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".

This joint resolution would nullify a June 2025 rule from the Centers for Medicare & Medicaid Services that modified enrollment and coverage requirements for health insurance exchanges. Specifically, the rule would have standardized open enrollment dates, required eligibility verification for most special enrollments, and prohibited DACA recipients from enrolling in exchange plans or state Basic Health Programs. Additionally, the rule would have prevented health insurers in the individual and small group markets from including certain sex-trait modification procedures as essential health benefits.

This resolution affects individuals seeking health insurance through exchanges, particularly Deferred Action for Childhood Arrivals (DACA) recipients and low-income residents enrolled in state Basic Health Programs. It also impacts individual and small group health insurers regarding the coverage of sex-trait modification procedures. Additionally, the Centers for Medicare & Medicaid Services and health insurance exchanges are affected by requirements concerning enrollment periods and eligibility verification processes.

• Nullification of CMS rule on health insurance exchanges. The resolution would nullify the 'Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability' rule issued by the Centers for Medicare & Medicaid Services on June 25, 2025.
• Standardization of open enrollment periods. The rule being challenged requires all health insurance exchanges to hold annual open enrollment periods starting November 1 and ending December 31.
• Verification of special enrollment eligibility. The rule mandates that exchanges perform pre-enrollment eligibility verification for at least 75% of new enrollments occurring during special enrollment periods.
• Restrictions on DACA recipient enrollment. The rule prohibits individuals in the Deferred Action for Childhood Arrivals (DACA) program from enrolling in health plans through exchanges or state Basic Health Programs.
• Limitations on essential health benefits coverage. The rule prevents health insurers in the individual and small group markets from including certain sex-trait modification procedures as part of essential health benefits.

This joint resolution utilizes the Congressional Review Act to nullify a specific rule issued by the Centers for Medicare & Medicaid Services regarding health insurance exchange enrollment and benefit requirements under the Patient Protection and Affordable Care Act. If enacted, the resolution would prevent the rule from taking effect or continuing in its current form, including its provisions related to enrollment periods, eligibility verification, and coverage for Deferred Action for Childhood Arrivals (DACA) recipients.

The joint resolution intends to nullify a rule issued by the Centers for Medicare & Medicaid Services that modified health insurance exchange enrollment periods, eligibility verification requirements, and coverage restrictions for DACA recipients and certain medical procedures.