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S.J.Res. 84119th 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 relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".
Sponsored by Sen. Mark R. Warner (D-VA) · 43 active : 41 Democrats, 2 Independents
Latest action: Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.
Where it standsBefore the Senate7 senators score as swing votes
Hasn’t passed either chamber
- Senate: next
- House: not yet
- President: not yet
Summary
, via Congress.govThis 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.
Read full summaryHide full summary
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.
Committees and subjects
Committees
- Senate Committee on Health, Education, Labor, and Pensions · SenateDischarged from · Referred to
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
Model
Directional: count only breaks toward the other partyWhy do scores change?v3default (selected)v2 model swing-v2
How the Senate breaks down
- 7Swing 70–100
- 36Middle 30–70
- 57Entrenched 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-v3, directional: only movement toward the other party counts, so members who sit further from the center than their party no longer score as swing votes.
Bars 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
43 activeShow all 43 cosponsors
- Adam B. Schiff (D-CA)
- Alex Padilla (D-CA)
- Amy Klobuchar (D-MN)
- Andy Kim (D-NJ)
- Angela D. Alsobrooks (D-MD)
- Angus S. King Jr. (I-ME)
- Ben Ray Luján (D-NM)
- Bernard Sanders (I-VT)
- Brian Schatz (D-HI)
- Catherine Cortez Masto (D-NV)
- Charles E. Schumer (D-NY)
- Chris Van Hollen (D-MD)
- Christopher A. Coons (D-DE)
- Cory A. Booker (D-NJ)
- Edward J. Markey (D-MA)
- Elissa Slotkin (D-MI)
- Elizabeth Warren (D-MA)
- Jack Reed (D-RI)
- Jacky Rosen (D-NV)
- Jeanne Shaheen
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.
