# What This Bill Actually Does

Congress is trying to block a new rule that the Centers for Medicare & Medicaid Services (the government agency that runs Medicare and oversees the health insurance marketplaces) created in June 2025. This rule was designed to protect the integrity and affordability of the health insurance marketplaces—the places where people shop for coverage, especially those who don't get insurance through their employer.

If this bill passes, the new rule would be completely wiped out and wouldn't be allowed to take effect. That means whatever protections or changes that rule was supposed to put in place would simply disappear. The bill doesn't explain what specific changes the rule made, so it's hard to know exactly what would be lost, but it likely involved things like preventing fraud in the marketplace, making sure insurance plans are priced fairly, or protecting consumers from scams.

This is a pretty significant move because it's Congress essentially saying "we don't want this rule to exist." The people most affected would be anyone who buys health insurance through the marketplace—whether they're self-employed, work for a small business, or are between jobs. If the rule contained consumer protections or affordability measures, losing it could mean less oversight of insurance companies and potentially fewer safeguards for everyday people shopping for coverage. On the flip side, supporters of blocking the rule might argue it removes unnecessary regulations that could have driven up costs or limited insurance options.

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".

Sykes, Emilia Strong

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 &amp; Medicaid Services on June 25, 2025.&nbsp;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.