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 BoehnerCoronavirus poses risks for Trump in 2020 Lobbying world Pelosi-Trump relationship takes turn for the terrible 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 BridenstineTrump goes all in for NASA's Artemis return to the moon program House panel proposes NASA bill that would scrap the lunar base — or maybe not Congress greenlights NASA's crewed moon lander — sort of MORE (R-Okla.) said in a statement.

BoehnerJohn Andrew BoehnerCoronavirus poses risks for Trump in 2020 Lobbying world Pelosi-Trump relationship takes turn for the terrible 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 AmashBarr ensnared in Roger Stone firestorm House passes bipartisan bill to create women's history museum Weld bets on New Hampshire to fuel long shot bid against Trump MORE (R-Mich.)
2. Rod Blum (R-Iowa)
3. Dave Brat (R-Va.)
4. Jim Bridenstine (R-Okla.)
5. Mo BrooksMorris (Mo) Jackson BrooksRepublican group asks 'what is Trump hiding' in Times Square billboard Conservative group hits White House with billboard ads: 'What is Trump hiding?' Trump takes pulse of GOP on Alabama Senate race 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 GarrettBiz groups take victory lap on Ex-Im Bank Export-Import Bank back to full strength after Senate confirmations Manufacturers support Reed to helm Ex-Im Bank MORE (R-N.J.)
11. Louie GohmertLouis (Louie) Buller GohmertHouse Natural Resources gives Grijalva power to subpoena Interior Republicans eye top spot on Natural Resources panel Sheila Jackson Lee tops colleagues in House floor speaking days over past decade MORE (R-Texas)
12. Tom GravesJohn (Tom) Thomas GravesThe Hill's Morning Report — Pelosi makes it official: Trump will be impeached Republican Tom Graves announces retirement from House Lawmakers skeptical of progress on spending deal as wall battle looms 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 Johnson Retirees should say 'no thanks' to Romney's Social Security plan Lobbying world Social Security is approaching crisis territory 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 LummisCheney's decision not to run for Senate sparks Speaker chatter Liz Cheney decides against Senate bid in Wyoming Liz Cheney leads GOP field by 20 points in potential Wyoming Senate race: poll 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 SchweikertOvernight Health Care — Presented by Partnership for America's Health Care Future — Democrats seek to preempt Trump message on health care | E-cigarette executives set for grilling | Dems urge emergency funding for coronavirus Democrats slam GOP on drug prices in bilingual digital ads Overnight Defense: House passes bills to rein in Trump on Iran | Pentagon seeks Iraq's permission to deploy missile defenses | Roberts refuses to read Paul question on whistleblower during impeachment trial MORE (R-Ariz.)
36. Jim SensenbrennerFrank (Jim) James SensenbrennerTrump adviser presses House investigators to make Bezos testify Bring back equitable access for the Digital Age: Congress must act House votes to impeach Trump MORE (R-Wis.)
37. Pete Visclosky (D-Ind.)

— Peter Sullivan contributed.