Ban AI Denials in Medicare Act

The Ban AI Denials in Medicare Act would prohibit the Secretary of Health and Human Services from implementing the WISeR model or any substantially similar model that tests prior authorization for wasteful and inappropriate services reduction under traditional Medicare. It would also amend the Social Security Act to prevent the Center for Medicare and Medicaid Innovation from selecting any future payment models that test prior authorization—including those using artificial intelligence—for items or services covered under Medicare Part A or Part B. The bill aims to block AI-driven prior authorization requirements in traditional Medicare to protect beneficiaries from potential denials of care…

No official summary is available here. This one was written by AI from the bill’s text.