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Rejecting WISeR Model: Protecting Medicare Healthcare Access

The House of Representatives opposes the proposed WISeR Model, which would increase the number of services requiring prior authorization in traditional Medicare. The aim is to protect citizens from obstacles to necessary medical care and potentially erroneous decisions by private companies.
Key points
The WISeR Model would increase prior authorization requirements in Medicare by 30%, potentially delaying treatment.
Private companies, including those using AI, would process these authorizations, despite documented high error rates in their decisions.
The House of Representatives calls for the termination of the WISeR Model to ensure timely and necessary access to healthcare for beneficiaries.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HRES_704
Sponsor: Rep. Pocan, Mark [D-WI-2]
Process start date: 2025-09-11
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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

Expressing the sense of the House of Representatives that the Wasteful and Inappropriate Service Reduction Model undermines beneficiary access to health care and should not be implemented.

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HRES_704.

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 2025-09-11.

What are the main provisions?

Key points include:

  • The WISeR Model would increase prior authorization requirements in Medicare by 30%, potentially delaying treatment.
  • Private companies, including those using AI, would process these authorizations, despite documented high error rates in their decisions.
  • The House of Representatives calls for the termination of the WISeR Model to ensure timely and necessary access to healthcare for beneficiaries.
What is the specific legal status?

The current status is Introduced.

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. Pocan, Mark [D-WI-2].

What is the latest detailed status?

The latest detailed status is: Submitted in House

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-21.

CATEGORIES

Health