Rep. LaMalfa’s Voting Record


"Here are the facts, I NEVER voted to cut Medicare, I NEVER increased prescription drug costs, and I’ve protected and expanded rural healthcare!...Stand with me and push back against the big Bay Area money and San Francisco values that fuel my opponent’s campaign."

- Rep. Doug LaMalfa October 5, 2018 (source)
  1. 📌Votes with negative impacts on Medicare, prescription drug prices, and rural healthcare
  2. 📌Votes to cut billions from Medicare
  3. 📌Additional votes with negative impacts on Medicare
  4. 📌Campaign Finances

Votes with Negative impacts on Medicare, prescription drug prices and rural healthcare:

LaMalfa Voted For The Republican Health Care Repeal Bill That Would Have Raised The Cost Of Prescription Drugs And Threatened Rural Health Care

  • 2017: LaMalfa Voted For The American Health Care Act – The Republican Health Care Repeal Bill. [HR 1628, Vote #256, 5/4/17]

According To The Non-Partisan CBO, Under The AHCA, Out-Of-Pocket Costs For Some Benefits, Like Prescription Drugs, Could Substantially Increase. “Moreover, the ACA’s ban on annual and lifetime limits on covered benefits would no longer apply to health benefits not defined as essential in a state. As a result, for some benefits that might be removed from a state’s definition of EHBs but that might not be excluded from insurance coverage altogether, some enrollees could see large increases in out-of-pocket spending because annual or lifetime limits would be allowed. That could happen, for example, to some people who use expensive prescription drugs. Out-of-pocket payments for people who have relatively high health care spending would increase most in the states that obtained waivers from the requirements for both the EHBs and community rating.” [CBO, 5/24/17]

News Coverage:

Cuts To Medicaid In The AHCA Would Make It Harder For Rural Hospitals To Survive. “For the hundreds of rural U.S. hospitals struggling to stay in business, health policy decisions made in Washington, D.C., this summer could make survival a lot tougher. […] These hospitals serve a largely older, poorer and sicker population than most hospitals, making them particularly vulnerable to changes made to Medicaid funding. […] The GOP’s repeal of the Affordable Care Act calls for deep cuts to Medicaid — the public insurance program for many low-income families, children and elderly Americans, as well as people with disabilities.” [Kaiser Health News, 6/23/17]

Wall Street Journal: “In Extreme Cases, The Amount A Consumer Might Owe For A Plan Could Exceed That Person’s Annual Income” In Rural Areas. “The House Republican effort to overhaul the Affordable Care Act could hit many rural areas particularly hard, according to a new analysis, sharply increasing the cost for some residents buying their own insurance. In extreme cases, the amount a consumer might owe for a plan could exceed that person’s annual income. In Nebraska’s Chase County, a 62-year-old currently earning about $18,000 a year could pay nearly $20,000 annually to get health insurance coverage under the House GOP plan—compared with about $760 a year that person would owe toward premiums under the ACA, an analysis by Oliver Wyman showed.” [Wall Street Journal, 3/13/17]

NBC News: “There’s Nothing In” The American Health Care Act That Addressed High Prescription Drug Costs.“Americans are angry about high drug prices and there’s no question that Americans are charged far more for prescription drugs than people in other countries are. President Donald Trump has said he wants to do something to lower drug costs and Congress has held a series of hearings in which they’ve scolded drug company executives. Drug costs now account for about 17 percent of total U.S. healthcare spending. But there’s nothing in either the ACA or the new bill about drug costs.” [NBC News, 5/11/17]

GOP Health Plan Would Hit Rural Areas Hard [Wall Street Journal, 3/13/17]

GOP Medicaid Cuts To Hit Rural America Hardest, Report Finds [Kaiser Health News via CNN Money, 7/7/17]

Health Care In Rural Communities Uncertain As Medicaid Cuts Loom [NBC News, 7/2/17]

Kids In Pro-Trump Rural Areas Have A Lot To Lose If GOP Rolls Back Medicaid [Los Angeles Times, 7/6/17]

Votes To Cut Billions From Medicare

  • LaMalfa Voted For The Senate Republican Version Of The FY18 Budget.  [H Con Res 71, Vote #589, 10/26/17; CQ Floor Votes, 10/26/17]

News Coverage:

Senate Budget Cut $473 Billion From Medicare And More Than $1 Trillion From Medicaid Over 10 Years.“Under Capitol Hill's byzantine budget rules, the nonbinding budget resolution is supposed to lay out a long-term fiscal framework for the government. This year's measure calls for $473 billion in cuts from Medicare over 10 years and more than $1 trillion from Medicaid. All told, Senate Republicans would cut spending by more than $5 trillion over a decade, though they don't attempt to spell out where the cuts would come from.” [Associated Press, 10/19/17]


  • LaMalfa Voted For FY18 Republican House Budget. [H Con Res 71, Vote #557, 10/5/17]

CBPP: FY18 Budget As Passed By House Budget Committee “Would Cut Medicare Spending By $487 Billion Over The 2018-27 Period, Largely By Shifting More Health Care Costs To Beneficiaries.” “The 2018 budget resolution that the House Budget Committee approved this week would end Medicare’s guarantee of health coverage by converting the program to a premium support system. Overall, it would cut Medicare spending by $487 billion over the 2018-27 period, largely by shifting more health care costs to beneficiaries. President Trump’s budget, by contrast, would spare Medicare from cuts.” [CBPP, 7/21/17]


  • LaMalfa Voted For FY16 Republican Budget. [H. Con Res. 27, Vote #142, 3/25/15; New York Times, 3/25/15]

News Coverage:

Politico: 2015 House GOP Budget Cut $150 Billion From Medicare. “The GOP-run Budget Committee estimates nearly $150 billion in savings by turning Medicare into a voucher program for anyone 56 years old or younger, an idea previously proposed by Rep. Paul Ryan (R-Wis.), the former Budget Committee chairman. Republicans say their ‘premium support program’ would help control Medicare costs. It would not be implemented before 2024.” [Politico, 3/17/15]


  • LaMalfa Voted For FY15 Republican Budget. [H Con Res 96, Vote #177, 4/10/14; USA Today, 4/10/14]

News Coverage:

Los Angeles Times: Republican Budget Would Turn Medicare Into A “Voucher-Like Program” That “May Not Fully Cover The Cost” Of Medicare.  “Ryan retained his idea for turning the Medicare health system into a voucher-like program for future seniors, providing a fixed amount of cash that can be applied toward the purchase of private health insurance. The voucher may also be used to enroll in traditional Medicare, but it may not fully cover the cost.” [Los Angeles Times, 4/1/14]


  • 2013: LaMalfa Voted For FY14 Ryan Budget. [H. Con. Res, 25, Vote #88, 3/21/13; CQ, 3/21/13]

News Coverage:

CBPP: Ryan Budget Would Cut Medicare Spending By A Total Of $356 Billion. According to an analysis of the Ryan budget conducted by the Center on Budget and Policy Priorities: “Over the 2013 to 2023 period, the Ryan budget would cut Medicare spending by a total of $356 billion. His budget would save $129 billion compared to current law from limiting medical malpractice awards, increasing income-tested premiums, and repealing the Medicare benefit improvements in health reform, including closure of the prescription drug ‘donut hole.’  Ryan’s baseline includes $138 billion in scheduled cuts from Medicare’s sustainable growth rate formula for physicians and $89 billion in Medicare cuts from sequestration, bringing his total Medicare reductions to the aforementioned $356 billion.” [Center on Budget and Policy Priorities, 3/12/13]


Additional LaMalfa Votes with a negative impact on Medicare, prescription drug costs and rural health:

  • LaMalfa Voted For Republican Conference Report On Budget For Fiscal Year 2016[S CON RES 11, Vote #183; On Agreeing to the Conference Report, 4/30/15; Bloomberg, 4/29/15]
  • LaMalfa Voted Against Motion To Protect The Regulatory Process For Social Security And Medicare. [HR 427, Vote #481, 7/28/15; Motion to Recommit, 7/28/15]
  • LaMalfa Voted For Blocking An Amendment To The Balanced Budget Amendment To Protect Social Security, Medicare, And Medicaid. [H Res 811, Vote #133, 4/11/18; CQ, 4/11/18; Congressional Record, H3018, 4/11/18]
  • LaMalfa Did Not Vote On Modifying The Medicare Advantage Payment System To Offset The Cuts In The CHAMPION Act. [HR 3922, Vote #605, 11/3/17; CQ, 11/3/17]
  • LaMalfa Voted For Blocking (Vote Yes means against ) An Amendment That Would Protect Health Care Coverage For Pre-Existing Conditions, Ban Lifetime Insurance Limits, Protect Medicare, Block Tax Increases On The Middle Class, And Would Require A CBO Estimate Prior To Consideration Of Any Health Care Reform Bill. [H.Res 308, Vote #252, 5/4/17; CQ, 5/4/17]
  • LaMalfa Voted Against A Motion To Protect Individuals From Discrimination In The Health Insurance Marketplace Based On Gender Or Pre-Existing Conditions, Protect Seniors From Higher Premiums And Out-Of-Pocket Costs Under Medicare Part D. [HR 21, Vote #7, 1/4/17; CQ, 1/4/17]
  • LaMalfa Voted For Blocking Legislation That Would Prevent The House From Cutting Social Security, Medicare, Or Medicaid. [H Res 348, Vote #271, 5/23/17; CQ, 5/23/17; DemocraticLeader.gov, 5/23/17]
  • LaMalfa Voted Against Consideration Of An Amendment Lowering Out-Of-Pocket Drug Costs For Seniors. [HR 5, Vote #44, 1/11/17; CQ, 1/11/17
  • LaMalfa Voted Against A Motion To Protect Individuals From Discrimination In The Health Insurance Marketplace Based On Gender Or Pre-Existing Conditions, Protect Seniors From Higher Premiums And Out-Of-Pocket Costs Under Medicare Part D. [HR 21, Vote #7, 1/4/17; CQ, 1/4/17]

Campaign Finances

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SOURCE: OpenSecrets


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SOURCE: OpenSecrets


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SOURCE: OpenSecrets