HR. 6109In Committee
To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans.
Establishes Medicare Advantage requirements tied to rates of prior authorization coverage denials later reversed on appeal
Plain-English overview
What this bill does
Establishes Medicare Advantage requirements tied to rates of prior authorization coverage denials later reversed on appeal
Key points
- Amend Medicare Advantage requirements
- Establish reversal rate standards
Current status
Where it stands
Status
In Committee
Latest action
2025-11-18 — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Related context
Topics and policy areas
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