H.R. 1201House115th Congress (2017-2019)Passed House

EACH Act

Introduced February 17, 2017

AI-Generated Summary

Updated April 15, 2026 at 1:04 PM UTC

The EACH Act amends the Internal Revenue Code to add a new religious exemption from the Affordable Care Act’s individual health‑coverage mandate. It lets individuals who rely solely on religious healing, even if their sect isn’t on the existing list, avoid the mandate. The bill also defines which medical services are excluded from the exemption, requires an attestation, sets an effective date, and preserves state laws that require treatment for children.

Key Provisions

  • Amends section 5000A(d)(2)(A) to expand the religious conscience exemption to include members of any recognized religious sect that rely solely on religious healing, not just those listed in existing regulations.
  • Defines “medical health services” to exclude routine dental, vision, hearing, midwifery, vaccinations, necessary services for children, services required by law, and other services HHS may specify.
  • Requires individuals claiming the new exemption to attest they did not receive any medical health services during the prior taxable year.
  • Sets the amendment’s effective date for taxable years beginning after December 31, 2018.
  • Specifies that the amendment does not preempt state laws that require medical treatment for children, especially seriously ill ones.

Legislative Activity

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9 earlier actions
SenateCalendars Latest Action

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 529.

July 26, 2018

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HouseIntro Referral

Introduced in House

February 17, 2017

HouseIntro Referral

Referred to the House Committee on Ways and Means.

February 17, 2017

HouseFloor

Mr. Roskam moved to suspend the rules and pass the bill, as amended.

July 24, 2018 • 2:38 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H7107-7109)

July 24, 2018 • 2:38 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 1201.

July 24, 2018 • 2:38 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H7107-7108)

July 24, 2018 • 2:52 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H7107-7108)

July 24, 2018 • 2:52 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

July 24, 2018 • 2:52 PM

SenateCalendars

Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

July 25, 2018

SenateCalendars

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 529.

July 26, 2018

Floor Debate

7 members

What members said about H.R. 1201 on the floor

5 Republicans2 Democrats
Rodney Davis
Rep. Rodney DavisR-IL-13 · Jul 24, 2018

Mr. Speaker, I thank Mr. Roskam for his leadership on this issue. I also want to thank the gentleman from California (Mr. Thompson), because this bill that we are talking about today is and has been…

Peter J. Roskam
Rep. Peter J. RoskamR-IL-6 · Jul 24, 2018

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 1201) to amend section 5000A of the Internal Revenue Code of 1986 to provide an additional religious exemption from the individual…

Mike Thompson
Rep. Mike ThompsonD-CA-5 · Jul 24, 2018

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, the House has passed this bill before, making clarifications on the existing religious exemptions for healthcare. I understand…

Lamar Smith
Rep. Lamar SmithR-TX-21 · Jul 24, 2018

Mr. Speaker, I thank the gentleman from Illinois (Mr. Roskam) for yielding me time, and I thank another gentleman from Illinois (Mr. Rodney Davis) for introducing this legislation. The Equitable…

Mitch McConnell
Sen. Mitch McConnellR-KY · Jul 26, 2018

Mr. President, I understand that there are two bills at the desk that are due for a second reading en bloc. Mr. President, in order to place the bills on the calendar under the provisions of rule…

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Jerry Moran
Sen. Jerry MoranR-KS · Jul 25, 2018

Mr. President, I understand that there are two bills at the desk, and I ask for their first reading en bloc. Mr. President, I now ask for a second reading, and I object to my own request, all en bloc.

Robert P. Casey Jr.
Sen. Robert P. Casey Jr.D-PA · Jul 26, 2018

Madam President, I ask unanimous consent that the order for the quorum call be rescinded.

Bill Text

3 versions available

Reading Mode
Latest
Placed on Calendar SenateIssued July 26, 2018

II

Calendar No. 529

115th CONGRESS

2d Session

H. R. 1201

IN THE SENATE OF THE UNITED STATES

July 25, 2018

Received; read the first time

July 26, 2018

Read the second time and placed on the calendar

AN ACT

To amend section 5000A of the Internal Revenue Code of 1986 to provide an additional religious exemption from the individual health coverage mandate, and for other purposes.

1.

Short title

This Act may be cited as the Equitable Access to Care and Health Act or the EACH Act.

2.

Additional religious exemption from health coverage responsibility requirement

(a)

In general

Section 5000A(d)(2)(A) of the Internal Revenue Code of 1986 is amended to read as follows:

(A)

Religious conscience exemptions

(i)

In general

Such term shall not include any individual for any month if such individual has in effect an exemption under section 1311(d)(4)(H) of the Patient Protection and Affordable Care Act which certifies that—

(I)

such individual is a member of a recognized religious sect or division thereof which is described in section 1402(g)(1), and is adherent of established tenets or teachings of such sect or division as described in such section; or

(II)

such individual is a member of a religious sect or division thereof which is not described in section 1402(g)(1), who relies solely on a religious method of healing, and for whom the acceptance of medical health services would be inconsistent with the religious beliefs of the individual.

(ii)

Special rules

(I)

Medical health services defined

For purposes of this subparagraph, the term medical health services does not include routine dental, vision and hearing services, midwifery services, vaccinations, necessary medical services provided to children, services required by law or by a third party, and such other services as the Secretary of Health and Human Services may provide in implementing section 1311(d)(4)(H) of the Patient Protection and Affordable Care Act.

(II)

Attestation required

Clause (i)(II) shall apply to an individual for months in a taxable year only if the information provided by the individual under section 1411(b)(5)(A) of such Act includes an attestation that the individual has not received medical health services during the preceding taxable year.

.

(b)

Effective date

The amendment made by subsection (a) shall apply to taxable years beginning after December 31, 2018.

(c)

Construction

Nothing in the amendment made by subsection (a) shall preempt any State law requiring the provision of medical treatment for children, especially those who are seriously ill.

Passed the House of Representatives July 24, 2018.

Karen L. Haas,

Clerk

July 26, 2018

Read the second time and placed on the calendar