Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Official title: “To amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, to amend the Internal Revenue Code of 1986 to allow a deduction to individuals for amounts contributed to health savings security accounts and health savings accounts, to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, and for other purposes.”
Earlier names of the bill: “Prescription Drug and Medicare Improvement Act of 2003”, “Medicare Prescription Drug and Modernization Act of 2003”.
What this law changes
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Transparency Score
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What this law changes in taxes
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Press releases by members of Congress
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Read from 539 of 539 members' sites, releases since January 3, 2025, through October 7, 2026.
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Read from 510 of 510 organizations' sites, releases since January 3, 2025, through October 7, 2026.
How it passed
The House passed it 220 to 215 on November 22, 2003.
The Senate passed it 54 to 44 on November 25, 2003, with 2 senators who did not vote.
It became law on December 8, 2003.
The question on the official record: House, “On Agreeing to the Conference Report”. Senate, “On the Conference Report H.R. 1”.
| Chamber and party | Yes | No | Present | Did not vote |
|---|---|---|---|---|
| House Republicans | 204 | 25 | 0 | 0 |
| House Democrats | 16 | 189 | 0 | 0 |
| House independents | 0 | 1 | 0 | 0 |
| Senate Republicans | 42 | 9 | 0 | 0 |
| Senate Democrats | 11 | 35 | 0 | 2 |
| Senate independents | 1 | 0 | 0 | 0 |
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