SJRES 84 — Congress 119
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".
Official source: https://www.congress.gov/bill/119th-congress/senate-joint-resolution/84
Congress.gov subjects: Administrative law and regulatory procedures; Border security and unlawful immigration; Congressional oversight; Department of Health and Human Services; Drug therapy; Health care costs and insurance; Health care coverage and access; Immigrant health and welfare; Sex, gender, sexual orientation discrimination; Surgery and anesthesia; Health
Issues impacted: Immigration & Border (taxonomy, high), Healthcare (taxonomy, high), Social Security & Medicare (taxonomy, high), Regulation & Agency Oversight (ai, high)
Official bill text (stored)
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119 SJ 84 IS: 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”. U.S. Senate 2025-09-30 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IIA 119th CONGRESS 1st Session S. J. RES. 84 IN THE SENATE OF THE UNITED STATES September 30, 2025 Mr. Warner (for himself, Mr. Ossoff , Mr. Wyden , Mr. Schumer , Ms. Alsobrooks , Ms. Baldwin , Mr. Bennet , Mr. Blumenthal , Ms. Blunt Rochester , Mr. Booker , Mr. Coons , Ms. Cortez Masto , Ms. Duckworth , Mr. Durbin , Mr. Gallego , Mrs. Gillibrand , Ms. Hassan , Mr. Heinrich , Mr. Hickenlooper , Ms. Hirono , Mr. Kaine , Mr. Kim , Mr. King , Ms. Klobuchar , Mr. Luján , Mr. Markey , Mr. Merkley , Mrs. Murray , Mr. Padilla , Mr. Reed , Ms. Rosen , Mr. Sanders , Mr. Schatz , Mr. Schiff , Mrs. Shaheen , Ms. Slotkin , Ms. Smith , Mr. Van Hollen , Mr. Warnock , Ms. Warren , Mr. Welch , and Mr. Whitehouse ) introduced the following joint resolution; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 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 . That Congress disapproves the rule submitted by the Centers for Medicare & Medicaid Services relating to Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (90 Fed. Reg. 27074 (June 25, 2025)), and such rule shall have no force or effect.
Plain-English summary
Confidence: high · Complexity: simple · Model: grok-4.5
This is Congress’s shot at wiping out one specific health-insurance rule.
It’s a joint resolution (both the House and Senate have to pass the same thing). It uses the Congressional Review Act—a fast-track tool that lets Congress cancel a brand-new agency rule. The target is a Centers for Medicare & Medicaid Services rule about the Affordable Care Act marketplaces, the online shops where lots of people buy coverage. The rule is called “Marketplace Integrity and Affordability.”
If the resolution became law, that rule would have no force or effect. The marketplace rules would simply go back to whatever applied before it.
People who get their health plans through the ACA marketplaces are the ones most likely to notice any difference. Beyond the title and the disapproval language, the bill itself doesn’t spell out every detail inside the CMS rule.
Related issues
How a vote maps to positions
Impartial mapping: which issue position a Yea vs Nay advances. When a bill has multiple floor votes, each roll can have its own mapping. Bill-level entries (no roll listed) apply as a default when a roll has no specific map. Used for legislator alignment.
All rolls (bill default)
| Issue | Yea advances | Nay advances | Note |
|---|---|---|---|
| Regulation & Agency Oversight | Disapprove or nullify agency rules | Preserve agency rules and standards | Yea uses a CRA joint resolution to strip the CMS marketplace rule of force and effect; Nay leaves that published rule in place. |
| Healthcare | Coverage expansion and public programs | Status quo / reject this change | Yea blocks the CMS “Marketplace Integrity and Affordability” ACA rule and its coverage/eligibility changes; Nay keeps that rule’s marketplace framework. |
| Immigration & Border | Expanded legal pathways and asylum capacity | Enforcement- and deterrence-first | Bill subjects tie the disapproved marketplace rule to border/unlawful-immigration and immigrant health; Yea cancels that rule, Nay retains it. |