Senate · Roll call 199 · July 16, 2026

A vote to begin Senate debate on S.J.Res. 198, a resolution to overturn a Medicare rule adding prior authorization for select services in a new payment model.

Motion to Proceed Rejected46–50 Procedural Party-line vote
Question
On the Motion to Proceed
Bill
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".
← Most liberalThe aisleMost conservative →
YesNoPresentDid not vote
Each dot is one current member, in the same seat as on their member page, from most liberal (left) to most conservative (right). Color shows how they voted. Seats show current members. Members who have since left Congress appear in the list below.

How each party voted

Democrats
Yes 44 · No 0 · Did not vote 1
Republicans
Yes 0 · No 50 · Did not vote 3
Independent
Yes 2 · No 0

Most Democrats voted Yes (44 of 45).

Most Republicans voted No (50 of 53).

Party-line vote: most Democrats and most Republicans voted on opposite sides.

About this vote

Under the Congressional Review Act, Congress can pass a joint resolution of disapproval to overturn a federal agency rule; this one would block the Centers for Medicare & Medicaid Services from testing, in certain states, a Medicare payment model that uses prior authorization and technology run by outside contractors to decide whether certain claims should be paid. The motion to proceed, which would have started debate, was rejected, so the Senate did not take up the resolution.

This summary was drafted and checked with AI (Claude) using only the official record of the vote. Report an error

Summary by the Congressional Research Service

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.

How each member voted

MemberSeatTheir vote
Loading…

Embed this on your site

Copy this code into your page. It shows a box with the latest numbers from Capitol Lens, with a credit line underneath. Free to use with the credit line.

Preview