HR 4541Passed one chamberU.S. House · 119th Congress
EARLY Act Reauthorization of 2025
- Sponsor
- Rep. Debbie Wasserman Schultz (D-FL-25) (D)
- Introduced
- 2025-07-17
- Latest action
- Motion to reconsider laid on the table Agreed to without objection. (2026-07-20)
How every member voted
Passed House
On motion to suspend the rules and pass the bill, as amended · House · Roll call #250 · 20-Jul-2026
394
Yea
6
Nay
31
Not voting
0
Present
Democrats
200 yea · 0 nay
Republicans
193 yea · 6 nay
Independents
1 yea · 0 nay
Voted Yea (394)
- Aaron Bean (R-FL)
- Adam Gray (D-CA)
- Adam Smith (D-WA)
- Addison McDowell (R-NC)
- Adelita Grijalva (D-AZ)
- Adrian Smith (R-NE)
- Adriano Espaillat (D-NY)
- Al Green (D-TX)
- Alexandria Ocasio-Cortez (D-NY)
- Alma Adams (D-NC)
- Ami Bera (D-CA)
- Analilia Mejia (D-NJ)
- André Carson (D-IN)
- Andrea Salinas (D-OR)
- Andrew Garbarino (R-NY)
- Andrew Ogles (R-TN)
- Andy Barr (R-KY)
- Andy Harris (R-MD)
- Angie Craig (D-MN)
- Ann Wagner (R-MO)
- April McClain Delaney (D-MD)
- Ashley Hinson (R-IA)
- August Pfluger (R-TX)
- Austin Scott (R-GA)
- Ayanna Pressley (D-MA)
- Barry Loudermilk (R-GA)
- Barry Moore (R-AL)
- Becca Balint (D-VT)
- Ben Cline (R-VA)
- Bennie Thompson (D-MS)
- Beth Van Duyne (R-TX)
- Bill Foster (D-IL)
- Bill Huizenga (R-MI)
- Blake Moore (R-UT)
- Bonnie Watson Coleman (D-NJ)
- Brad Finstad (R-MN)
- Brad Sherman (D-CA)
- Bradley Schneider (D-IL)
- Brandon Gill (R-TX)
- Brendan Boyle (D-PA)
- Brett Guthrie (R-KY)
- Brian Babin (R-TX)
- Brian Fitzpatrick (R-PA)
- Brian Jack (R-GA)
- Brian Mast (R-FL)
- Brittany Pettersen (D-CO)
- Bruce Westerman (R-AR)
- Bryan Steil (R-WI)
- Burgess Owens (R-UT)
- Carlos Gimenez (R-FL)
- Carol Miller (R-WV)
- Celeste Maloy (R-UT)
- Charles Fleischmann (R-TN)
- Chellie Pingree (D-ME)
- Chris Pappas (D-NH)
- Chrissy Houlahan (D-PA)
- Christian Menefee (D-TX)
- Christopher Deluzio (D-PA)
- Christopher Smith (R-NJ)
- Chuck Edwards (R-NC)
- Claudia Tenney (R-NY)
- Clay Fuller (R-GA)
- Clay Higgins (R-LA)
- Cleo Fields (D-LA)
- Cliff Bentz (R-OR)
- Cory Mills (R-FL)
- Craig Goldman (R-TX)
- Dale Strong (R-AL)
- Dan Crenshaw (R-TX)
- Dan Newhouse (R-WA)
- Daniel Meuser (R-PA)
- Daniel Webster (R-FL)
- Danny Davis (D-IL)
- Darin LaHood (R-IL)
- Darrell Issa (R-CA)
- Darren Soto (D-FL)
- Dave Min (D-CA)
- David Joyce (R-OH)
- David Kustoff (R-TN)
- David Rouzer (R-NC)
- David Schweikert (R-AZ)
- David Taylor (R-OH)
- David Valadao (R-CA)
- Debbie Dingell (D-MI)
- Debbie Wasserman Schultz (D-FL)
- Deborah Ross (D-NC)
- Delia Ramirez (D-IL)
- Derek Schmidt (R-KS)
- Derek Tran (D-CA)
- Derrick Van Orden (R-WI)
- Diana DeGette (D-CO)
- Diana Harshbarger (R-TN)
- Dina Titus (D-NV)
- Don Bacon (R-NE)
- Donald Beyer (D-VA)
- Donald Davis (D-NC)
- Donald Norcross (D-NJ)
- Doris Matsui (D-CA)
- Dusty Johnson (R-SD)
- Dwight Evans (D-PA)
- Earl Carter (R-GA)
- Ed Case (D-HI)
- Elise Stefanik (R-NY)
- Emanuel Cleaver (D-MO)
- Emilia Sykes (D-OH)
- Emily Randall (D-WA)
- Eric Crawford (R-AR)
- Eric Sorensen (D-IL)
- Erin Houchin (R-IN)
- Eugene Vindman (D-VA)
- Frank Lucas (R-OK)
- Frank Mrvan (D-IN)
- Frank Pallone (D-NJ)
- Gabe Amo (D-RI)
- Gabe Evans (R-CO)
- Gabe Vasquez (D-NM)
- Gary Palmer (R-AL)
- George Latimer (D-NY)
- George Whitesides (D-CA)
- Gilbert Cisneros (D-CA)
- Glenn Grothman (R-WI)
- Glenn Ivey (D-MD)
- Glenn Thompson (R-PA)
- Grace Meng (D-NY)
- Greg Landsman (D-OH)
- Greg Stanton (D-AZ)
- Gregory Meeks (D-NY)
- Gregory Murphy (R-NC)
- Gus Bilirakis (R-FL)
- Guy Reschenthaler (R-PA)
- Gwen Moore (D-WI)
- H. Griffith (R-VA)
- Hakeem Jeffries (D-NY)
- Haley Stevens (D-MI)
- Harold Rogers (R-KY)
- Harriet Hageman (R-WY)
- Henry Cuellar (D-TX)
- Henry Johnson (D-GA)
- Herbert Conaway (D-NJ)
- Hillary Scholten (D-MI)
- J. Correa (D-CA)
- J. Hill (R-AR)
- Jack Bergman (R-MI)
- Jahana Hayes (D-CT)
- Jake Auchincloss (D-MA)
- Jake Ellzey (R-TX)
- James Baird (R-IN)
- James Comer (R-KY)
- James Gallagher (R-CA)
- James Himes (D-CT)
- James McGovern (D-MA)
- James Walkinshaw (D-VA)
- Jamie Raskin (D-MD)
- Janelle Bynum (D-OR)
- Jared Golden (D-ME)
- Jared Huffman (D-CA)
- Jared Moskowitz (D-FL)
- Jasmine Crockett (D-TX)
- Jason Crow (D-CO)
- Jason Smith (R-MO)
- Jay Obernolte (R-CA)
- Jeff Crank (R-CO)
- Jeff Hurd (R-CO)
- Jefferson Shreve (R-IN)
- Jefferson Van Drew (R-NJ)
- Jennifer Kiggans (R-VA)
- Jennifer McClellan (D-VA)
- Jerrold Nadler (D-NY)
- Jesús García (D-IL)
- Jill Tokuda (D-HI)
- Jim Costa (D-CA)
- Jim Jordan (R-OH)
- Jimmy Gomez (D-CA)
- Jimmy Panetta (D-CA)
- Jimmy Patronis (R-FL)
- Joaquin Castro (D-TX)
- Jodey Arrington (R-TX)
- Joe Courtney (D-CT)
- Joe Neguse (D-CO)
- John Carter (R-TX)
- John Garamendi (D-CA)
- John Joyce (R-PA)
- John Larson (D-CT)
- John Mannion (D-NY)
- John McGuire (R-VA)
- John Moolenaar (R-MI)
- John Rutherford (R-FL)
- Johnny Olszewski (D-MD)
- Jonathan Jackson (D-IL)
- Joseph Morelle (D-NY)
- Josh Gottheimer (D-NJ)
- Josh Harder (D-CA)
- Josh Riley (D-NY)
- Juan Vargas (D-CA)
- Judy Chu (D-CA)
- Julia Brownley (D-CA)
- Julia Letlow (R-LA)
- Julie Fedorchak (R-ND)
- Julie Johnson (D-TX)
- Kat Cammack (R-FL)
- Katherine Clark (D-MA)
- Kathy Castor (D-FL)
- Kelly Morrison (D-MN)
- Ken Calvert (R-CA)
- Kevin Hern (R-OK)
- Kevin Kiley (I-CA)
- Kevin Mullin (D-CA)
- Kim Schrier (D-WA)
- Kristen McDonald Rivet (D-MI)
- Kweisi Mfume (D-MD)
- LaMonica McIver (D-NJ)
- Lance Gooden (R-TX)
- Lateefah Simon (D-CA)
- Laura Friedman (D-CA)
- Laura Gillen (D-NY)
- Laurel Lee (R-FL)
- Lauren Boebert (R-CO)
- Lauren Underwood (D-IL)
- Linda Sánchez (D-CA)
- Lisa McClain (R-MI)
- Lizzie Fletcher (D-TX)
- Lloyd Doggett (D-TX)
- Lloyd Smucker (R-PA)
- Lois Frankel (D-FL)
- Lucy McBath (D-GA)
- Luz Rivas (D-CA)
- Madeleine Dean (D-PA)
- Maggie Goodlander (D-NH)
- Marc Veasey (D-TX)
- Marcy Kaptur (D-OH)
- Maria Salazar (R-FL)
- Mariannette Miller-Meeks (R-IA)
- Marie Perez (D-WA)
- Marilyn Strickland (D-WA)
- Mario Diaz-Balart (R-FL)
- Mark Alford (R-MO)
- Mark Amodei (R-NV)
- Mark DeSaulnier (D-CA)
- Mark Harris (R-NC)
- Mark Messmer (R-IN)
- Mark Pocan (D-WI)
- Mark Takano (D-CA)
- Marlin Stutzman (R-IN)
- Mary Miller (R-IL)
- Mary Scanlon (D-PA)
- Matt Van Epps (R-TN)
- Max Miller (R-OH)
- Maxine Dexter (D-OR)
- Maxine Waters (D-CA)
- Maxwell Frost (D-FL)
- Melanie Stansbury (D-NM)
- Michael Baumgartner (R-WA)
- Michael Cloud (R-TX)
- Michael Guest (R-MS)
- Michael Lawler (R-NY)
- Michael McCaul (R-TX)
- Michael Rulli (R-OH)
- Michael Simpson (R-ID)
- Michael Turner (R-OH)
- Michelle Fischbach (R-MN)
- Mike Bost (R-IL)
- Mike Carey (R-OH)
- Mike Collins (R-GA)
- Mike Ezell (R-MS)
- Mike Flood (R-NE)
- Mike Haridopolos (R-FL)
- Mike Johnson (R-LA)
- Mike Kelly (R-PA)
- Mike Kennedy (R-UT)
- Mike Levin (D-CA)
- Mike Quigley (D-IL)
- Mike Rogers (R-AL)
- Mike Thompson (D-CA)
- Monica De La Cruz (R-TX)
- Morgan Luttrell (R-TX)
- Morgan McGarvey (D-KY)
- Nancy Pelosi (D-CA)
- Nanette Barragán (D-CA)
- Nathaniel Moran (R-TX)
- Nellie Pou (D-NJ)
- Nicholas Begich (R-AK)
- Nicholas Langworthy (R-NY)
- Nick LaLota (R-NY)
- Nicole Malliotakis (R-NY)
- Nikema Williams (D-GA)
- Nikki Budzinski (D-IL)
- Norma Torres (D-CA)
- Nydia Velázquez (D-NY)
- Pat Fallon (R-TX)
- Patrick Ryan (D-NY)
- Paul Tonko (D-NY)
- Pete Aguilar (D-CA)
- Pete Sessions (R-TX)
- Pete Stauber (R-MN)
- Pramila Jayapal (D-WA)
- Raja Krishnamoorthi (D-IL)
- Randy Feenstra (R-IA)
- Randy Fine (R-FL)
- Randy Weber (R-TX)
- Rashida Tlaib (D-MI)
- Raul Ruiz (D-CA)
- Richard Hudson (R-NC)
- Richard McCormick (R-GA)
- Richard Neal (D-MA)
- Rick Allen (R-GA)
- Rick Larsen (D-WA)
- Riley Moore (R-WV)
- Ritchie Torres (D-NY)
- Ro Khanna (D-CA)
- Robert Aderholt (R-AL)
- Robert Bresnahan (R-PA)
- Robert Latta (R-OH)
- Robert Menendez (D-NJ)
- Robert Onder (R-MO)
- Robert Wittman (R-VA)
- Robin Kelly (D-IL)
- Roger Williams (R-TX)
- Ron Estes (R-KS)
- Ronny Jackson (R-TX)
- Rosa DeLauro (D-CT)
- Rudy Yakym (R-IN)
- Russ Fulcher (R-ID)
- Ryan Mackenzie (R-PA)
- Ryan Zinke (R-MT)
- Salud Carbajal (D-CA)
- Sam Liccardo (D-CA)
- Sanford Bishop (D-GA)
- Sara Jacobs (D-CA)
- Sarah Elfreth (D-MD)
- Sarah McBride (D-DE)
- Scott DesJarlais (R-TN)
- Scott Fitzgerald (R-WI)
- Scott Franklin (R-FL)
- Scott Perry (R-PA)
- Scott Peters (D-CA)
- Sean Casten (D-IL)
- Seth Magaziner (D-RI)
- Sharice Davids (D-KS)
- Sheri Biggs (R-SC)
- Shomari Figures (D-AL)
- Shontel Brown (D-OH)
- Shri Thanedar (D-MI)
- Steny Hoyer (D-MD)
- Stephanie Bice (R-OK)
- Stephen Lynch (D-MA)
- Steve Cohen (D-TN)
- Steve Scalise (R-LA)
- Steve Womack (R-AR)
- Steven Horsford (D-NV)
- Suhas Subramanyam (D-VA)
- Summer Lee (D-PA)
- Susie Lee (D-NV)
- Suzan DelBene (D-WA)
- Suzanne Bonamici (D-OR)
- Sydney Kamlager-Dove (D-CA)
- Sylvia Garcia (D-TX)
- Ted Lieu (D-CA)
- Teresa Leger Fernandez (D-NM)
- Terri Sewell (D-AL)
- Thomas Kean (R-NJ)
- Thomas Suozzi (D-NY)
- Thomas Tiffany (R-WI)
- Tim Burchett (R-TN)
- Tim Moore (R-NC)
- Tim Walberg (R-MI)
- Timothy Kennedy (D-NY)
- Tom Barrett (R-MI)
- Tom Cole (R-OK)
- Tom Emmer (R-MN)
- Tom McClintock (R-CA)
- Tony Wied (R-WI)
- Tracey Mann (R-KS)
- Trent Kelly (R-MS)
- Troy Balderson (R-OH)
- Troy Carter (D-LA)
- Troy Nehls (R-TX)
- Val Hoyle (D-OR)
- Valerie Foushee (D-NC)
- Veronica Escobar (D-TX)
- Vicente Gonzalez (D-TX)
- Victoria Spartz (R-IN)
- Vince Fong (R-CA)
- Virginia Foxx (R-NC)
- W. Steube (R-FL)
- Warren Davidson (R-OH)
- Wesley Bell (D-MO)
- Wesley Hunt (R-TX)
- William Keating (D-MA)
- William Timmons (R-SC)
- Yassamin Ansari (D-AZ)
- Young Kim (R-CA)
- Yvette Clarke (D-NY)
- Zachary Nunn (R-IA)
- Zoe Lofgren (D-CA)
Voted Nay (6)
- Chip Roy (R-TX)
- Elijah Crane (R-AZ)
- Eric Burlison (R-MO)
- Josh Brecheen (R-OK)
- Keith Self (R-TX)
- Pat Harrigan (R-NC)
Did not vote (31)
- Abraham Hamadeh (R-AZ)
- Andrew Clyde (R-GA)
- Andy Biggs (R-AZ)
- Anna Luna (R-FL)
- Betty McCollum (D-MN)
- Brad Knott (R-NC)
- Byron Donalds (R-FL)
- Daniel Goldman (D-NY)
- Frederica Wilson (D-FL)
- Greg Casar (D-TX)
- Ilhan Omar (D-MN)
- James Clyburn (D-SC)
- Janice Schakowsky (D-IL)
- Joe Wilson (R-SC)
- John James (R-MI)
- John Rose (R-TN)
- Joyce Beatty (D-OH)
- Juan Ciscomani (R-AZ)
- Lori Trahan (D-MA)
- Nancy Mace (R-SC)
- Neal Dunn (R-FL)
- Paul Gosar (R-AZ)
- Ralph Norman (R-SC)
- Robert Garcia (D-CA)
- Robert Scott (D-VA)
- Russell Fry (R-SC)
- Sam Graves (R-MO)
- Seth Moulton (D-MA)
- Thomas Massie (R-KY)
- Troy Downing (R-MT)
- Vern Buchanan (R-FL)
AI-generated summary. Written by a language model from the bill's official title and description — not by a person, and not a substitute for the bill text. Vote counts, sponsors and dates above come from the official record, not from this summary. How we build this.
The EARLY Act Reauthorization of 2025 extends and updates a federal program focused on early intervention and treatment services for individuals with early-stage disease or health conditions. The bill authorizes continued funding and operations for screening, diagnostic, and treatment initiatives designed to catch health problems before they become severe. By reauthorizing this program, the legislation ensures that federal resources remain available to healthcare providers, public health agencies, and medical facilities that participate in early detection and intervention efforts.
The reauthorization reflects ongoing congressional recognition that preventing disease progression through early identification can reduce long-term healthcare costs and improve patient outcomes. Congress periodically reauthorizes expiring federal health programs to maintain their operations and make any necessary updates to their structure or funding levels. The bill's unanimous committee approval suggests broad bipartisan support for continuing this public health initiative, though the specific funding amounts, program modifications, and implementation details would be contained in the full legislative text.
Key provisions
- The bill reauthorizes a federal program for early intervention and treatment services for individuals with early-stage disease or health conditions.
- The legislation extends federal funding and operations for screening, diagnostic, and treatment initiatives in healthcare providers and public health agencies.
- The bill maintains federal resources available to medical facilities participating in early detection and intervention efforts.
- The reauthorization updates the program structure or funding levels, though specific amounts are not detailed in available summaries.
- The legislation received unanimous committee approval, indicating bipartisan congressional support for continuing this public health initiative.
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