Protecting Patients from Automated Denials Act
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 changes Title XVIII of the Social Security Act to require Medicare Advantage plans to follow specific standards when they use artificial‑intelligence tools to deny prior‑authorization requests. It targets the insurers that run Medicare Advantage and the beneficiaries who rely on those plans, aiming to increase transparency and fairness. Lawmakers hope the measure will address concerns that AI could make opaque or biased decisions.
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