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    <updateDate>2026-01-15T16:06:27Z</updateDate>
    <updateDateIncludingText>2026-01-15T16:06:27Z</updateDateIncludingText>
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        <chamber>Senate</chamber>
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        <title>Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare &amp; Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".</title>
        <congress>119</congress>
        <number>123</number>
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          <actionDate>2025-09-17</actionDate>
          <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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>
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        <actionDate>2026-01-13</actionDate>
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          <name>Senate</name>
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        <text>Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.</text>
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          <recordedVote>
            <rollNumber>8</rollNumber>
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            <sessionNumber>2</sessionNumber>
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          <name>Senate</name>
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        <text>Motion to proceed to consideration of measure made in Senate. (consideration: CR S147-157; text: CR S147)</text>
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        <actionDate>2025-12-09</actionDate>
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          <name>Senate</name>
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        <text>Placed on Senate Legislative Calendar under General Orders. Calendar No. 293.</text>
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        <actionDate>2025-12-09</actionDate>
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        <text>Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).</text>
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        <actionDate>2025-12-09</actionDate>
        <text>Senate Committee on Health, Education, Labor, and Pensions discharged, by petition, pursuant to 5 U.S.C. 802(c).</text>
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        <text>Read twice and referred to the Committee on Health, Education, Labor, and Pensions.</text>
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        <actionDate>2025-09-30</actionDate>
        <text>Introduced in Senate</text>
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        <fullName>Sen. Warner, Mark R. [D-VA]</fullName>
        <firstName>Mark</firstName>
        <lastName>Warner</lastName>
        <party>D</party>
        <state>VA</state>
        <middleName>R.</middleName>
        <isByRequest>N</isByRequest>
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        <fullName>Sen. Ossoff, Jon [D-GA]</fullName>
        <firstName>Jon</firstName>
        <lastName>Ossoff</lastName>
        <party>D</party>
        <state>GA</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>W000779</bioguideId>
        <fullName>Sen. Wyden, Ron [D-OR]</fullName>
        <firstName>Ron</firstName>
        <lastName>Wyden</lastName>
        <party>D</party>
        <state>OR</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Schumer, Charles E. [D-NY]</fullName>
        <firstName>Charles</firstName>
        <lastName>Schumer</lastName>
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        <state>NY</state>
        <middleName>E.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>A000382</bioguideId>
        <fullName>Sen. Alsobrooks, Angela D. [D-MD]</fullName>
        <firstName>Angela</firstName>
        <lastName>Alsobrooks</lastName>
        <party>D</party>
        <state>MD</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>B001230</bioguideId>
        <fullName>Sen. Baldwin, Tammy [D-WI]</fullName>
        <firstName>Tammy</firstName>
        <lastName>Baldwin</lastName>
        <party>D</party>
        <state>WI</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>B001267</bioguideId>
        <fullName>Sen. Bennet, Michael F. [D-CO]</fullName>
        <firstName>Michael</firstName>
        <lastName>Bennet</lastName>
        <party>D</party>
        <state>CO</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>B001277</bioguideId>
        <fullName>Sen. Blumenthal, Richard [D-CT]</fullName>
        <firstName>Richard</firstName>
        <lastName>Blumenthal</lastName>
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        <state>CT</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>B001303</bioguideId>
        <fullName>Sen. Blunt Rochester, Lisa [D-DE]</fullName>
        <firstName>Lisa</firstName>
        <lastName>Blunt Rochester</lastName>
        <party>D</party>
        <state>DE</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001288</bioguideId>
        <fullName>Sen. Booker, Cory A. [D-NJ]</fullName>
        <firstName>Cory</firstName>
        <lastName>Booker</lastName>
        <party>D</party>
        <state>NJ</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>C001088</bioguideId>
        <fullName>Sen. Coons, Christopher A. [D-DE]</fullName>
        <firstName>Christopher</firstName>
        <lastName>Coons</lastName>
        <party>D</party>
        <state>DE</state>
        <middleName>A.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
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        <bioguideId>C001113</bioguideId>
        <fullName>Sen. Cortez Masto, Catherine [D-NV]</fullName>
        <firstName>Catherine</firstName>
        <lastName>Cortez Masto</lastName>
        <party>D</party>
        <state>NV</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000622</bioguideId>
        <fullName>Sen. Duckworth, Tammy [D-IL]</fullName>
        <firstName>Tammy</firstName>
        <lastName>Duckworth</lastName>
        <party>D</party>
        <state>IL</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000563</bioguideId>
        <fullName>Sen. Durbin, Richard J. [D-IL]</fullName>
        <firstName>Richard</firstName>
        <lastName>Durbin</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>J.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000574</bioguideId>
        <fullName>Sen. Gallego, Ruben [D-AZ]</fullName>
        <firstName>Ruben</firstName>
        <lastName>Gallego</lastName>
        <party>D</party>
        <state>AZ</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000555</bioguideId>
        <fullName>Sen. Gillibrand, Kirsten E. [D-NY]</fullName>
        <firstName>Kirsten</firstName>
        <lastName>Gillibrand</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>E.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001076</bioguideId>
        <fullName>Sen. Hassan, Margaret Wood [D-NH]</fullName>
        <firstName>Maggie</firstName>
        <lastName>Hassan</lastName>
        <party>D</party>
        <state>NH</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001046</bioguideId>
        <fullName>Sen. Heinrich, Martin [D-NM]</fullName>
        <firstName>Martin</firstName>
        <lastName>Heinrich</lastName>
        <party>D</party>
        <state>NM</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H000273</bioguideId>
        <fullName>Sen. Hickenlooper, John W. [D-CO]</fullName>
        <firstName>John</firstName>
        <lastName>Hickenlooper</lastName>
        <party>D</party>
        <state>CO</state>
        <middleName>W.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001042</bioguideId>
        <fullName>Sen. Hirono, Mazie K. [D-HI]</fullName>
        <firstName>Mazie</firstName>
        <lastName>Hirono</lastName>
        <party>D</party>
        <state>HI</state>
        <middleName>K.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000384</bioguideId>
        <fullName>Sen. Kaine, Tim [D-VA]</fullName>
        <firstName>Timothy</firstName>
        <lastName>Kaine</lastName>
        <party>D</party>
        <state>VA</state>
        <middleName>M.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000394</bioguideId>
        <fullName>Sen. Kim, Andy [D-NJ]</fullName>
        <firstName>Andy</firstName>
        <lastName>Kim</lastName>
        <party>D</party>
        <state>NJ</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000383</bioguideId>
        <fullName>Sen. King, Angus S., Jr. [I-ME]</fullName>
        <firstName>Angus</firstName>
        <lastName>King</lastName>
        <party>I</party>
        <state>ME</state>
        <middleName>S.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000367</bioguideId>
        <fullName>Sen. Klobuchar, Amy [D-MN]</fullName>
        <firstName>Amy</firstName>
        <lastName>Klobuchar</lastName>
        <party>D</party>
        <state>MN</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
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        <bioguideId>L000570</bioguideId>
        <fullName>Sen. Luján, Ben Ray [D-NM]</fullName>
        <firstName>Ben</firstName>
        <lastName>Luján</lastName>
        <party>D</party>
        <state>NM</state>
        <middleName>R.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
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        <bioguideId>M000133</bioguideId>
        <fullName>Sen. Markey, Edward J. [D-MA]</fullName>
        <firstName>Edward</firstName>
        <lastName>Markey</lastName>
        <party>D</party>
        <state>MA</state>
        <middleName>J.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>M001176</bioguideId>
        <fullName>Sen. Merkley, Jeff [D-OR]</fullName>
        <firstName>Jeff</firstName>
        <lastName>Merkley</lastName>
        <party>D</party>
        <state>OR</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001111</bioguideId>
        <fullName>Sen. Murray, Patty [D-WA]</fullName>
        <firstName>Patty</firstName>
        <lastName>Murray</lastName>
        <party>D</party>
        <state>WA</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
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        <bioguideId>P000145</bioguideId>
        <fullName>Sen. Padilla, Alex [D-CA]</fullName>
        <firstName>Alex</firstName>
        <lastName>Padilla</lastName>
        <party>D</party>
        <state>CA</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>R000122</bioguideId>
        <fullName>Sen. Reed, Jack [D-RI]</fullName>
        <firstName>John</firstName>
        <lastName>Reed</lastName>
        <party>D</party>
        <state>RI</state>
        <middleName>F.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>R000608</bioguideId>
        <fullName>Sen. Rosen, Jacky [D-NV]</fullName>
        <firstName>Jacky</firstName>
        <lastName>Rosen</lastName>
        <party>D</party>
        <state>NV</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000033</bioguideId>
        <fullName>Sen. Sanders, Bernard [I-VT]</fullName>
        <firstName>Bernie</firstName>
        <lastName>Sanders</lastName>
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        <state>VT</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
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        <bioguideId>S001194</bioguideId>
        <fullName>Sen. Schatz, Brian [D-HI]</fullName>
        <firstName>Brian</firstName>
        <lastName>Schatz</lastName>
        <party>D</party>
        <state>HI</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Schiff, Adam B. [D-CA]</fullName>
        <firstName>Adam</firstName>
        <lastName>Schiff</lastName>
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        <state>CA</state>
        <middleName>B.</middleName>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Shaheen, Jeanne [D-NH]</fullName>
        <firstName>Jeanne</firstName>
        <lastName>Shaheen</lastName>
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        <state>NH</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>S001208</bioguideId>
        <fullName>Sen. Slotkin, Elissa [D-MI]</fullName>
        <firstName>Elissa</firstName>
        <lastName>Slotkin</lastName>
        <party>D</party>
        <state>MI</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>S001203</bioguideId>
        <fullName>Sen. Smith, Tina [D-MN]</fullName>
        <firstName>Tina</firstName>
        <lastName>Smith</lastName>
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        <state>MN</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Van Hollen, Chris [D-MD]</fullName>
        <firstName>Chris</firstName>
        <lastName>Van Hollen</lastName>
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        <state>MD</state>
        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Warnock, Raphael G. [D-GA]</fullName>
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        <state>GA</state>
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        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Warren, Elizabeth [D-MA]</fullName>
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        <middleName>A.</middleName>
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        <bioguideId>W000800</bioguideId>
        <fullName>Sen. Welch, Peter [D-VT]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
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        <bioguideId>W000802</bioguideId>
        <fullName>Sen. Whitehouse, Sheldon [D-RI]</fullName>
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        <lastName>Whitehouse</lastName>
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        <sponsorshipDate>2025-09-30</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <fullName>Sen. Peters, Gary C. [D-MI]</fullName>
        <firstName>Gary</firstName>
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        <state>MI</state>
        <sponsorshipDate>2025-10-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <fullName>Sen. Cantwell, Maria [D-WA]</fullName>
        <firstName>Maria</firstName>
        <lastName>Cantwell</lastName>
        <party>D</party>
        <state>WA</state>
        <sponsorshipDate>2026-01-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
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          <name>Administrative law and regulatory procedures</name>
          <updateDate>2026-01-14T15:33:20Z</updateDate>
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        <item>
          <name>Border security and unlawful immigration</name>
          <updateDate>2026-01-14T15:34:03Z</updateDate>
        </item>
        <item>
          <name>Congressional oversight</name>
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        </item>
        <item>
          <name>Department of Health and Human Services</name>
          <updateDate>2026-01-14T15:33:32Z</updateDate>
        </item>
        <item>
          <name>Drug therapy</name>
          <updateDate>2026-01-14T15:33:56Z</updateDate>
        </item>
        <item>
          <name>Health care costs and insurance</name>
          <updateDate>2026-01-14T15:33:44Z</updateDate>
        </item>
        <item>
          <name>Health care coverage and access</name>
          <updateDate>2026-01-14T15:33:59Z</updateDate>
        </item>
        <item>
          <name>Immigrant health and welfare</name>
          <updateDate>2026-01-14T15:34:07Z</updateDate>
        </item>
        <item>
          <name>Sex, gender, sexual orientation discrimination</name>
          <updateDate>2026-01-14T15:33:52Z</updateDate>
        </item>
        <item>
          <name>Surgery and anesthesia</name>
          <updateDate>2026-01-14T15:33:48Z</updateDate>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
        <updateDate>2025-11-18T18:54:22Z</updateDate>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2025-09-30</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2026-01-13T17:45:13Z</updateDate>
        <cdata>
          <text>&lt;p&gt;This joint resolution nullifies the rule titled &lt;em&gt;Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability&lt;/em&gt;, which was issued by the Centers for Medicare &amp;amp; Medicaid Services on June 25, 2025.&amp;nbsp;&lt;/p&gt;&lt;p&gt;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).&lt;/p&gt;&lt;p&gt;The rule also prohibits individual and small group health insurers from covering certain sex-trait modification procedures as an essential health benefit.&lt;/p&gt;</text>
        </cdata>
      </summary>
    </summaries>
    <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 &amp; Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <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 &amp; Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".</title>
        <updateDate>2026-01-15T11:56:24Z</updateDate>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <titleTypeCode>6</titleTypeCode>
        <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 &amp; Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".</title>
        <updateDate>2026-01-15T11:56:24Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Placed on Calendar Senate</type>
        <date>2025-12-09T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-119sjres84pcs/xml/BILLS-119sjres84pcs.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Introduced in Senate</type>
        <date>2025-09-30T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-119sjres84is/xml/BILLS-119sjres84is.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2026-01-13</actionDate>
      <text>Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 47 - 52. Record Vote Number: 8.</text>
    </latestAction>
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    <dc:rights>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.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>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.</dc:description>
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