119th Congress · introduced in the Senate · Jun 24, 2026
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".
Official title from Congress.gov
Latest action (Jul 16, 2026): Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in Senate (Jun 24, 2026)
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.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
Senate · Jul 16, 2026 · Roll call 199 · Motion to Proceed Rejected
Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199. Roll call details
Placed 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
Actions from Congress.gov, newest first.
Administrative law and regulatory procedures · Congressional oversight · Department of Health and Human Services · Medicare
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
2 citations.
SOCIAL SECURITY WORKS · lobbying firm or registrant: PORT SIDE STRATEGIES, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
…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…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
CENTER FOR HEALTH AND DEMOCRACY · lobbying firm or registrant: PORT SIDE STRATEGIES, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$20,000
Paid to lobbying firm
…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…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing