rep. David McKinleyR-WV-1
Rep. Mike BostR-IL-12
Rep. Carlos CurbeloR-FL-26
Rep. Daniel DonovanR-NY-11
Rep. Elise StefanikR-NY-21
Rep. Michael TurnerR-OH-10
Rep. Tom ReedR-NY-23
Rep. David ValadaoR-CA-21
Rep. Adam KinzingerR-IL-16
Rep. David ReichertR-WA-8
Rep. Leonard LanceR-NJ-7
Rep. Steve StiversR-OH-15
Rep. Rodney DavisR-IL-13
Rep. Mike SimpsonR-ID-2
Rep. Claudia TenneyR-NY-22
Rep. Don YoungR-AK
Rep. Jeff FortenberryR-NE-1
Rep. Glenn ThompsonR-PA-5
Rep. Greg WaldenR-OR-2
Rep. Tom ColeR-OK-4
Rep. Fred UptonR-MI-6
Rep. Peter RoskamR-IL-6
Rep. Troy BaldersonR-OH-12
Rep. Will HurdR-TX-23
Rep. Steve KnightR-CA-25
Rep. Mark AmodeiR-NV-2
Rep. John ShimkusR-IL-15
Rep. Tom MarinoR-PA-10
Rep. Brian MastR-FL-18
Rep. Hal RogersR-KY-5
Rep. Mike KellyR-PA-3
Rep. Bruce PoliquinR-ME-2
Rep. Rodney FrelinghuysenR-NJ-11
Rep. John RutherfordR-FL-4
Rep. Paul CookR-CA-8
Rep. John MoolenaarR-MI-4
Rep. Dan NewhouseR-WA-4
Rep. Jaime Herrera BeutlerR-WA-3
Rep. Chris CollinsR-NY-27
Rep. Larry BucshonR-IN-8
Rep. Dave TrottR-MI-11
Rep. Thomas RooneyR-FL-17
Rep. Bill JohnsonR-OH-6
Rep. Ken CalvertR-CA-42
Rep. Frank LucasR-OK-3
Rep. Chuck FleischmannR-TN-3
Rep. Robert AderholtR-AL-4
Rep. Lloyd SmuckerR-PA-16
Rep. Mike RogersR-AL-3
Rep. Gregg HarperR-MS-3
Rep. Scott TiptonR-CO-3
Rep. Martha RobyR-AL-2
Rep. Lee ZeldinR-NY-1
Rep. Sam GravesR-MO-6
Rep. Kevin HernR-OK-1
Rep. Greg GianforteR-MT
Rep. James RenacciR-OH-16
Rep. Mike CoffmanR-CO-6
Rep. Jack BergmanR-MI-1
Rep. Paul MitchellR-MI-10
Rep. Kay GrangerR-TX-12
Rep. Don BaconR-NE-2
Rep. John CarterR-TX-31
Rep. Steve WomackR-AR-3
Rep. David YoungR-IA-3
Rep. Blaine LuetkemeyerR-MO-3
Rep. Darrell IssaR-CA-49
Rep. Randy HultgrenR-IL-14
Rep. Scott TaylorR-VA-2
Rep. Tom EmmerR-MN-6
Rep. Kevin McCarthyR-CA-23
Rep. Vicky HartzlerR-MO-4
Rep. Cathy McMorris RodgersR-WA-5
Rep. Darin LaHoodR-IL-18
Rep. Steven PalazzoR-MS-4
Rep. Billy LongR-MO-7
Rep. John CulbersonR-TX-7
Rep. Steve PearceR-NM-2
Rep. Ed RoyceR-CA-39
Rep. Sean DuffyR-WI-7
Rep. Kevin BradyR-TX-8
Rep. Michael McCaulR-TX-10
Rep. Jackie WalorskiR-IN-2
Rep. Phil RoeR-TN-1
Rep. Kevin YoderR-KS-3
Rep. Austin ScottR-GA-8
Rep. Lamar SmithR-TX-21
Rep. Keith RothfusR-PA-12
Rep. French HillR-AR-2
Rep. Karen HandelR-GA-6
Rep. Roger MarshallR-KS-1
Rep. Rick CrawfordR-AR-1
Rep. Neal DunnR-FL-2
Rep. Gus BilirakisR-FL-12
Rep. Jason LewisR-MN-2
Rep. Joe WilsonR-SC-2
Rep. Rob BishopR-UT-1
Rep. Steve RussellR-OK-5
Rep. Adrian SmithR-NE-3
Rep. Doug LaMalfaR-CA-1
Rep. Drew FergusonR-GA-3
Rep. Pete SessionsR-TX-32
Rep. Garret GravesR-LA-6
Rep. Duncan HunterR-CA-50
Rep. Clay HigginsR-LA-3
Rep. Brett GuthrieR-KY-2
Rep. Chris StewartR-UT-2
Rep. Tim WalbergR-MI-7
Rep. Virginia FoxxR-NC-5
Rep. Rod BlumR-IA-1
Rep. Bob GibbsR-OH-7
Rep. Steve KingR-IA-4
Rep. David KustoffR-TN-8
Rep. Steve ScaliseR-LA-1
Rep. Andy BarrR-KY-6
Rep. Jodey ArringtonR-TX-19
Rep. Ron EstesR-KS-4
Rep. John CurtisR-UT-3
Rep. Michael ConawayR-TX-11
Rep. Robert LattaR-OH-5
Rep. Tom RiceR-SC-7
Rep. Ann WagnerR-MO-2
Rep. Markwayne MullinR-OK-2
Rep. Rob WoodallR-GA-7
Rep. Francis RooneyR-FL-19
Rep. Mike GallagherR-WI-8
Rep. Bill PoseyR-FL-8
Rep. Mike JohnsonR-LA-4
Rep. Michael BurgessR-TX-26
Rep. Bradley ByrneR-AL-1
Rep. Bob GoodlatteR-VA-6
Rep. Brad WenstrupR-OH-2
Rep. David SchweikertR-AZ-6
Rep. Robert WittmanR-VA-1
Rep. Bruce WestermanR-AR-4
Rep. Robert PittengerR-NC-9
Rep. Ted PoeR-TX-2
Rep. Rick AllenR-GA-12
Rep. James ComerR-KY-1
Rep. Roger WilliamsR-TX-25
Rep. Bill HuizengaR-MI-2
Rep. Morgan GriffithR-VA-9
Rep. Mark WalkerR-NC-6
Rep. Dana RohrabacherR-CA-48
Rep. David RouzerR-NC-7
Rep. Daniel WebsterR-FL-11
Rep. Buddy CarterR-GA-1
Rep. Alexander MooneyR-WV-2
Rep. Mark MeadowsR-NC-11
Rep. Trent KellyR-MS-1
Rep. Tom GravesR-GA-14
Rep. George HoldingR-NC-2
Rep. Scott DesJarlaisR-TN-4
Rep. Doug LambornR-CO-5
Rep. Randy WeberR-TX-14
Rep. Brian BabinR-TX-36
Rep. Thomas MassieR-KY-4
Rep. Jeb HensarlingR-TX-5
Rep. Steve ChabotR-OH-1
Rep. Michael CloudR-TX-27
Rep. Jim BanksR-IN-3
Rep. Glenn GrothmanR-WI-6
Rep. Barry LoudermilkR-GA-11
Rep. Mo BrooksR-AL-5
Rep. Todd RokitaR-IN-4
Rep. Jason SmithR-MO-8
Rep. Richard HudsonR-NC-8
Rep. Ted BuddR-NC-13
Rep. Andy HarrisR-MD-1
Rep. Debbie LeskoR-AZ-8
Rep. Gary PalmerR-AL-6
Rep. Scott PerryR-PA-4
Rep. Tom McClintockR-CA-4
Rep. Jody HiceR-GA-10
Rep. Warren DavidsonR-OH-8
Rep. Matt GaetzR-FL-1
Rep. Paul GosarR-AZ-4
Rep. Jim JordanR-OH-4
Rep. Louie GohmertR-TX-1
Rep. Jimmy DuncanR-TN-2
Rep. Ken BuckR-CO-4
Rep. Raúl LabradorR-ID-1
Data notes
The House’s recorded vote on the final version of the law (roll call 1146 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.
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.
Related bills
1 bill the Library of Congress relates to this one.
H.R. 5641Related bill
State Offices of Rural Health Reauthorization Act of 2018
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.
Timeline
From introduction to signing, newest first: the committees, the floor and the president. 19 actions.
- Dec 31, 2018Became lawBecame law · Became Public Law No: 115-408.
- Became lawBecame law · Signed by President.
- Dec 27, 2018FloorFloor · Presented to President.
- Dec 19, 2018FloorFloor · 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): 357 - 4 (Roll no. 439).House roll call 439
- FloorFloor · Considered as unfinished business.
- 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.
- FloorFloor · DEBATE - The House proceeded with forty minutes of debate on S. 2278.
- FloorFloor · Considered under suspension of the rules.
- FloorFloor · Mr. Walden moved to suspend the rules and pass the bill.
- Jul 25, 2018FloorFloor · Message on Senate action sent to the House.
- FloorFloor · Received in the House.
- CommitteeCommittee · Referred to the House Committee on Energy and Commerce.
- Jul 24, 2018FloorFloor · Passed Senate with an amendment by Unanimous Consent.
- Mar 12, 2018CalendarCalendar · Placed on Senate Legislative Calendar under General Orders. Calendar No. 344.
- CommitteeCommittee · Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment. Without written report.
- Feb 28, 2018CommitteeCommittee · Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment favorably.
- Jan 4, 2018CommitteeCommittee · Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
- IntroducedIntroduced · Introduced in Senate
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.
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.
Official record
The bill’s full text is on Congress.gov. Data through Oct 7, 2026.