H.J. Res. 58 (119th)Bill Overview

Disapprove CMS Medicare Program; Calendar Year (CY) 2025 Home…

CRA DisapprovalHealth|Administrative law and regulatory proceduresBlood and blood diseases
Cosponsors
Support
Republican
Introduced
Feb 12, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for c…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This joint resolution uses the Congressional Review Act to disapprove and nullify a Centers for Medicare & Medicaid Services (CMS) final rule (89 Fed. Reg. 88354) titled “Medicare Program; CY2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value‑Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies.” If enacted, the rule would have no force or effect.

Why people may split

Whether CRA repeal is appropriate vs. targeted regulatory fixes

Watch point

Single-issue CRA disapproval is procedurally simple and often considered in the House; stakeholder lobbying could sway outcomes.

This joint resolution uses the Congressional Review Act to disapprove and nullify a Centers for Medicare & Medicaid Services (CMS) final rule (89 Fed.

Reg. 88354) titled “Medicare Program; CY2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value‑Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies.” If enacted, the rule would have no force or effect.

Passage30/100

Simple, narrow rollback appeal in House but substantial Senate and final-enactment hurdles make ultimate success unlikely absent broad agreement.

CredibilityPartial

How solid the drafting looks.

Contention70/100

Whether CRA repeal is appropriate vs. targeted regulatory fixes

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedLikely burdened

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitPrevents implementation of payment changes that supporters view as harmful to home health providers.
  • Potential benefitMay preserve revenue streams for home health agencies and help maintain related jobs.
  • Potential benefitAvoids new or expanded reporting and administrative burdens imposed on providers under the rule.
Likely burdened
  • Potential burdenDelays or prevents CMS efforts to adjust payments and incentives intended to reflect costs and quality.
  • Potential burdenMay increase Medicare program spending relative to implementing CMS’s proposed payment updates.
  • Potential burdenHinders expansion of value‑based purchasing initiatives aimed at linking payments to outcomes.
03 · Why people split

Why the argument around this bill splits.

Whether CRA repeal is appropriate vs. targeted regulatory fixes
Progressive25%

Likely skeptical of using the Congressional Review Act to erase a CMS rule without legislative debate.

Concerned this eliminates regulatory updates affecting home health payments, quality reporting, VBP expansion, and IVIG reimbursement, and could harm beneficiaries or disrupt care continuity.

Because the resolution text does not state the rule’s directional changes, impacts are uncertain.

Likely resistant
Centrist55%

Wary of a blunt CRA nullification without clear, targeted fixes.

Sees value in congressional oversight, but prefers measured adjustment of problematic provisions instead of wholesale repeal.

Will look for cost, beneficiary access, and provider stability analyses before deciding.

Split reaction
Conservative85%

Likely supportive: treats the resolution as reining in federal regulatory overreach and protecting providers from adverse payment or reporting mandates.

Views CRA as appropriate tool to overturn rules viewed as harmful or insufficiently vetted.

Support contingent on seeing the rule as burdensome.

Leans supportive
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood30/100

Simple, narrow rollback appeal in House but substantial Senate and final-enactment hurdles make ultimate success unlikely absent broad agreement.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Administration position on disapproval
  • Net fiscal impact and absent CBO score
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Whether CRA repeal is appropriate vs. targeted regulatory fixes

Simple, narrow rollback appeal in House but substantial Senate and final-enactment hurdles make ultimate success unlikely absent broad agre…

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for Disapprove CMS Medicare Program; Calendar Year (CY) 2025 Home….

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis