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Improved Healthcare Access: Physician Decisions in Medicare

This act aims to speed up access to medical care for Medicare beneficiaries. It introduces changes to ensure that decisions on treatment necessity are made by physicians, not solely by insurance companies. This means citizens can expect faster approvals for procedures and medications, reducing unnecessary delays in care.
Key points
Medicare treatment approval decisions will be made exclusively by physicians, not by insurance companies.
Insurance companies must base their decisions on clear, written medical criteria consistent with generally accepted standards.
All new rules for treatment approval must be announced in advance and publicly available on websites.
Insurance companies will be required to publish statistics on approved and denied treatment requests, increasing transparency.
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Introduced
Citizen Poll
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Additional Information
Print number: 119_HR_2433
Sponsor: Rep. Green, Mark E. [R-TN-7]
Process start date: 2025-03-27