Resolution to Overturn CMS Marketplace Integrity Rule
September 30, 2025
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The Frame
If passed, this resolution would nullify a specific federal regulation (90 27074) governing health insurance marketplace operations, effectively preventing it from being enforced or having any legal effect.
Potentially affected actors named in the source documents. Mention is not a position.
Centers for Medicare & Medicaid Services
The agency's regulatory action is subject to nullification by this resolution.
Health Insurance Marketplace participants
The regulatory framework governing marketplace integrity and affordability would be altered if the rule is invalidated.
Last recorded activity September 30, 2025.
Introduced.
Summary
Why It Matters
If passed, this resolution would nullify a specific federal regulation (90 27074) governing health insurance marketplace operations, effectively preventing it from being enforced or having any legal effect.
Key Facts
- The resolution formally disapproves the CMS rule titled 'Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability'.
- The rule in question was published in the Federal Register on June 25, 2025 (90 Fed. Reg. 27074).
- If enacted, the rule would have no force or effect under the Congressional Review Act.
- The resolution was introduced in the Senate on September 30, 2025.
- The resolution is currently referred to the Senate Committee on Health, Education, Labor, and Pensions.
Frequently Asked Questions
What does it mean for Congress to 'disapprove' a rule?
Does this resolution change the Affordable Care Act itself?
News Coverage
Voting Record
Total
99
Yes
47
No
52
Present
0
Not Voting
0
Abstain
0
How they voted (99)
Patty Murray
D · yes
Tommy Tuberville
R · no
Bernie Sanders
I · yes
John Thune
R · no
Angela Alsobrooks
D · yes
Pete Ricketts
R · no
Ashley Moody
R · no
Kevin Cramer
R · no
Cindy Hyde-Smith
R · no
Adam Schiff
D · yes
Richard Durbin
D · yes
Timothy Kaine
D · yes
Jon Ossoff
D · yes
Jim Banks
R · no
Bill Cassidy
R · no
Raphael Warnock
D · yes
Ruben Gallego
D · yes
Lindsey Graham
R · no
Amy Klobuchar
D · yes
Mike Lee
R · no
Susan Collins
R · no
Mike Rounds
R · no
John Barrasso
R · no
Tina Smith
D · yes
+ 75 more
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Legislative Pushback on CMS Rule
A large coalition of 42 senators has formally moved to block a CMS rule issued only three months prior, signaling significant legislative opposition to the agency's recent regulatory direction.
Connected Entities
Sources
www.congress.gov
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy75Intensity of disagreement among stakeholders
- Entertainment20Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
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