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SJRES 84119th CongressIn Committee

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".

Introduced: Sep 30, 2025
Sponsor: Sen. Warner, Mark R. [D-VA] (D-Virginia)
Healthcare
Standard Summary
Comprehensive overview in 1-2 paragraphs

This bill is a joint resolution that uses the Congressional Review Act to disapprove a Centers for Medicare & Medicaid Services (CMS) rule titled “Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability.” The rule referenced was published in the Federal Register as 90 Fed. Reg. 27074 on June 25, 2025. If Congress enacts this joint resolution and it becomes law, the CMS rule would have no force or effect. In short, the bill blocks the specific CMS rule from taking effect and effectively maintains the regulatory status quo, preventing the rule’s provisions from being enforced. The resolution was introduced in the Senate (led by Sen. Warner with a broad group of co-sponsors) and referred to the Committee on Health, Education, Labor, and Pensions. It does not repeal the underlying statutes or create alternative protections; it simply disapproves this particular rule under the Congressional Review Act.

Key Points

  • 1Uses the Congressional Review Act (chapter 8 of title 5, U.S.C.) to disapprove a federal rule.
  • 2Targets CMS’s rule titled “Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability,” published June 25, 2025 (90 Fed. Reg. 27074).
  • 3If enacted, the rule shall have no force or effect, meaning CMS cannot enforce or implement its provisions.
  • 4Introduced in the Senate by Sen. Warner and a list of co-sponsors; referred to the Senate Committee on Health, Education, Labor, and Pensions.
  • 5The action disapproves the rule without altering the broader ACA or existing statutory framework; it blocks only this specific regulatory change and does not automatically replace it with another policy.

Impact Areas

Primary group/area affected- Consumers and individuals purchasing coverage in the ACA Marketplaces. The disapproval prevents the CMS rule’s provisions from taking effect, which could influence protections around marketplace integrity and affordability that affect consumer experience and protections.Secondary group/area affected- Health insurers and marketplace issuers operating in ACA Marketplaces, as well as marketplace navigators and agents. They would be affected by the absence of the new requirements or safeguards proposed in the disapproved rule.Additional impacts- State health insurance departments and the broader federal-state regulatory relationship, since CMS rules in the marketplaces interact with state regulation and oversight.- Federal regulatory process and agency planning, because this disapproval blocks a specific rule and may influence CMS’s future rulemaking decisions on marketplace integrity and affordability.- Political and policy signaling, illustrating Congress’s ongoing use of the Congressional Review Act to shape or block regulatory changes in ACA-related areas.
Generated by gpt-5-nano on Oct 2, 2025