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Billing News · Sunday, April 19, 2026

Jayapal, Khanna introduce bill to ban prior authorization in Medicare Advantage

House.gov · 2026-04-17
Medicare Advantage

Representatives Pramila Jayapal and Ro Khanna introduced legislation to eliminate prior-authorization requirements for all services in Medicare Advantage plans. The bill, driven by complaints of care denials and administrative overhead, would mandate coverage determinations at the point of care. While the bill faces a long legislative path, it signals mounting political pressure on payer utilization management practices. Track H.R. [bill number] as it moves through committee; its introduction alone may push MA plans to preemptively streamline certain approval processes.

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