SJRES 197 — 119th Congress

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".

Introduced Jun 17, 2026 Open for voting
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Core Policy Mechanism Top 1

Disapprove ACA 2027 Benefit and Payment Parameters Rule

Blocks a federal rule that sets health plan benefit and payment standards for Affordable Care Act (ACA) marketplaces in 2027 and the Basic Health Program, voiding it under the Congressional Review Act.

  • Population Scope High ACA marketplace enrollees and Basic Health Program participants number in the tens of millions, representing well over 10% of the U.S. population directly affected by the voided benefit and payment standards.
  • Budgetary Magnitude Medium No funds are appropriated or authorized directly, but nullifying the payment parameters rule carries substantial indirect fiscal consequences for premium subsidies, insurer payments, and Basic Health Program funding flows.
  • Legal / Regulatory Depth High Invoking the Congressional Review Act to void a binding federal rule creates a new statutory prohibition — Centers for Medicare & Medicaid Services (CMS) cannot reissue a substantially similar rule without new congressional authorization, a fundamental constraint on the agency's regulatory authority.
  • Degree of Discretion Granted Low The resolution's operative effect is entirely mandatory and self-executing — it grants no agency discretion, delegating nothing and leaving no implementation latitude.
  • Implementation & Enforcement Burden Low No new enforcement infrastructure, penalties, or compliance obligations are created; the rule simply ceases to have legal effect upon enactment.
  • Temporal Commitment High The disapproval persists indefinitely — the voided rule cannot be reissued in substantially similar form unless Congress affirmatively acts to authorize it, with no expiry or forced revisit built in.
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Summary

This resolution uses the Congressional Review Act (CRA) to block a federal rule issued by the Centers for Medicare and Medicaid Services (Centers for Medicare & Medicaid Services (CMS)) under the Affordable Care Act (ACA). The rule, published in May 2026, sets the payment and benefit standards for ACA marketplace health plans in 2027 and for the Basic Health Program. If the resolution passes both chambers and is signed into law, the rule would be void and could not be reissued in substantially the same form.

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Version Event Date User support Your vote Roll calls
Original
Initial publication
Jun 17, 2026
Jun 17, 2026 No votes yet — —

Core Policy Mechanism Top 1

Disapprove ACA 2027 Benefit and Payment Parameters Rule

Blocks a federal rule that sets health plan benefit and payment standards for Affordable Care Act (ACA) marketplaces in 2027 and the Basic Health Program, voiding it under the Congressional Review Act.

  • Population Scope High ACA marketplace enrollees and Basic Health Program participants number in the tens of millions, representing well over 10% of the U.S. population directly affected by the voided benefit and payment standards.
  • Budgetary Magnitude Medium No funds are appropriated or authorized directly, but nullifying the payment parameters rule carries substantial indirect fiscal consequences for premium subsidies, insurer payments, and Basic Health Program funding flows.
  • Legal / Regulatory Depth High Invoking the Congressional Review Act to void a binding federal rule creates a new statutory prohibition — Centers for Medicare & Medicaid Services (CMS) cannot reissue a substantially similar rule without new congressional authorization, a fundamental constraint on the agency's regulatory authority.
  • Degree of Discretion Granted Low The resolution's operative effect is entirely mandatory and self-executing — it grants no agency discretion, delegating nothing and leaving no implementation latitude.
  • Implementation & Enforcement Burden Low No new enforcement infrastructure, penalties, or compliance obligations are created; the rule simply ceases to have legal effect upon enactment.
  • Temporal Commitment High The disapproval persists indefinitely — the voided rule cannot be reissued in substantially similar form unless Congress affirmatively acts to authorize it, with no expiry or forced revisit built in.
No signal yet

Core Policy Mechanism

Disapprove ACA 2027 Benefit and Payment Parameters Rule