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 consideration of such provisions as fall within the jurisdiction of the committee concerned.
Summary
The bill stops Medicare Advantage plans from requiring prior authorization for most services beginning in 2027, with narrow statutory exceptions. It also bars the HHS Secretary from launching the WISeR model and from approving any future Medicare innovation models that would impose prior authorization, particularly those that use AI decisions without a physician’s independent review. The aim is to cut down on claim denials that can delay or deny needed care.
AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.
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