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Congress·In Committee·H.J.Res. 123

House Republicans Target CMS Marketplace Integrity Rule in Repeal Bid

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".

6 months ago·View on Congress.gov
Part of: Congress Moves to Overturn CMS Marketplace Integrity and Affordability Rule
⏸

Stalled

No legislative action in over 90 days.

Legislative Progress

House
Senate
President
Law

Key Points

  • Congress would cancel a Centers for Medicare & Medicaid Services rule about Health Insurance Marketplace “integrity and affordability.”

    From policy text

    “Congress disapproves the rule submitted by the Centers for Medicare & Medicaid Services relating to ``Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability''”
    View in full text
  • If this passes and becomes law, that CMS rule would have “no force or effect,” meaning it could not be used or enforced.

    From policy text

    “and such rule shall have no force or effect.”
    View in full text
  • 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.

    From policy text

    “Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services”
    View in full text
HealthcareConsumer Protection

Impact Analysis

Personal Impact

How this policy affects specific groups of people

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

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.

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. Always verify with official sources.