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119th Congress Health

S.J.Res. 84: Disapproval of Centers for Medicare & Medicaid Services rule: Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability

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".

ReportedDec 9, 2025

  1. Introduced (completed)Sep 30, 2025
  2. Passed Senate (not reached)
  3. Passed House (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Introduced in Senate, Sep 30, 2025

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

1 vote on this bill

Showing 1 of 1 roll calls

  • Jan 13, 2026SenateMotion to proceedFailed, yea-nay 47–52
    Roll call 8 tally by party
    PartyYeaNayPresentNot voting
    Democrats45000
    Republicans05201
    Independents2000
    Total475201

    Senate roll call 8: On the Motion to Proceed. Motion to Proceed Rejected.

    How each member voted (100)

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

43

Bipartisan support.

Who scored on this bill

36 points earned
  1. 1Mark Warner D-VA SponsorDrew cross-party cosponsors, reached a cosponsor milestone, introduced, discharged4 events+36
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Mark Warner

History

  1. Sep 30, 2025Introduced in the Senate by Mark Warner.
Show the full action history (6 actions)
  1. Jan 13, 2026Motion to proceed to consideration of measure made in Senate. (consideration: CR S147-157; text: CR S147)
  2. Jan 13, 2026Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.
  3. Dec 9, 2025Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).
  4. Dec 9, 2025Placed on Senate Legislative Calendar under General Orders. Calendar No. 293.
  5. Sep 30, 2025Introduced in Senate
  6. Sep 30, 2025Read twice and referred to the Committee on Health, Education, Labor, and Pensions.