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Faster Healthcare Access: Ending Long Delays for Treatment Approval

This act aims to speed up access to medical care for patients under Medicare Advantage plans. Doctors with a high approval rate for treatment requests will be able to bypass lengthy authorization procedures, meaning quicker initiation of therapy. This could reduce waiting times for important procedures and tests, improving patient comfort and safety.
Key points
Doctors with a high rate of approved authorization requests (a "gold card") will be able to refer patients for treatment faster, without needing prior approval from the insurer.
Insurers will not be able to deny coverage if a doctor holds a "gold card" for a specific service, ensuring greater certainty regarding care availability.
The act introduces appeal mechanisms for doctors if their "gold card" is revoked, protecting their rights and ensuring a fair process.
It provides an opportunity for the treating physician to discuss the case with an insurer's physician before an authorization decision, aiming for better understanding of the treatment plan.
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Additional Information
Print number: 117_HR_7995
Sponsor: Rep. Burgess, Michael C. [R-TX-26]
Process start date: 2022-06-09
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

GOLD CARD Act of 2022

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_7995.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2022-06-09.

What are the main provisions?

Key points include:

  • Doctors with a high rate of approved authorization requests (a "gold card") will be able to refer patients for treatment faster, without needing prior approval from the insurer.
  • Insurers will not be able to deny coverage if a doctor holds a "gold card" for a specific service, ensuring greater certainty regarding care availability.
  • The act introduces appeal mechanisms for doctors if their "gold card" is revoked, protecting their rights and ensuring a fair process.
  • It provides an opportunity for the treating physician to discuss the case with an insurer's physician before an authorization decision, aiming for better understanding of the treatment plan.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Burgess, Michael C. [R-TX-26].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

CATEGORIES

Health