S.J.Res. 198A 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".

1 recorded actionWhat the measure does Read on Congress.gov

Sponsor: Ron Wyden [D-OR]
Cosponsors: 21 · 20 Democrats · 1 Independent
Policy area: Health
Committee: Finance Committee
Latest action: Jul 16, 2026 · Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.

IntroducedJun 24, 2026
Passed the SenateNot yet reached
Passed the HouseNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS summary

This joint resolution prohibits the Centers for Medicare & Medicaid Services (CMS) from testing a new Medicare payment model in certain states that involves a prior authorization process and the use of enhanced technology by third-party contractors to determine whether certain claims should be paid.

Specifically, the joint resolution nullifies a notice issued by the CMS on July 1, 2025, titled Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model. (On May 12, 2026, the Government Accountability Office issued a letter of opinion stating that this notice constituted an agency rule and is therefore subject to the Congressional Review Act.)

The CMS selected six states to participate in this model over a six-year period: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington. Under the model, contracted companies must process prior authorization requests (i.e., requests for coverage determinations before a service is furnished) for certain services using enhanced technology (e.g., artificial intelligence). Contracted companies are paid based on the share of resulting savings. The CMS aims to test the model's ability to produce accurate results while streamlining the prior authorization process for Medicare claims. The model is based in part on similar processes used for Medicare Advantage claims.

CMS began implementing the model on January 1, 2026. This joint resolution prohibits the CMS from continuing to do so.

Written by the nonpartisan Congressional Research Service, describing S.J.Res. 198 as introduced in Senate on Jun 24, 2026. It is not the text of the measure; a later amendment may have changed what it does.

How every member votedSenate roll call 199

Senate Jul 16, 2026

On the Motion to Proceed

Motion to Proceed to S.J. Res. 198

Motion to Proceed Rejected

46 Yea 50 Nay 4 not voting

Party-line vote No voting member broke with their own party.

Open the official roll call

How the chamber split

One dot per member. Select a seat or a bar to filter the list.

DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present

By party select a segment to filter

All members100 members

Democratic45 members

Independent2 members

Republican53 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors21 · 20 Democrats · 1 Independent

Signing on is not a vote: a member can cosponsor S.J.Res. 198 and vote against it. 19 signed when it was filed.

Loading the public record

All recent votes 119th CongressSenate

S.J.Res. 198A 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".

1 recorded actionWhat the measure does Read on Congress.gov

Sponsor: Ron Wyden [D-OR]
Cosponsors: 21 · 20 Democrats · 1 Independent
Policy area: Health
Committee: Finance Committee
Latest action: Jul 16, 2026 · Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.

IntroducedJun 24, 2026
Passed the SenateNot yet reached
Passed the HouseNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS summary

CMS began implementing the model on January 1, 2026. This joint resolution prohibits the CMS from continuing to do so.

How every member votedSenate roll call 199

Senate Jul 16, 2026

On the Motion to Proceed

Motion to Proceed to S.J. Res. 198

Motion to Proceed Rejected

46 Yea 50 Nay 4 not voting

Party-line vote No voting member broke with their own party.

Open the official roll call

How the chamber split

One dot per member. Select a seat or a bar to filter the list.

DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present

By party select a segment to filter

All members100 members

Democratic45 members

Independent2 members

Republican53 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors21 · 20 Democrats · 1 Independent

Signing on is not a vote: a member can cosponsor S.J.Res. 198 and vote against it. 19 signed when it was filed.

Who lobbied on S.J.Res. 1985 organizations

Organizations that named S.J.Res. 198 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.

AMERICAN FEDERATION OF TEACHERS

Agriculture · Budget/Appropriations · Civil Rights/Civil Liberties · Education +13 more2 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

AFL-CIO

Immigration · Health Issues · Labor Issues/Antitrust/Workplace · Government Issues +9 more1 filing · 3rd Quarter (July 1 - Sep 30) 2026Filing

CENTER FOR HEALTH AND DEMOCRACYfiled by PORT SIDE STRATEGIES, LLC

Medicare/Medicaid · Health Issues · Pharmacy1 filing · 3rd Quarter (July 1 - Sep 30) 2026Filing

NATIONAL EDUCATION ASSOCIATIONIts PAC: NEA Advocacy Fund

Civil Rights/Civil Liberties · Health Issues · Retirement · Agriculture +6 more1 filing · 3rd Quarter (July 1 - Sep 30) 2026Filing

SOCIAL SECURITY WORKSfiled by PORT SIDE STRATEGIES, LLCIts PAC: Social Security Works PAC

Retirement · Medicare/Medicaid · Government Issues · Budget/Appropriations +2 more1 filing · 3rd Quarter (July 1 - Sep 30) 2026Filing

6 disclosures name this measure. Retrieved from LDA.gov on 2026-10-25. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.