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This joint resolution nullifies the rule titled Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability, which was issued by the Centers for Medicare & Medicaid Services on June 25, 2025.
The rule makes several changes to enrollment requirements for health insurance exchanges, including (1) requiring annual open enrollment periods for all exchanges to begin by November 1 and end by December 31, (2) requiring all exchanges to conduct pre-enrollment verification of eligibility for at least 75% of new enrollments through special enrollment periods, and (3) prohibiting Deferred Action for Childhood Arrivals (DACA) recipients from enrolling in plans through exchanges or in state Basic Health Programs (state programs for certain low-income residents).
The rule also prohibits individual and small group health insurers from covering certain sex-trait modification procedures as an essential health benefit.
Written by the nonpartisan Congressional Research Service, describing S.J.Res. 84 as introduced in Senate on Sep 30, 2025. It is not the text of the measure; a later amendment may have changed what it does.
Senate Jan 13, 2026
Motion to Proceed to S.J. Res. 84
Motion to Proceed Rejected
47 Yea 52 Nay 1 not voting
Party-line vote No voting member broke with their own party.
DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present
100 members on this roll call, from the official Senate record. Party majorities need at least five voting members, so an independent never counts as breaking with a party.
Signing on is not a vote: a member can cosponsor S.J.Res. 84 and vote against it. 41 signed when it was filed.
Organizations that named S.J.Res. 84 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.
1 disclosure names this measure. Retrieved from LDA.gov on 2026-10-04. 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.