Rural Hospital Flexibility Act of 2025

Date

January 18, 2024

Question

On Motion to Suspend the Rules and Pass

Result

Passed

Yeas

413

Nays

7

Present

0

Not voting

13

Majority required

2/3 Yea-And-Nay

Document

S 3250

Source: official record

How they voted

Yeas 413 · Nays 7 · Present 0 · Did not vote 13. Present means the member was there but did not vote yes or no.

By party

Party	Yea	Nay	Present	Did not vote
Democrats	208	0	0	5
Republicans	205	7	0	8

Showing 433 members

Member	Party	State	Vote
Alma Adams	D	NC	Yea
Robert Aderholt	R	AL	Yea
Pete Aguilar	D	CA	Yea
Mark Alford	R	MO	Yea
Rick Allen	R	GA	Yea
Colin Allred	D	TX	Yea
Gabe Amo	D	RI	Yea
Mark Amodei	R	NV	Yea
Kelly Armstrong	R	ND	Yea
Jodey Arrington	R	TX	Yea
Jake Auchincloss	D	MA	Yea
Brian Babin	R	TX	Yea
Don Bacon	R	NE	Did not vote
James Baird	R	IN	Yea
Troy Balderson	R	OH	Yea
Becca Balint	D	VT	Yea
Jim Banks	R	IN	Yea
Andy Barr	R	KY	Yea
Nanette Barragán	D	CA	Yea
Aaron Bean	R	FL	Yea
Joyce Beatty	D	OH	Yea
Cliff Bentz	R	OR	Yea
Ami Bera	D	CA	Yea
Jack Bergman	R	MI	Yea
Donald Beyer	D	VA	Yea
Stephanie Bice	R	OK	Yea
Andy Biggs	R	AZ	Yea
Gus Bilirakis	R	FL	Yea
Dan Bishop	R	NC	Yea
Sanford Bishop	D	GA	Yea
Earl Blumenauer	D	OR	Yea
Lisa Blunt Rochester	D	DE	Did not vote
Lauren Boebert	R	CO	Yea
Suzanne Bonamici	D	OR	Yea
Mike Bost	R	IL	Yea
Jamaal Bowman	D	NY	Yea
Brendan Boyle	D	PA	Yea
Josh Brecheen	R	OK	Yea
Shontel Brown	D	OH	Yea
Julia Brownley	D	CA	Yea
Vern Buchanan	R	FL	Yea
Ken Buck	R	CO	Yea
Larry Bucshon	R	IN	Yea
Nikki Budzinski	D	IL	Yea
Tim Burchett	R	TN	Yea
Michael Burgess	R	TX	Yea
Eric Burlison	R	MO	Yea
Cori Bush	D	MO	Yea
Ken Calvert	R	CA	Yea
Kat Cammack	R	FL	Yea
Yadira Caraveo	D	CO	Yea
Salud Carbajal	D	CA	Yea
Mike Carey	R	OH	Yea
Jerry Carl	R	AL	Yea
André Carson	D	IN	Yea
Earl Carter	R	GA	Yea
John Carter	R	TX	Yea
Troy Carter	D	LA	Yea
Matt Cartwright	D	PA	Yea
Greg Casar	D	TX	Yea
Ed Case	D	HI	Yea
Sean Casten	D	IL	Yea
Kathy Castor	D	FL	Yea
Joaquin Castro	D	TX	Yea
Lori Chavez-DeRemer	R	OR	Yea
Sheila Cherfilus-McCormick	D	FL	Yea
Judy Chu	D	CA	Yea
Juan Ciscomani	R	AZ	Yea
Katherine Clark	D	MA	Yea
Yvette Clarke	D	NY	Yea
Emanuel Cleaver	D	MO	Did not vote
Ben Cline	R	VA	Yea
Michael Cloud	R	TX	Yea
James Clyburn	D	SC	Yea
Andrew Clyde	R	GA	Nay
Steve Cohen	D	TN	Yea
Tom Cole	R	OK	Yea
Mike Collins	R	GA	Yea
James Comer	R	KY	Yea
Gerald Connolly	D	VA	Yea
J. Correa	D	CA	Yea
Jim Costa	D	CA	Yea
Joe Courtney	D	CT	Yea
Angie Craig	D	MN	Yea
Elijah Crane	R	AZ	Yea
Eric Crawford	R	AR	Yea
Dan Crenshaw	R	TX	Yea
Jasmine Crockett	D	TX	Yea
Jason Crow	D	CO	Yea
Henry Cuellar	D	TX	Yea
John Curtis	R	UT	Yea
Tony Cárdenas	D	CA	Yea
Anthony D'Esposito	R	NY	Yea
Sharice Davids	D	KS	Yea
Warren Davidson	R	OH	Yea
Danny Davis	D	IL	Yea
Donald Davis	D	NC	Yea
Monica De La Cruz	R	TX	Yea
Diana DeGette	D	CO	Yea
Rosa DeLauro	D	CT	Yea
Mark DeSaulnier	D	CA	Yea
Madeleine Dean	D	PA	Yea
Suzan DelBene	D	WA	Yea
Christopher Deluzio	D	PA	Yea
Scott DesJarlais	R	TN	Did not vote
Mario Diaz-Balart	R	FL	Yea
Debbie Dingell	D	MI	Yea
Lloyd Doggett	D	TX	Yea
Byron Donalds	R	FL	Yea
John Duarte	R	CA	Yea
Jeff Duncan	R	SC	Yea
Neal Dunn	R	FL	Yea
Chuck Edwards	R	NC	Yea
Jake Ellzey	R	TX	Yea
Tom Emmer	R	MN	Yea
Veronica Escobar	D	TX	Yea
Anna Eshoo	D	CA	Yea
Adriano Espaillat	D	NY	Yea
Ron Estes	R	KS	Yea
Dwight Evans	D	PA	Yea
Mike Ezell	R	MS	Yea
Pat Fallon	R	TX	Yea
Randy Feenstra	R	IA	Yea
A. Ferguson	R	GA	Yea
Brad Finstad	R	MN	Yea
Michelle Fischbach	R	MN	Yea
Scott Fitzgerald	R	WI	Yea
Brian Fitzpatrick	R	PA	Yea
Charles Fleischmann	R	TN	Yea
Lizzie Fletcher	D	TX	Yea
Mike Flood	R	NE	Yea
Bill Foster	D	IL	Yea
Valerie Foushee	D	NC	Yea
Virginia Foxx	R	NC	Yea
Lois Frankel	D	FL	Yea
Scott Franklin	R	FL	Yea
Maxwell Frost	D	FL	Yea
Russell Fry	R	SC	Yea
Russ Fulcher	R	ID	Yea
Matt Gaetz	R	FL	Yea
Mike Gallagher	R	WI	Yea
Ruben Gallego	D	AZ	Yea
John Garamendi	D	CA	Yea
Andrew Garbarino	R	NY	Yea
Mike Garcia	R	CA	Yea
Robert Garcia	D	CA	Yea
Sylvia Garcia	D	TX	Yea
Jesús García	D	IL	Yea
Carlos Gimenez	R	FL	Yea
Jared Golden	D	ME	Yea
Daniel Goldman	D	NY	Yea
Jimmy Gomez	D	CA	Yea
Tony Gonzales	R	TX	Yea
Vicente Gonzalez	D	TX	Yea
Bob Good	R	VA	Yea
Lance Gooden	R	TX	Yea
Paul Gosar	R	AZ	Did not vote
Josh Gottheimer	D	NJ	Yea
Kay Granger	R	TX	Yea
Garret Graves	R	LA	Yea
Sam Graves	R	MO	Yea
Al Green	D	TX	Yea
Mark Green	R	TN	Yea
Marjorie Greene	R	GA	Yea
H. Griffith	R	VA	Yea
Raúl Grijalva	D	AZ	Yea
Glenn Grothman	R	WI	Yea
Michael Guest	R	MS	Yea
Brett Guthrie	R	KY	Yea
Harriet Hageman	R	WY	Yea
Josh Harder	D	CA	Yea
Andy Harris	R	MD	Yea
Diana Harshbarger	R	TN	Nay
Jahana Hayes	D	CT	Yea
Kevin Hern	R	OK	Yea
Brian Higgins	D	NY	Yea
Clay Higgins	R	LA	Nay
J. Hill	R	AR	Yea
James Himes	D	CT	Yea
Ashley Hinson	R	IA	Yea
Steven Horsford	D	NV	Yea
Erin Houchin	R	IN	Yea
Chrissy Houlahan	D	PA	Yea
Steny Hoyer	D	MD	Yea
Val Hoyle	D	OR	Yea
Richard Hudson	R	NC	Yea
Jared Huffman	D	CA	Yea
Bill Huizenga	R	MI	Yea
Wesley Hunt	R	TX	Yea
Darrell Issa	R	CA	Yea
Glenn Ivey	D	MD	Yea
Jeff Jackson	D	NC	Yea
Jonathan Jackson	D	IL	Yea
Ronny Jackson	R	TX	Yea
Sheila Jackson Lee	D	TX	Yea
Sara Jacobs	D	CA	Yea
John James	R	MI	Yea
Pramila Jayapal	D	WA	Yea
Hakeem Jeffries	D	NY	Yea
Bill Johnson	R	OH	Did not vote
Dusty Johnson	R	SD	Yea
Henry Johnson	D	GA	Yea
Mike Johnson	R	LA	Yea
Jim Jordan	R	OH	Yea
David Joyce	R	OH	Yea
John Joyce	R	PA	Yea
Sydney Kamlager-Dove	D	CA	Yea
Marcy Kaptur	D	OH	Yea
Thomas Kean	R	NJ	Yea
William Keating	D	MA	Yea
Mike Kelly	R	PA	Yea
Robin Kelly	D	IL	Yea
Trent Kelly	R	MS	Yea
Ro Khanna	D	CA	Yea
Jennifer Kiggans	R	VA	Yea
Daniel Kildee	D	MI	Yea
Kevin Kiley	R	CA	Yea
Derek Kilmer	D	WA	Yea
Andy Kim	D	NJ	Yea
Young Kim	R	CA	Yea
Raja Krishnamoorthi	D	IL	Yea
Ann Kuster	D	NH	Yea
David Kustoff	R	TN	Yea
Darin LaHood	R	IL	Yea
Nick LaLota	R	NY	Yea
Doug LaMalfa	R	CA	Yea
Jake LaTurner	R	KS	Yea
Doug Lamborn	R	CO	Yea
Greg Landsman	D	OH	Yea
Nicholas Langworthy	R	NY	Yea
Rick Larsen	D	WA	Yea
John Larson	D	CT	Yea
Robert Latta	R	OH	Yea
Michael Lawler	R	NY	Yea
Barbara Lee	D	CA	Yea
Laurel Lee	R	FL	Yea
Summer Lee	D	PA	Yea
Susie Lee	D	NV	Yea
Teresa Leger Fernandez	D	NM	Yea
Debbie Lesko	R	AZ	Yea
Julia Letlow	R	LA	Yea
Mike Levin	D	CA	Yea
Ted Lieu	D	CA	Yea
Zoe Lofgren	D	CA	Yea
Barry Loudermilk	R	GA	Yea
Frank Lucas	R	OK	Yea
Blaine Luetkemeyer	R	MO	Yea
Anna Paulina Luna	R	FL	Nay
Morgan Luttrell	R	TX	Yea
Stephen Lynch	D	MA	Yea
Nancy Mace	R	SC	Yea
Seth Magaziner	D	RI	Yea
Nicole Malliotakis	R	NY	Yea
Celeste Maloy	R	UT	Yea
Tracey Mann	R	KS	Yea
Kathy Manning	D	NC	Yea
Thomas Massie	R	KY	Yea
Brian Mast	R	FL	Yea
Doris Matsui	D	CA	Yea
Lucy McBath	D	GA	Yea
Michael McCaul	R	TX	Yea
Lisa McClain	R	MI	Yea
Jennifer McClellan	D	VA	Yea
Tom McClintock	R	CA	Yea
Betty McCollum	D	MN	Yea
Richard McCormick	R	GA	Yea
Morgan McGarvey	D	KY	Yea
James McGovern	D	MA	Yea
Patrick McHenry	R	NC	Yea
Gregory Meeks	D	NY	Yea
Robert Menendez	D	NJ	Yea
Grace Meng	D	NY	Yea
Daniel Meuser	R	PA	Yea
Kweisi Mfume	D	MD	Yea
Carol Miller	R	WV	Yea
Mary Miller	R	IL	Yea
Max Miller	R	OH	Yea
Mariannette Miller-Meeks	R	IA	Yea
Cory Mills	R	FL	Yea
Marcus Molinaro	R	NY	Yea
John Moolenaar	R	MI	Yea
Alexander Mooney	R	WV	Yea
Barry Moore	R	AL	Yea
Blake Moore	R	UT	Yea
Gwen Moore	D	WI	Yea
Nathaniel Moran	R	TX	Yea
Joseph Morelle	D	NY	Yea
Jared Moskowitz	D	FL	Yea
Seth Moulton	D	MA	Yea
Frank Mrvan	D	IN	Yea
Kevin Mullin	D	CA	Yea
Gregory Murphy	R	NC	Yea
Jerrold Nadler	D	NY	Yea
Grace Napolitano	D	CA	Yea
Richard Neal	D	MA	Yea
Joe Neguse	D	CO	Yea
Troy Nehls	R	TX	Yea
Dan Newhouse	R	WA	Yea
Wiley Nickel	D	NC	Yea
Donald Norcross	D	NJ	Yea
Ralph Norman	R	SC	Did not vote
Zachary Nunn	R	IA	Yea
Jay Obernolte	R	CA	Yea
Alexandria Ocasio-Cortez	D	NY	Yea
Andrew Ogles	R	TN	Did not vote
Ilhan Omar	D	MN	Yea
Burgess Owens	R	UT	Yea
Frank Pallone	D	NJ	Yea
Gary Palmer	R	AL	Yea
Jimmy Panetta	D	CA	Yea
Chris Pappas	D	NH	Yea
Bill Pascrell	D	NJ	Yea
Donald Payne	D	NJ	Yea
Nancy Pelosi	D	CA	Did not vote
Mary Peltola	D	AK	Yea
Greg Pence	R	IN	Yea
Marie Perez	D	WA	Yea
Scott Perry	R	PA	Nay
Scott Peters	D	CA	Yea
Brittany Pettersen	D	CO	Yea
August Pfluger	R	TX	Yea
Dean Phillips	D	MN	Did not vote
Chellie Pingree	D	ME	Yea
Mark Pocan	D	WI	Yea
Katie Porter	D	CA	Yea
Bill Posey	R	FL	Yea
Ayanna Pressley	D	MA	Yea
Mike Quigley	D	IL	Yea
Delia Ramirez	D	IL	Yea
Jamie Raskin	D	MD	Yea
Guy Reschenthaler	R	PA	Yea
Cathy Rodgers	R	WA	Yea
Harold Rogers	R	KY	Did not vote
Mike Rogers	R	AL	Yea
John Rose	R	TN	Yea
Matthew Rosendale	R	MT	Yea
Deborah Ross	D	NC	Yea
David Rouzer	R	NC	Yea
Chip Roy	R	TX	Nay
Raul Ruiz	D	CA	Yea
C. Ruppersberger	D	MD	Yea
John Rutherford	R	FL	Yea
Patrick Ryan	D	NY	Yea
Maria Salazar	R	FL	Yea
Andrea Salinas	D	OR	Yea
John Sarbanes	D	MD	Yea
Steve Scalise	R	LA	Did not vote
Mary Gay Scanlon	D	PA	Yea
Janice Schakowsky	D	IL	Yea
Adam Schiff	D	CA	Yea
Bradley Schneider	D	IL	Yea
Hillary Scholten	D	MI	Yea
Kim Schrier	D	WA	Yea
David Schweikert	R	AZ	Yea
Austin Scott	R	GA	Yea
David Scott	D	GA	Yea
Robert Scott	D	VA	Yea
Keith Self	R	TX	Nay
Pete Sessions	R	TX	Yea
Terri Sewell	D	AL	Yea
Brad Sherman	D	CA	Did not vote
Mikie Sherrill	D	NJ	Yea
Michael Simpson	R	ID	Yea
Elissa Slotkin	D	MI	Yea
Adam Smith	D	WA	Yea
Adrian Smith	R	NE	Yea
Christopher Smith	R	NJ	Yea
Jason Smith	R	MO	Yea
Lloyd Smucker	R	PA	Yea
Eric Sorensen	D	IL	Yea
Darren Soto	D	FL	Yea
Abigail Spanberger	D	VA	Yea
Victoria Spartz	R	IN	Yea
Melanie Stansbury	D	NM	Yea
Greg Stanton	D	AZ	Yea
Pete Stauber	R	MN	Yea
Michelle Steel	R	CA	Yea
Elise Stefanik	R	NY	Yea
Bryan Steil	R	WI	Yea
W. Steube	R	FL	Yea
Haley Stevens	D	MI	Yea
Marilyn Strickland	D	WA	Yea
Dale Strong	R	AL	Yea
Eric Swalwell	D	CA	Yea
Emilia Sykes	D	OH	Yea
Linda Sánchez	D	CA	Yea
Mark Takano	D	CA	Yea
Claudia Tenney	R	NY	Yea
Shri Thanedar	D	MI	Yea
Bennie Thompson	D	MS	Yea
Glenn Thompson	R	PA	Yea
Mike Thompson	D	CA	Yea
Thomas Tiffany	R	WI	Yea
William Timmons	R	SC	Yea
Dina Titus	D	NV	Yea
Rashida Tlaib	D	MI	Yea
Jill Tokuda	D	HI	Yea
Paul Tonko	D	NY	Yea
Norma Torres	D	CA	Yea
Ritchie Torres	D	NY	Yea
Lori Trahan	D	MA	Yea
David Trone	D	MD	Yea
Michael Turner	R	OH	Yea
Lauren Underwood	D	IL	Yea
David Valadao	R	CA	Yea
Jefferson Van Drew	R	NJ	Yea
Beth Van Duyne	R	TX	Yea
Derrick Van Orden	R	WI	Yea
Juan Vargas	D	CA	Yea
Gabe Vasquez	D	NM	Yea
Marc Veasey	D	TX	Yea
Nydia Velázquez	D	NY	Yea
Ann Wagner	R	MO	Yea
Tim Walberg	R	MI	Yea
Michael Waltz	R	FL	Yea
Debbie Wasserman Schultz	D	FL	Yea
Maxine Waters	D	CA	Yea
Bonnie Watson Coleman	D	NJ	Yea
Randy Weber	R	TX	Yea
Daniel Webster	R	FL	Yea
Brad Wenstrup	R	OH	Yea
Bruce Westerman	R	AR	Yea
Jennifer Wexton	D	VA	Yea
Susan Wild	D	PA	Yea
Brandon Williams	R	NY	Yea
Nikema Williams	D	GA	Yea
Roger Williams	R	TX	Yea
Frederica Wilson	D	FL	Yea
Joe Wilson	R	SC	Yea
Robert Wittman	R	VA	Yea
Steve Womack	R	AR	Yea
Rudy Yakym	R	IN	Yea
Ryan Zinke	R	MT	Yea