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".

Where it stands

1. Introduced Done · Sep 30, 2025
2. Committee Done · Sep 30, 2025
3. Passed Senate Not yet
4. Passed House Not yet
5. President Not yet
6. Law Not yet

From the official actions on Congress.gov.

Key points

What it changes

A plain-language summary isn't ready yet. The official summary below describes the bill.

Who it affects

A plain-language summary isn't ready yet. The official summary below describes the bill.

What it costs

No cost estimate yet.

Where it stands

Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8. (Jan 13, 2026)

What happens next

A committee would usually act on it before the full Senate votes.

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.

Summary by the Congressional Research Service (Introduced in Senate version), via Congress.gov. These are proposed provisions, not enacted law.

Recorded votes

1. SENATEProceduralJan 13, 2026 · roll call 8

   On the Motion to Proceed: Motion to Proceed Rejected (47–52)

   This vote set how the bill is debated. It is not a vote for or against the bill.
   Votes by party

   How each party voted on roll call 8

   Party	Yes	No	Present	Did not vote	Share voting Yes
   Democratic	45	0	0	0
   Republican	0	52	0	1
   Independent	2	0	0	0

   Party totals from the official roll call.

   Map: how each state voted

   All voted YesSplitAll voted NoNo Yes or No votes

   Each state is shaded by the share of its senators who voted Yes, out of those who voted Yes or No. Colors show the vote, not party.

   U.S. Senate roll call vote (data via Voteview, UCLA) ↗ — includes how every member voted

Vote types come from the official question text. How we label votes

Legislative history

1. Jan 13, 2026Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.
2. Jan 13, 2026Motion to proceed to consideration of measure made in Senate. (consideration: CR S147-157; text: CR S147)
3. Dec 9, 2025Placed on Senate Legislative Calendar under General Orders. Calendar No. 293.
4. Dec 9, 2025Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).
5. Dec 9, 2025Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).
6. Sep 30, 2025Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
7. Sep 30, 2025Introduced in Senate