The motion to recommit is one of the few procedural rights afforded to opponents of legislation debated in the House. If successful, the motion recommits the bill to committee and is often accompanied with instructions to change the legislation to incorporate the concerns of opponents. During House debate on a bill to cap medical malpractice awards, Congressman John Conyers (D-MI) motioned to recommit the bill with instructions that the committee add language that would have specified that the legislation would not preempt state laws relating to the liability of health maintenance organizations (HMOs). Progressives supported the recommit motion as a way to insure that HMOs-many of which base their medical decisions on cost considerations rather than the needs of their patients-are held liable for any decisions that cause serious harm or death to their patients. The motion to recommit the bill was defeated on a 193-225 vote.