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Referred 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.
Introduced January 22, 2025 by Jefferson Van Drew · Last progress 1 year ago
This bill would stop health insurers and federal health programs from making people get approval before care. It bans prior authorization, step therapy or “fail first” rules, and “medical necessity” reviews for any covered service. This applies to private group and individual plans and to federal programs, including the federal employee health program. The goal is that if your plan covers a service, your doctor’s order is enough—you shouldn’t have to wait for the insurer to say yes first. A summary from the Library of Congress confirms the same ban and timing.
Key points: