To ensure that prior authorization medical decisions under Medicare are determined by physicians.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
This bill, To ensure that prior authorization medical decisions under Medicare are determined by physicians., changes federal law or congressional policy affecting health care providers and patients. The main policy domain is Healthcare, Finance, Labor.
Who Benefits and How
health care providers and patients may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.
Who Bears the Burden and How
federal implementing agencies, health care providers and patients may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.
Key Provisions
- Section H5018ABCABCD74C43B44B8FE2DB1B3FFB: 1. Short title This Act may be cited as the Reducing Medically Unnecessary Delays in Care Act of 2023.
- Section HA5CE85E2B93F43D981C2BD6616198B6B: 2. Definitions In this Act: The term adverse determination means a decision by a medicare administrative contractor, Medicare Advantage plan, or prescription...
- Section HE3948E5664EF4F9FAAE862A998EE79C9: 3. Contract requirements for prior authorization medical decisions for Medicare Administrative Contractors, Medicare Advantage plans, and prescription drug...
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
This bill, To ensure that prior authorization medical decisions under Medicare are determined by physicians., changes federal law or congressional policy affecting health care providers and patients.
Key Policy Areas
Healthcare, Finance, Labor
Primary Purpose
This bill, To ensure that prior authorization medical decisions under Medicare are determined by physicians., changes federal law or congressional policy affecting health care providers and patients.
Policy Domains
Whole bill
Identified Gains
- health care providers and patients
Identified Costs
- federal implementing agencies
- health care providers and patients
Sponsors
Legislative Progress
IntroducedMr. Green of Tennessee introduced the following bill; which was …
Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "secretary_of_health_and_human_services"
- → Secretary of Health and Human Services
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology