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NEGATIVE Reproductive Rights 119th Congress

H.R.6703 Lower Health Care Premiums Act — Abortion Insurance CSR Restriction

Restricts abortion coverage in Affordable Care Act marketplace insurance plans through cost-sharing reduction provisions (119th Congress)

View on Congress.gov

Legal & Constitutional Grounding

ACA marketplace plans cover reproductive care (42 USC 18022); restriction limits documented healthcare access.

42 U.S.C. § 18022 — ACA essential health benefits; abortion coverage in marketplace plans
  • Guttmacher: restricting insurance coverage creates documented barriers to reproductive healthcare

Bill activity

Introduced Dec 15, 2025 by Mariannette Miller-Meeks (R-IA). Passed the House Dec 17, 2025, 216-211.

  • Reached the House floor under a special rule from the Rules Committee (H.Res.953).
Rep. Pat Ryan (D-NY-18) is not listed among the cosponsors of this bill. Rep. Pat Ryan (D-NY-18) voted nay on the House roll call counted in grades (roll no. 349, Dec 17, 2025).
  1. IntroducedDec 15, 2025
  2. Passed HouseDec 17, 2025
  3. Passed Senate 
  4. To President 
  5. Became Law 

Latest action Dec 18, 2025: Received in the Senate.

Sponsor Mariannette Miller-Meeks (R-IA). No cosponsors

Activity log

Source: Congress.gov actions
  1. Introduced in House
  2. Referred to the House Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such...
  3. House floor day: vote on the rule (H.Res.953), motion to recommit, passage (13 steps)
    1. Rules Committee Resolution H. Res. 953 Reported to House. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R....
    2. On ordering the previous question Agreed to by the Yeas and Nays: 204 - 203 (Roll no. 343).
    3. Passed/agreed to in House: On agreeing to the resolution Agreed to by recorded vote: 213 - 209 (Roll no. 344).
    4. Considered under the provisions of rule H. Res. 953.
    5. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general...
    6. DEBATE - The House proceeded with one hour of debate on H.R. 6703.
    7. The previous question was ordered pursuant to the rule.
    8. Ms. Underwood moved to recommit to the House Committee on Energy and Commerce.
    9. The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
    10. POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 6703, the Chair put the question on motion to recommit and by voice vote, announced the noes had prevailed. Ms. Underwood demanded the yeas and nays and the Chair...
    11. Considered as unfinished business.
    12. On motion to recommit Failed by the Yeas and Nays: 210 - 218 (Roll no. 348).
    13. On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349).
  4. House vote: Passage of the billCounted in grades
    Passed, 216-211
    Member breakdown · Official House roll call 349
  5. Received in the Senate.

Votes on this bill

4 votes: 4 recorded roll calls and 0 decided without a recorded vote, 0 of them on amendments. Votes counted in grades are marked.

Dec 17, 202510:52 amHouseVote to end debate on the rule (ordering the previous question)
H.Res.953On ordering the previous question Agreed to by the Yeas and Nays: 204 - 203 (Roll no. 343).Agreed to204-203Nay
PartyYeaNayPresentNot voting
Democratic0203010
Republican2040016
Independent0000
Total204203026
Official House roll call
Dec 17, 202511:07 amHouseVote on the rule (H.Res.953)On agreeing to the resolution Agreed to by recorded vote: 213 - 209 (Roll no. 344).Agreed to213-209Nay
PartyYeaNayPresentNot voting
Democratic020805
Republican213106
Independent0000
Total213209011
Official House roll call
Dec 17, 20256:21 pmHouseMotion to recommit (send the bill back to committee)On motion to recommit Failed by the Yeas and Nays: 210 - 218 (Roll no. 348).Failed210-218Yea
PartyYeaNayPresentNot voting
Democratic210003
Republican021802
Independent0000
Total21021805
Official House roll call
Dec 17, 20256:27 pmHousePassage of the billCounted in gradesOn passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349).Passed216-211Nay

Counted in grades

PartyYeaNayPresentNot voting
Democratic021003
Republican216103
Independent0000
Total21621106
Official House roll call

Who Lobbied on This Bill

$11.2M combined quarterly activity
15 lobbying firms
15 clients represented
2025-fourth_quarter–2026-second_quarter filing period
⚠ 7 lobbyists who worked this bill previously held government positions
Show all 7
  • CHRISTINE POLLACK — Rep. E. Clay Shaw, Jr.
  • HAZEN MARSHALL — Policy Director-Senate Majority Leader Mitch McConnell; Staff Director, Senate Budget Committee-Senator Don Nickles;…
  • KIP PAYNE — Legislative Assistant, US House of Representatives
  • LAYLA OGHABIAN — Legislative Advocate
  • MONICA POPP — Chief of Staff/Deputy Chief of Staff, Office of Senate Republican Whip John Cornyn; Professional Staff Member, U.S.…
  • SUNEE MICKLE — Vice President of Government and Community Relations
  • THOMAS FLETCHER — Sen. Shelley Moore Capito (R-WV)
Policy Areas Covered
Health Issues Insurance Pharmacy Small Business Taxation/Internal Revenue Code
Government Entities Lobbied
  • Agriculture, Dept of (USDA)
  • Centers For Medicare and Medicaid Services (CMS)
  • Executive Office of the President (EOP)
  • Federal Reserve System
  • Financial Crimes Enforcement Network (FinCEN)
  • Food & Drug Administration (FDA)
  • HOUSE OF REPRESENTATIVES
  • Health & Human Services, Dept of (HHS)
  • Homeland Security, Dept of (DHS)
  • Labor, Dept of (DOL)
  • Medicare Payment Advisory Commission (MedPAC)
  • Natl Economic Council (NEC)
  • Occupational Safety & Health Administration (OSHA)
  • Office of Management & Budget (OMB)
  • SENATE
  • Treasury, Dept of
  • U.S. Mint
  • White House Office
Who Hired the Lobbyists
  • JOB CREATORS NETWORK advocacy organization for small business
  • FOOD MARKETPLACE INC
  • NFIB (NATIONAL FEDERATION OF INDEPENDENT BUSINESS)
  • SUN LIFE FINANCIAL (U.S.) SERVICES COMPANY INC.
  • LUNDBECK LLC
  • ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES
  • AMERICAN FEDERATION OF TEACHERS
  • FEDERATION OF AMERICAN HOSPITALS Trade association representing hospitals and health systems.
  • BLUE CROSS AND BLUE SHIELD ASSOCIATION
  • BLUE CROSS AND BLUE SHIELD OF FLORIDA INC

Source: Senate LDA filings · Dollar figures are combined quarterly totals for all lobbying by each firm, not bill-specific spend.

Lower Health Care Premiums Act with abortion insurance restriction. The bill restricts abortion coverage in ACA marketplace plans, limiting reproductive healthcare access for women purchasing insurance on the exchange.