What This Bill Does
This resolution expresses the House of Representatives' support for states to expand Medicaid (a health insurance program for low-income people) under the Affordable Care Act. The resolution aims to close the Medicaid coverage gap, which affects people who earn too much to qualify for Medicaid in states that have not expanded the program but cannot afford private insurance.
Who It Affects
Low-income, uninsured adults who fall into the Medicaid coverage gap. State governments. Hospitals, particularly in rural areas. Health care workers. Communities of color.
Key Provisions
The House urges the remaining 11 states that have not expanded Medicaid to do so and close the coverage gap. (Lines 1-3)
The House expresses support for H.R. 31, the COVER Now Act, as a temporary measure to close the Medicaid coverage gap. (Lines 2-3)
The House recognizes the economic and health care benefits of expanding Medicaid for hospitals, health care workers, low-income uninsured people in the coverage gap, and the job market. (Lines 4-7)
The House commits to supporting the cause of expanding Medicaid to uninsured Americans in the coverage gap unless and until the 11 states that have not expanded Medicaid move forward with expansion. (Lines 9-11)
What Changes
This resolution does not create new laws or requirements. It expresses the House's position supporting Medicaid expansion in the 11 remaining states.
Important Definitions
Medicaid coverage gap: A situation where people earn too much to qualify for Medicaid in states that have not expanded the program but cannot afford health insurance on their own.
IV
118TH CONGRESS
1ST SESSION
H. RES. 122
Expressing support for States to expand Medicaid under the Affordable Care
Act to close the Medicaid coverage gap.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 10, 2023
Mr. DAVIS of North Carolina (for himself, Mr. COHEN, Mr. JOHNSON of Geor-
gia, Mr. DOGGETT, Mr. VICENTE GONZALEZ of Texas, Mr. ALLRED, Mr.
THOMPSON of Mississippi, and Ms. ROSS) submitted the following resolu-
tion; which was referred to the Committee on Energy and Commerce
RESOLUTION
Expressing support for States to expand Medicaid under
the Affordable Care Act to close the Medicaid coverage gap.
Whereas more than 2,200,000 low-income, uninsured adults
fall into the Medicaid coverage gap because State govern-
ments have been unable to reach a consensus on expan-
sion;
Whereas closing the Medicaid coverage gap will reduce the
national uninsured rate by nearly 10 percent;
Whereas closing the Medicaid coverage gap will generate up-
ward of $5,000,000,000 in revenue for State and local
governments and nearly $130,000,000,000 for the Fed-
eral Government to reinvest in our communities;
VerDate Sep 11 2014
00:32 Feb 11, 2023
Jkt 039200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6300
E:\BILLS\HR122.IH
HR122
pbinns on DSKJLVW7X2PROD with $$_JOB
2
•HRES 122 IH
Whereas closing the Medicaid coverage gap will prevent hos-
pital closures, particularly in rural areas that have seen
more than 150 hospital closures in the last decade;
Whereas hospitals were 6 times less likely to close in States
that expanded Medicaid between 2008 and 2016;
Whereas financial margins for hospitals improved by 33 per-
cent because uncompensated care spending dropped fol-
lowing Medicaid expansion in the first 36 States to adopt
it;
Whereas 39 States governed by both Democratic and Repub-
lican elected officials have already adopted Medicaid ex-
pansion;
Whereas it is unreasonable to expect an individual earning
less than $13,000 per year to afford health insurance, re-
gardless of employment status;
Whereas 1 American who falls into the Medicaid coverage
gap dies per day without access to lifesaving health care;
Whereas communities of color have been disproportionately
disadvantaged by the failure to expand Medicaid and
close the coverage gap; and
Whereas Congress has a responsibility to provide accessible,
high-quality health care to all Americans regardless of so-
cioeconomic status: Now, therefore, be it
Resolved, That the House of Representatives—
1
(1) urges the remaining 11 States that have yet
2
to expand Medicaid and close the Medicaid coverage
3
gap to do so;
4
VerDate Sep 11 2014
00:32 Feb 11, 2023
Jkt 039200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\HR122.IH
HR122
pbinns on DSKJLVW7X2PROD with $$_JOB
3
•HRES 122 IH
(2) expresses support for H.R. 31, the COVER
1
Now Act, as a temporary measure to close the Med-
2
icaid coverage gap;
3
(3) recognizes the economic and health care
4
benefits of expanding Medicaid for hospitals, health
5
care workers, the low-income, nonelderly, uninsured
6
population in the coverage gap, and the labor mar-
7
ket; and
8
(4) will support the cause of expanding Med-
9
icaid to uninsured Americans in the coverage gap
10
unless and until the 11 nonexpansion States move
11
forward with expansion.
12
Æ
VerDate Sep 11 2014
00:32 Feb 11, 2023
Jkt 039200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6301
E:\BILLS\HR122.IH
HR122
pbinns on DSKJLVW7X2PROD with $$_JOB