Overview

Title

Providing for consideration of the resolution (H.Res. 863) impeaching Alejandro Nicholas Mayorkas, Secretary of Homeland Security, for high crimes and misdemeanors, and providing for consideration of the bill (H.R. 485) to amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs.

ELI5 AI

This plan lets the U.S. House of Representatives talk about two things: whether the Secretary of Homeland Security has done something very wrong and if a new rule should stop certain ways of measuring health care from being used to decide payments.

Summary AI

H. RES. 996 allows the U.S. House of Representatives to consider two key issues. First, it clears the way for the House to debate and vote on the impeachment of Alejandro Nicholas Mayorkas, the Secretary of Homeland Security, for alleged high crimes and misdemeanors. Second, it sets the terms for discussion on a bill aiming to change the Social Security Act by banning the use of certain measures, like quality-adjusted life years, in healthcare program decisions. The resolution details debate rules, including no amendments to the bill except for specific ones already outlined.

Published

2024-02-05
Congress: 118
Session: 2
Chamber: HOUSE
Status: Reported in House
Date: 2024-02-05
Package ID: BILLS-118hres996rh

Bill Statistics

Size

Sections:
3
Words:
974
Pages:
6
Sentences:
32

Language

Nouns: 309
Verbs: 90
Adjectives: 38
Adverbs: 9
Numbers: 39
Entities: 64

Complexity

Average Token Length:
4.50
Average Sentence Length:
30.44
Token Entropy:
4.76
Readability (ARI):
18.92

AnalysisAI

General Summary of the Bill

The House Resolution 996 primarily addresses two major legislative actions. Firstly, it sets the procedure for the House of Representatives to consider the impeachment of Alejandro Nicholas Mayorkas, the Secretary of Homeland Security, on charges of high crimes and misdemeanors. Secondly, it outlines the process for debating and amending a separate bill, H.R. 485, which seeks to change elements of the Social Security Act by ruling out the use of quality-adjusted life years (QALYs) and similar metrics in deciding coverage and payments for federal health care programs.

Summary of Significant Issues

A significant concern with the resolution is the use of complex, legalistic language, potentially making it difficult for the general public to fully understand the legislative processes involved. The text does not specify what the "high crimes and misdemeanors" related to the impeachment entail, leaving it ambiguous and open to interpretation.

Another issue is the procedural element allowing all objections against the bill to be waived, possibly limiting thorough debate and scrutiny, especially concerning the prohibition of QALYs in health care decision-making—a topic with far-reaching implications on how healthcare benefits are determined.

Additionally, references to House Resolutions 863 and 995 lack context, making it unclear what adopting these resolutions would entail for the legislative process and outcomes.

Impact on the Public

This resolution contains elements that could significantly impact public perception and the functioning of government processes. The impeachment consideration might contribute to political discussions regarding governmental accountability and transparency. On the healthcare side, changes brought by H.R. 485 could influence how medical benefits are assessed and prioritized, subsequently affecting access and coverage for certain medical treatments under federal programs.

Impact on Specific Stakeholders

Government Officials and Political Stakeholders: The impeachment process underscores a pivotal moment in governmental oversight, significantly impacting the political landscape and holding governmental appointments accountable. It raises issues of transparency and the appropriate check of power.

Healthcare Stakeholders: Healthcare providers, insurance companies, and patients may be directly affected by the proposed changes to the calculation of healthcare benefits. By excluding QALYs, which traditionally account for the quality and quantity of life added by medical treatments, there could be shifts in how cost-effectiveness is evaluated for treatments, potentially impacting healthcare innovations and patient access to care.

Legislators and Policy Makers: This bill exemplifies the need for clarity in legislative language to ensure comprehensive understanding and constructive debate. The procedural facilitations provided in the resolution highlight ongoing challenges in balancing expedited legislative action with thorough deliberative processes.

In summary, while the resolution aims to set essential legislative processes in motion, it presents significant challenges in communication and transparency that require careful consideration and engagement from all affected stakeholders.

Issues

  • The use of highly procedural legislative language throughout the resolution may limit accessibility to the general public, hindering understanding of both the impeachment process and the proposed amendments to the Social Security Act. This issue affects all sections, with phrases such as 'without intervention of any point of order' and references to specific legislative rules and committees complicating the text.

  • Section 1 outlines the process for considering the impeachment of Alejandro Nicholas Mayorkas, but the text does not provide context or details about what constitutes 'high crimes and misdemeanors,' leading to potential ambiguity and misunderstanding of the seriousness or scope of the accusations.

  • In Section 3, the resolution allows for waiving all points of order against the consideration of the bill (H.R. 485) and its provisions, potentially limiting thorough examination and debate, which could result in oversight or insufficient scrutiny of important healthcare policy changes.

  • The bill (H.R. 485), discussed in Section 3, prohibits the use of quality-adjusted life years in federal healthcare program determinations without providing rationales within the section. This omission may raise questions about the impact of the prohibition on healthcare policy and the motivation behind it, making it a significant issue given the implications for healthcare coverage determinations.

  • Section 2 references House Resolution 995 and its immediate adoption upon passing H.Res. 863, but lacks context or details on the content and implications of these resolutions, introducing uncertainty for those trying to understand the broader legislative impact of these actions.

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

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Summary AI

The resolution allows the House of Representatives to consider the impeachment of Alejandro Nicholas Mayorkas, the Secretary of Homeland Security, without any procedural interruptions. Debate on the resolution is limited to two hours, with the time equally divided and managed by the leaders of the Committee on Homeland Security or their designees.

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Summary AI

House Resolution 995 is automatically approved once House Resolution 863 is adopted, and for the rest of the current Congress, no other resolutions related to impeachment concerning House Resolution 863 will be given special priority.

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Summary AI

The Speaker of the House can start discussions on the bill H.R. 485, which focuses on changes to the Social Security Act, by moving into a special committee session where certain rules apply, such as time-limited debates and the acceptance of specific amendments. All standard procedure objections are waived, and any additional amendments must follow a set order and rules before the final vote is taken.