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".
Summary
What This Bill Does
H.J.Res.123 is a Congressional Review Act disapproval resolution. It targets the Centers for Medicare & Medicaid Services rule relating to Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability and provides that the rule shall have no force or effect. The targeted rule concerns ACA marketplace eligibility, affordability, enrollment integrity, and program administration. The practical result is not a new replacement rule; it is a congressional veto of the agency action, which can also restrict the agency from issuing a substantially similar rule without new statutory authority.
Who Benefits and How
ACA marketplace enrollees facing tighter eligibility or affordability rules benefit because disapproval would remove or prevent the regulatory obligations created by the rule. Members of Congress opposing the rule benefit because the CRA provides a direct vehicle to nullify the agency action. Regulated parties benefit from clearer congressional opposition to the rule and less near-term implementation risk. Enrollment assisters and health coverage navigators benefit if disapproval removes rule changes that could make coverage enrollment harder.
Who Bears the Burden and How
Centers for Medicare & Medicaid Services rulemaking staff must respond to congressional disapproval and may be constrained from issuing a substantially similar rule. CMS marketplace program staff bear the burden if protections, standards, or program changes in the rule are blocked. Congressional oversight committees must handle the policy consequences of removing the rule without passing a replacement. Insurers and program integrity offices may lose tools intended to reduce improper enrollment or subsidy errors.
Key Provisions
- Provides congressional disapproval of the Centers for Medicare & Medicaid Services rule relating to Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability.
- Blocks the rule by declaring that it shall have no force or effect.
- Uses the Congressional Review Act rather than ordinary notice-and-comment rulemaking.
- Restricts the agency's ability to issue a substantially similar rule unless Congress authorizes it.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
Uses the Congressional Review Act to disapprove the Centers for Medicare & Medicaid Services rule relating to Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability, causing that rule to have no force or effect.
Key Policy Areas
Administrative Law, Congressional Review Act
Primary Purpose
Uses the Congressional Review Act to disapprove the Centers for Medicare & Medicaid Services rule relating to Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability, causing that rule to have no force or effect.
Policy Domains
Resolution provisions
Identified Gains
Contextual inference, no direct clause citation- ACA marketplace enrollees facing tighter eligibility or affordability rules
- Members of Congress opposing the rule
- Regulated parties
- Congressional oversight committees
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Centers for Medicare & Medicaid Services rulemaking staff
- CMS marketplace program staff
- Congressional oversight committees
- Program administrators
Contextual inference, no direct clause citation
Sponsors
Legislative Progress
In CommitteeReferred to the Committee on Energy and Commerce, and in …
Introduced in House
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
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