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All recent votes115th CongressHouse
Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act or the IMPROVE Act
This bill establishes a state Medicaid option to provide for medical assistance with respect to coordinated care provided through a health home (i.e., a designated provider or team of health-care professionals) for children with medically complex conditions. States must determine payment methodologies in accordance with specified requirements; payments also temporarily qualify for an enhanced federal matching rate.
The bill also makes a series of reductions relating to federal Medicaid expenditures. Among other changes, the bill reduces the federal matching rate for states that do not have required asset-verification programs for determining Medicaid eligibility.
Further, drug manufacturers with Medicaid rebate agreements for covered outpatient drugs must disclose drug product information. Manufacturers are subject to civil penalties for knowingly misclassifying drugs. Manufacturers are also required to compensate for rebates that were initially underpaid as a result of misclassification (whether or not such misclassification was committed knowingly).
Finally, the bill excludes specified wheelchairs and associated accessories from Medicare's competitive acquisition program (in which rates are set through a competitive bidding program rather than by an established fee schedule).
Written by the nonpartisan Congressional Research Service, describing H.R. 7217 as introduced in House on Dec 6, 2018. It is not the text of the measure; a later amendment may have changed what it does.
House Dec 11, 2018
Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act
Passed · Two-thirds required
400 Yea 11 Nay 21 not voting
Crossed both parties 11 of 411 voting members broke with their own party: 11 Republicans.
DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present
432 members on this roll call, from the official House record. Party majorities need at least five voting members, so an independent never counts as breaking with a party.
Signing on is not a vote: a member can cosponsor H.R. 7217 and vote against it. 4 signed when it was filed.
Organizations that named H.R. 7217 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.
58 disclosures name this measure. Retrieved from LDA.gov on 2026-10-05. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.