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Protecting Americans with Preexisting Conditions Act of 2019
(Sec. 3) This bill nullifies guidance from the Department of the Treasury and the Department of Health and Human Services titled State Relief and Empowerment Waivers, published on October 24, 2018. The guidance pertains to Section 1332 waivers (also known as State Innovation Waivers or State Relief and Empowerment Waivers), which allow states to forego certain requirements of the Patient Protection and Affordable Care Act in order to implement experimental plans for health care coverage, as long as the resulting coverage meets certain statutory criteria.
The guidance, which supersedes earlier guidance from 2015, alters agency interpretation of how states may satisfy the statutory criteria for waiver approval. For example, the guidance (1) redefines acceptable coverage under such waivers to include short-term, limited-duration insurance and association health plans; (2) allows the comprehensiveness and affordability of coverage under such waivers to be assessed based on projected availability, rather than enrollment; and (3) allows the level of coverage to be assessed based on the effects over the entire course of the waiver, rather than per year.
(Sec. 4) The Government Accountability Office must report on the number of individuals that would have been expected to lose access to health insurance coverage, as well as the expected effect on mental health care treatment, in the absence of this bill.
Written by the nonpartisan Congressional Research Service, describing H.R. 986 as passed House on May 9, 2019. It is not the text of the measure; a later amendment may have changed what it does.
May 9, 2019Each bar: ✓ Yea from the bottom, ✕ Nay aboveMay 9, 2019
House May 9, 2019 · the primary vote
Protecting Americans with Preexisting Conditions Act
Passed
230 Yea 183 Nay 17 not voting · 1 present
Party-line vote 4 of 413 voting members broke with their own party: 4 Republicans.
DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present
431 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. 986 and vote against it. 2 signed when it was filed.
Organizations that named H.R. 986 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.
211 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.