The 37 lawmakers who opposed Medicare deal
© Greg Nash

A bipartisan deal to repeal automatic cuts to Medicare payments for doctors sailed through the House on Thursday, with only a small group of lawmakers opposing it.

The House approved legislation that would repeal a formula for Medicare known as the Sustainable Growth Rate (SGR) by a vote of 392-37 — a rare, overwhelming show of bipartisan support for major legislation in the chamber.


Even the "rule," which sets parameters for floor debate, passed with nearly all members in favor; the tally was 402-12, with five members voting present. Rules typically pass along party lines, even on bills with bipartisan support.

Thirty-three Republicans and four Democrats opposed the Medicare bill negotiated by Speaker John BoehnerJohn Andrew BoehnerHouston Chronicle endorses Beto O'Rourke in Texas Senate race The Hill's 12:30 Report — Presented by Citi — House postpones Rosenstein meeting | Trump hits Dems over Medicare for all | Hurricane Michael nears landfall Kavanaugh becomes new flashpoint in midterms defined by anger MORE (R-Ohio) and House Minority Leader Nancy Pelosi (D-Calif.). 

The Republicans in opposition consisted of fiscal hawks who didn't want to vote for a measure that would add to the deficit. The Congressional Budget Office estimates the legislation would cost $214 billion over the next decade, with $73 billion of that total offset with spending cuts or new revenue. 

"While I support an SGR replacement, I cannot vote in favor of a bill that costs more than $200 billion, while Congress only pays for $70 billion, leaving more than $130 billion to our children and grandchildren. We cannot continue to solve every problem by adding to the deficit," Rep. Jim BridenstineJames (Jim) Frederick BridenstineOvernight Energy: Outdoor retailer Patagonia makes first Senate endorsements | EPA withdraws Obama uranium milling rule | NASA chief sees 'no reason' to dismiss UN climate report NASA chief: ‘No reason to dismiss’ recent UN climate report Russian Soyuz rocket failure leaves NASA with no ride to International Space Station MORE (R-Okla.) said in a statement.

BoehnerJohn Andrew BoehnerHouston Chronicle endorses Beto O'Rourke in Texas Senate race The Hill's 12:30 Report — Presented by Citi — House postpones Rosenstein meeting | Trump hits Dems over Medicare for all | Hurricane Michael nears landfall Kavanaugh becomes new flashpoint in midterms defined by anger MORE's office has touted that the Medicare bill would cost far less than keeping the current Medicare payment rates in place — something Congress has done for more than a decade through a series of "doc fixes."

The four Democrats who voted against the deal were Reps. Jim Cooper (Tenn.), Jerrold Nadler (N.Y.), Jan Schakowsky (Ill.) and Pete Visclosky (Ind.). 

Schakowsky said she opposed it in part because it included language codifying current law, known as the Hyde Amendment, that prohibits the use of taxpayer funding for abortions. 

"I believe we need to get rid of the Hyde restrictions altogether, and, as a proud member of the Pro-Choice Caucus, I reject the idea that those restrictions should have any place in this bill," Schakowsky said.

Some of the offsets include requiring seniors earning more than $133,000 to pay a higher share of premium costs and create a $147 deductible for certain supplemental "Medigap" plans.

Below is a list of all 37 lawmakers who voted against the bill:

1. Justin AmashJustin AmashWatchdog files Hatch Act complaint against Sanders for picture with Kanye in MAGA hat Cook Political Report shifts 7 more races towards Dems Rand Paul ramps up his alliance with Trump MORE (R-Mich.)
2. Rod Blum (R-Iowa)
3. Dave Brat (R-Va.)
4. Jim Bridenstine (R-Okla.)
5. Mo BrooksMorris (Mo) Jackson BrooksTrump immigration measures struggle in the courts Latino groups intervene in Alabama census lawsuit Alabama GOP congressman preps possible Senate bid against Doug Jones MORE (R-Ala.)
6. Ken Buck (R-Colo.)
7. Jim Cooper (D-Tenn.)
8. Ron DeSantis (R-Fla.)
9. Scott DesJarlais (R-Tenn.)
10. Scott GarrettErnest (Scott) Scott GarrettManufacturers support Reed to helm Ex-Im Bank Trump taps nominee to lead Export-Import Bank Who has the edge for 2018: Republicans or Democrats? MORE (R-N.J.)
11. Louie GohmertLouis (Louie) Buller GohmertHouse conservatives want ethics probe into Dems' handling of Kavanaugh allegations Hillicon Valley: State officials share tech privacy concerns with Sessions | Senator says election security bill won't pass before midterms | Instagram co-founders leave Facebook | Google chief to meet GOP lawmakers over bias claims Trump: 'Fake news media’ didn’t cover when Obama said '57 states' in 2008 MORE (R-Texas)
12. Tom GravesJohn (Tom) Thomas GravesTrump and son signal support for McCarthy as next Speaker The stakes are sky-high for the pro-life cause in the upcoming midterms Dem senator: Congress should consider allowing companies to 'hack back' after cyberattacks MORE (R-Ga.)
13. Glenn Grothman (R-Wis.)
14. Tim Huelskamp (R-Kan.)
15. Randy Hultgren (R-Ill.)
16. Darrell Issa (R-Calif.)
17. Sam JohnsonSamuel (Sam) Robert JohnsonMay brings key primaries across nation Loss of Ryan hits hard for House Republicans Watchdog: Social Security acting head hasn't been authorized to serve for months MORE (R-Texas)
18. David Jolly (R-Fla.)
19. Walter Jones (R-N.C.)
20. Jim Jordan (R-Ohio)
21. Steve King (R-Iowa)
22. Raúl Labrador (R-Idaho)
23. Barry Loudermilk (R-Ga.)
24. Cynthia LummisCynthia Marie LummisLobbying world Female lawmakers flee House for higher office, retirement Despite a battle won, 'War on Coal' far from over MORE (R-Wyo.)
25. Kenny Marchant (R-Texas)
26. Thomas Massie (R-Ky.)
27. Tom McClintock (R-Calif.)
28. Mark Meadows (R-N.C.)
29. Mick Mulvaney (R-S.C.)
30. Jerrold Nadler (D-N.Y.)
31. Gary Palmer (R-Ala.)
32. John Ratcliffe (R-Texas)
33. Mark Sanford (R-S.C.)
34. Jan Schakowsky (D-Ill.)
35. David SchweikertDavid SchweikertHillicon Valley: Trump considers revoking Obama-era officials' security clearances | Record lobbying quarter for Facebook, Amazon | Why Hollywood wants Google hauled before Congress | New worries about supply chain cyber threats The Hill's Morning Report — Russia furor grips Washington Freedom Caucus members see openings in leadership MORE (R-Ariz.)
36. Jim SensenbrennerFrank (Jim) James SensenbrennerTime to protect small businesses from internet sales tax rush On The Money: Trump readying 0B in tariffs for China | Warren wants companies to disclose climate impacts | Bill aims to provide clarity to online sales tax ruling One bill that will stop the spread of deadly fentanyl MORE (R-Wis.)
37. Pete Visclosky (D-Ind.)

— Peter Sullivan contributed.