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113th Congress, Vote 154; House of Representatives #45

To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010

Official Title: To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010.

HR 45: To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010.
Passed House May 16, 2013, 229-195 (9 abstaining).

Synopsis: Since the Affordable Care Act was enacted in 2010, a variety of bills have been introduced that would repeal all or part of the law, or defund or delay various aspects of it. HR 45 is among the most comprehensive of these bills, as it would repeal the ACA in its entirety.

HR 45 was introduced by MN Representative Michele Bachmann, who called herself "the champion of repealing Obamacare." Among the bills that Bachmann introduced during her time in the House, HR 45 was the only one that ever passed.

Similar bills that have called for full repeal of the ACA:

Why supporters pushed for this bill

  • ACA opponents have been vocal from the beginning in their opposition to the law, and would prefer to see it erased from the books.
  • HR 45 gave House Republicans an opportunity to go on record with their opposition to the ACA. This was particularly important for Representatives who had been elected after the ACA's passage. Although there was still widespread confusion regarding the ACA during the 2012 election cycle, there's no doubt that quite a few members of congress secured victories by capitalizing on their opposition to Obamacare; those members wanted to be able to prove to their constituents that they upheld their opposition to the ACA.
  • Many Republican lawmakers champion alternatives to the ACA, although they tend to be vague and revolve around broad concepts like tort reform, buying insurance across state lines, tax credits or deductions to make coverage more affordable, enhanced Health Savings Accounts (HSAs), and better funding for high risk pools. Although tax credits are an integral part of the ACA, other aspects of Republican reform proposals (like enhanced HSAs and the purchase of coverage across state lines) were not included in the law. Some opponents of the ACA see full repeal as necessary in order to introduce their version of healthcare reform (other opponents have shown little interest in meaningful reform, and would presumably allow things to return to the way they were prior to 2010)

Why opponents tried to stop the bill

  • Repealing the ACA would be expensive. In 2012, the Congressional Budget Office (CBO) estimated that repealing the ACA would result in "a net increase in budget deficits of $109 billion over the 2013-2022 period." That estimate was prepared as an analysis of HR 6079, a similar bill that had passed the House in 2012. Because the CBO had done an exhaustive analysis of the budgetary impact of repealing the ACA just 10 months earlier, the agency declined to conduct another analysis for HR 45. They noted that some of the ACA's provisions had already been implemented by 2013, but that overall, the impact would be similar to what they had calculated the year before – that is, a very costly venture.
  • Repealing the ACA would return the private insurance market back to the way it was prior to 2010. This would be particularly problematic in the individual market, as there would no longer be a provision requiring coverage to be guaranteed issue starting in 2014, there would be no requirement that all plans cover the essential health benefits, there would be a return to lifetime and annual benefit maximums, and there would be no medical loss ratio requiring plans to spend the majority of premiums on healthcare.
  • The bill – along with all of the other ACA-repeal bills – is generally considered symbolic, because the Senate won't pass it, and President Obama promised to veto it. Because of that, focusing on such bills is seen by some as a waste of lawmakers' time and taxpayers' dollars.
  • House Democratic Whip Steny Hoyer (MD) noted that according to the NY Times, from 2011 to 2013, House Republicans had spent 15 percent of their time on the House floor attempting to repeal, defund, or delay all or part of the ACA. He characterized HR 45 as the continuation of a charade and a waste of time.
05/16/2013 Status: House passed

More: select a member to see his or her other key health care votes.

Yes (229)
R Don Young AK
R Robert Aderholt AL
R Spencer Bachus AL
R Jo Bonner AL
R Mo Brooks AL
R Martha Roby AL
R Mike Rogers AL
R Tom Cotton AR
R Eric Crawford AR
R Tim Griffin AR
R Steve Womack AR
R Trent Franks AZ
R Paul Gosar AZ
R Matt Salmon AZ
R David Schweikert AZ
R Ken Calvert CA
R Paul Cook CA
R Jeff Denham CA
R Duncan Hunter CA
R Darrell Issa CA
R Doug LaMalfa CA
R Kevin McCarthy CA
R Tom McClintock CA
R Howard McKeon CA
R Gary Miller CA
R Devin Nunes CA
R Dana Rohrabacher CA
R Edward Royce CA
R David Valadao CA
R Mike Coffman CO
R Cory Gardner CO
R Doug Lamborn CO
R Scott Tipton CO
R Gus Bilirakis FL
R Vern Buchanan FL
R Ander Crenshaw FL
R Ron DeSantis FL
R Mario Diaz-Balart FL
R John Mica FL
R Jeff Miller FL
R Richard Nugent FL
R Bill Posey FL
R Trey Radel FL
R Thomas Rooney FL
R Ileana Ros-Lehtinen FL
R Dennis Ross FL
R Steve Southerland FL
R Daniel Webster FL
R Ted Yoho FL
R C. Young FL
R Paul Broun GA
R Doug Collins GA
R Phil Gingrey GA
R Tom Graves GA
R Jack Kingston GA
R Tom Price GA
R Austin Scott GA
R Lynn Westmoreland GA
R Rob Woodall GA
R Steve King IA
R Tom Latham IA
R Michael Simpson ID
R Rodney Davis IL
R Randy Hultgren IL
R Adam Kinzinger IL
R Peter Roskam IL
R Aaron Schock IL
R John Shimkus IL
R Susan Brooks IN
R Larry Bucshon IN
R Luke Messer IN
R Todd Rokita IN
R Marlin Stutzman IN
R Jackie Walorski IN
R Todd Young IN
R Tim Huelskamp KS
R Lynn Jenkins KS
R Mike Pompeo KS
R Kevin Yoder KS
R Garland Barr KY
R Brett Guthrie KY
R Thomas Massie KY
R Harold Rogers KY
R Ed Whitfield KY
R Rodney Alexander LA
R Charles Boustany LA
R Bill Cassidy LA
R John Fleming LA
R Steve Scalise LA
R Andy Harris MD
R Justin Amash MI
R Dan Benishek MI
R Kerry Bentivolio MI
R Dave Camp MI
R Bill Huizenga MI
R Candice Miller MI
R Mike Rogers MI
R Fred Upton MI
R Tim Walberg MI
R Michele Bachmann MN
R John Kline MN
R Erik Paulsen MN
R Sam Graves MO
R Vicky Hartzler MO
R Billy Long MO
R Blaine Luetkemeyer MO
R Gregg Harper MS
R Alan Nunnelee MS
R Steven Palazzo MS
R Steve Daines MT
R Howard Coble NC
R Renee Ellmers NC
R Virginia Foxx NC
R George Holding NC
R Richard Hudson NC
R Walter Jones NC
R Patrick McHenry NC
D Mike McIntyre NC
R Mark Meadows NC
R Robert Pittenger NC
R Kevin Cramer ND
R Jeff Fortenberry NE
R Adrian Smith NE
R Lee Terry NE
R Rodney Frelinghuysen NJ
R Scott Garrett NJ
R Leonard Lance NJ
R Frank LoBiondo NJ
R Jon Runyan NJ
R Christopher Smith NJ
R Stevan Pearce NM
R Mark Amodei NV
R Joseph Heck NV
R Chris Collins NY
R Christopher Gibson NY
R Michael Grimm NY
R Richard Hanna NY
R Peter King NY
R Tom Reed NY
R Steve Chabot OH
R Bob Gibbs OH
R Bill Johnson OH
R Jim Jordan OH
R David Joyce OH
R Robert Latta OH
R James Renacci OH
R Steve Stivers OH
R Patrick Tiberi OH
R Michael Turner OH
R Brad Wenstrup OH
R Jim Bridenstine OK
R Tom Cole OK
R James Lankford OK
R Frank Lucas OK
R Markwayne Mullin OK
R Greg Walden OR
R Lou Barletta PA
R Charles Dent PA
R Michael Fitzpatrick PA
R Jim Gerlach PA
R Mike Kelly PA
R Tom Marino PA
R Patrick Meehan PA
R Tim Murphy PA
R Scott Perry PA
R Joseph Pitts PA
R Keith Rothfus PA
R Bill Shuster PA
R Glenn Thompson PA
R Jeff Duncan SC
R Trey Gowdy SC
R Mick Mulvaney SC
R Tom Rice SC
R Marshall Sanford SC
R Joe Wilson SC
R Kristi Noem SD
R Diane Black TN
R Marsha Blackburn TN
R Scott DesJarlais TN
R John Duncan TN
R Stephen Fincher TN
R Charles Fleischmann TN
R David Roe TN
R Joe Barton TX
R Kevin Brady TX
R Michael Burgess TX
R John Carter TX
R K. Conaway TX
R John Culberson TX
R Blake Farenthold TX
R Bill Flores TX
R Louie Gohmert TX
R Kay Granger TX
R Ralph Hall TX
R Jeb Hensarling TX
R Kenny Marchant TX
R Michael McCaul TX
R Randy Neugebauer TX
R Pete Olson TX
R Ted Poe TX
R Pete Sessions TX
R Lamar Smith TX
R Steve Stockman TX
R Mac Thornberry TX
R Randy Weber TX
R Roger Williams TX
R Rob Bishop UT
R Jason Chaffetz UT
D Jim Matheson UT
R Chris Stewart UT
R Eric Cantor VA
R J. Forbes VA
R Bob Goodlatte VA
R H. Griffith VA
R Robert Hurt VA
R Edward Rigell VA
R Robert Wittman VA
R Frank Wolf VA
R Doc Hastings WA
R J. Herrera Beutler WA
R C. McMorris Rodgers WA
R David Reichert WA
R Thomas Petri WI
R Reid Ribble WI
R Paul Ryan WI
R F. Sensenbrenner WI
R Shelley Capito WV
R David McKinley WV
R Cynthia Lummis WY
No (195)
Our pick
D Terri Sewell AL
D Ron Barber AZ
D Raúl Grijalva AZ
D Ann Kirkpatrick AZ
D Ed Pastor AZ
D Kyrsten Sinema AZ
D Karen Bass CA
D Xavier Becerra CA
D Ami Bera CA
D Julia Brownley CA
D Lois Capps CA
D Tony Cárdenas CA
D Judy Chu CA
D Jim Costa CA
D Susan Davis CA
D Anna Eshoo CA
D Sam Farr CA
D John Garamendi CA
D Janice Hahn CA
D Michael Honda CA
D Jared Huffman CA
D Barbara Lee CA
D Zoe Lofgren CA
D Alan Lowenthal CA
D Doris Matsui CA
D Jerry McNerney CA
D George Miller CA
D Grace Napolitano CA
D G. Negrete McLeod CA
D Nancy Pelosi CA
D Scott Peters CA
D L. Roybal-Allard CA
D Raul Ruiz CA
D Linda Sánchez CA
D Loretta Sanchez CA
D Adam Schiff CA
D Brad Sherman CA
D Jackie Speier CA
D Eric Swalwell CA
D Mark Takano CA
D Mike Thompson CA
D Juan Vargas CA
D Maxine Waters CA
D Henry Waxman CA
D Diana DeGette CO
D Ed Perlmutter CO
D Jared Polis CO
D Joe Courtney CT
D Rosa DeLauro CT
D Elizabeth Esty CT
D James Himes CT
D John Larson CT
D John Carney DE
D Corrine Brown FL
D Kathy Castor FL
D Theodore Deutch FL
D Lois Frankel FL
D Joe Garcia FL
D Alan Grayson FL
D Alcee Hastings FL
D Patrick Murphy FL
D D. Wasserman Schultz FL
D Frederica Wilson FL
D John Barrow GA
D Sanford Bishop GA
D Henry Johnson GA
D David Scott GA
D Tulsi Gabbard HI
D Colleen Hanabusa HI
D Bruce Braley IA
D David Loebsack IA
D Cheri Bustos IL
D Danny Davis IL
D Tammy Duckworth IL
D William Enyart IL
D Bill Foster IL
D Luis Gutiérrez IL
D Robin Kelly IL
D Daniel Lipinski IL
D Bobby Rush IL
D Janice Schakowsky IL
D Bradley Schneider IL
D André Carson IN
D Peter Visclosky IN
D John Yarmuth KY
D Cedric Richmond LA
D Michael Capuano MA
D William Keating MA
D Joseph Kennedy MA
D Stephen Lynch MA
D James McGovern MA
D Richard Neal MA
D John Tierney MA
D Niki Tsongas MA
D Elijah Cummings MD
D John Delaney MD
D Donna Edwards MD
D Steny Hoyer MD
D C. Ruppersberger MD
D John Sarbanes MD
D Chris Van Hollen MD
D Michael Michaud ME
D Chellie Pingree ME
D John Conyers MI
D John Dingell MI
D Daniel Kildee MI
D Sander Levin MI
D Gary Peters MI
D Keith Ellison MN
D Betty McCollum MN
D Richard Nolan MN
D Collin Peterson MN
D Timothy Walz MN
D Wm. Clay MO
D Emanuel Cleaver MO
D Bennie Thompson MS
D George Butterfield NC
D David Price NC
D Melvin Watt NC
D Ann Kuster NH
D Carol Shea-Porter NH
D Robert Andrews NJ
D Rush Holt NJ
D Frank Pallone NJ
D Bill Pascrell NJ
D Donald Payne NJ
D Albio Sires NJ
D Ben Luján NM
D M. Lujan Grisham NM
D Steven Horsford NV
D Dina Titus NV
D Timothy Bishop NY
D Yvette Clarke NY
D Joseph Crowley NY
D Eliot Engel NY
D Brian Higgins NY
D Steve Israel NY
D Hakeem Jeffries NY
D Nita Lowey NY
D Daniel Maffei NY
D Carolyn Maloney NY
D Sean Maloney NY
D Carolyn McCarthy NY
D Gregory Meeks NY
D Grace Meng NY
D Jerrold Nadler NY
D William Owens NY
D Charles Rangel NY
D José Serrano NY
D Louise Slaughter NY
D Paul Tonko NY
D Nydia Velázquez NY
D Joyce Beatty OH
D Marcia Fudge OH
D Marcy Kaptur OH
D Tim Ryan OH
D Earl Blumenauer OR
D Suzanne Bonamici OR
D Peter DeFazio OR
D Kurt Schrader OR
D Robert Brady PA
D Matthew Cartwright PA
D Michael Doyle PA
D Chaka Fattah PA
D Allyson Schwartz PA
D David Cicilline RI
D James Langevin RI
D Steve Cohen TN
D Jim Cooper TN
D Joaquin Castro TX
D Henry Cuellar TX
D Lloyd Doggett TX
D Pete Gallego TX
D Al Green TX
D Gene Green TX
D Rubén Hinojosa TX
D Sheila Jackson Lee TX
D Eddie Johnson TX
D Beto O’Rourke TX
D Marc Veasey TX
D Filemon Vela TX
D Gerald Connolly VA
D James Moran VA
D Robert Scott VA
D Peter Welch VT
D Suzan DelBene WA
D Denny Heck WA
D Derek Kilmer WA
D Rick Larsen WA
D Jim McDermott WA
D Adam Smith WA
D Ron Kind WI
D Gwen Moore WI
D Mark Pocan WI
D Nick Rahall WV
Not Voting (9)
R John Campbell CA
D John Lewis GA
R Raúl Labrador ID
D Mike Quigley IL
D Edward Markey MA
R Ann Wagner MO
D James Clyburn SC
R Sam Johnson TX
R Sean Duffy WI