ASO • A Safe Out

January 13, 2026 · Senate · Vote 8

Overturn the ACA Marketplace Integrity rule (Warner)

Senate Joint Resolution, S.J.Res. 84

What it did

S.J.Res. 84, sponsored by Sen. Mark Warner (D-VA), uses the Congressional Review Act to overturn the Centers for Medicare and Medicaid Services (CMS) Marketplace Integrity and Affordability rule of June 2025. The rule shortens the federal marketplace open-enrollment window to November 1 through December 15 starting in 2027, adds income-verification paperwork, and tightens special enrollment.

CMS's own analysis projected that 725,000 to 1.8 million people would lose coverage as a result, families with children among them. A yes vote would have started Senate debate on the repeal.

A no vote kept the Senate from even considering it.

The Senate blocked debate 47-52 on January 13, 2026.

Result: Rejected 47-52

At the time of this vote: 725,000 to 1,800,000 people projected to lose ACA marketplace coverage under this rule (CMS's own estimate)

The humane vote: Yes (YEA)

Official roll-call record

Members in this record who voted inhumanely (51)

Jim Banks (R-IN) John Barrasso (R-WY) Marsha Blackburn (R-TN) John Boozman (R-AR) Katie Britt (R-AL) Ted Budd (R-NC) Shelley Moore Capito (R-WV) Bill Cassidy (R-LA) Susan Collins (R-ME) John Cornyn (R-TX) Tom Cotton (R-AR) Kevin Cramer (R-ND) Mike Crapo (R-ID) Ted Cruz (R-TX) John Curtis (R-UT) Steve Daines (R-MT) Joni Ernst (R-IA) Deb Fischer (R-NE) Lindsey Graham (R-SC) Chuck Grassley (R-IA) Bill Hagerty (R-TN) Josh Hawley (R-MO) John Hoeven (R-ND) Jon Husted (R-OH) Cindy Hyde-Smith (R-MS) Ron Johnson (R-WI) Jim Justice (R-WV) John Kennedy (R-LA) James Lankford (R-OK) Mike Lee (R-UT) Cynthia Lummis (R-WY) Roger Marshall (R-KS) Mitch McConnell (R-KY) Dave McCormick (R-PA) Ashley Moody (R-FL) Bernie Moreno (R-OH) Lisa Murkowski (R-AK) Rand Paul (R-KY) Pete Ricketts (R-NE) Jim Risch (R-ID) Mike Rounds (R-SD) Eric Schmitt (R-MO) Rick Scott (R-FL) Tim Scott (R-SC) Tim Sheehy (R-MT) Dan Sullivan (R-AK) John Thune (R-SD) Thom Tillis (R-NC) Tommy Tuberville (R-AL) Roger Wicker (R-MS) Todd Young (R-IN)

Members in this record who voted humanely (47)

Angela Alsobrooks (D-MD) Tammy Baldwin (D-WI) Michael Bennet (D-CO) Richard Blumenthal (D-CT) Cory Booker (D-NJ) Maria Cantwell (D-WA) Chris Coons (D-DE) Tammy Duckworth (D-IL) Dick Durbin (D-IL) John Fetterman (D-PA) Ruben Gallego (D-AZ) Kirsten Gillibrand (D-NY) Maggie Hassan (D-NH) Martin Heinrich (D-NM) John Hickenlooper (D-CO) Mazie Hirono (D-HI) Chris Van Hollen (D-MD) Tim Kaine (D-VA) Mark Kelly (D-AZ) Andy Kim (D-NJ) Angus King (I-ME) Amy Klobuchar (D-MN) Ben Ray Lujan (D-NM) Ed Markey (D-MA) Catherine Cortez Masto (D-NV) Jeff Merkley (D-OR) Chris Murphy (D-CT) Patty Murray (D-WA) Jon Ossoff (D-GA) Alex Padilla (D-CA) Gary Peters (D-MI) Jack Reed (D-RI) Lisa Blunt Rochester (D-DE) Jacky Rosen (D-NV) Bernie Sanders (I-VT) Brian Schatz (D-HI) Adam Schiff (D-CA) Chuck Schumer (D-NY) Jeanne Shaheen (D-NH) Elissa Slotkin (D-MI) Tina Smith (D-MN) Mark Warner (D-VA) Raphael Warnock (D-GA) Elizabeth Warren (D-MA) Peter Welch (D-VT) Sheldon Whitehouse (D-RI) Ron Wyden (D-OR)
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