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H.J.Res.123 / 119th Congress

Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Official summary

Version 00 · Introduced in House · Sep 17, 2025

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.

Read the summary on Congress.gov

Who introduced it

Rep. Sykes, Emilia Strong [D-OH-13] · D–OH

Committees

  • Ways and Means Committee
  • Energy and Commerce Committee
35 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  2. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  3. Introduced in House

  4. Introduced in House

Bill text & related measures

Text links open the official source. We also preserved the text version used in the PlainBill explanation below.

Related bills identified by Congress.gov

Source last updated: Jun 12, 2026. Consult Congress.gov for the current record.

Explore the bill from different angles

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Neutral evidence review

Objective

Analyze H.J.Res.123 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.J.Res.123 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

Examine H.J.Res.123 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

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Individual rights and government power

Liberty lens

Examine H.J.Res.123 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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Read the proposal in plain language

AI-generated · Source-checked by AI · Oct 18, 2026

Based on the full Introduced in House · 2025-09-17 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.

What it would do

This joint resolution proposes to cancel a federal rule concerning Affordable Care Act health insurance marketplaces, where people shop for health coverage. If enacted, it would make the named rule legally ineffective. The resolution is a proposal, not evidence that the rule has already been canceled.

Check the source
That Congress disapproves the rule submitted by the Centers for Medicare & Medicaid Services relating to Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (90 Fed. Reg. 27074 (June 25, 2025)), and such rule shall have no force or effect.
Official bill text · Introduced in House · 2025-09-17

How it would work

The proposal targets the Centers for Medicare & Medicaid Services rule titled “Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability,” published in the Federal Register on June 25, 2025, at volume 90, page 27074. It would disapprove that rule and give it no force or effect.

Check the source
That Congress disapproves the rule submitted by the Centers for Medicare & Medicaid Services relating to Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (90 Fed. Reg. 27074 (June 25, 2025)), and such rule shall have no force or effect.
Official bill text · Introduced in House · 2025-09-17

What the record shows

The supplied actions snapshot, updated June 12, 2026, records introduction in the House on September 17, 2025, and referral that day to the Energy and Commerce and Ways and Means committees for consideration within their respective jurisdictions.

Check the sources
Source snapshot updated 2026-06-12T13:43:05Z.
Official legislative record · 2026-06-12T13:43:05Z
2025-09-17: Introduced in House
Official legislative record · 2026-06-12T13:43:05Z
2025-09-17: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Official legislative record · 2026-06-12T13:43:05Z

Riders & Targeted Benefits

Reviewed version: Introduced in House · 2025-09-17. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.

This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.

Riders

Provisions outside the bill’s main subject, or policy changes attached to appropriations.

None identified in the reviewed text

No unrelated provision or policy change attached to appropriations was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.

Earmarks

Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.

None identified in the reviewed text

No congressionally directed spending for particular recipients or places was identified in the complete supplied introduced text. This conclusion is limited to that version; accompanying earmark disclosures and committee materials are not supplied.

Other targeted benefits

Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.

None identified in the reviewed text

No materially narrow carve-out, special exemption, or preferential treatment was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.

What this analysis cannot establish

  • The underlying rule is not supplied. Its requirements, affected groups, exceptions, and the practical consequences of canceling it cannot be established from this resolution alone.
  • The supplied text states no separate implementation date or transition arrangements.
  • The actions snapshot supplies introduction and referral entries but no passage or enactment record. This does not establish that the resolution never advanced or was never enacted.

Full text preserved for this analysis. Legislative record snapshot: Jun 12, 2026. How PlainBill uses AI