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S.J.Res. 198119th CongressHealth
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 of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model".
Sponsored by Sen. Ron Wyden (D-OR) · 21 active : 20 Democrats, 1 Independent
Latest action: Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.
Where it standsBefore the Senate6 senators score as swing votes
Hasn’t passed either chamber
- Senate: next
- House: not yet
- President: not yet
Summary
, via Congress.govThis joint resolution prohibits the Centers for Medicare & Medicaid Services (CMS) from testing a new Medicare payment model in certain states that involves a prior authorization process and the use of enhanced technology by third-party contractors to determine whether certain claims should be paid.
Specifically, the joint resolution nullifies a notice issued by the CMS on July 1, 2025, titled
Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
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. (On May 12, 2026, the Government Accountability Office issued a letter of opinion stating that this notice constituted an agency rule and is therefore subject to the Congressional Review Act.)
The CMS selected six states to participate in this model over a six-year period: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington. Under the model, contracted companies must process prior authorization requests (i.e., requests for coverage determinations before a service is furnished) for certain services using enhanced technology (e.g., artificial intelligence). Contracted companies are paid based on the share of resulting savings. The CMS aims to test the model's ability to produce accurate results while streamlining the prior authorization process for Medicare claims. The model is based in part on similar processes used for Medicare Advantage claims.
CMS began implementing the model on January 1, 2026. This joint resolution prohibits the CMS from continuing to do so.
Committees and subjects
Committees
- Senate Committee on Finance · SenateDischarged from · Referred to
Subjects
- Administrative law and regulatory procedures
- Congressional oversight
- Department of Health and Human Services
- Medicare
Model
Directional: count only breaks toward the other partyWhy do scores change?v3default (selected)v2 model swing-v2
How the Senate breaks down
- 6Swing 70–100
- 57Middle 30–70
- 37Entrenched 0–30
Members fall into . All 100 senators have enough data to score.
Key players in the Senate
Ranked by swing score, 0–100 · swing-v3Bars show each input from 0 to 100: ideology gap, scorecard gap, , and the . is the seat’s partisan lean, and shows how much of the input data a score has.
Similar past votes, Senate
Earlier behind swing-v3’s inputLoading similar votes
Cosponsors
21 activeShow all 21 cosponsors
- Andy Kim (D-NJ)
- Ben Ray Luján (D-NM)
- Bernard Sanders (I-VT)
- Cory A. Booker (D-NJ)
- Edward J. Markey (D-MA)
- Elizabeth Warren (D-MA)
- Jeanne Shaheen (D-NH)
- Jeff Merkley (D-OR)
- Kirsten E. Gillibrand (D-NY)
- Maria Cantwell (D-WA)
- Mark Kelly (D-AZ)
- Mark R. Warner (D-VA)
- Patty Murray (D-WA)
- Richard Blumenthal (D-CT)
- Richard J. Durbin (D-IL)
- Ruben Gallego (D-AZ)
- Tammy Baldwin (D-WI)
- Tammy Duckworth (D-IL)
- Tina Smith (D-MN)
- Chris Van Hollen (D-MD)
- Jon Ossoff (D-GA)
How the swing score works
Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.
Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.
Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.
Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.
Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.
Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.
