S3480-119

In Committee

Seniors Deserve SMARTER Care Act of 2025

119th Congress Introduced Dec 15, 2025

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 prohibits HHS from implementing the WISeR Medicare prior-authorization model or any substantially similar model.

Who Benefits and How

Medicare beneficiaries and providers affected by the WISeR demonstration would avoid a new prior-authorization process and the delays or administrative friction that could come with it.

Who Bears the Burden and How

HHS and the Center for Medicare and Medicaid Innovation would lose the ability to implement that model or a substantially similar replacement.

Key Provisions

  • Bars implementation of the WISeR model described in the July 1, 2025 Federal Register notice.
  • Extends the ban to any substantially similar Medicare payment or service-delivery model.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

This bill prohibits HHS from implementing the WISeR Medicare prior-authorization model or any substantially similar model.

Key Policy Areas

Healthcare

Primary Purpose

This bill prohibits HHS from implementing the WISeR Medicare prior-authorization model or any substantially similar model.

Policy Domains

Healthcare

Main Provisions

Identified Gains
Contextual inference, no direct clause citation
  • Medicare beneficiaries and providers subject to the proposed WISeR model
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • HHS and the Center for Medicare and Medicaid Innovation
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Legislative Progress

In Committee
Introduced Committee Passed
Dec 15, 2025

Read twice and referred to the Committee on Finance.

Dec 15, 2025

Introduced in Senate

Dec 15, 2025

Mrs. Murray (for herself, Mr. Wyden, Mrs. Gillibrand, Ms. Baldwin, …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
2 mentions across 1 clause
+2 positive

Medicare beneficiaries who would otherwise be subject to the WISeR prior-authorization model, Providers whose Medicare services would otherwise go through the WISeR prior-authorization workflow

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare
Actor Mappings
"the_secretary"
→ 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