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SJRES 198 - 119

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 "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model".

Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.

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Bill Text Stats

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Analyzed sections
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Detected dollar total
0
Tax signals
0
Deadlines

Signal counts

Tax density 0.0%
Spending density 0.0%
Statutory Reference 2

Top agencies

N/A

Statutory references

5 U.S.C. 802 2

House Votes

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Timeline

Jul 16, 2026

Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.

Jun 24, 2026

Introduced in Senate

Jun 24, 2026

Read twice and referred to the Committee on Finance.

Jun 24, 2026

Senate Committee on Finance discharged, by petition, pursuant to 5 U.S.C. 802(c).

Jun 24, 2026

Senate Committee on Finance discharged, by petition, pursuant to 5 U.S.C. 802(c).

Jun 24, 2026

Placed on Senate Legislative Calendar under General Orders. Calendar No. 447.

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Healthcare
7 evidence matches
Impact 100% Confidence 90%

Health

Medicare

Health

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Summary

00 Introduced in Senate Jul 17, 2026

This joint resolution prohibits the Centers for Medicare & Medicaid Services (CMS) from testing a new Medicare payment model in certain states that involves a prior authorization process and the use of enhanced technology by third-party contractors to determine whether certain claims should be paid. Specifically, the joint resolution nullifies a notice issued by the CMS on July 1, 2025, titled Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model. (On May 12, 2026, the Government Accountability Office issued a letter of opinion stating that this notice constituted an agency rule and is therefore subject to the Congressional Review Act.) The CMS selected six states to participate in this model over a six-year period: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington. Under the model, contracted companies must process prior authorization requests (i.e., requests for coverage determinations before a service is furnished) for certain services using enhanced technology (e.g., artificial intelligence). Contracted companies are paid based on the share of resulting savings. The CMS aims to test the model's ability to produce accurate results while streamlining the prior authorization process for Medicare claims. The model is based in part on similar processes used for Medicare Advantage claims. CMS began implementing the model on January 1, 2026. This joint resolution prohibits the CMS from continuing to do so.

Sponsors

Gallego, Ruben
Cosponsor

Gallego, Ruben

Democratic · AZ-7 · G000574

Joined Jun 24, 2026
Website
N/A
Office
302 Hart Senate Office Building Washington, DC 20510
Warner, Mark R.
Cosponsor

Warner, Mark R.

Democratic · VA · W000805

Joined Jun 24, 2026
Website
N/A
Office
703 Hart Senate Office Building Washington, DC 20510

Amendments

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