S.J. Res. 84 · On the floor · Health
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".
Sponsor: Mark R. Warner (D-VA)
What it does
- Nullifies a Centers for Medicare & Medicaid Services rule requiring annual open enrollment periods for health insurance exchanges to begin by November 1 and end by December 31.
- Nullifies a rule requiring all exchanges to conduct pre-enrollment eligibility verification for at least 75% of new enrollments through special enrollment periods.
- Nullifies a rule prohibiting DACA recipients from enrolling in health insurance exchange plans or state Basic Health Programs.
- Nullifies a rule prohibiting individual and small group health insurers from covering certain sex-trait modification procedures as an essential health benefit.
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
Jan 13, 2026: Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.
Committee: Senate Health, Education, Labor, and Pensions