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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.
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Status:
Introduced
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Additional Information
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.
Print number: HRES 704
Sponsor: Rep. Pocan, Mark [D-WI-2]
Process start date: 2025-09-11