To amend title XVIII of the Social Security Act to prohibit the use of prior authorization under Medicare Advantage plans, to amend title XI of the Social Security Act to limit the implementation of payment models testing prior authorization under traditional Medicare, and for other purposes.

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.

2026-04-20

This bill would eliminate "prior authorization" requirements for Medicare Advantage plans, which currently require doctors to get insurance company approval before providing certain treatments or procedures to patients. It would also restrict the federal government's ability to test prior authorization systems in traditional Medicare. The change would affect millions of seniors on Medicare by potentially speeding up access to medical care, though it could increase costs for the insurance plans involved.