S4349-118

Introduced

To require private health plans to provide for secure electronic transmission of prior authorization requests for prescription drugs.

118th Congress Introduced May 15, 2024

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 require private health plans to provide for secure electronic transmission of prior authorization requests for prescription drugs., 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 id1e021b0081724da7a3ccb044ec81e6a5: 1. Electronic prior authorization for prescription drugs Part D of title XXVII of the Public Health Service Act (42 U.S.C. 300gg–111 et seq.) is amended by...
  • Section id89c38470571f412185a7c8fc76f21bac: 2799A–11. Electronic prior authorization for prescription drugs For plan years beginning on or after January 1, 2027, a group health plan or health insurance...
  • Section id46D7AAB46B1B4022AC6350EB806A2EAB: 726. Electronic prior authorization for prescription drugs For plan years beginning on or after January 1, 2027, a group health plan or health insurance issuer...
  • Section id8B028B52C38E4175840A596BA9AF1914: 9826. Electronic prior authorization for prescription drugs For plan years beginning on or after January 1, 2027, a group health plan shall provide for the...

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 require private health plans to provide for secure electronic transmission of prior authorization requests for prescription drugs., changes federal law or congressional policy affecting health care providers and patients.

Key Policy Areas

Healthcare, Finance, Labor

Primary Purpose

This bill, To require private health plans to provide for secure electronic transmission of prior authorization requests for prescription drugs., changes federal law or congressional policy affecting health care providers and patients.

Policy Domains

Healthcare Finance Labor

Whole bill

Identified Gains
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is
health care providers and patients: , ,
Identified Costs
  • federal implementing agencies
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is
federal implementing agencies: , ,
health care providers and patients: , ,

Legislative Progress

Introduced
Introduced Committee Passed
May 15, 2024

Mr. Marshall (for himself, Mr. Luján, Mr. Wicker, Mr. Manchin, …

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?

Domains
Healthcare Finance Labor
Actor Mappings
"secretary_of_labor"
→ Secretary of Labor
"secretary_of_treasury"
→ Secretary of the Treasury
"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