H.Res. 271House116th Congress (2019-2021)Passed Congress

Condemning the Trump Administration's Legal Campaign to Take Away Americans' Health Care.

Introduced March 29, 2019

AI-Generated Summary

Updated April 14, 2026 at 3:32 AM UTC

The resolution condemns the Trump Administration’s legal effort to invalidate the Affordable Care Act and its protections for people with pre‑existing conditions. It says these actions threaten health coverage for millions of Americans, including those on employer plans, Medicaid, Medicare, and the individual exchanges. The House calls on the Department of Justice to stop pursuing the lawsuit and to reverse its position.

Key Provisions

  • Declares the Administration’s attempts to strike down the ACA’s essential coverage and pre‑existing‑condition protections as an unacceptable assault on American health care.
  • Urges the DOJ to protect individuals with pre‑existing conditions, seniors facing high drug costs, and those who gained coverage under the ACA.
  • Calls for the DOJ to cease all efforts to undermine affordable health care and to reverse its litigation stance in Texas v. United States.
  • Requests that the DOJ maintain Medicaid expansions, employer‑provided coverage limits, and consumer protections such as preventive care, young adult coverage, and essential health benefits.

Legislative Activity

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12 earlier actions
HouseFloor Latest Action

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

April 3, 2019 • 2:23 PM

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HouseIntro Referral

Introduced in House

March 29, 2019

HouseIntro Referral

Referred to the Committee on Energy and Commerce, and in addition to the Committee on the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

March 29, 2019

HouseCommittee

Referred to the Subcommittee on Health.

April 1, 2019

HouseFloor

Rules Committee Resolution H. Res. 274 Reported to House. Rule provides for consideration of S.J. Res. 7 and H. Res. 271. Rule provides for the previous question to be considered as ordered without intervening motions for both measures except for one hour of debate; one motion to recommit S.J. Res. 7 is allowed. It shall be in order at any time on the legislative day of April 4, 2019 for the Speaker to entertain motions that the House suspend the rules.

April 1, 2019 • 7:27 PM

HouseFloor

Rule H. Res. 274 passed House.

April 2, 2019 • 1:54 PM

HouseFloor

Considered under the provisions of rule H. Res. 274. (consideration: CR H2956-2969)

April 2, 2019 • 1:57 PM

HouseFloor

Rule provides for consideration of S.J. Res. 7 and H. Res. 271. Rule provides for the previous question to be considered as ordered without intervening motions for both measures except for one hour of debate; one motion to recommit S.J. Res. 7 is allowed. It shall be in order at any time on the legislative day of April 4, 2019 for the Speaker to entertain motions that the House suspend the rules.

April 2, 2019 • 1:57 PM

HouseFloor

DEBATE - The House proceeded with one hour of debate on H. Res. 271.

April 2, 2019 • 1:58 PM

HouseFloor

The previous question was ordered pursuant to the rule.

April 2, 2019 • 3:31 PM

HouseFloor

Considered as unfinished business. (consideration: CR H3002-3003)

April 3, 2019 • 2:14 PM

HouseFloor

Passed/agreed to in House: On agreeing to the resolution Agreed to by the Yeas and Nays: 240 - 186, 1 Present (Roll no. 146).(text: CR 4/2/2019 H2956-2957)

April 3, 2019 • 2:23 PM

HouseFloor

On agreeing to the resolution Agreed to by the Yeas and Nays: 240 - 186, 1 Present (Roll no. 146). (text: CR 4/2/2019 H2956-2957)

April 3, 2019 • 2:23 PM

HouseFloor

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

April 3, 2019 • 2:23 PM

Floor Debate

22 members

What members said about H.Res. 271 on the floor

9 Republicans13 Democrats
James P. McGovern
Rep. James P. McGovernD-MA-2 · Apr 2, 2019

Madam Speaker, by direction of the Committee on Rules, I call up House Resolution 274 and ask for its immediate consideration. Madam Speaker, for the purpose of debate only, I yield the customary 30…

Greg Walden
Rep. Greg WaldenR-OR-2 · Apr 2, 2019

Madam Speaker, I yield myself such time as I may consume. Madam Speaker, the American people expect us to come to this floor with solutions, not political ``gotcha'' statements. The resolution before…

Michael C. Burgess
Rep. Michael C. BurgessR-TX-26 · Apr 2, 2019

Madam Speaker, I yield myself such time as I may consume, and I thank Mr. McGovern for yielding me the customary 30 minutes. Madam Speaker, we are here again considering one nonbinding resolution and…

Mary Gay Scanlon
Rep. Mary Gay ScanlonD-PA-5 · Apr 3, 2019

Mr. Speaker, by direction of the Committee on Rules, I call up House Resolution 281 and ask for its immediate consideration. Mr. Speaker, for the purpose of debate only, I yield the customary 30…

Debbie Lesko
Rep. Debbie LeskoR-AZ-8 · Apr 3, 2019

Mr. Speaker, I yield myself such time as I may consume, and I thank Representative Scanlon for yielding me the customary 30 minutes. Mr. Speaker, I am a survivor of domestic violence. I also serve on…

Show 8 more
Kevin McCarthy
Rep. Kevin McCarthyR-CA-23 · Apr 2, 2019

Madam Speaker, I thank Congressman Walden for his sobering words, for his actions. He has a bill that will protect preexisting conditions. The difference about that to today: It is actually a bill;…

Nancy Pelosi
Rep. Nancy PelosiD-CA-12 · Apr 2, 2019

Madam Speaker, I thank the gentleman for yielding and thank him for the leadership role he played in making America healthier in the original passage of the Affordable Care Act and protecting it from…

Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Apr 2, 2019

Madam Speaker, I thank the gentleman for yielding, and I would hope that we could do what the gentleman from Oregon wants to do and work together in a bipartisan fashion. I will say to him, however,…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Apr 2, 2019

Madam Speaker, I rise in strong and unequivocal support for the rule governing debate on H. Res. 271 as well as the underlying resolution and ask all Members to join me in supporting this resolution…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Apr 2, 2019

Mr. Speaker, I rise in strong and unequivocal support for H. Res. 271 as well as the underlying resolution and ask all Members to join me in supporting this resolution which condemns the Trump…

Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Apr 2, 2019

Madam Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material on H. Res. 271. Madam Speaker, pursuant…

Tom Cole
Rep. Tom ColeR-OK-4 · Apr 3, 2019

Mr. Speaker, I thank my good friend from Arizona for yielding. Mr. Speaker, I rise today to oppose the rule, and to offer conditional support for the underlying legislation, H.R. 1585, the Violence…

Vicky Hartzler
Rep. Vicky HartzlerR-MO-4 · Apr 3, 2019

Mr. Speaker, I rise today in opposition to this rule and the underlying legislation. The Violence Against Women Act was originally enacted to strengthen law enforcement's ability to help women…

Show 11 more
David N. Cicilline
Rep. David N. CicillineD-RI-1 · Apr 2, 2019

Mr. Speaker, I thank the gentleman for yielding. Mr. Speaker, I want to acknowledge the leadership of Congressman Colin Allred, who has been an incredible advocate for his community in Dallas and for…

Ro Khanna
Rep. Ro KhannaD-CA-17 · Apr 2, 2019

Madam Speaker, I thank Chairman McGovern for his leadership in finally bringing up for a vote this resolution on Yemen and for the terrific people on his team, Don Sisson; on Speaker Pelosi's team,…

Anna G. Eshoo
Rep. Anna G. EshooD-CA-18 · Apr 2, 2019

Mr. Speaker, I rise in support of H. Res. 271, Condemning the Trump Administration's Legal Campaign to Take Away Americans' Health Care. Last week, the Trump Administration launched a monstrous…

G. K. Butterfield
Rep. G. K. ButterfieldD-NC-1 · Apr 2, 2019

Madam Speaker, I rise to support H. Res. 271. This resolution, I would say to the minority leader, is a statement. It is a statement by Democrats of our position on the Affordable Care Act. It is not…

Tom Rice
Rep. Tom RiceR-SC-7 · Apr 2, 2019

Madam Speaker, we stand here today with another in a series of weekly messaging bills. I wonder what, next week, we will deal with. I am sure it will be another whipsaw response to the headlines of…

Kevin Brady
Rep. Kevin BradyR-TX-8 · Apr 2, 2019

Madam Speaker, I thank Mr. Burgess for his leadership on healthcare in so many ways. Madam Speaker, embarrassingly designed and hastily written by our Democratic colleagues, the Affordable Care Act,…

Colin Z. Allred
Rep. Colin Z. AllredD-TX-32 · Apr 2, 2019

Madam Speaker, I thank Chairman Pallone for his leadership, and I am proud to lead the charge on this resolution condemning the administration's attacks on American's healthcare in Federal court.…

Chellie Pingree
Rep. Chellie PingreeD-ME-1 · Apr 3, 2019

Mr. Speaker, I thank the gentlewoman from Pennsylvania for yielding me the time. I rise today in support of the Violence Against Women Act of 2019. I want to thank the chair of the Judiciary…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Apr 3, 2019

Mr. Speaker, I think all of us have heard, in some way, paraphrased: While Rome is burning, much fiddling is going on. I am grateful for all of the Members of Congress who helped construct this…

Robert C. "Bobby" Scott
Rep. Robert C. "Bobby" ScottD-VA-3 · Apr 2, 2019

Mr. Speaker, too often, we forget what our healthcare system was like before we passed the Affordable Care Act. Before the ACA, healthcare costs were skyrocketing; insurers could deny people coverage…

Chip Roy
Rep. Chip RoyR-TX-21 · Apr 3, 2019

Mr. Speaker, I thank the gentlewoman from Arizona for yielding time. Mr. Speaker, the Violence Against Women Act we are voting on this week is nearly unrecognizable from the legislation originally…

Bill Text

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Engrossed in HouseIssued April 3, 2019

H. RES. 271

In the House of Representatives, U. S.,

April 3, 2019

RESOLUTION

Whereas on February 26, 2018, 18 State attorneys general and 2 Governors filed a lawsuit in the United States District Court for the Northern District of Texas, Texas v. United States, No. 4:18–cv–00167–O (N.D. Tex.) (in this preamble referred to as Texas v. United States), arguing that the requirement of the Patient Protection and Affordable Care Act (Public Law 111–148; 124 Stat. 119) (in this preamble referred to as the ACA) to maintain minimum essential coverage is unconstitutional and, as a result, the court should invalidate the entire law;

Whereas in a June 7, 2018, letter to Congress, then Attorney General Jefferson Sessions announced that the Department of Justice—

(1)

would not defend the constitutionality of the minimum essential coverage provision; and

(2)

would argue that provisions protecting individuals with pre-existing conditions (specifically the provisions commonly known as community rating and guaranteed issue) are inseverable from the minimum essential coverage provision and should be invalidated;

Whereas in the June 7, 2018, letter to Congress, Attorney General Sessions also advised Congress that the Department will continue to argue that Section 5000A(a) is severable from the remaining provisions of the ACA, indicating a difference from the plaintiffs’ position in Texas v. United States;

Whereas on December 14, 2018, the United States District Court for the Northern District of Texas issued an order that declared the requirement to maintain minimum essential coverage unconstitutional and struck down the ACA in its entirety, including protections for individuals with pre-existing conditions;

Whereas the decision of the United States District Court for the Northern District of Texas was stayed and is pending appeal before the United States Court of Appeals for the Fifth Circuit;

Whereas on March 25, 2019, the Department of Justice, in a letter to the United States Court of Appeals for the Fifth Circuit, changed its position and announced that the entire ruling of the United States District Court for the Northern District of Texas should be upheld and the entire ACA should be declared unconstitutional;

Whereas prior to 2014, individuals with pre-existing conditions were routinely denied health insurance coverage, subject to coverage exclusions, charged unaffordable premium rates, exposed to unaffordable out-of-pocket costs, and subject to lifetime and annual limits on health insurance coverage;

Whereas as many as 133 million nonelderly people in the United States—

(1)

have a pre-existing condition and could have been denied coverage, only offered coverage at an exorbitant price had they needed individual market health insurance prior to 2014, or had coverage for their pre-existing condition excluded prior to 2014; and

(2)

will lose protections for pre-existing conditions if the ruling of the United States District Court for the Northern District of Texas is upheld in Texas v. United States;

Whereas contrary to President Trump’s public claims that he supports protections for people with pre-existing conditions, he has ordered his Department of Justice to actively pursue the destruction of these protections in Federal court;

Whereas employer-provided health plans cannot place lifetime or annual limits on health coverage, and if the Trump Administration succeeds in its argument before the court, more than 100 million people in the United States who receive health insurance through their employer could once again face lifetime or annual coverage limits;

Whereas if the Trump Administration succeeds in its argument before the court, insurers would be allowed to impose an unlimited age tax on the health insurance premiums of older Americans;

Whereas prior to 2010, Medicare enrollees faced massive out-of-pocket prescription drug costs once they reached a certain threshold known as the Medicare donut hole, and since the donut hole began closing in 2010, millions of Medicare beneficiaries have saved billions of dollars on prescription drugs;

Whereas at a time when 3 in 10 adults report not taking prescribed medicines because of the cost, if the Trump Administration succeeds in its argument before the court, seniors enrolled in Medicare would face billions of dollars in new prescription drug costs;

Whereas as of March 2019, 37 States, including the District of Columbia, have expanded or are in the process of expanding Medicaid to individuals with incomes up to 138 percent of the Federal poverty level, providing health coverage to more than 12 million newly eligible people;

Whereas if the Trump Administration succeeds in its argument before the court, the millions of individuals and families who receive coverage from Medicaid could lose eligibility and no longer have access to health care;

Whereas as of March 2019, many people who buy individual health insurance are provided tax credits to reduce the cost of premiums and assistance to reduce out-of-pocket costs such as copays and deductibles, which has made individual health insurance coverage affordable for millions of people in the United States for the first time;

Whereas if the Trump Administration succeeds in its argument before the court, the health insurance individual exchanges would be eliminated and millions of people in the United States who buy health insurance on the individual marketplaces could lose coverage and would see premium expenses for individual health insurance increase exorbitantly;

Whereas if the Trump Administration succeeds in its argument before the court, people in the United States would lose numerous consumer protections in their coverage, including the requirements that—

(1)

plans offer preventive care without cost-sharing;

(2)

young adults have the option to remain on a parent’s insurance plan until age 26; and

(3)

many health insurance plans offer a comprehensive set of essential health benefits such as maternity care, addiction treatment, and prescription drug coverage;

Whereas pursuant to section 516 of title 28, United States Code, the conduct of litigation in which the United States is a party is reserved to the Department of Justice;

Whereas public reports suggest that the President and his political advisors directed this course of action in direct contravention of the Department of Justice’s longstanding policy to defend Acts of Congress and duty to advance reasonable analysis of legal questions, for example—

(1)

when the Department of Justice changed its litigating position on June 7, 2018, in the Texas v. United States case to ask the court to strike down the ACA’s guaranteed issue and community rating requirements, thereby eliminating protections for people with pre-existing conditions and reinstating legal discrimination based on health status, that position was found to be so legally indefensible that three of the four career attorneys representing the Government refused to sign the relevant briefs and removed themselves from the case; and

(2)

when the Department of Justice again changed its litigating position on March 25, 2019, in the appeal of Texas v. United States to seek the invalidation of every provision of the ACA, it was reported that decision was made over the objections of both the Department of Justice as well as the Department of Health and Human Services; and

Whereas the Trump Administration has proceeded in the Texas v. United States lawsuit with total disregard for the consequences of its actions for the lives of millions of Americans: Now, therefore, be it

That it is the sense of the House of Representatives that—

(1)

the actions taken by the Trump Administration seeking the invalidation of the ACA’s protections for people with pre-existing conditions, and later the invalidation of the entire ACA, are an unacceptable assault on the health care of the American people; and

(2)

the Department of Justice should—

(A)

protect individuals with pre-existing conditions, seniors struggling with high prescription drug costs, and the millions of people in the United States who newly gained health insurance coverage since 2014;

(B)

cease any and all efforts to destroy Americans’ access to affordable health care; and

(C)

reverse its position in Texas v. United States, No. 19–10011 (5th Cir.).

Clerk.