SJRES 198 — 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 "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model".

Introduced Jun 24, 2026 Open for voting
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Core Policy Mechanism Top 1

Nullify CMS WISeR Prior Authorization Rule

Blocks a Centers for Medicare and Medicaid Services (CMS) rule that required prior authorization for certain Medicare services under the WISeR Model, voiding it entirely so Medicare patients and providers no longer face those approval requirements.

  • Population Scope High Medicare beneficiaries number over 65 million — roughly 20% of the U.S. population — and all providers billing Medicare for the affected services are directly touched by removing prior authorization requirements.
  • Budgetary Magnitude Medium No funds are appropriated or authorized, but eliminating prior authorization requirements removes a cost-control mechanism, implying meaningful Medicare program expenditure effects without a specified dollar amount.
  • Legal / Regulatory Depth High CRA disapproval creates a new statutory prohibition — Centers for Medicare & Medicaid Services (CMS) cannot reissue a substantially similar rule without new congressional authorization, a binding constraint on future agency authority beyond merely reversing this rule.
  • Degree of Discretion Granted Low The resolution is entirely mandatory and self-executing — it leaves no discretion to any agency; CMS has no choice but to treat the WISeR rule as void.
  • Implementation & Enforcement Burden Low Nullification removes an existing compliance obligation rather than creating new enforcement infrastructure or affirmative compliance duties for any party.
  • Temporal Commitment High CRA disapproval binds indefinitely — the WISeR rule is permanently voided and CMS is barred from issuing a substantially similar rule unless Congress affirmatively acts.
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Summary

This resolution uses the Congressional Review Act (CRA) to block a Centers for Medicare and Medicaid Services (Centers for Medicare & Medicaid Services (CMS)) rule called the Wasteful and Inappropriate Services Reduction (WISeR) Model. The WISeR rule, published July 1, 2025, requires prior authorization — advance approval from CMS — before Medicare pays for certain medical services. If Congress passes this resolution and it is signed into law, the WISeR rule would have no legal force.

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Version Event Date User support Your vote Roll calls
Original
Initial publication
Jun 24, 2026
Jun 24, 2026 No votes yet

Core Policy Mechanism Top 1

Nullify CMS WISeR Prior Authorization Rule

Blocks a Centers for Medicare and Medicaid Services (CMS) rule that required prior authorization for certain Medicare services under the WISeR Model, voiding it entirely so Medicare patients and providers no longer face those approval requirements.

  • Population Scope High Medicare beneficiaries number over 65 million — roughly 20% of the U.S. population — and all providers billing Medicare for the affected services are directly touched by removing prior authorization requirements.
  • Budgetary Magnitude Medium No funds are appropriated or authorized, but eliminating prior authorization requirements removes a cost-control mechanism, implying meaningful Medicare program expenditure effects without a specified dollar amount.
  • Legal / Regulatory Depth High CRA disapproval creates a new statutory prohibition — Centers for Medicare & Medicaid Services (CMS) cannot reissue a substantially similar rule without new congressional authorization, a binding constraint on future agency authority beyond merely reversing this rule.
  • Degree of Discretion Granted Low The resolution is entirely mandatory and self-executing — it leaves no discretion to any agency; CMS has no choice but to treat the WISeR rule as void.
  • Implementation & Enforcement Burden Low Nullification removes an existing compliance obligation rather than creating new enforcement infrastructure or affirmative compliance duties for any party.
  • Temporal Commitment High CRA disapproval binds indefinitely — the WISeR rule is permanently voided and CMS is barred from issuing a substantially similar rule unless Congress affirmatively acts.
No signal yet

Core Policy Mechanism

Nullify CMS WISeR Prior Authorization Rule