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Read. Follow. Verify.Resolution to Overturn CMS Marketplace Integrity Rule
Last action · January 13, 2026: Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.Sponsors: Mark Warner and 43 others
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What This Bill Would Do
This seeks to formally disapprove and invalidate a federal rule issued by the Centers for Medicare & Medicaid Services (CMS) regarding the Affordable Care Act's Marketplace Integrity and Affordability standards.
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.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
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.
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.
Show all 5 facts
- 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?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently on floor. The next step in the legislative lifecycle is Passed.
Procedural history
6 actions- Jan 13, 2026SenateMotion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.
- Jan 13, 2026SenateMotion to proceed to consideration of measure made in Senate. (consideration: CR S147-157; text: CR S147)
- Dec 9, 2025SenatePlaced on Senate Legislative Calendar under General Orders. Calendar No. 293.
- Dec 9, 2025SenateSenate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).
- Sep 30, 2025SenateCommitteeRead twice and referred to the Committee on Health, Education, Labor, and Pensions.
- Sep 30, 2025SenateIntroducedIntroduced in Senate
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Voting Record
Total
99
- Yes
- 47
- No
- 52
- Present
- 0
- Not voting
- 0
- Abstain
- 0
How they voted (99)
75 more members
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Show 39 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- Significance20Lowered because this bill did not pass (its text scored 85)
- Controversy75Intensity of disagreement among stakeholders
- Entertainment20Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
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