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PAAT Act

USA119th CongressHR-5467| House 
| Updated: 9/18/2025
Julie Johnson

Julie Johnson

Democratic Representative

Texas

Cosponsors (5)
Emanuel Cleaver (Democratic)Sarah Elfreth (Democratic)Mike Kennedy (Republican)Eleanor Holmes Norton (Democratic)Josh Gottheimer (Democratic)

Ways and Means Committee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This legislation amends the Social Security Act to significantly expand coverage for specific conditions under Medicare Part D. Beginning in 2027, it mandates that all Prescription Drug Plan (PDP) sponsors must include every covered Part D drug indicated for the treatment of autoimmune diseases , hemophilia , or Von Willebrand disease . Furthermore, the bill introduces new restrictions on prior authorization for these critical medications. For plan years starting on or after January 1, 2027, PDP sponsors and MA organizations are prohibited from requiring prior authorization for these autoimmune or blood disorder drugs more than once during any 12-month period. Exceptions apply to drugs typically used for shorter durations, certain controlled substances like opioids, or those requiring a risk evaluation and mitigation strategy (REMS).
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Timeline
Sep 18, 2025
Introduced in House
Sep 18, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
  • September 18, 2025
    Introduced in House


  • September 18, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.

Health

PAAT Act

USA119th CongressHR-5467| House 
| Updated: 9/18/2025
This legislation amends the Social Security Act to significantly expand coverage for specific conditions under Medicare Part D. Beginning in 2027, it mandates that all Prescription Drug Plan (PDP) sponsors must include every covered Part D drug indicated for the treatment of autoimmune diseases , hemophilia , or Von Willebrand disease . Furthermore, the bill introduces new restrictions on prior authorization for these critical medications. For plan years starting on or after January 1, 2027, PDP sponsors and MA organizations are prohibited from requiring prior authorization for these autoimmune or blood disorder drugs more than once during any 12-month period. Exceptions apply to drugs typically used for shorter durations, certain controlled substances like opioids, or those requiring a risk evaluation and mitigation strategy (REMS).
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Sep 18, 2025
Introduced in House
Sep 18, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
  • September 18, 2025
    Introduced in House


  • September 18, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Julie Johnson

Julie Johnson

Democratic Representative

Texas

Cosponsors (5)
Emanuel Cleaver (Democratic)Sarah Elfreth (Democratic)Mike Kennedy (Republican)Eleanor Holmes Norton (Democratic)Josh Gottheimer (Democratic)

Ways and Means Committee, Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted