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".

3.0.0 187 2026-08-21T08:06:05Z 2026-08-21T08:06:05Z House H HJRES 2026-05-19 119 https://www.congress.gov/bill/119th-congress/house-joint-resolution/187 [Congressional Record Volume 172, Number 85 (Tuesday, May 19, 2026)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. LANDSMAN:H.J. Res. 187.Congress has the power to enact this legislation pursuantto the following:United States Constitution Article 1 Section 8[Page H3628]]]> hsif00 Energy and Commerce Committee House Standing Referred To 2026-05-19T16:04:30Z hswm00 Ways and Means Committee House Standing Referred To 2026-05-19T16:04:25Z 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". 119 192 SJRES 2026-06-09 Placed on Senate Legislative Calendar under General Orders. Calendar No. 431. Identical bill CRS 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". 119 198 SJRES 2026-07-16 Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199. Identical bill CRS 2026-05-19 Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2026-05-19 Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2026-05-19 Introduced in House IntroReferral Intro-H 9 Library of Congress 2026-05-19 Introduced in House IntroReferral 1000 9 Library of Congress L000601 Rep. Landsman, Greg [D-OH-1] Greg Landsman D OH 1 N D000617 Rep. DelBene, Suzan K. [D-WA-1] Suzan DelBene D WA K. 1 2026-05-19 True N000147 Del. Norton, Eleanor Holmes [D-DC-At Large] Eleanor Norton D DC Holmes 0 2026-06-08 False C001068 Rep. Cohen, Steve [D-TN-9] Steve Cohen D TN 9 2026-06-08 False J000298 Rep. Jayapal, Pramila [D-WA-7] Pramila Jayapal D WA 7 2026-06-09 False W000187 Rep. Waters, Maxine [D-CA-43] Maxine Waters D CA 43 2026-06-23 False C001066 Rep. Castor, Kathy [D-FL-14] Kathy Castor D FL 14 2026-06-23 False G000606 Rep. Grijalva, Adelita S. [D-AZ-7] Adelita Grijalva D AZ S. 7 2026-07-06 False S000510 Rep. Smith, Adam [D-WA-9] Adam Smith D WA 9 2026-07-27 False R000621 Rep. Randall, Emily [D-WA-6] Emily Randall D WA 6 2026-08-20 False Health Health 2026-06-22T13:42:02Z

00 2026-05-19 Introduced in House 2026-07-17T19:27:40Z 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.

]]>

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". Display Title 45 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". 2026-07-17T23:57:41Z Official Title as Introduced 6 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". 2026-07-17T23:57:41Z Introduced in House IH Introduced in House 2026-05-19T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-119hjres187ih/xml/BILLS-119hjres187ih.xml 2026-05-19 Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.