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".
Sponsor
Ron Wyden
Democrat · OR
What S.J.Res. 198 does
Medicare is testing a model in six states, New Jersey, Ohio, Oklahoma, Texas, Arizona and Washington, in which contracted companies use enhanced technology, such as artificial intelligence, to process prior authorization requests for certain services, and are paid based on the share of resulting savings. S.J.Res. 198 would stop the Centers for Medicare & Medicaid Services from continuing that model by nullifying its July 1, 2025 notice, Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model.
The agency began implementing the model on January 1, 2026, and describes its aim as testing whether it can produce accurate results while streamlining prior authorization. A May 12, 2026 letter from the Government Accountability Office said the notice counts as an agency rule, which makes it subject to review by Congress.
SJRES198 Legislative Journey
Failed
Jul 16, 2026
Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.
Committee Action
Jun 24, 2026
Senate Committee on Finance discharged, by petition, pursuant to 5 U.S.C. 802(c).
About the Sponsor
Ron Wyden
Democrat, OR · 45 years in Congress
Committees: Finance, Joint Committee on Taxation, Energy and Natural Resources
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Cosponsors (21)
This bill has 21 cosponsors: 20 Democrats, 1 Independent. Cosponsors represent 16 states: Arizona, Connecticut, Georgia, and 13 more.
Patty Murray
Democrat · WA
Maria Cantwell
Democrat · WA
Richard Blumenthal
Democrat · CT
Kirsten Gillibrand
Democrat · NY
Ruben Gallego
Democrat · AZ
Mark Kelly
Democrat · AZ
Cory Booker
Democrat · NJ
Edward Markey
Democrat · MA
Tammy Duckworth
Democrat · IL
Tammy Baldwin
Democrat · WI
Andy Kim
Democrat · NJ
Bernie Sanders
Independent · VT
Committee Sponsors
Finance Committee
6 of 27 committee members cosponsored
7 Democrats across this committee haven't cosponsored yet. Mobilize their constituents
S.J.Res. 198 Quick Facts
- Committee
- Finance
- Chamber
- Senate
- Policy
- Health
- Introduced
- Jun 24, 2026
Motion to proceed to consideration of measure rejected in Senate by Yea-Nay Vote. 46 - 50. Record Vote Number: 199.
Jul 16, 2026
S.J.Res. 198 Bill Text
“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”.”
Source: U.S. Government Publishing Office
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