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 "Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program".

Core Policy Mechanism Top 1

Nullify 2027 ACA Payment Parameters Rule

Blocks the federal rule setting health insurance payment rates and benefit standards for 2027 under the Affordable Care Act (ACA) and the Basic Health Program, stripping it of legal force.

• Population Scope High ACA marketplace enrollees and Basic Health Program participants number in the tens of millions, well above 25% of the U.S. population when including all households affected by marketplace-plan pricing and benefit standards.
• Budgetary Magnitude Medium No dollar amount is authorized or appropriated, but nullifying the 2027 payment parameters rule indirectly affects federal subsidy calculations and insurer payment rates across the ACA marketplace, producing material though unquantified fiscal consequences.
• Legal / Regulatory Depth High Invoking the Congressional Review Act to strip an existing federal regulation of all legal force is a substantive statutory nullification, eliminating binding obligations across insurers, state exchanges, and the Centers for Medicare & Medicaid Services (CMS) for the 2027 plan year.
• Degree of Discretion Granted Low The resolution is self-executing and leaves no residual discretion to any agency — CMS is simply prohibited from enforcing the nullified rule.
• Implementation & Enforcement Burden Low Nullification removes rather than adds compliance requirements, creating no new enforcement infrastructure, penalties, or affirmative obligations for any actor.
• Temporal Commitment High Persists indefinitely until Congress affirmatively acts, because the Congressional Review Act also bars CMS from issuing a substantially similar rule without new legislative authorization.