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Ending Prior Authorization and Medical Reviews in Health Insurance

This bill aims to eliminate prior authorization, utilization management, and medical necessity reviews in both private and federal health programs. This means doctors will have more autonomy in treatment decisions, and patients may access necessary services more quickly without bureaucratic hurdles.
Key points
Private health insurance plans will be prohibited from requiring prior authorization or medical necessity reviews for covered services.
Federal health care programs, including state-managed ones, will also be barred from imposing such requirements starting January 1, 2026.
The changes are intended to simplify access to medical care and reduce administrative burdens for patients and doctors.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_639
Sponsor: Rep. Van Drew, Jefferson [R-NJ-2]
Process start date: 2025-01-22
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash
Source data: api.congress.gov
AI work logs for this document launch

OFFICIAL LEGAL TITLE

Doctor Knows Best Act of 2025

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_639.

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 2025-01-22.

What are the main provisions?

Key points include:

  • Private health insurance plans will be prohibited from requiring prior authorization or medical necessity reviews for covered services.
  • Federal health care programs, including state-managed ones, will also be barred from imposing such requirements starting January 1, 2026.
  • The changes are intended to simplify access to medical care and reduce administrative burdens for patients and doctors.
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. Van Drew, Jefferson [R-NJ-2].

What is the latest detailed status?

The latest detailed status is: Introduced in House

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-23.

CATEGORIES

Health