Ways and Means Committee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
This bill aims to prevent the implementation of prior authorization requirements within traditional Medicare. Specifically, it prohibits the Secretary of Health and Human Services from implementing the proposed Wasteful and Inappropriate Services Reduction (WISeR) Model , or any similar model, which involves prior authorization for select Medicare services. Furthermore, the legislation amends the Social Security Act to impose a broad prohibition on future innovative payment and service delivery models developed by the Center for Medicare and Medicaid Innovation. This amendment ensures that the Secretary cannot select or test any model that would implement prior authorization , including those utilizing artificial intelligence , for services covered under Medicare Part A or Part B. The overall intent is to safeguard traditional Medicare beneficiaries from potential delays or denials of care resulting from prior authorization mandates.
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Timeline
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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 Ways and Means, and in addition to the Committee on Energy and Commerce, 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
Ban AI Denials in Medicare Act
USA119th CongressHR-6361| House
| Updated: 12/2/2025
This bill aims to prevent the implementation of prior authorization requirements within traditional Medicare. Specifically, it prohibits the Secretary of Health and Human Services from implementing the proposed Wasteful and Inappropriate Services Reduction (WISeR) Model , or any similar model, which involves prior authorization for select Medicare services. Furthermore, the legislation amends the Social Security Act to impose a broad prohibition on future innovative payment and service delivery models developed by the Center for Medicare and Medicaid Innovation. This amendment ensures that the Secretary cannot select or test any model that would implement prior authorization , including those utilizing artificial intelligence , for services covered under Medicare Part A or Part B. The overall intent is to safeguard traditional Medicare beneficiaries from potential delays or denials of care resulting from prior authorization mandates.
Get AI-generated questions to help you understand this bill better
Timeline
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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 Ways and Means, and in addition to the Committee on Energy and Commerce, 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.