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".
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".
Plain Language Summary
# Summary of SJRES 84 **What the Bill Would Do:** This bill would reject (nullify) a rule issued by the Centers for Medicare & Medicaid Services in June 2025. If passed, it would overturn several changes to how health insurance marketplaces operate under the Affordable Care Act. Specifically, it would reverse requirements that all exchanges standardize open enrollment periods (November 1 - December 31), verify eligibility for 75% of new enrollments through special enrollment periods, and a prohibition on DACA recipients enrolling in exchange plans or state health programs.
It would also reverse a rule prohibiting insurance coverage of certain sex-trait modification procedures. **Who It Affects:** This bill would impact millions of Americans with health insurance, particularly: people enrolling in Affordable Care Act (ACA) marketplace plans, DACA recipients seeking health coverage, low-income residents using state Basic Health Programs, and individuals seeking coverage for certain medical procedures. Insurance companies would also be affected by the changes to coverage requirements. **Current Status:** The bill was introduced by Senator Mark Warner (D-VA) and is currently in committee, meaning it has not yet advanced to a full Senate vote. Under the Congressional Review Act process referenced in the bill, Congress can vote to reject federal regulations within a specific timeframe.
CRS Official 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.
Latest Action
Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.