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Increased Transparency for Medicare Coverage Decisions

This act aims to increase transparency in the process of deciding which medical services and drugs are covered by Medicare. It will provide citizens and applicants with a clearer understanding of how and why these decisions are made, potentially speeding up access to new therapies and medical technologies.
Key points
Requests for Medicare coverage of medical services will be quickly checked for completeness, and applicants will receive clear instructions on what needs to be corrected.
All complete requests for Medicare coverage of medical services will be publicly available online, increasing process transparency.
Annual reports on application processing times will include the entire duration from submission, providing a more complete picture of process efficiency.
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Additional Information
Print number: 118_HR_5389
Sponsor: Rep. Guthrie, Brett [R-KY-2]
Process start date: 2023-09-12