Bill
S.J.Res. 84 (119th): 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; Market Integrity and Affordability".
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; Market Integrity and Affordability".
Summary
Recorded summary
This joint resolution under the Congressional Review Act would nullify the CMS rule "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability" issued June 25, 2025. The rule would require annual exchange open enrollment to begin by November 1 and end by December 31, require pre-enrollment eligibility verification for at least 75% of new special-enrollment enrollments, bar DACA recipients from exchange plans and state Basic Health Programs, and bar individual and small group insurers from covering certain sex-trait modification procedures as an essential health benefit. A yea vote nullifies the rule, and the agency could not reissue a substantially similar rule.
Theological note: Scripture grounds the moral relevance here in the dignity of the body and the call to sexual and bodily integrity, which bears on the rule's limit on sex-trait modification coverage. It also bears on the call to care for the sojourner and not oppress the stranger (Leviticus 19:33-34), which bears on the DACA enrollment bar. Enrollment timing and verification rules fall under ordinary civil stewardship and general equity, and are prudential matters. This is an issue-relevance note, not a final candidate judgment.
Scoring
How this bill is scored
- Tier: no Tier 1 record. A bill with no record cannot newly become Tier 1.
- Lane: federal_regulation. Category: not stored. Lane tag: not stored.
- Lane: gender_transition. Category: not stored. Lane tag: not stored.
- Lane: health_policy. Category: not stored. Lane tag: not stored.
- Lane: immigration. Category: not stored. Lane tag: not stored.
- Lane: program_integrity. Category: not stored. Lane tag: not stored.
- Tier 1 sign-off: no record. A bill with no record cannot newly become Tier 1.
- Stored polarity: mixed. Only tags the rules mark scoreable on a mixed bill are scored. A yea can draw a penalty or a credit according to the tag. A nay on a tag scored as good can draw a penalty.
- Roll 8: On the Motion to Proceed S.J.Res. 84. Vote type: cloture.
- Polarity rationale: Reviewed enrichment (llm_import) polarity: The rule combines prudential administrative changes (enrollment windows and verification) with a restraint on coverage of gender-transition procedures, which a Reformed reading may view as a legitimate restraint, and a DACA enrollment bar, which raises concern about the treatment of the stranger. Nullifying the rule would restore both the restrained coverage and the DACA access. The cut is mixed rather than clearly good or evil, and the metadata does not establish a direct moral harm either way.
- Theological note: Scripture grounds the moral relevance here in the dignity of the body and the call to sexual and bodily integrity, which bears on the rule's limit on sex-trait modification coverage. It also bears on the call to care for the sojourner and not oppress the stranger (Leviticus 19:33-34), which bears on the DACA enrollment bar. Enrollment timing and verification rules fall under ordinary civil stewardship and general equity, and are prudential matters. This is an issue-relevance note, not a final candidate judgment.
Debt and war Cloture and Tier 1 Procedural votes Scoring mechanics
Roll
Recorded votes
Roll 8 · January 13, 2026, 02:15 PM · On the Motion to Proceed S.J.Res. 84 · Motion to Proceed Rejected (47-52)
Yea
- ALSOBROOKS, ANGELA
- BALDWIN, TAMMY
- BENNET, MICHAEL F.
- BLUMENTHAL, RICHARD
- BLUNT ROCHESTER, LISA
- BOOKER, CORY A.
- CANTWELL, MARIA
- COONS, CHRISTOPHER A.
- CORTEZ MASTO, CATHERINE
- DUCKWORTH, L. TAMMY
- DURBIN, RICHARD J.
- FETTERMAN, JOHN KARL
- GALLEGO, RUBEN
- GILLIBRAND, KIRSTEN
- HASSAN, MARGARET WOOD
- HEINRICH, MARTIN
- HICKENLOOPER, JOHN W.
- HIRONO, MAZIE K.
- KAINE, TIMOTHY MICHAEL
- KELLY, MARK
- KIM, ANDY
- KING, ANGUS S. JR.
- KLOBUCHAR, AMY
- LUJAN, BEN RAY
- MARKEY, EDWARD SEN.
- MERKLEY, JEFFREY ALAN
- MURPHY, CHRISTOPHER S
- MURRAY, PATTY
- OSSOFF, T. JONATHAN
- PADILLA, ALEX
- PETERS, GARY
- REED, JOHN F.
- ROSEN, JACKY
- SANDERS, BERNARD
- SCHATZ, BRIAN
- SCHIFF, ADAM
- SCHUMER, CHARLES E.
- SHAHEEN, JEANNE
- SLOTKIN, ELISSA
- SMITH, TINA
- VAN HOLLEN, CHRIS
- WARNER, MARK ROBERT
- WARNOCK, RAPHAEL
- WARREN, ELIZABETH
- WELCH, PETER
- WHITEHOUSE, SHELDON
- WYDEN, RONALD L.
Nay
- BANKS, JAMES E. HON.
- BARRASSO, JOHN A
- BLACKBURN, MARSHA MRS.
- BOOZMAN, SEN. JOHN
- BRITT, KATIE BOYD
- BUDD, THEODORE P
- CAPITO, SHELLEY MOORE
- CASSIDY, WILLIAM M.
- COLLINS, SUSAN M.
- CORNYN, JOHN SEN
- COTTON, THOMAS
- CRAMER, KEVIN MR.
- CRAPO, MICHAEL D
- CRUZ, RAFAEL EDWARD TED
- CURTIS, JOHN
- DAINES, STEVE
- ERNST, JONI K
- FISCHER, DEBRA S.
- GRAHAM, LINDSEY O.
- GRASSLEY, CHARLES E
- HAGERTY, BILL
- HAWLEY, JOSHUA DAVID SEN
- HOEVEN, JOHN
- HUSTED, JON
- HYDE-SMITH, CINDY
- JOHNSON, RON HAROLD MR.
- JUSTICE, JAMES CONLEY II
- KENNEDY, JOHN NEELY
- LANKFORD, JAMES PAUL
- LEE, MIKE
- LUMMIS, CYNTHIA MARIE MRS.
- MARSHALL, ROGER W
- MCCONNELL, MITCH
- MCCORMICK, DAVE
- MOODY, ASHLEY
- MORENO, BERNIE
- MULLIN, MARKWAYNE
- MURKOWSKI, LISA
- PAUL, RAND
- RICKETTS, PETE
- RISCH, JAMES E MR.
- ROUNDS, MIKE
- SCHMITT, ERIC
- SCOTT, RICK SEN
- SCOTT, TIMOTHY E.
- SHEEHY, TIM
- SULLIVAN, DAN
- THUNE, JOHN R.
- TILLIS, THOM R SEN
- TUBERVILLE, THOMAS H
- WICKER, ROGER SEN.
- YOUNG, TODD CHRISTOPHER