Prior Authorization Relief Act
In committee: it can still change before the session ends.
- Stage
- In committee
- Started in
- Senate
- Sponsors
- 2
- Latest action
- Feb 3, 2026
What it does
The Prior Authorization Relief Act would amend the Medicare Advantage program to require the Secretary of Health and Human Services to conduct an audit by January 1, 2027, identifying high-reimbursement items, services, and Part D drugs with sufficient clinical evidence and excessive prior authorization steps. Based on this audit, the Secretary must standardize prior authorization requirements—including forms—across all Medicare Advantage plans by May 1, 2028. Providers participating in two-sided risk models, such as accountable care organizations, would be exempt from these standardized requirements, though Medicare Advantage organizations may request that the exemption not apply to their…
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
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.