S.J.Res. 198 · 119th Congress · pending

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".

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

Latest official action 2026-07-16 · Unknown

The bill, briefly

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 …

Official bill, text and votes Full source record and risk review

Congressional Research Service · 2026-06-24

Who reported lobbying on this bill?

Amount spent specifically on this bill: not disclosed

The reports below name this bill and disclose an organization’s overall lobbying expenses or a firm’s client income for the period. They can cover many bills and issues. These amounts are not payments to the bill or its politicians.

No matching lobbying report is imported yet. This is not evidence that no lobbying occurred.

2,409 latest lobbying reports imported. Some source imports are still in progress.

Politicians behind the bill

Sponsors and cosponsors from the official source, limited to members currently in office. Campaign amounts are cycle-wide and are not payments for this bill.

Sponsor

Ron Wyden

Senate · OR · Democratic

$382,070PAC receipts · 2025–2026

Cosponsor

Patty Murray

Senate · WA · Democratic

$311,200PAC receipts · 2025–2026

Cosponsor

Maria Cantwell

Senate · WA · Democratic

-$11,500PAC receipts · 2025–2026

Cosponsor

Richard Blumenthal

Senate · CT · Democratic

$109,550PAC receipts · 2025–2026

Cosponsor

Kirsten E. Gillibrand

Senate · NY · Democratic

$172,585PAC receipts · 2025–2026

Cosponsor

Ruben Gallego

Senate · AZ · Democratic

$466,961PAC receipts · 2025–2026

Cosponsor

Mark Kelly

Senate · AZ · Democratic

$53,789PAC receipts · 2025–2026

Cosponsor

Cory A. Booker

Senate · NJ · Democratic

$488,544PAC receipts · 2025–2026

Cosponsor

Edward J. Markey

Senate · MA · Democratic

$588,450PAC receipts · 2025–2026

Cosponsor

Tammy Duckworth

Senate · IL · Democratic

$154,820PAC receipts · 2025–2026

Cosponsor

Tammy Baldwin

Senate · WI · Democratic

$192,086PAC receipts · 2025–2026

Cosponsor

Andy Kim

Senate · NJ · Democratic

$71,000PAC receipts · 2025–2026

Cosponsor

Bernard Sanders

Senate · VT · Independent

-$5,000PAC receipts · 2025–2026

Cosponsor

Elizabeth Warren

Senate · MA · Democratic

$18,500PAC receipts · 2025–2026

Cosponsor

Mark R. Warner

Senate · VA · Democratic

$2,248,644PAC receipts · 2025–2026

Cosponsor

Tina Smith

Senate · MN · Democratic

-$35,500PAC receipts · 2025–2026

Cosponsor

Ben Ray Luján

Senate · NM · Democratic

$1,879,794PAC receipts · 2025–2026

Cosponsor

Jeff Merkley

Senate · OR · Democratic

$519,875PAC receipts · 2025–2026

Cosponsor

Richard J. Durbin

Senate · IL · Democratic

-$24,800PAC receipts · 2025–2026

Cosponsor

Jeanne Shaheen

Senate · NH · Democratic

-$12,050PAC receipts · 2025–2026

Cosponsor

Chris Van Hollen

Senate · MD · Democratic

$78,750PAC receipts · 2025–2026

Cosponsor

Jon Ossoff

Senate · GA · Democratic

$879,306PAC receipts · 2025–2026

21 of 21 source cosponsor records retrieved; only current officials and unwithdrawn sponsorships appear.

PAC donors to the listed sponsors

These are all-cycle contributions to the listed sponsors’ and cosponsors’ campaigns. FEC does not attribute them to this bill. A donation plus sponsorship does not establish why a politician acted.

OFF THE SIDELINES PAC$65,000

Cory A. Booker · Cosponsor · $10,000

Edward J. Markey · Cosponsor · $10,000

Mark R. Warner · Cosponsor · $10,000

Tina Smith · Cosponsor · $5,000

Ben Ray Luján · Cosponsor · $10,000

Jeff Merkley · Cosponsor · $10,000

Jon Ossoff · Cosponsor · $10,000

The bill, briefly

Who reported lobbying on this bill?

Politicians behind the bill

Ron Wyden

Patty Murray

Maria Cantwell

Richard Blumenthal

Kirsten E. Gillibrand

Ruben Gallego

Mark Kelly

Cory A. Booker

Edward J. Markey

Tammy Duckworth

Tammy Baldwin

Andy Kim

Bernard Sanders

Elizabeth Warren

Mark R. Warner

Tina Smith

Ben Ray Luján

Jeff Merkley

Richard J. Durbin

Jeanne Shaheen

Chris Van Hollen

Jon Ossoff

PAC donors to the listed sponsors

What happened after enactment?