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Congress·In Progress·about 2 months ago

Senate Committee Targets Biden-Era ACA Marketplace Rule in Disapproval Push

Key Points

  • Congress would cancel a CMS rule about Affordable Care Act Marketplace “integrity and affordability.”
  • If this resolution becomes law, that CMS rule would be treated as if it never took effect.
  • People who buy health insurance through the Marketplace could see different rules than what CMS set in that regulation.
  • Insurers that sell Marketplace plans would follow the older rules instead of the rule Congress is trying to overturn.
  • The text does not explain what the CMS rule changes, so the day-to-day impact depends on what was in that rule.
HealthcareConsumer Protection

Milestones

4 milestones7 actions
Jan 13, 2026Senate

Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.

Jan 13, 2026Senate

Motion to proceed to consideration of measure made in Senate. (consideration: CR S147-157; text: CR S147)

Dec 9, 2025Senate

Placed on Senate Legislative Calendar under General Orders. Calendar No. 293.

Dec 9, 2025Senate

Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).

Dec 9, 2025

Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).

What Happens Next

Projected impacts based on AI analysis

Right after the resolution becomes law

If Congress passes the resolution and it becomes law, the CMS marketplace rule is canceled and cannot be enforced.

Marketplace sign-up and plan rules stay under the older rule set; any new requirements or protections in the canceled rule would not apply.

Vote Results

1 vote
SenateFailedProceduralJan 13, 2026

On the Motion to Proceed

47
52
Democrat
45 – 0
Republican
0 – 52 · 1
Independent
2 – 0
View full roll call

Related News

3 articles
U.S. Senate Committee on Finance (Ranking Member Newsroom)·5 months ago

Wyden, Warner, Schumer, Ossoff Lead Senate Resolution to Overturn Harmful Marketplace Rule that Will Drive Up Health Care Costs and Threaten Coverage for 1.8 Million Americans

Announcement of a CRA joint resolution to disapprove the CMS “Marketplace Integrity and Affordability” rule; describes claimed premium/coverage impacts and identifies House companion leadership.

CL−
Association of American Medical Colleges (AAMC)·5 months ago

AAMC Endorses Resolution to Repeal Marketplace Integrity and Affordability Rule

Health-policy update noting introduction of a CRA resolution to overturn the CMS final rule and describing AAMC’s endorsement and rationale (coverage/access concerns).

CL−
Office of Sen. Jacky Rosen·5 months ago

Rosen Helps Introduce Resolution to Overturn Harmful ACA Marketplace Rule

Senator statement supporting the CRA resolution to disapprove the CMS Marketplace Integrity and Affordability rule, citing expected premium and administrative impacts.

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Source Information

Document Type

Congressional Bill

Official Title

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; Market Integrity and Affordability".

Bill NumberSJRES 84
Congress119th Congress
ChamberSenate
Latest ActionPlaced on Senate Legislative Calendar under General Orders. Calendar No. 293.

Sponsor

Cosponsors

(43)
D: 41I: 2

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.