good news for Power wheelchairs

Hotwlzs — Wed, 25 Jun 2008 13:20:00 GMT

This legislation is going to exclude the first month purchase option for Power wheelchairs and you should thank your congressional members those who overwhelming voted to pass this.

Senator Reid from Nevada is also pushing the Senate to pass this legislation into law. These legislators saved Your right to Own your Wheelchair.

If you can please thank them. Senate it is going to be voted on Thursday..

This bill needs to be passed in the US Senate call your Senator and Ask them to pass !!!

Congressional switchboard number 202-224-3121
US Senate Members http://www.senate.gov/

House-passed bill (HR 6331)

Dear Senator:

Please help support HR 6631 that will be voted on Thurday June 26, 2008.

Sincerely,

Your name

Your address and Phone and Email

_______________________________________________________________________________________

Information on the legislation and who voted in congress for it...

Introduced in House
6/24/2008	Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 355 - 59 (Roll no. 443).
6/24/2008	Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

H.R.6331
Title: To amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes.
Sponsor: Rep Rangel, Charles B. [NY-15] Latest Major Action: 6/24/2008 Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

Rep Dingell, John D. [MI-15] - 6/20/2008

Medicare Improvements for Patients and Providers Act of 2008

Section-by-Section Summary

Beneficiary Improvements

Prevention, Marketing and Quality Improvement

Sec. 101. Improvements to coverage of preventive services.

Authorizes the Secretary to cover new preventive services under the Medicare NCD process that are recommended by the U.S. Preventive Services Task Force; makes improvements to the “Welcome to Medicare Visit,” including waiving the deductible and extending coverage from 6 months to 1 year.

Sec. 102. Elimination of discriminatory copayment rates for Medicare outpatient mental health services.

Reduces Medicare beneficiaries’ coinsurance for mental health services to the same level applied to other outpatient medical care; phases in these decreases over a six year period.

Sec. 103. Prohibitions and limitations on certain sales and marketing activities under Medicare Advantage and prescription drug plans.

Prohibits certain sales activities of Medicare Advantage (MA) plans and Part D drug plans, including door-to-door sales, cold calling, free meals, and cross selling of non health-related products, effective for the 2010 plan year; requires the Secretary to limit co-branding, gifts and commissions; requires plans to abide by State appointment laws affecting agents and brokers.

Sec. 104. Improvements to the Medigap program.

Directs the Secretary to implement NAIC Model Regulation #651 to eliminate certain Medigap plans made redundant by Medicare Part D; modernizes benefits under current Medigap plans and adds two new plans with new cost-sharing structures; clarifies current law that supplemental policies for Medicare Advantage and PFFS plans sold to Medicare beneficiaries must meet the standards for Medigap.

Low-Income Programs

Sec. 111. Extension of qualifying individual (QI) program.

Extends the QI program through December 31, 2009, and ensures funding needed to serve current populations in States.

Sec. 112. Application of full LIS subsidy assets test under Medicare Savings Program.

Increases the amount of allowable resources for applicants to the Medicare Savings Program to the amount specified for full subsidy low-income beneficiaries under Part D beginning January 1, 2010.

Sec. 113. Eliminating barriers to enrollment.

Directs the Commissioner of Social Security to provide applications for MSP and LIS to individuals applying for Medicare benefits; provides assistance in completing such applications and coordinates with States.

Sec. 114. Elimination of Medicare Part D late enrollment penalties paid by subsidy-eligible individuals.

Codifies current guidance allowing for a special enrollment period for LIS subsidy-eligible individuals to select a Part D plan or Medicare Advantage plan that covers prescription drugs. This provision takes effect in 2009.

Sec. 115. Eliminating application of estate recovery.

Removes the requirement that States collect from the estates of deceased Medicaid beneficiaries the Medicare cost-sharing benefits that were paid while the deceased was enrolled in the Medicare Savings Programs.

Sec. 116. Exemptions from income and resources for determination of eligibility for low-income subsidy.

Exempts value of life insurance policy and in-kind support and maintenance (e.g., assistance provided by a family member or church) from low-income subsidy determinations.

Sec. 117. Judicial review of decisions of the Commissioner of Social Security under the Medicare Part D low-income subsidy program.

Codifies a beneficiary’s right to federal court review of a denial for the low-income subsidy.

Sec. 118. Translation of model form.

Requires the Secretary to translate the application form for the Medicare Savings Program into languages most frequently used by Medicare beneficiaries.

Sec. 119. Medicare enrollment assistance.

Provides $25 million to State Health Insurance Assistance Programs (SHIPs) and Area Agencies on Aging to help enroll low-income seniors in assistance programs and help all seniors navigate the Medicare program. Funds allocated to Area Agencies on Aging and Aging Disability Resource Centers from the Medicare, Medicaid, and SCHIP Extension Act of 2007 shall only be used for outreach to beneficiaries who may qualify for low income assistance under Part D, and funds for Area Agencies on Aging also include Native American Aging Programs.

Medicare Part A Provisions

Sec. 121. Expansion and extension of the Medicare rural hospital “FLEX” program.

Extends the FLEX program through September 30, 2010, and expands the program to provide grants to increase access to mental health services for veterans in crisis and residents of rural areas. Also, provides assistance for small rural hospitals transitioning to nursing home status.

Sec. 122. Rebasing for sole community hospitals.

Provides a new base year for sole community hospitals.

Sec. 123. Demonstration project on community health integration models.

Establishes a demonstration project to allow States to test new ways to better coordinate hospital, nursing home, home health and other critical health care services in rural areas.

Sec. 124. Extension of the reclassification of certain hospitals.

Extends the provisions of the Medicare Modernization Act of 2003 relating to wage index reclassifications for certain hospitals through September 30, 2009.

Sec. 125. Revocation of unique deeming authority of the Joint Commission.

Revokes the unique authority of the Joint Commission to deem hospitals in compliance with the Medicare Conditions of Participation.

Medicare Part B Provisions

Physicians’ Services

Sec. 131. Physician payment, efficiency, quality incentives.

Blocks pending cuts scheduled under the sustainable growth rate (SGR) formula through December 31, 2009; provides a 1.1 percent update for 2009; extends the physician quality reporting initiative (PQRI) through December 31, 2010, while increasing the PQRI bonus to 2.0 percent for 2009 and 2010. Makes improvements to the PQRI, including a requirement for the endorsement of measures by a consensus-based, standard setting entity and permits group practices to report, using a sampling methodology, on measures targeting high-cost, chronic conditions. Requires the Secretary to provide confidential feedback to providers regarding their resource use and to submit a plan to Congress regarding transition to a value-based purchasing program for physicians.

Sec. 132. Incentives for electronic prescribing.

Provides positive incentives for practitioners who use qualified e-prescribing systems in 2009 through 2013. Requires practitioners to use qualified e-prescribing system in 2011 and beyond. Enforcement of the mandate achieved through a reduction in payments of up to 2 percent to providers who fail to e-prescribe. Prohibits application of financial incentives and penalties to those who write prescriptions infrequently, and permits the Secretary to establish a hardship exception to providers who are unable to use a qualified e-prescribing system.

Sec. 133. Expanding access to primary care services.

Increases funding and expands authority for the Medical Home Demonstration Project established in TRHCA 2006; authorizes the Secretary to expand the duration and scope of the demonstration if certain quality and/or savings targets are achieved, and waives application of administrative obstacles to launching the demonstration; reapplies budget neutrality adjustment for recent RVU changes to the conversion factor, rather than work RVUs, effective January 1, 2009.

Sec. 134. Extension of floor on Medicare work GPCI.

Extends the 1.0 floor on the work geographic practice cost index (GPCI) through December 31, 2009.

Sec. 135. Imaging provisions.

Requires accreditation of providers of the technical component for advanced diagnostic imaging services by an entity identified by the Secretary prior to January 1, 2012; establishes, by January 1, 2010, a two-year, voluntary demonstration program to test the use of appropriateness criteria for advanced diagnostic imaging services; includes a GAO study regarding assumptions about utilization and interest rates in setting payments for imaging studies removed.

Sec. 136. Extension of treatment of certain physician pathology services.

Extends for 18 months the provision that allows independent laboratories providing services to hospitals that utilized independent laboratories prior to the November 1999 final physician fee schedule rule to continue to bill Medicare directly for the physician pathology services they provide to hospitals.

Sec. 137. Accommodation of physicians ordered to active duty in the armed services.

Allows physicians in the armed services to engage in substitute billing arrangements for longer than 60 days when they are ordered to active duty.

Sec. 138. Adjustment for Medicare mental health services.

Restores a portion of cuts recently applied to psychotherapy and related services.

Sec. 139. Improvements for Medicare anesthesia teaching programs.

Reverses the CMS payment rule for teaching anesthesiologists so that they will now receive 100 percent of payment. Ensures equitable treatment of certified registered nurse anesthetists.

Other Payment and Coverage Improvements

Sec. 141. Extension of exceptions process for therapy caps.

Extends the exceptions process for therapy limits through December 31, 2009.

Sec. 142. Extension of payment rule for brachytherapy and therapeutic radiopharmaceuticals.

Extends the “charge to cost” payment methodology for certain brachytherapy and radioimmunotherapy services through December 31, 2009.

Sec. 143. Speech-language pathology services.

Permits speech language pathologists to bill Medicare directly for their services beginning January 1, 2009.

Sec. 144. Coverage improvements for patients with chronic obstructive pulmonary disease and other conditions.

Includes coverage of intensive cardiac rehabilitation programs to the Medicare program and repeals the transfer of ownership of oxygen equipment.

Sec. 145. Clinical laboratory tests.

Repeals the competitive bidding demonstration project for clinical laboratory services; reduces the payment update for clinical lab services by 0.5 percent in each of the next 5 years.

Sec. 146. Improved access to ambulance services.

Reinstates the add-on payment for ground ambulance services at 3 percent for rural services and 2 percent for urban services; provides an 18-month hold harmless for air ambulance regions recently reclassified from rural to urban and clarifies the medical review standard for air ambulance services.

Sec. 147. Extension and expansion of the Medicare hold harmless provision under the prospective payment system for HOPD services for certain hospitals.

Extends until December 31, 2009, provisions that ensure small rural hospitals receive payments for outpatient services that are at least 85 percent of what they received before the Hospital Outpatient Prospective Payment System took effect. This provision would also extend this protection to sole community hospitals under 100 beds.

Sec. 148. Clarification of payment for clinical laboratory tests furnished by critical access hospitals.

Allows Critical Access Hospitals serving rural areas to receive 101 percent of reasonable costs for clinical lab services provided to Medicare beneficiaries, regardless of whether the lab specimen was taken in the hospital or off-site at another facility operated by the Critical Access Hospital.

Sec. 149. Adding certain entities as originating sites for payment of telehealth services.

Adds hospital-based renal dialysis facilities, skilled nursing facilities, and community mental health centers to the list of sites where Medicare beneficiaries can receive telehealth services.

Sec. 150. MedPAC study and report on improving chronic care demonstration programs.

Requires the Medicare Payment Advisory Commission to examine the possibility of using a standing network of providers to test innovative approaches to care coordination and other chronic care delivered to the Medicare patient population; requires that MedPAC consider the results of the Medicare Coordinated Care Demonstration and Medicare Health Support pilot in developing the report on new approaches to chronic care demonstrations.

Sec. 151. Increase of FQHC payment limits.

Increases the existing per visit cap on Medicare payments to community health clinics.

Sec. 152. Kidney disease education and awareness provisions.

Requires the Secretary to establish pilot projects to increase awareness, screening, and surveillance systems addressing the prevalence of chronic kidney disease (CKD). These programs will serve as a model for decreasing the incidence of CKD and preventing its tragic complications, including kidney failure and other severe illnesses. Also requires coverage of kidney disease education services furnished by qualified providers that will help beneficiaries manage comorbidities, prevent additional renal complications, and understand all of their options for renal replacement therapy, including home dialysis.

Sec. 153. Renal dialysis provisions.

Provides a 1.0 percent update to the composite rate for renal dialysis services for each of 2009 and 2010; creates a site-neutral composite rate for dialysis services.

Requires the Secretary to establish, by January 1, 2011, a fully bundled payment system for the treatment of end-stage renal disease (ESRD) and establishes a permanent market-based update to providers of renal dialysis services; specifies the scope of items and services to be included in the bundled payment, including drugs, biologics, and laboratory tests that are currently paid for separately; requires use of case mix adjustors to payments as well as add-ons for low-volume providers. Allows adjustments based on a geographic index and for pediatric and rural providers; establishes a four-year phase-in of the new system.

Establishes a quality incentive payment program for ESRD providers, effective January 1, 2011; requires providers of ESRD services to meet quality metrics endorsed by a consensus-based, standard-setting body by demonstrating improvement or high levels of achievement.

This is a good part for People who are disabled.or are Senior Citizen...

Sec. 154. Delay in and reform of Medicare DMEPOS competitive acquisition program.

Imposes an 18-month delay to Round 1 of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Acquisition Program (CAP), with a corresponding 18-24 month delay of Round 2 and subsequent applications of the program; Modifies and improves the CAP to ensure a fair bidding process and to protect beneficiaries; pays for this delay with a reduction in the payment rates for items included in the CAP.

Medicare Part C Provisions

Sec. 161. Phase-out of indirect medical education (IME).

Phases out an adjustment to Medicare Advantage payment rates for indirect medical education by a maximum of .6 percentage points per year; continues payment to teaching facilities directly for indirect medical education, which is meant to defray higher patient care cost of teaching hospitals compared to non-teaching hospitals.

Sec. 162. Revisions to requirements for Medicare Advantage private fee-for-service plans. Changes requirements for private fee-for-service (PFFS) plans in counties where there are two or more non-PFFS plans (either an HMO or PPO). In these counties, PFFS plans could no longer “deem” providers into the plan. Instead, beginning in 2011, they would have to form provider networks.

Sec. 163. Quality improvement program revisions.

Requires regional preferred provider organizations and PFFS plans to have the same quality improvement programs as local preferred provider organizations, effective January 1, 2010.

Sec. 164. Revisions relating to specialized Medicare Advantage plans for special needs individuals.

Extends the authority of specialized Medicare Advantage plans to target enrollment to certain populations through December 31, 2010, and revises definitions, care management requirements, and quality reporting standards for all specialized plans; maintains a moratorium on new specialized MA plans through December 31, 2010.

Sec. 165. Limitation on out-of-pocket costs for dual-eligibles and qualified Medicare beneficiaries enrolled in a specialized Medicare Advantage plan.

Limits cost-sharing for dual eligible beneficiaries enrolled in specialized Medicare Advantage plans to what they would otherwise pay under Medicaid.

Sec. 166. Adjustment to the Medicare Advantage Stabilization Fund.

Removes $1.8 billion from the stabilization fund for regional preferred provider organizations in 2012.

Sec. 167. Access to Medicare reasonable cost contract plans.

Extends authority to operate section 1876 cost contracts through December 31, 2010; modifies requirements for the application of the prohibition on cost contract plans.

Secs. 168-169. MedPAC studies.

Directs MedPAC to study how comparable measures of performance and patient experience can be collected and reported in the MA and FFS programs. Also directs MedPAC to study alternative payment formulas for MA plans.

Medicare Part D Provisions

Improving Pharmacy Access

Sec. 171. Prompt payment by prescription drug plans and MA-PD plans under Part D.

Requires prescription drug plans to pay pharmacies within 14 days for clean claims submitted electronically, and 30 days for clean claims submitted otherwise; imposes a monetary penalty on prescription drug plans that fail to pay on time.

Sec. 172. Submission of claims by pharmacies located in or contracting with long-term

care facilities.

Requires long-term care pharmacies to have no less than 30 days and no more than 90 days to

submit claims to a Medicare prescription drug plan.

Sec. 173. Regular update of prescription drug pricing standard required.

Requires Medicare prescription drug plans to update the drug pricing standards used for pharmacy reimbursement at least weekly, with an initial update on January 1 each year.

Other Provisions Related to Part D

Sec. 175. Inclusion of barbiturates and benzodiazepines as covered Part D drugs.

Permits Medicare prescription drug plans to cover barbiturates (for certain conditions) and benzodiazepines beginning January 1, 2012.

Sec. 176. Formulary requirements with respect to certain categories or classes of drugs.

Codifies the Secretary’s current guidance relating to coverage of the “protected classes” of drugs under Part D, and authorizes modifications to the protected classes through rulemaking.

Other Provisions

Sec. 181. Use of Medicare Part D data.

Clarifies the use of Part D data collected under 1860D-12 for research and other purposes; requires the Secretary to release Part D claims data to Congressional support agencies to the extent that the agencies have authority to request the data in their respective authorizing statutes.

Sec. 182. Revision of definition of medically accepted indication for Part D drugs.

Clarifies process and use of compendia for Medicare Parts B and D.

Sec. 183. Contract with a consensus-based entity regarding performance measurement.

Provides funding for a consensus-based entity to prioritize, endorse, and maintain valid quality performance measures.

Sec. 184. Cost-sharing for clinical trials.

Authorizes the Secretary to develop alternative methods of payment for Medicare services provided to beneficiaries who participate in clinical trials conducted by an agency of HHS to the extent such methods are needed to mask the participants of the trial from the study treatments. This will enable Medicare beneficiaries to participate in randomized controlled trials.

Sec. 185. Addressing health care disparities.

Directs the Secretary to study and report to Congress on effective approaches for ongoing data collection, measurement, and evaluation of disparities in health care services and performance by race, ethnicity and gender; requires the Secretary to implement best approaches to measure health care disparities and report to Congress.

Sec. 186. Demonstration to improve care to previously uninsured.

Within one year after enactment, the Secretary shall establish a 2-year demonstration in 10 sites to determine the greatest needs and most effective methods of outreach to Medicare beneficiaries who were previously uninsured. One year after completion of the demonstration the Secretary shall submit an evaluation of the demonstration and its effect on beneficiaries’ access to care, utilization of services, health-care delivery, and select outcomes to Congress.

Sec. 187. OIG report on compliance with and enforcement of national standards on culturally and linguistically appropriate services (CLAS) in Medicare.

Directs the OIG to report, within two years, on the extent to which Medicare providers follow the rules regarding discrimination against beneficiaries with limited English proficiency and the Culturally and Linguistically Appropriate Services (CLAS) Standards, and requires the Secretary to correct any deficiencies.

Sec. 188. Medicare improvement funding.

Establishes a fund which the Secretary may use to make improvements to the Medicare fee-for-service program and deposits excess savings into that fund for the Secretary to use beginning in fiscal year 2014. This section also provides $140 million to the Centers for Medicare and Medicaid (CMS) for implementation of the provisions in this Act.

Sec. 189. Inclusion of Medicare providers and suppliers in Federal Payment Levy and Administrative Offset Program (FPLP). Requires CMS to participate in the FPLP. One year after the enactment of this Act, 50 percent of all Medicare Part A and B payments would be processed through the FLPM. Two years after the Act’s enactment, 75 percent of Part A and B payments would be processed through the program. CMS would be required to process all payments through the program beginning September 30, 2011.

Medicaid Provisions

Sec. 201. Extension of Transitional Medical Assistance (TMA) and Abstinence Education Programs.

Extends the Transitional Medical Assistance program (TMA) and abstinence-only education program through June 30, 2009.

Sec. 202. Medicaid DSH Extension.

Extends through December 31, 2009, the disproportionate share hospital funding under section 1923 for Tennessee and Hawaii.

Sec. 203. Pharmacy Reimbursement under Medicaid.

Delays establishment of Medicaid payment limits using Average Manufacturer Price (AMP) for multiple source (generic) drugs through September 30, 2009; delays publication of Average Manufacturer Price data on a public web site through September 30, 2009. States may not switch to AMP-based pharmacy reimbursement prior to September 30, 2009.

Sec. 204. Review of administrative claim determinations.

Codifies a State’s right to request a reconsideration of a disallowance of Federal financial participation or appeal disallowances or unfavorable reconsideration determinations to the Departmental Appeals Board, which issues the final administrative decision.

Sec. 205. County Medicaid health insuring organizations.

Increases the percentage of enrollees who may enroll in a county Medicaid health insuring organization and expands the list of authorized counties.

Miscellaneous

Sec. 301. Extension of TANF supplemental grants.

Extends TANF supplemental grants at $319 million per year through fiscal year 2009.

Sec. 302. Federal matching rate for foster care and adoption assistance for D.C.

Amends Title IV-E of the Social Security Act to fix the District of Columbia’s (DC) FMAP reimbursement rate at 70 percent for purposes of foster care maintenance and adoption assistance payments. This change would entitle DC to receive the same FMAP reimbursement rate for those payments as it currently receives for Medicaid and SCHIP. All States currently have FMAP rates that are consistent across programs as a result State FMAP rates remain unchanged by this provision.

Sec. 303. Extension of the special diabetes programs.

Extends the Special Diabetes Grants Programs through September 30, 2011; provides $150 million a year for type-1 diabetes research and type-2 treatment and prevention programs for Native Americans and Alaskan Natives.

Sec. 304. IOM reports.

Authorizes IOM studies on best practices in setting clinical decision-making protocols and on methodological standards for conducting systematic reviews of clinical effectiveness research.

FINAL VOTE RESULTS FOR ROLL CALL 443 (Democrats in roman; Republicans in italic; Independents underlined)

      H R 6331      2/3 YEA-AND-NAY      24-Jun-2008      12:36 PM
      QUESTION:  On Motion to Suspend the Rules and Pass, as Amended
      BILL TITLE: Medicare Improvements for Patients and Providers Act

	Yeas	Nays	PRES	NV
Democratic	226			9
Republican	129	59		11
Independent
TOTALS	355	59		20

---- YEAS 355 ---

Abercrombie
Ackerman
Aderholt
Alexander
Allen
Altmire
Andrews
Arcuri
Baca
Bachus
Baird
Baldwin
Barrow
Bean
Becerra
Berkley
Berman
Berry
Biggert
Bilbray
Bilirakis
Bishop (GA)
Bishop (NY)
Blumenauer
Bonner
Bono Mack
Boozman
Boren
Boswell
Boucher
Boyd (FL)
Boyda (KS)
Brady (PA)
Braley (IA)
Brown (SC)
Brown, Corrine
Brown-Waite, Ginny
Buchanan
Burgess
Burton (IN)
Butterfield
Calvert
Capito
Capps
Capuano
Cardoza
Carnahan
Carney
Carson
Castle
Castor
Cazayoux
Chabot
Chandler
Childers
Clarke
Clay
Cleaver
Clyburn
Coble
Cohen
Conyers
Cooper
Costa
Costello
Courtney
Cramer
Crowley
Cubin
Cuellar
Cummings
Davis (AL)
Davis (CA)
Davis (KY)
Davis, David
Davis, Lincoln
Davis, Tom
Deal (GA)
DeFazio
DeGette
Delahunt
DeLauro
Dent
Diaz-Balart, L.
Diaz-Balart, M.
Dicks
Dingell
Doggett
Donnelly
Doyle
Drake
Dreier
Edwards (MD)
Edwards (TX)
Ehlers
Ellison
Ellsworth
Emanuel
Emerson
English (PA)
Eshoo
Etheridge
Everett
Fallin
Farr
Fattah
Feeney
Ferguson
Filner
Forbes
Fortenberry
Fossella
Foster
Foxx
Frank (MA)
Gallegly
Gerlach
Giffords
Gilchrest

Gillibrand
Gingrey
Gonzalez
Goode
Goodlatte
Gordon
Graves
Green, Al
Green, Gene
Grijalva
Gutierrez
Hall (NY)
Hall (TX)
Hare
Harman
Hastings (FL)
Hastings (WA)
Hayes
Heller
Herseth Sandlin
Hill
Hinchey
Hinojosa
Hirono
Hobson
Hodes
Hoekstra
Holden
Holt
Honda
Hooley
Hoyer
Hunter
Inglis (SC)
Inslee
Israel
Issa
Jackson (IL)
Jackson-Lee (TX)
Jefferson
Johnson (GA)
Johnson, E. B.
Jones (NC)
Jones (OH)
Kagen
Kanjorski
Kaptur
Keller
Kennedy
Kildee
Kilpatrick
Kind
King (NY)
Kingston
Kirk
Klein (FL)
Kline (MN)
Knollenberg
Kucinich
Kuhl (NY)
LaHood
Lampson
Langevin
Larsen (WA)
Larson (CT)
Latham
LaTourette
Latta
Lee
Levin
Lewis (CA)
Lewis (GA)
Lipinski
LoBiondo
Loebsack
Lofgren, Zoe
Lowey
Lucas
Lynch
Mack
Mahoney (FL)
Maloney (NY)
Manzullo
Markey
Marshall
Matheson
Matsui
McCarthy (CA)
McCarthy (NY)
McCaul (TX)
McCollum (MN)
McCotter
McDermott
McGovern
McHugh
McIntyre
McKeon
McMorris Rodgers
McNerney
Meek (FL)
Meeks (NY)
Melancon
Michaud
Miller (FL)
Miller (MI)
Miller (NC)
Miller, Gary
Mitchell
Mollohan
Moore (KS)
Moore (WI)
Moran (KS)
Moran (VA)
Murphy (CT)
Murphy, Patrick
Murphy, Tim
Murtha
Musgrave
Myrick

Nadler
Napolitano
Neal (MA)
Oberstar
Obey
Olver
Ortiz
Pallone
Pascrell
Pastor
Payne
Pearce
Perlmutter
Peterson (MN)
Petri
Pickering
Platts
Poe
Pomeroy
Porter
Price (GA)
Price (NC)
Putnam
Rahall
Ramstad
Rangel
Regula
Rehberg
Reichert
Richardson
Rodriguez
Rogers (AL)
Rogers (KY)
Rohrabacher
Ros-Lehtinen
Ross
Rothman
Roybal-Allard
Ruppersberger
Ryan (OH)
Salazar
Sánchez, Linda T.
Sanchez, Loretta
Sarbanes
Schakowsky
Schiff
Schmidt
Schwartz
Scott (GA)
Scott (VA)
Serrano
Sestak
Shays
Shea-Porter
Sherman
Shuler
Shuster
Simpson
Sires
Skelton
Slaughter
Smith (NJ)
Smith (TX)
Smith (WA)
Snyder
Solis
Souder
Space
Spratt
Stark
Stearns
Stupak
Sullivan
Sutton
Tanner
Tauscher
Taylor
Terry
Thompson (CA)
Tiahrt
Tiberi
Tierney
Towns
Tsongas
Turner
Udall (CO)
Udall (NM)
Upton
Van Hollen
Velázquez
Visclosky
Walberg
Walden (OR)
Walsh (NY)
Walz (MN)
Wamp
Wasserman Schultz
Waters
Watson
Watt
Waxman
Weiner
Welch (VT)
Weldon (FL)
Weller
Wexler
Whitfield (KY)
Wilson (NM)
Wilson (OH)
Wilson (SC)
Wittman (VA)
Wolf
Woolsey
Wu
Yarmuth
Young (AK)
Young (FL)

---- NAYS 59 ---

Akin
Bachmann
Barrett (SC)
Bartlett (MD)
Barton (TX)
Blackburn
Blunt
Boehner
Boustany
Brady (TX)
Broun (GA)
Buyer
Camp (MI)
Campbell (CA)
Cantor
Carter
Cole (OK)
Conaway
Crenshaw
Culberson

Doolittle
Duncan
Flake
Franks (AZ)
Frelinghuysen
Garrett (NJ)
Granger
Hensarling
Herger
Hulshof
Johnson, Sam
Jordan
King (IA)
Lamborn
Lewis (KY)
Linder
Lungren, Daniel E.
Marchant
McCrery
McHenry

Mica
Neugebauer
Paul
Pitts
Radanovich
Renzi
Rogers (MI)
Roskam
Royce
Ryan (WI)
Sali
Scalise
Sensenbrenner
Sessions
Shadegg
Shimkus
Smith (NE)
Thornberry
Westmoreland

---- NOT VOTING 20 ---

Bishop (UT)
Cannon
Davis (IL)
Engel
Gohmert
Higgins
Johnson (IL)

McNulty
Miller, George
Nunes
Pence
Peterson (PA)
Pryce (OH)
Reyes

Reynolds
Rush
Saxton
Speier
Tancredo
Thompson (MS)

Gas prices getting you down? Search AOL Autos for fuel-efficient used cars.

disabledpolitico

cushion

HR 6331

good news for Power wheelchairs

Chances of Florida Re-Vote Fading