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
Introduced in House
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.
Introduced in House
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).
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Timeline
Introduced in House
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.
Introduced in House
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.