Who it affects
- People applying for marketplace health insurance
- Deferred Action for Childhood Arrivals (DACA) recipients
- Individual and small-group health insurers
- State Basic Health Programs
Stalled in the SenateOverturns a ruleHealth careInsurance
Health insurance enrollment and coverage rule
S.J.Res. 84 · Resolution · Introduced Sept. 30, 2025
This bill would cancel a federal rule on health insurance enrollment and coverage affecting marketplace applicants, DACA recipients, and certain insurers.
At a glance
Where it stands
A Senate vote to start debate failed 47 to 52 on Jan. 13.
How South Carolina voted
Lobbying and money
1 groups lobbied on it: trade group.
No matched campaign money to members who voted.
See who gave to whom ↓What it would do
- This bill would cancel a federal health insurance rule issued on June 25, 2025.
- The rule requires all marketplace open enrollment to start by November 1 and end by December 31 each year.
- It requires eligibility checks before enrollment for at least 75% of new sign-ups during special enrollment periods.
- It bars DACA recipients from marketplace plans and state Basic Health Programs for certain low-income residents.
- It bars individual and small-group insurers from covering certain procedures changing sex characteristics as required basic health benefits.
Written with AI from the official summary by Congress's research office.
How South Carolina voted
Senate vote
Vote to start debate
Jan. 13, 2026 · Rejected 47 to 52
- Republicans
- 0 yes
- 52 no
- Democrats
- 45 yes
- 0 no
- Independents
- 2 yes
- 0 no
Groups that lobbied on it and gave to SC's members
PAC, lobbyist campaign and qualifying employee money this election, shown separately and never added together. Lobbying reports name the bills a group worked on, not which side it took.
No campaign money matched to SC members who voted on this bill.
See all groups, by member
Members without a final recorded vote are grayed out and excluded from totals. Events and honors are not campaign money and aren't included. Matches use exact organization names.
| Organization | Darline GrahamNo vote | Lindsey GrahamNo | Tim ScottNo | Jim ClyburnNo vote | Joe WilsonNo vote | Nancy MaceNo vote | Ralph NormanNo vote | Russell FryNo vote | Sheri BiggsNo vote | William TimmonsNo vote | Members |
|---|
Official record
Official title, sponsor and status
- 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 relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".
- Sponsor
- Sen. Warner, Mark R. (D-VA)
- Introduced
- Sept. 30, 2025
- Cosponsors
- 43
- Committees
- Senate Health, Education, Labor, and Pensions Committee
- Latest action
- Jan. 13, 2026 · Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.
Official summary from the Congressional Research Service
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.
Summary on Congress.gov ↗Everyone who lobbied on this bill (1 groups)
1 reports. Fees cover each report's whole lobbying effort, not just this bill.
Businesses and trade groups (1)
- American Medical Association ↗Health · 1 report
Labor unions (0)
None.
Advocacy groups and nonprofits (0)
None.
Not classified (0)
None.
Lobbying firms (1)
- American Medical Association ↗Health · 1 report
We sorted these groups by name and industry. The labels are ours, not legal categories.