A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".

Sponsored bySen. Warner, Mark R. [D-VA]VA· Introduced 30 septembre 2025

Open on Congress.gov

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Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.

13 janvier 2026·6 months ago

Summary

Introduced in Senate · Updated 13 janvier 2026

This joint resolution nullifies the rule titled Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability, which was issued by the Centers for Medicare & Medicaid Services on June 25, 2025.

The rule makes several changes to enrollment requirements for health insurance exchanges, including (1) requiring annual open enrollment periods for all exchanges to begin by November 1 and end by December 31, (2) requiring all exchanges to conduct pre-enrollment verification of eligibility for at least 75% of new enrollments through special enrollment periods, and (3) prohibiting Deferred Action for Childhood Arrivals (DACA) recipients from enrolling in plans through exchanges or in state Basic Health Programs (state programs for certain low-income residents).

The rule also prohibits individual and small group health insurers from covering certain sex-trait modification procedures as an essential health benefit.

Timeline

7 actions

Motion to proceed to consideration of measure made in Senate. (consideration: CR S147-157; text: CR S147)
13 janvier 2026 · Floor
Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.
13 janvier 2026 · Floor
Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).
9 décembre 2025 · Committee
Placed on Senate Legislative Calendar under General Orders. Calendar No. 293.
9 décembre 2025 · Calendars
Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).
9 décembre 2025 · Discharge
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
30 septembre 2025 · IntroReferral
Introduced in Senate
30 septembre 2025 · IntroReferral

Sponsorship

43 cosponsors

Sponsor

Sen. Warner, Mark R. [D-VA]VA

Cosponsors

Democrat4195%
Independent25%

Democrat:Sen. Cantwell, Maria [D-WA]WA
Democrat:Sen. Peters, Gary C. [D-MI]MI
Independent:Sen. King, Angus S., Jr. [I-ME]ME
Democrat:Sen. Shaheen, Jeanne [D-NH]NH
Democrat:Sen. Whitehouse, Sheldon [D-RI]RI
Democrat:Sen. Coons, Christopher A. [D-DE]DE
Democrat:Sen. Padilla, Alex [D-CA]CA
Democrat:Sen. Smith, Tina [D-MN]MN
Democrat:Sen. Warnock, Raphael G. [D-GA]GA
Democrat:Sen. Merkley, Jeff [D-OR]OR
Democrat:Sen. Hirono, Mazie K. [D-HI]HI
Democrat:Sen. Baldwin, Tammy [D-WI]WI
Democrat:Sen. Heinrich, Martin [D-NM]NM
Democrat:Sen. Cortez Masto, Catherine [D-NV]NV
Democrat:Sen. Schatz, Brian [D-HI]HI
Democrat:Sen. Van Hollen, Chris [D-MD]MD
Democrat:Sen. Durbin, Richard J. [D-IL]IL
Democrat:Sen. Schumer, Charles E. [D-NY]NY
Democrat:Sen. Warren, Elizabeth [D-MA]MA
Democrat:Sen. Reed, Jack [D-RI]RI
Democrat:Sen. Hassan, Margaret Wood [D-NH]NH
Democrat:Sen. Duckworth, Tammy [D-IL]IL
Democrat:Sen. Markey, Edward J. [D-MA]MA
Democrat:Sen. Kim, Andy [D-NJ]NJ
Democrat:Sen. Klobuchar, Amy [D-MN]MN
Democrat:Sen. Kaine, Tim [D-VA]VA
Democrat:Sen. Gillibrand, Kirsten E. [D-NY]NY
Democrat:Sen. Rosen, Jacky [D-NV]NV
Democrat:Sen. Blumenthal, Richard [D-CT]CT
Democrat:Sen. Slotkin, Elissa [D-MI]MI
Democrat:Sen. Bennet, Michael F. [D-CO]CO
Independent:Sen. Sanders, Bernard [I-VT]VT
Democrat:Sen. Hickenlooper, John W. [D-CO]CO
Democrat:Sen. Booker, Cory A. [D-NJ]NJ
Democrat:Sen. Wyden, Ron [D-OR]OR
Democrat:Sen. Schiff, Adam B. [D-CA]CA
Democrat:Sen. Alsobrooks, Angela D. [D-MD]MD
Democrat:Sen. Gallego, Ruben [D-AZ]AZ
Democrat:Sen. Luján, Ben Ray [D-NM]NM
Democrat:Sen. Blunt Rochester, Lisa [D-DE]DE
Democrat:Sen. Murray, Patty [D-WA]WA
Democrat:Sen. Ossoff, Jon [D-GA]GA
Democrat:Sen. Welch, Peter [D-VT]VT

Classification

Policy area

Health

Legislative subjects

Administrative law and regulatory proceduresBorder security and unlawful immigrationCongressional oversightDepartment of Health and Human ServicesDrug therapyHealth care costs and insuranceHealth care coverage and accessImmigrant health and welfareSex, gender, sexual orientation discriminationSurgery and anesthesia

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