[House Report 118-374]
[From the U.S. Government Publishing Office]


118th Congress }                                            { Report
                        HOUSE OF REPRESENTATIVES
 2d Session    }                                            { 118-374

======================================================================

 
PROVIDING FOR CONSIDERATION OF THE RESOLUTION (H. RES. 863) IMPEACHING 
 ALEJANDRO NICHOLAS MAYORKAS, SECRETARY OF HOMELAND SECURITY, FOR HIGH 
 CRIMES AND MISDEMEANORS, AND PROVIDING FOR CONSIDERATION OF THE BILL 
(H.R. 485) TO AMEND TITLE XI OF THE SOCIAL SECURITY ACT TO PROHIBIT THE 
USE OF QUALITY-ADJUSTED LIFE YEARS AND SIMILAR MEASURES IN COVERAGE AND 
       PAYMENT DETERMINATIONS UNDER FEDERAL HEALTH CARE PROGRAMS

                                _______
                                

  February 5, 2024.--Referred to the House Calendar and ordered to be 
                                printed

                                _______
                                

               Mr. Burgess, from the Committee on Rules, 
                        submitted the following

                              R E P O R T

                       [To accompany H. Res. 996]

    The Committee on Rules, having had under consideration 
House Resolution 996, by a record vote of 8 to 4, report the 
same to the House with the recommendation that the resolution 
be adopted.

                SUMMARY OF PROVISIONS OF THE RESOLUTION

    The resolution provides for consideration of H. Res. 863, 
Impeaching Alejandro Nicholas Mayorkas, Secretary of Homeland 
Security, for high crimes and misdemeanors, under a closed 
rule. The resolution provides that upon adoption of this 
resolution it shall be in order without intervention of any 
point of order to consider H. Res. 863. The resolution provides 
that the amendment in the nature of a substitute recommended by 
the Committee on Homeland Security now printed in the 
resolution shall be considered as adopted. The resolution 
provides two hours of general debate equally divided and 
controlled by the chair and ranking minority member of the 
Committee on Homeland Security or their respective designees. 
The resolution provides that upon adoption of H. Res. 863, H. 
Res. 995 is hereby adopted; and further, that no other 
resolution incidental to impeachment relating to H. Res. 863 
shall be privileged during the remainder of the 118th Congress. 
The resolution further provides for consideration of H.R. 485, 
the Protecting Health Care for All Patients Act of 2023, under 
a structured rule. The resolution waives all points of order 
against consideration of the bill. The resolution provides one 
hour of general debate equally divided and controlled by the 
chair and ranking minority member of the Committee on Energy 
and Commerce or their respective designees. The resolution 
provides that the amendment in the nature of a substitute 
recommended by the Committee on Energy and Commerce now printed 
in the bill, modified by the amendment printed in part A of the 
report, shall be considered as adopted and the bill, as 
amended, shall be considered as read. The resolution waives all 
points of order against provisions in the bill, as amended. The 
resolution makes in order only those further amendments printed 
in part B of the report. Each amendment shall be considered 
only in the order printed in the report, may be offered only by 
a Member designated in the report, shall be considered as read, 
shall be debatable for the time specified in the report equally 
divided and controlled by the proponent and an opponent, shall 
not be subject to amendment, and shall not be subject to a 
demand for division of the question. The resolution waives all 
points of order against the amendments printed in part B of the 
report. The resolution provides for one motion to recommit.

                         EXPLANATION OF WAIVERS

    Although the resolution waives all points of order against 
consideration of H. Res. 863, the Committee is not aware of any 
points of order. The waiver is prophylactic in nature.
    Although the resolution waives all points of order against 
provisions in H. Res. 863, as amended, the Committee is not 
aware of any points of order. The waiver is prophylactic in 
nature.
    Although the resolution waives all points of order against 
consideration of H.R. 485, the Committee is not aware of any 
points of order. The waiver is prophylactic in nature.
    Although the resolution waives all points of order against 
provisions in H.R. 485, as amended, the Committee is not aware 
of any points of order. The waiver is prophylactic in nature.
    Although the resolution waives all points of order against 
the amendments printed in part B of the report, the Committee 
is not aware of any points of order. The waiver is prophylactic 
in nature.

                            COMMITTEE VOTES

    The results of each record vote on an amendment or motion 
to report, together with the names of those voting for and 
against, are printed below:

Rules Committee Record Vote No. 196

    Motion by Mr. McGovern to amend the rule to make in order 
amendment #7 to H. Res. 863, offered by Representative 
Menendez, which provides details on the nature of the sources 
and witnesses used by Homeland Security Committee Republicans 
in their investigation. Defeated: 4-7

----------------------------------------------------------------------------------------------------------------
                Majority Members                      Vote               Minority Members               Vote
----------------------------------------------------------------------------------------------------------------
Mr. Burgess.....................................          Nay   Mr. McGovern......................          Yea
Mr. Reschenthaler...............................          Nay   Ms. Scanlon.......................          Yea
Mrs. Fischbach..................................          Nay   Mr. Neguse........................          Yea
Mr. Massie......................................  ............  Ms. Leger Fernandez...............          Yea
Mr. Norman......................................          Nay
Mr. Roy.........................................          Nay
Mrs. Houchin....................................          Nay
Mr. Langworthy..................................  ............
Mr. Cole, Chairman..............................          Nay
----------------------------------------------------------------------------------------------------------------

Rules Committee Record Vote No. 197

    Motion by Ms. Scanlon to amend the rule to make in order 
amendments #2, 3, 4, and 6 to H. Res. 863, offered by 
Representative Ivey, which insert statements from 
constitutional scholars and former Homeland Security officials 
stating that there is no constitutional basis to impeach 
Secretary Mayorkas. Defeated: 4-8

----------------------------------------------------------------------------------------------------------------
                Majority Members                      Vote               Minority Members               Vote
----------------------------------------------------------------------------------------------------------------
Mr. Burgess.....................................          Nay   Mr. McGovern......................          Yea
Mr. Reschenthaler...............................          Nay   Ms. Scanlon.......................          Yea
Mrs. Fischbach..................................          Nay   Mr. Neguse........................          Yea
Mr. Massie......................................          Nay   Ms. Leger Fernandez...............          Yea
Mr. Norman......................................          Nay
Mr. Roy.........................................          Nay
Mrs. Houchin....................................          Nay
Mr. Langworthy..................................  ............
Mr. Cole, Chairman..............................          Nay
----------------------------------------------------------------------------------------------------------------

Rules Committee Record Vote No. 198

    Motion by Ms. Leger Fernandez to amend the rule to make in 
order amendment #1 to H. Res. 863, offered by Representative 
Thompson (MS), which inserts statements concerning the lack of 
due process afforded Secretary Mayorkas during the conduct of 
the Homeland Security Committee's impeachment proceedings. 
Defeated: 4-8

----------------------------------------------------------------------------------------------------------------
                Majority Members                      Vote               Minority Members               Vote
----------------------------------------------------------------------------------------------------------------
Mr. Burgess.....................................          Nay   Mr. McGovern......................          Yea
Mr. Reschenthaler...............................          Nay   Ms. Scanlon.......................          Yea
Mrs. Fischbach..................................          Nay   Mr. Neguse........................          Yea
Mr. Massie......................................          Nay   Ms. Leger Fernandez...............          Yea
Mr. Norman......................................          Nay
Mr. Roy.........................................          Nay
Mrs. Houchin....................................          Nay
Mr. Langworthy..................................  ............
Mr. Cole, Chairman..............................          Nay
----------------------------------------------------------------------------------------------------------------

Rules Committee Record Vote No. 199

----------------------------------------------------------------------------------------------------------------
                Majority Members                      Vote               Minority Members               Vote
----------------------------------------------------------------------------------------------------------------
Mr. Burgess.....................................          Yea   Mr. McGovern......................          Nay
Mr. Reschenthaler...............................          Yea   Ms. Scanlon.......................          Nay
Mrs. Fischbach..................................          Yea   Mr. Neguse........................          Nay
Mr. Massie......................................          Yea   Ms. Leger Fernandez...............          Nay
Mr. Norman......................................          Yea
Mr. Roy.........................................          Yea
Mrs. Houchin....................................          Yea
Mr. Langworthy..................................  ............
Mr. Cole, Chairman..............................          Yea
----------------------------------------------------------------------------------------------------------------

  SUMMARY OF THE AMENDMENT TO H.R. 485 IN PART A CONSIDERED AS ADOPTED

    1. Rodgers (WA): Reduces the funding authorized to be 
appropriated to the Prevention and Public Health Fund for each 
fiscal year, ranging from 2024 through 2029.

     SUMMARY OF THE AMENDMENTS TO H.R. 485 IN PART B MADE IN ORDER

    1. Molinaro (NY): Requires a study on how the quality-
adjusted life year measure negatively impacts individuals with 
intellectual and developmental disabilities and their access to 
care. (10 minutes)
    2. Ogles (TN): Provides rule of construction that nothing 
in this act impact that which is allowable under current law 
such that it is not relying on the utilization of a dollars-
per-quality adjusted life year or similar measure in a manner 
that violates section 2. (i.e., it clarifies the restrictions 
in this act do not apply to otherwise lawful use of metrics 
that do not discriminate on the basis of disability status, 
age, terminal illness, etc.) (10 minutes)

      PART A--TEXT OF AMENDMENT TO H.R. 485 CONSIDERED AS ADOPTED

  At the end of the bill, add the following new section:

SEC. 3. PREVENTION AND PUBLIC HEALTH FUND.

  Section 4002(b) of the Patient Protection and Affordable Care 
Act (42 U.S.C. 300u-11) is amended by striking paragraphs (7), 
(8), and (9) and inserting the following:
          ``(7) for each of fiscal years 2024 and 2025, 
        $1,102,000,000;
          ``(8) for each of fiscal years 2026 and 2027, 
        $1,327,000,000;
          ``(9) for each of fiscal years 2028 and 2029, 
        $1,526,000,000; and''.

          PART B--TEXT OF AMENDMENTS TO H.R. 485 MADE IN ORDER

1. An Amendment To Be Offered by Representative Molinaro of New York or 
                 His Designee, Debatable for 10 Minutes

  Add at the end the following new section:

SEC. 3. REPORT.

  Not later than 1 year after the date of the enactment of this 
Act, and annually thereafter, the Comptroller General of the 
United States shall submit to Congress a report on how quality-
adjusted life years negatively impacts individuals with 
intellectual and developmental disabilities and their access to 
care.

 2. An Amendment To Be Offered by Representative Ogles of Tennessee or 
                 His Designee, Debatable for 10 Minutes

  Add at the end the following new section:

SEC. 3. RULE OF CONSTRUCTION.

  Nothing in this Act shall be construed to impact that which 
is allowable under current law such that it is not relying on 
the utilization of a dollars-per-quality adjusted life year or 
similar measure in a manner that violates section 2.