To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans.
In committee: it can still change before the session ends.
- Stage
- In committee
- Started in
- House
- Sponsors
- 19
- Latest action
- Nov 18, 2025
What it does
This bill would require the Secretary of Health and Human Services to terminate Medicare Advantage plan contracts if the plan's rate of reversed prior authorization denials exceeds a set threshold.
No official summary is available here. This one was written by AI from the bill’s text.
Where it stands
Introduced (Done)
Committee (Current step)
Floor (Not started)
Law (Not started)
What moved
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Who is involved
Sponsors
The lawmakers who put their names on it, lead sponsors first.
Where it goes next
While a bill can still move, the questions are about people and money.