Banning AI and Prior Authorization Models in Traditional Medicare.
This bill aims to protect Medicare beneficiaries from potential delays or denials of care. It prohibits the government from testing or implementing new payment models that require prior authorization for medical services, especially those using Artificial Intelligence (AI) for decision-making. This ensures that access to healthcare under traditional Medicare remains faster and less burdened by bureaucratic hurdles.
Key points
Immediately stops the implementation of the WISeR model, which aimed to introduce prior authorization for selected Medicare services.
Prohibits the use of AI or any future test models to impose prior authorization requirements for services covered under traditional Medicare (Parts A and B).
Protects beneficiaries by preventing algorithms from automatically denying or delaying necessary medical treatment decisions.
Introduced
Citizen Poll