119th Congress Health
H.J.Res. 123: Disapproval of Centers for Medicare & Medicaid Services rule: Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability
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".
Introduced
- Introduced (completed)
- Passed House (not reached)
- Passed Senate (not reached)
- To the President (not reached)
- Became law (not reached)
Summary
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.
Written by the Congressional Research Service, Library of Congress.
Roll calls
No roll call votes have been held on this bill.
Amendments
No amendments were offered to this bill.
Cosponsors
- Gabe Amo D-RI
- Sanford Bishop D-GA
- Nanette Barragán D-CA
- Becca Balint D-VT
- Emanuel Cleaver D-MO
- Judy Chu D-CA
- Angie Craig D-MN
- Herbert Conaway D-NJ
- Danny Davis D-IL
- Dwight Evans D-PA
- Jahana Hayes D-CT
- Ro Khanna D-CA
- John Larson D-CT
- Ted Lieu D-CA
- Greg Landsman D-OH
- Gwen Moore D-WI
- Eleanor Norton D-DC
- Luz Rivas D-CA
- Janice Schakowsky D-IL
- Terri Sewell D-AL
- Bennie Thompson D-MS
- Norma Torres D-CA
- Juan Vargas D-CA
- Kathy Castor D-FL
- Suzan DelBene D-WA
- Debbie Dingell D-MI
- Al Green D-TX
- Julie Johnson D-TX
- Jennifer McClellan D-VA
- Emily Randall D-WA
- Andrea Salinas D-OR
- Lois Frankel D-FL
- Kim Schrier D-WA
- Lizzie Fletcher D-TX
- Yassamin Ansari D-AZ
Who scored on this bill
- 1Emilia Sykes SponsorIntroduced, reached a cosponsor milestone2 events+6
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Introductions and cosponsorships count toward weekly caps and show no points.
Other bills by Emilia Sykes
History
- Introduced in the House by Emilia Sykes.
Show the full action history (2 actions)
- Introduced in House
- Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.


