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S.J.Res. 198
U.S. Senate•Introduced
Summary
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"”, was introduced in the Senate on Jun 24, 2026 by Sen. Ron Wyden (D) with 21 co-sponsors. It last saw action on Jul 16, 2026: Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.
Record
Text
S.J.Res. 198 has 21 co-sponsors and 1 roll call.
sjr198/placed-on-calendar-senate.txt119 SJ 198 PCS: 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”.U.S. Senate2026-06-24text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.IIA Calendar No. 447 119th CONGRESS 2d Session S. J. RES. 198 IN THE SENATE OF THE UNITED STATES June 24, 2026 Mr. Wyden (for himself, Mrs. Murray , Ms. Cantwell , Mr. Blumenthal , Mrs. Gillibrand , Mr. Gallego , Mr. Kelly , Mr. Booker , Mr. Markey , Ms. Duckworth , Ms. Baldwin , Mr. Kim , Mr. Sanders , Ms. Warren , Mr. Warner , Ms. Smith , Mr. Luján , Mr. Merkley , Mr. Durbin , and Mrs. Shaheen ) introduced the following joint resolution; which was read twice and referred to the Committee on Finance June 24, 2026 Committee discharged, by petition, pursuant to 5 U.S.C. 802(c) , and placed on the calendar JOINT RESOLUTIONProviding 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 .That Congress disapproves 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 (published on July 1, 2025, and a letter of opinion from the Government Accountability Office dated May 12, 2026, printed in the Congressional Record on May 14, 2026, on pages S2299–S2302, concluding that such Notice is a rule under chapter 8 of title 5, United States Code), and such rule shall have no force or effect.June 24, 2026 Committee discharged, by petition, pursuant to 5 U.S.C. 802(c) , and placed on the calendar
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2026-06-24
- Passed Senate
- Passed House
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in Senate Jun 24, 2026
sjr198/introduced-in-senate.mdShown Here:
Introduced in Senate (06/24/2026)
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.
Sponsors
Sen. Ron Wyden (D) sponsors S.J.Res. 198, and 21 members have co-sponsored it, 19 of them from the day it was introduced.

Sen. · D–OR · Sponsor
Introduced Jun 24, 2026

Sen. · D–WI · Co-sponsor
Joined Jun 24, 2026 · Original

Sen. · D–CT · Co-sponsor
Joined Jun 24, 2026 · Original

Sen. · D–NJ · Co-sponsor
Joined Jun 24, 2026 · Original

Sen. · D–WA · Co-sponsor
Joined Jun 24, 2026 · Original

Sen. · D–IL · Co-sponsor
Joined Jun 24, 2026 · Original

Sen. · D–IL · Co-sponsor
Joined Jun 24, 2026 · Original

Sen. · D–AZ · Co-sponsor
Joined Jun 24, 2026 · Original

Sen. · D–NY · Co-sponsor
Joined Jun 24, 2026 · Original

Sen. · D–AZ · Co-sponsor
Joined Jun 24, 2026 · Original
Committees
S.J.Res. 198 went before 1 committee: Finance.
Actions
S.J.Res. 198 has taken 5 actions since Jun 24, 2026, the latest on Jul 16, 2026.
| Chamber | Action | |||
|---|---|---|---|---|
Jul 16, 2026 | Senate | Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.Senate roll call 199 46–50 | ||
Jun 24, 2026 | Senate | Read twice and referred to the Committee on Finance.Finance Committee | ||
Jun 24, 2026 | Senate | Senate Committee on Finance discharged, by petition, pursuant to 5 U.S.C. 802(c).Finance Committee | ||
Jun 24, 2026 | Senate | Placed on Senate Legislative Calendar under General Orders. Calendar No. 447. | ||
Jun 24, 2026 | — | Introduced in Senate |
Votes
S.J.Res. 198 went to 1 roll call in the Senate, the latest on Jul 16, 2026 at 46–50.
| Chamber | Question | Yea | Nay | |||
|---|---|---|---|---|---|---|
Jul 16, 2026 | Senate | On the Motion to Proceed | 46 | 50 |
Related bills
2 bills are related to S.J.Res. 198.
HJRES 187Providing 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".May 19, 2026 · Referred to the Committee on Ways and Means, and in addition to the Committee o… · Identical bill
SJRES 192A 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".Jun 9, 2026 · Placed on Senate Legislative Calendar under General Orders. Calendar No. 431. · Identical billTitles
S.J.Res. 198 goes by 2 titles.
- 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". — Display 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 & 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 as Introduced
Lobbying
1 client hired 1 firm and 6 registered lobbyists who named S.J.Res. 198 in 1 quarterly filing, 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Agriculture, Budget/Appropriations, Civil Rights/Civil Liberties, Education, Financial Institutions/Investments/Securities, Firearms/Guns/Ammunition, Government Issues, Health Issues.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN FEDERATION OF TEACHERS | — | District of Columbia | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICAN FEDERATION OF TEACHERS | 1 | 1 | — |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| EARL HADLEY | 1 | 1 | 1 |
| JENNIFER SCULLY | 1 | 1 | 1 |
| KRISTOR COWAN | 1 | 1 | 1 |
| MAEVE KLINE | 1 | 1 | 1 |
| MEGAN STOCKHAUSEN | 1 | 1 | 1 |
| SARAH COHEN | 1 | 1 | 1 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN FEDERATION OF TEACHERS | AMERICAN FEDERATION OF TEACHERS | 2026 second_quarter | $410K | 2nd Quarter - Report |
Classification
The Congressional Research Service files S.J.Res. 198 under Health, one of its 31 policy areas, and gives it 4 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; S.J.Res. 198’s is Health.
sjres198/policy-areas.txtLegislative Subjects
S.J.Res. 198 carries 4 of CRS’s legislative subjects, from Administrative law and regulatory procedures to Medicare.
sjres198/subjects.txtSource: congress.gov · legiscan.com