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".

What this measure contains

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.

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Bill text and versions

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• Placed on Calendar Senate · Official document ↗· Jun 24, 2026

Legislative path

Each stage below is a House or Senate floor decision: every recorded roll call on this measure, plus passage by voice vote or unanimous consent, which records no individual votes. Each stage shows the latest version published before that day; the chamber may have voted on an amended text. Roll calls name every member. A member's row follows their votes, and a highlighted vote marks where they voted for advancing the measure at one stage and against it at another (passage, cloture, motions to proceed, agreeing to the other chamber's version). Amendments and motions such as recommit or table don't count as a change, because an aye there isn't a vote for the measure.

1. Placed on Calendar Senate

Companion measures: H.J.Res. 187, S.J.Res. 192. A companion follows its own path; its votes are not combined with this one.

Decision stages

1. Jul 16, 2026 · Senate

   Senate motion to proceed on Placed on Calendar Senate: Motion to Proceed Rejected

   46 aye · 50 no · 4 not voting · Source roll call

Senate members along the path

Aye yea or aye · No nay or no · Present · NV not voting · Changed reversed on advancing the measure

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Legislative history

1. Jun 24, 2026

   Introduced in Senate

2. Jun 24, 2026

   Read twice and referred to the Committee on Finance.

3. Jun 24, 2026

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

4. Jun 24, 2026

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

5. Jul 16, 2026

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

Bill sponsors