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More Medicare Information in Annual Handbook: Prior Authorization Details

This bill aims to ensure the annual "Medicare & You" handbook clearly explains when prior authorization for medical services or other procedures is required. This will help citizens better understand the rules for their Medicare Advantage and prescription drug plans, preventing surprises related to coverage.
Key points
The annual "Medicare & You" handbook will include detailed information on prior authorization requirements for medical services.
Citizens will learn how to find out which utilization management rules apply to their Medicare Advantage or prescription drug plan.
These changes will apply to handbooks distributed on or after January 1, 2022.
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Additional Information
Print number: 117_HR_2410
Sponsor: Rep. Kelly, Mike [R-PA-16]
Process start date: 2021-04-08