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".
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
65pct
22d open
vs 221 other SJRES bills in the 119th — cohort avg 24d
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.
Yes
46
No
50
Present
0
Not Voting
4
Party Breakdown
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (4)
2026 · third_quarter · Health Issues
S.J.Res 198 Congressional Review Act resolution to end Medicare's Wasteful and Inappropriate Service Reduction program HR 8347 RURAL Healthcare Act
Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.
SenatePlaced on Senate Legislative Calendar under General Orders. Calendar No. 447.
Senate Committee on Finance discharged, by petition, pursuant to 5 U.S.C. 802(c).
Senate Committee on Finance discharged, by petition, pursuant to 5 U.S.C. 802(c).
Read twice and referred to the Committee on Finance.
Introduced in Senate
Bills with similar content found using semantic analysis.
Sources: Congress.gov · House Clerk roll-call votes
| #199 | senate | On the Motion to Proceed | Rejected | July 16, 2026 |
Client expense: $670,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Health Issues
H.R. 10373 Protecting Wages from Medical Debt Act Centers for Medicare & Medicaid Services proposed rule detailing the process and timeline for terminating Medicare coverage for many noncitizens, CMS-1848-P Pharmaceutical pricing policy H.R.3069/S.1506, Medicare for All Medicaid Program; Community Engagement Requirement for Certain Individuals - RIN 0938-AV98, CMS-2454-IFC S.4804/H.R.9910 Health Over Wealth Act S.5066 Health Equity and Accountability Act H.R.9962/S.5134 Green New Deal for Health S.5037 MediKids Act Monitor the following: S.J.Res.198 and S.J.Res.192 Congressional Review Act resolution, CMSs Wasteful and Inappropriate Service Reduction (WISeR) model S.4086/H.R.8310, Patient Safety and Whistleblower Protections Act H.R.8484/ S.4357Hazard Pay for Healthcare Heroes Act Fund health care over attacks on immigrants and communities H.R.7985, CHATBOT Act H.R.7858 Data Center Community Impact Act H.R.6984, The Data Center Transparency Act S.4085, Taking Back Our Hospitals Act Healthcare funding H-1B fees and the healthcare workforce U.S. Vaccine schedule Private equity and healthcare S.3480, SMARTER Care Act H.R.6361, Ban AI Denials in Medicare Act S.3323, Family Vaccine Protection Act Discharge Petition No: 119-10, related to a three-year extension of the ACA tax credits H.R.6703, the Lower Health Care Premiums for All Americans Act S.1562/H.R.1197, PREEMIE Reauthorization Act S.2621/H.R.1909, Preventing Maternal Deaths Reauthorization Act Repeal healthcare provisions of H.R.1, One Big Beautiful Bill Act H.R.5557, Mental Health Services for Students Act S.2556/H.R.4849, Protecting Health Care and Lowering Costs Act Preserve the United States Preventive Services Task Force H.R.1197/S.1562, PREEMIE Reauthorization Act S.2621, Preventing Maternal Deaths Act Nurse Staffing Standards for Hospital Patent Safety and Quality Care Act Public Law 119-21, To provide for reconciliation pursuant to title II of H. Con. Res. 14, Healthcare related provisions. Medicaid, Medicare, ACA cuts H.R.4253, Expanding Access to Mental Health Services in Schools Act H.R.3907/S.2024, ENROLL Act Stop Medical Profiteering and Theft Act Justice Department anticompetitive regulations related issues H.R.3063, Rural Hospital Stabilization Act H.R.3262, NURSE Act Restructuring of the Department of Health and Human Services H.R.593, Strengthening Pathways to Health Professions Act Healthcare workforce issues Funding for SUNY Downstate hospital Impact of private equity on healthcare Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Rural healthcare and hospital workforce challenges and related issues Supporting investments in school-based mental health professionals Healthcare high school apprenticeships Artificial Intelligence, Healthcare related issues Medicare drug negotiation program PBM reform Reauthorization of healthcare workforce programs Medicaid DSH Payments, Hospital funding formula Student Loan Forgiveness for Frontline Health Workers Affordability of pharmaceuticals, generally Telehealth issues Mental health supports for educators Workplace Violence Prevention for Health Care and Social Service Worker Act Workplace violence related issues Health Worker Shortage/Staffing Crisis Funding for Medicare low-income outreach and enrollment efforts Prevention and Public Health Fund related issues Healthcare cybersecurity related issues Safe staffing levels Department of Health and Human Services, WiSER model H.R.1834, Breaking the Gridlock Act, ACA Tax Credits Healthcare Affordability
Client expense: $420,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
H.R. 2102 Major Richard Star Act H.R. 2199 - Restore Protections for Dialysis Patients Act H.R. 4710 No Surprises Act Enforcement Act H.R. 8347, the Reinforcing Underserved, Rural, and Local (RURAL) Healthcare Act H.R. 9237 Take Care of Americas Veterans Act Hearing: Less Red Tape, More Opportunity: Unleashing American Workers and Job Creators Rep. Dingell heat safety letter and legislation S. 1032 Major Richard Star Act S. 2355 - Patients Deserve Price Tags Act S. 2420 - No Surprises Act Enforcement Act S. 4378 - Protecting American Taxpayers Act S. 4744 Take Care of Americas Veterans Act S.2420 No Surprises Act Enforcement Act S.4189 - INSULIN Act S.4742 - AI DATA Act S.J.Res. 198 to end WISeR demonstration program in Medicare S.J.Res.197 - CRA resolution to halt HHS ACA rule S.J.Res.198 - CRA resolution to halt the Wasteful and Inappropriate Service Reduction program Toxic Substance Control Act- Draft bills
Client expense: $920,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Medicare/Medicaid
Issues related to the Centers for Medicare and Medicaid Services. Issues related to Medicare Advantage. S.1506 Medicare for All Act - in support. H.R.3069 - Medicare for All Act - in support. Issues related to the Wasteful and Inappropriate Service Reduction Model. S.J.Res.198 - 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". - in support.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Medicare/Medicaid
S.1506 Medicare for All Act - in support. H.R.3069 - Medicare for All Act - in support. Issues related to the Centers for Medicare and Medicaid Services. Issues related to Medicare Advantage. S.1105 - No UPCODE Act - in support. Issues related to the Wasteful and Inappropriate Service Reduction Model. S.J.Res.198 - 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". - in support.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Health Issues
S.J.Res.198 and S.J.Res.192 Congressional Review Act resolution, CMSs Wasteful and Inappropriate Service Reduction (WISeR) model S.4086/H.R.8310, Patient Safety and Whistleblower Protections Act H.R.8484/ S.4357Hazard Pay for Healthcare Heroes Act Fund health care over attacks on immigrants and communities Monitor the following: H.R.7985, CHATBOT Act H.R.7858 Data Center Community Impact Act H.R.6984, The Data Center Transparency Act S.4085, Taking Back Our Hospitals Act Healthcare funding H-1B fees and the healthcare workforce U.S. Vaccine schedule Private equity and healthcare S.3480, SMARTER Care Act H.R.6361, Ban AI Denials in Medicare Act S.3323, Family Vaccine Protection Act Discharge Petition No: 119-10, related to a three-year extension of the ACA tax credits H.R.6703, the Lower Health Care Premiums for All Americans Act S.1562/H.R.1197, PREEMIE Reauthorization Act S.2621/H.R.1909, Preventing Maternal Deaths Reauthorization Act Repeal healthcare provisions of H.R.1, One Big Beautiful Bill Act H.R.5557, Mental Health Services for Students Act S.2556/H.R.4849, Protecting Health Care and Lowering Costs Act Preserve the United States Preventive Services Task Force H.R.1197/S.1562, PREEMIE Reauthorization Act S.2621, Preventing Maternal Deaths Act Nurse Staffing Standards for Hospital Patent Safety and Quality Care Act Public Law 119-21, To provide for reconciliation pursuant to title II of H. Con. Res. 14, Healthcare related provisions. Medicaid, Medicare, ACA cuts H.R.4253, Expanding Access to Mental Health Services in Schools Act H.R.3907/S.2024, ENROLL Act Stop Medical Profiteering and Theft Act Justice Department anticompetitive regulations related issues H.R.3063, Rural Hospital Stabilization Act H.R.3262, NURSE Act Restructuring of the Department of Health and Human Services H.R.593, Strengthening Pathways to Health Professions Act Healthcare workforce issues Funding for SUNY Downstate hospital Impact of private equity on healthcare Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Rural healthcare and hospital workforce challenges and related issues Supporting investments in school-based mental health professionals Healthcare high school apprenticeships Artificial Intelligence, Healthcare related issues Medicare drug negotiation program PBM reform Reauthorization of healthcare workforce programs Medicaid DSH Payments, Hospital funding formula Student Loan Forgiveness for Frontline Health Workers Affordability of pharmaceuticals, generally Telehealth issues Mental health supports for educators Workplace Violence Prevention for Health Care and Social Service Worker Act Workplace violence related issues Health Worker Shortage/Staffing Crisis Funding for Medicare low-income outreach and enrollment efforts Prevention and Public Health Fund related issues Healthcare cybersecurity related issues Safe staffing levels Department of Health and Human Services, WiSER model H.R.1834, Breaking the Gridlock Act, ACA Tax Credits Healthcare Affordability
| Democratic |
| MD |
| Cory A. Booker | Democratic | NJ |
| Edward J. Markey | Democratic | MA |
| Elizabeth Warren | Democratic | MA |
| Jeanne Shaheen | Democratic | NH |
| Jeff Merkley | Democratic | OR |
| Jon Ossoff | Democratic | GA |
| Kirsten E. Gillibrand | Democratic | NY |
| Maria Cantwell | Democratic | WA |
| Mark Kelly | Democratic | AZ |
| Mark R. Warner | Democratic | VA |
| Patty Murray | Democratic | WA |
| Richard Blumenthal | Democratic | CT |
| Richard J. Durbin | Democratic | IL |
| Ruben Gallego | Democratic | AZ |
| Tammy Baldwin | Democratic | WI |
| Tammy Duckworth | Democratic | IL |
| Tina Smith | Democratic | MN |
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE