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Resolution would cancel the 2027 rule for ACA marketplaces and Basic Health Program

Floor activityS.J.Res. 197Latest action

Sponsor: Tammy Baldwin · Senator · WI

AIDecoded by AI · checked against the record
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Official title: 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 "Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program".

119th Congress

Topics: Health care

Introduced:

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In plain words

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SJRES 197 would cancel the CMS rule setting 2027 operations for ACA marketplaces and the Basic Health Program, treating it as though it never took effect.

55-second read · 4 questions answered below

What does this do?

This resolution uses the to cancel a rule from the Centers for Medicare & Medicaid Services published May 20, 2026. The rule is the yearly set of instructions for how the Affordable Care Act health insurance marketplaces and related programs will run in 2027, including the Basic Health Program. If it , the rule would have no force or effect.

Who does it affect?

People who buy insurance through HealthCare.gov or state marketplaces, insurance companies that sell plans there, and states that run or are considering a Basic Health Program would be most directly affected.

Why does it matter?

The resolution does not describe what the rule contains or what would replace it, but yearly rules like this typically set details such as how plans are sold, how premiums and subsidies are calculated, and what standards insurers must meet. The also generally bars an agency from issuing a rule that is "substantially the same" without new permission from Congress.

AI-drafted summary. Check it against the official text before you act on it.

Based on the “Placed on Calendar Senate” text of Jul 14, 2026.

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Make the call

The last attempt failed: the Senate voted against taking it up, 48–51, on September 29, 2026.

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Where do you stand?

Where does it stand?

  1. IntroducedJun 17, 2026
  2. Senate committee
  3. Senate voteYou are here · Sep 29, 2026
  4. House
  5. The president's desk

Right now: the Senate has not agreed to take it up. The last motion to do so failed. If the House changes it, it goes back to the Senate before reaching the president.

Latest action: — Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 48 - 51. Record Vote Number: 251. (consideration: CR S5139-5140)

Data as of October 9, 2026

Recorded votes

Roll-call votes recorded since January 3, 2025.

  1. Senate · · Roll call 251

    As recorded

    Question
    On the S.J.Res. 197
    Result:
    Motion to Proceed Rejected
    48
    Nay
    51
    0
    1

    Republicans 1 yes, 51 no, 1 not voting · Democrats 45 yes · Independents 2 yes

    Official record
    How members voted

    The official record lists how each member voted.Official record

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