Prior Auth Reform Legislation Reaches Critical Milestone Setting the Stage for Floor Action
Today, Representatives Suzan DelBene (WA-01), Mike Kelly (PA-16), Ami Bera, M.D. (CA-07), and Larry Bucshon, M.D. (IN-08) released the following statement after their proposal to modernize prior authorization in Medicare Advantage, the Improving Seniors' Timely Access to Care Act (H.R. 3173), surpassed 290 cosponsors, setting the bill up for consideration by the full House.
“We take a critical step forward for America’s seniors today. Our legislation to bring the antiquated prior authorization process into the 21st century reached a key milestone that can bring the bill to the House floor.
“This bill would make it easier to get care, ensure that routine treatments and procedures aren’t delayed, and improve health outcomes. These reforms would make a huge difference for seniors, their families, and their providers who are confused and frustrated by the paperwork and time they must put into navigating this process.
“The Improving Seniors' Timely Access to Care Act has widespread bipartisan support in Congress and across the medical field. We look forward to continuing our work with committee, House leadership, and the Senate to get this important legislation over the finish line.”
In 2019, the House established a process that fast-tracks floor consideration for legislation that garners broad bipartisan support. Bills that earn 290 cosponsors can be placed on the “Consensus Calendar.” The bill must maintain 290 cosponsors for 25 legislative days without consideration by the committee which has jurisdiction over it. After 25 legislative days without committee action, the bill sponsor can file for a floor vote.