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Congress·In Committee·6 months ago

House Republicans Target CMS Marketplace Integrity Rule in Repeal Bid

Legislative Progress

✓ Filed
Review
House
Senate
President

Impacts

Mixed Impacts(8)
Chronic Illness
Neutral
Aca Marketplace
Neutral
Housing Assistance
Neutral
Pregnant
Neutral
Child Tax Credit
Neutral
Gig Worker
Neutral
Small Business Owner
Neutral
Federal Employee
Neutral

Key Points

  • Congress would cancel a Centers for Medicare & Medicaid Services rule about Health Insurance Marketplace “integrity and affordability.”
  • If this passes and becomes law, that CMS rule would have “no force or effect,” meaning it could not be used or enforced.
  • The text does not describe what the canceled rule would have changed, so the real-world impact on premiums, enrollment, or rules for insurers isn’t clear from this document alone.
  • People who buy their own health insurance through the Marketplace could be affected, depending on what that CMS rule covered.
  • This is an attempt to use Congress’s disapproval process to overturn an agency rule, which can quickly change how a program is run.
HealthcareConsumer Protection

Milestones

2 milestones2 actions
Sep 17, 2025House

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.

Sep 17, 2025

Introduced in House

What Happens Next

Projected impacts based on AI analysis

After final passage in both chambers and presidential signature

If Congress passes the resolution and the President signs it, the CMS rule is canceled and cannot be used.

Marketplace rules covered by that CMS rule would revert to the prior setup, which could change sign-up steps and consumer protections compared with what CMS planned.

Related News

2 articles
AHA News·9 months ago

CMS releases final rule on Marketplace Integrity and Affordability

The American Hospital Association expressed concerns as CMS finalized a rule that shortens open enrollment and ends special enrollment periods for low-income individuals. CMS estimates up to 2 million people could lose coverage, while the rule aims to reinstate Trump-era program integrity policies.

C~
The Heartland Institute·8 months ago

New Rule Curtails Improper ACA Enrollment to Keep Costs Down

CMS Administrator Dr. Mehmet Oz announced the 'Marketplace Integrity and Affordability' rule to crack down on fraud and unauthorized plan switching. The rule aims to protect taxpayer dollars and lower premiums by ensuring only those truly eligible receive federal subsidies.

R+

Source Information

Document Type

Congressional Bill

Official Title

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".

Bill NumberHJRES 123
Congress119th Congress
ChamberHouse of Representatives
Latest ActionReferred 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.

Sponsor

Cosponsors

(34)
D: 34

Analysis generated by AI. While we strive for accuracy, this should not be considered legal or professional advice. Always verify information with official government sources.