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".
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".
Plain Language Summary
# Summary of HJRES 123 **What the Bill Does:** This bill would reject (nullify) a rule issued by the Centers for Medicare & Medicaid Services in June 2025 that makes several changes to how health insurance exchanges operate under the Affordable Care Act. If passed, the bill would undo these changes and restore previous rules. **Key Provisions Being Challenged:** The rule being rejected would have (1) standardized open enrollment periods across all exchanges to run November 1 through December 31 each year, (2) required exchanges to verify eligibility for at least 75% of new enrollments through special enrollment periods, (3) prohibited DACA recipients from enrolling in health plans through exchanges or state Basic Health Programs, and (4) prohibited health insurers from covering certain sex-trait modification procedures as part of essential health benefits. **Who It Affects & Current Status:** This bill would impact people seeking health insurance through exchanges, DACA recipients, low-income state health program participants, and insurers. Currently, the bill is in committee and has not yet been voted on by Congress.
It was introduced by Representative Emilia Strong Sykes (D-OH). Congressional disapproval resolutions like this use a specific legislative process designed to allow Congress to overturn federal agency rules.
CRS 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.
Latest Action
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.