Bills · 119th Congress · Health

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".

Where it stands

  1. Introduced9/30/25
  2. Passed Senate
  3. House
  4. President
  5. Law

Introduced in the Senate on September 30, 2025.

Set your address to see how your representatives voted.

Roll calls on this bill

Procedural motions
SenateOn the Motion to Proceed · 1/13/26Motion to proceedA vote on whether the Senate should begin considering a measure, usually offered by the majority leader when senators won't agree to take it up by unanimous consent. Passing it only opens debate; it is not a vote on the measure itself.Senate glossary: motion to proceed to consider ↗
Motion to Proceed Rejected · Yea 47 · Nay 52Official source ↗
Official summary (CRS)

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.

Full text on congress.gov ↗
Sponsor
Sen. Mark R. Warner ( Democrat · VA)
Cosponsors
43
Introduced
9/30/25
Policy area
Health

What happens next

The Senate must pass it, then the House must pass the same text, then it goes to the President.

If it isn't enacted by Jan 3, 2027, it expires when the 119th Congress ends.

All actions (6)
  1. 9/30/25Introduced in Senate
  2. 9/30/25Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  3. 12/9/25Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).
  4. 12/9/25Placed on Senate Legislative Calendar under General Orders. Calendar No. 293.
  5. 1/13/26Motion to proceed to consideration of measure made in Senate. (consideration: CR S147-157; text: CR S147)
  6. 1/13/26Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.