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Reducing Medically Unnecessary Delays in Care Act of 2025
4/22/2025, 4:06 PM
Summary of Bill HR 2433
Bill 119 HR 2433, also known as the "Prior Authorization Reform Act of 2021," aims to address the issue of prior authorization in Medicare by ensuring that medical decisions are made by physicians rather than insurance companies.
The bill seeks to streamline the prior authorization process by requiring that decisions be made by healthcare providers who are directly involved in the care of the patient. This would help to eliminate delays in care caused by bureaucratic hurdles and ensure that patients receive timely and appropriate treatment.
Additionally, the bill includes provisions to improve transparency and accountability in the prior authorization process. It requires that insurance companies provide clear and detailed explanations for any denials of prior authorization requests, as well as a process for appealing these decisions. Overall, the goal of Bill 119 HR 2433 is to prioritize the needs of patients and ensure that medical decisions are made based on the best interests of the individual, rather than financial considerations. By empowering physicians to make these decisions, the bill aims to improve the quality of care for Medicare beneficiaries and reduce unnecessary barriers to treatment.
The bill seeks to streamline the prior authorization process by requiring that decisions be made by healthcare providers who are directly involved in the care of the patient. This would help to eliminate delays in care caused by bureaucratic hurdles and ensure that patients receive timely and appropriate treatment.
Additionally, the bill includes provisions to improve transparency and accountability in the prior authorization process. It requires that insurance companies provide clear and detailed explanations for any denials of prior authorization requests, as well as a process for appealing these decisions. Overall, the goal of Bill 119 HR 2433 is to prioritize the needs of patients and ensure that medical decisions are made based on the best interests of the individual, rather than financial considerations. By empowering physicians to make these decisions, the bill aims to improve the quality of care for Medicare beneficiaries and reduce unnecessary barriers to treatment.
Congressional Summary of HR 2433
Reducing Medically Unnecessary Delays in Care Act of 2025
This bill requires Medicare coverage decisions, including prior authorization requirements and adverse coverage decisions, to be based on written clinical criteria that is developed in consultation with physicians.
Read the Full Bill
Current Status of Bill HR 2433
Bill HR 2433 is currently in the status of Bill Introduced since March 27, 2025. Bill HR 2433 was introduced during Congress 119 and was introduced to the House on March 27, 2025. Bill HR 2433's most recent activity was 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. as of March 27, 2025
Bipartisan Support of Bill HR 2433
Total Number of Sponsors
8Democrat Sponsors
0Republican Sponsors
8Unaffiliated Sponsors
0Total Number of Cosponsors
46Democrat Cosponsors
4Republican Cosponsors
42Unaffiliated Cosponsors
0Policy Area and Potential Impact of Bill HR 2433
Primary Policy Focus
HealthAlternate Title(s) of Bill HR 2433
To ensure that prior authorization medical decisions under Medicare are determined by physicians.
To ensure that prior authorization medical decisions under Medicare are determined by physicians.
Comments

Cairo Sutton
502
8 months ago
I think this bill is supposed to help with medical decisions for Medicare, but I'm not exactly sure how it works. It sounds like it could be a good thing, but I'll have to look into it more to understand the details.
Sponsors and Cosponsors of HR 2433
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