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NEGATIVE War & Foreign Policy 118th Congress

H.R.4691 Iran Sanctions Relief Review Act

Restricts the president's ability to waive Iran sanctions, requiring 30-60 day congressional review of any relief (118th Congress)

View on Congress.gov

Legal & Constitutional Grounding

Restricting waivers under IEEPA limits diplomacy; sanctions caused 6M+ patient shortages, 6x thalassemia deaths (Lancet/HRW).

International Emergency Economic Powers Act (IEEPA), 50 U.S.C. § 1701 et seq. — presidential authority to impose and waive economic sanctions
  • CISADA, 22 U.S.C. § 8501 et seq.
  • HRW 'Maximum Pressure' (Oct. 2019) — 6M+ patients affected; Factor VIII access for hemophilia patients dropped from 96.7% to 3.3% (2009-2012)
  • WHO EMRO — 13 of 26 essential NCD medicines had significantly reduced availability; antiepileptic drug prices spiked 300%
  • Lancet (2025) — thalassemia patient life expectancy dropped from 50 years to under 20; deaths increased sixfold (2018-2022)
  • CEPR/Rodriguez (2023) — 30 of 32 studies found negative effects; sanctions cause average 1.4-year reduction in female life expectancy

Bill activity

Introduced Jul 17, 2023 by Keith Self (R-TX) with 5 original cosponsors. 13 cosponsors as of Apr 15, 2024. Passed the House Apr 17, 2024, 278-141.

  • Reached the House floor under a special rule from the Rules Committee (H.Res.1149).
Rep. Pat Ryan (D-NY-18) is not listed among the cosponsors of this bill. Rep. Pat Ryan (D-NY-18) voted yea on the House roll call counted in grades (roll no. 138, Apr 17, 2024).
  1. IntroducedJul 17, 2023
  2. Passed HouseApr 17, 2024
  3. Passed Senate 
  4. To President 
  5. Became Law 

Latest action Apr 17, 2024: Motion to reconsider laid on the table Agreed to without objection.

Cosponsors during the cosponsorship window

118th Congress (Jan 2023 to Jan 2025)

Sep 2023OctNovDecJan 2024FebMarAprJul 17, 2023Apr 17, 2024 (closed)5 originalJoe Wilson (R-SC-2). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Maria Elvira Salazar (R-FL-27). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Michael T. McCaul (R-TX-10). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Michael Waltz (R-FL-6). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Nathaniel Moran (R-TX-1). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Michael Lawler (R-NY-17). Cosponsored Jul 24, 2023, 7 days after introduction.Thomas H. Kean (R-NJ-7). Cosponsored Jul 24, 2023, 7 days after introduction.Cory Mills (R-FL-7). Cosponsored Jul 25, 2023, 8 days after introduction.Richard McCormick (R-GA-6). Cosponsored Jul 25, 2023, 8 days after introduction.J. French Hill (R-AR-2). Cosponsored Jul 27, 2023, 10 days after introduction.Claudia Tenney (R-NY-24). Cosponsored Apr 15, 2024, 273 days after introduction.Jared Moskowitz (D-FL-23). Cosponsored Apr 15, 2024, 273 days after introduction.William R. Timmons (R-SC-4). Cosponsored Apr 15, 2024, 273 days after introduction. Oct 2023DecFeb 2024AprJul 17, 2023Apr 17, 2024 (closed)5 originalJoe Wilson (R-SC-2). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Maria Elvira Salazar (R-FL-27). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Michael T. McCaul (R-TX-10). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Michael Waltz (R-FL-6). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Nathaniel Moran (R-TX-1). Cosponsored Jul 17, 2023, on the day of introduction. Original cosponsor.Michael Lawler (R-NY-17). Cosponsored Jul 24, 2023, 7 days after introduction.Thomas H. Kean (R-NJ-7). Cosponsored Jul 24, 2023, 7 days after introduction.Cory Mills (R-FL-7). Cosponsored Jul 25, 2023, 8 days after introduction.Richard McCormick (R-GA-6). Cosponsored Jul 25, 2023, 8 days after introduction.J. French Hill (R-AR-2). Cosponsored Jul 27, 2023, 10 days after introduction.Claudia Tenney (R-NY-24). Cosponsored Apr 15, 2024, 273 days after introduction.Jared Moskowitz (D-FL-23). Cosponsored Apr 15, 2024, 273 days after introduction.William R. Timmons (R-SC-4). Cosponsored Apr 15, 2024, 273 days after introduction.
Democratic 1 · Republican 12

Each dot is one cosponsor. Dots stack by sign-on day, or by week when the window is long. The block at the left holds the original cosponsors.

Cosponsorship closed Apr 17, 2024 (118th Congress): the House took up the bill under H.Res.1149.

Activity log

Source: Congress.gov actions
  1. Introduced in House
  2. Referred to the House Committee on Foreign Affairs, and in addition to the Committees on Financial Services, the Judiciary, Oversight and Accountability, Ways and Means, and Rules, for a period to be subsequently determined by the...
  3. 5 original cosponsors on the day of introduction
  4. 2 members cosponsored
  5. 2 members cosponsored
  6. Ordered to be Reported by the Yeas and Nays: 34 - 16.House
  7. J. French Hill cosponsored (R-AR)
  8. 3 members cosponsored
  9. House floor day: vote on the rule (H.Res.1149) (3 steps)
    1. Rules Committee Resolution H. Res. 1149 Reported to House. Rule provides for consideration of H.R. 6323, H. Res. 1143, H.R. 4691, H.R. 5947, H.R. 6046 and H.R. 4639. The resolution provides for consideration of H.R. 6323, H....
    2. On ordering the previous question Agreed to by the Yeas and Nays: 212 - 208 (Roll no. 124).
    3. Passed/agreed to in House: On agreeing to the resolution Agreed to by recorded vote: 214 - 208 (Roll no. 125).
  10. House floor day: passage (7 steps)
    1. Considered under the provisions of rule H. Res. 1149.
    2. Rule provides for consideration of H.R. 6323, H. Res. 1143, H.R. 4691, H.R. 5947, H.R. 6046 and H.R. 4639. The resolution provides for consideration of H.R. 6323, H. Res. 1143, H.R. 4691, H.R. 5947, and H.R. 6046 under a...
    3. DEBATE - The House proceeded with one hour of debate on H.R. 4691.
    4. The previous question was ordered pursuant to the rule.
    5. POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 4691, the Chair put the question on passage of the bill and by voice vote, announced the ayes had prevailed. Mr. McCaul demanded the yeas and nays and the Chair...
    6. Considered as unfinished business.
    7. On passage Passed by the Yeas and Nays: 278 - 141 (Roll no. 138).
  11. House vote: Passage of the billCounted in grades
    Passed, 278-141
    Of 13 cosponsors: 13 voted yea, 0 voted nay.
    Member breakdown · Official House roll call 138

Votes on this bill

3 votes: 3 recorded roll calls and 0 decided without a recorded vote, 0 of them on amendments. Votes counted in grades are marked.

Apr 16, 20242:06 pmHouseVote to end debate on the rule (ordering the previous question)
H.Res.1149On ordering the previous question Agreed to by the Yeas and Nays: 212 - 208 (Roll no. 124).Agreed to212-208Nay
PartyYeaNayPresentNot voting
Democratic020805
Republican212006
Independent0000
Total212208011
Official House roll call
Apr 16, 20242:13 pmHouseVote on the rule (H.Res.1149)On agreeing to the resolution Agreed to by recorded vote: 214 - 208 (Roll no. 125).Agreed to214-208Nay
PartyYeaNayPresentNot voting
Democratic020805
Republican214004
Independent0000
Total21420809
Official House roll call
Apr 17, 20246:05 pmHousePassage of the billCounted in gradesOn passage Passed by the Yeas and Nays: 278 - 141 (Roll no. 138).Passed278-141Yea

Counted in grades

Of 13 cosponsors: 13 voted yea, 0 voted nay. Question voted on: Passage of the bill

PartyYeaNayPresentNot voting
Democratic6614007
Republican212105
Independent0000
Total278141012
Official House roll call

Amendments

1 amendment: 1 agreed to.

Agreed to (1)

H.Amdt.887Apr 17
Pursuant to the provisions of H.Res. 1149, an amendment in the nature of a substitute consisting of the text of Rules Committee Print 118-30 is considered adopted.Without a recorded vote

Cosponsors

13 cosponsored

Sponsor Introduced by Keith Self (R-TX) on Jul 17, 2023

MemberParty/StateDateDays after introductionOriginalGrade
Joe WilsonR-SCJul 17, 20230OriginalF
Maria Elvira SalazarR-FLJul 17, 20230OriginalF
Michael T. McCaulR-TXJul 17, 20230OriginalF
Michael WaltzR-FLJul 17, 20230Original—
Nathaniel MoranR-TXJul 17, 20230OriginalF
Michael LawlerR-NYJul 24, 20237F
Thomas H. KeanR-NJJul 24, 20237F
Cory MillsR-FLJul 25, 20238F
Richard McCormickR-GAJul 25, 20238F
J. French HillR-ARJul 27, 202310F
Claudia TenneyR-NYApr 15, 2024273F
Jared MoskowitzD-FLApr 15, 2024273C
William R. TimmonsR-SCApr 15, 2024273F

Restricts presidential authority to waive Iran sanctions, requiring congressional review. Limiting diplomatic flexibility undermines ongoing negotiations and the executive's ability to pursue de-escalation.