119-HR-3747 DC Insider Whip Count Analysis

Breakdown: where the votes are

House — bipartisan tailwind: - Energy & Commerce (E&C) reported H.R. 3747 by 48–0 at full committee on May 21, 2026, following a Health Subcommittee voice-vote on May 13 sending up the bill as amended. Expect broad floor support, likely under Suspension of the Rules. [1]U.S. House Committee Repository — E&C Full Committee — H.R. 3747 Final Passage…

• Cosponsors: 58 in the House as of the latest Congress.gov update, led by Reps. Balderson (R‑OH), Barragán (D‑CA), LaHood (R‑IL), and Tonko (D‑NY). [2]Congress.gov — All Info — H.R. 3747 (119th): AADAPT Act
• Issue profile: narrow, provider‑training grants; authorization is modest and targeted (Project ECHO dementia focus), which historically draws minimal ideological pushback when paired with bipartisan sponsorship. Bill text confirms the limited, disease‑specific grant lane and timelines. [3]Congress.gov / GPO — H.R. 3747 (Text as Introduced) — AADAPT Act

Senate — favorable but watch holds: - A bipartisan companion (S.4036) was introduced March 10–11, 2026 and referred to HELP; original sponsors span both parties (e.g., Capito, Klobuchar, Moran, Booker, Sullivan, Kim, Lankford, Cantwell). Under HELP Chair Bill Cassidy (R‑LA), committee action or hotline clearance is plausible. [4]LegiScan — S.4036 (119th) — AADAPT Act companion: status and sponsors

Key legislators and leverage points

• House leads: Troy Balderson (R‑OH) with Barragán (D‑CA), LaHood (R‑IL), Tonko (D‑NY). Their bill has already cleared E&C unanimously, signaling cross‑caucus buy‑in among health policymakers. [1]U.S. House Committee Repository — E&C Full Committee — H.R. 3747 Final Passage…
• House gatekeepers: E&C Chair Brett Guthrie (R‑KY) and Ranking Member Frank Pallone (D‑NJ). Both presided over the May 13 and May 21 actions; the official roll materials carry their letterhead, reinforcing bipartisan committee stewardship. [5]U.S. House Committee Repository — E&C Health Subcommittee — Vote Summary 05/13/…
• Senate gatekeepers: HELP Chair Bill Cassidy (R‑LA) controls committee agenda; Majority Leader John Thune (R‑SD) controls floor time. Cassidy’s office has publicly noted his chairmanship for the 119th; Senate.gov lists Thune as majority leader. [6]U.S. Senate HELP Committee — HELP Committee press — Cassidy seated as Chair for…
• Potential Senate friction: Individual objections can derail unanimous consent. Sen. Rand Paul (R‑KY) has historically objected to UC on cost grounds (e.g., 2019 9/11 fund), a procedural posture that could force floor time even on bipartisan health bills. [7]CBS News — Rand Paul blocks unanimous‑consent passage (illustrative pattern of…
• Advocacy muscle: Alzheimer’s Association/AIM are actively whipping for passage and highlighted both the May 13 subcommittee action and the bill’s aims; they also back the Senate companion. [8]Alzheimer’s Association — Alzheimer’s Association: House Subcommittee acts to e…

Leadership influence and procedure

• House floor control sits with Speaker Mike Johnson and Majority Leader Steve Scalise; Johnson was re‑elected Speaker on Jan. 3, 2025, and the Congressional Record names Scalise as Majority Leader that day. For consensus E&C health titles, leadership commonly uses suspension. [9]AP News — Mike Johnson narrowly re‑elected Speaker as 119th convenes
• Senate procedure under GOP control: With Thune as Majority Leader and Cassidy chairing HELP, a low‑controversy health authorization can move by UC if no member objects; otherwise, expect a short time agreement. [10]U.S. Senate — U.S. Senate — Majority and Minority Leaders by Congress (confirms…

Assessment: odds and path

• House outlook: High likelihood of passage. Unanimous committee vote (48–0) plus 58 cosponsors positions H.R. 3747 well for suspension; expected to clear with a bipartisan margin. [1]U.S. House Committee Repository — E&C Full Committee — H.R. 3747 Final Passage…
• Senate outlook: Moderately high. Bipartisan companion in HELP and cross‑party sponsors reduce policy risk; principal risk is a UC hold by deficit hawks, which would slow but not necessarily sink the bill. [4]LegiScan — S.4036 (119th) — AADAPT Act companion: status and sponsors
• Net assessment: Likely to pass this Congress if floor time is obtained in both chambers; confidence high in the House, moderate‑to‑high in the Senate.

Key numbers

Sourcing highlights

Primary documents and official listings used in this whip count.

• House E&C: Full Committee roll call, H.R. 3747, 48–0 (May 21, 2026). [1]U.S. House Committee Repository — E&C Full Committee — H.R. 3747 Final Passage…
• House E&C Health Subcommittee: Vote summary showing voice‑vote approval and adoption of AINS for H.R. 3747 (May 13, 2026). [5]U.S. House Committee Repository — E&C Health Subcommittee — Vote Summary 05/13/…
• Congress.gov bill dossier and text (H.R. 3747) including cosponsor list. [2]Congress.gov — All Info — H.R. 3747 (119th): AADAPT Act
• Senate companion status and sponsors (S.4036) and referral to HELP. [4]LegiScan — S.4036 (119th) — AADAPT Act companion: status and sponsors
• Chamber leadership confirmations: House Speaker (AP), Majority Leader (Congressional Record); Senate Majority Leader (Senate.gov). [9]AP News — Mike Johnson narrowly re‑elected Speaker as 119th convenes
• Stakeholder advocacy: Alzheimer’s Association/AIM statements on House markup and Senate introduction. [8]Alzheimer’s Association — Alzheimer’s Association: House Subcommittee acts to e…