HR. 639In Committee

Doctor Knows Best Act of 2025

Prohibits health insurance plans and federal health care programs from using prior authorization, utilization management, or medical necessity review for covered items and services starting in 2026

What this bill does

Prohibits health insurance plans and federal health care programs from using prior authorization, utilization management, or medical necessity review for covered items and services starting in 2026

Key points
  • Prohibit prior authorization requirements
  • Prohibit utilization management techniques
  • Prohibit medical necessity reviews

Where it stands

Status
In Committee
Latest action
2025-01-22Referred to the Committee on Energy and Commerce, and in addition to the Committee on Oversight and Government Reform, 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.

Topics and policy areas

undefinedHealthHealth care costs and insuranceHealth care coverage and access