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Prior Authorization Relief Act: Simplifying Medicare Advantage Approvals

This bill aims to reduce the red tape patients and doctors face when seeking approval for medical services and drugs under Medicare Advantage. It focuses on making the process faster and more consistent across different insurance plans.
Key points
A mandatory audit will identify the most expensive and overly complex medical approval processes by 2027.
New rules will standardize authorization requirements and forms across all Medicare Advantage plans by 2028.
Doctors in certain high-performance healthcare models will be exempt from these bureaucratic hurdles.
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Status: Introduced
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Additional Information
Print number: 119_S_3762
Sponsor: Sen. Whitehouse, Sheldon [D-RI]
Process start date: 2026-02-03