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Mr. Upton moved to recommit with instructions to the Committee on Energy and Commerce.

The House adopted the amendments en gross as agreed to by the Committee of the Whole House on the state of the Union.

The previous question was ordered pursuant to the rule.

The House rose from the Committee of the Whole House on the state of the Union to report H.R. 3.

On agreeing to the Cunningham amendment; Agreed to by recorded vote: (Roll no. 680).

On agreeing to the Luria amendment; Agreed to by recorded vote: (Roll no. 679).

An amendment, offered by Mr. Cunningham, numbered 11 printed in Part B of House Report 116-334 to allow the Veterans Administration to benefit from Maximum Fair Pricing guidelines.

On agreeing to the Gottheimer amendment; Agreed to by recorded vote: (Roll no. 678).

An amendment, offered by Mrs. Luria, numbered 10 printed in Part B of House Report 116-334 to clarify that federal employee health plans are covered by the price reduction provisions of the bill.

On agreeing to the O'Halleran amendment; Agreed to by recorded vote: (Roll no. 677).

An amendment, offered by Mr. Gottheimer, numbered 7 printed in Part B of House Report 116-334 to require an HHS study to identify conditions without an FDA-approved treatment where the development of a treatment would fill an unmet medical need for a serious or life-threatening condition or rare disease. Requires HHS to identify appropriate incentives that would lead to the development of such treatments.

On agreeing to the Walden amendment; Failed by recorded vote: (Roll no. 676).

An amendment, offered by Mr. O'Halleran, numbered 5 printed in Part B of House Report 116-334 to create a grant program within HHS for hospitals located in rural and medically underserved areas, including Critical Access Hospitals, to cover the start-up costs for establishing a Graduate Medical Education (GME) program or a partnership with a hospital that has an existing program. It would include a reporting requirement for GAO to analyze whether residents continue to practice in a rural or medically underserved area after completing their training.

UNFINISHED BUSINESS - The Chair announced that the unfinished business was on adoption of amendments, which were debated earlier and on which further proceedings had been postponed.

On agreeing to the Houlahan amendment; Agreed to by voice vote.

An amendment, offered by Mr. Walden, numbered 1 printed in Part B of House Report 116-334 to include provisions in the bill related to Medicare Parts B&D, drug price transparency, Medicare Part D benefit redesign, MedPAC, Medicaid, FDA, and revenue provisions.

DEBATE - Pursuant to the provisions of H. Res. 758, the Committee of the Whole proceeded with 10 minutes of debate on the Houlahan amendment No. 12.

An amendment, offered by Ms. Houlahan, numbered 12 printed in Part B of House Report 116-334 to increase funding for clinical trials at NIH and ban the use of spread pricing by PBMs as it relates to Medicaid.

POSTPONED PROCEEDINGS - At the conclusion of debate on the Cunningham amendment the Chair put the question on adoption of the amendment and by voice vote, announced that the ayes had prevailed. Mr. Roe (TN) demanded a recorded vote and the Chair postponed further proceedings until a time to be announced.

DEBATE - Pursuant to the provisions of H. Res. 758, the Committee of the Whole proceeded with 10 minutes of debate on the Cunningham amendment No. 11.