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Billing News · Wednesday, July 22, 2026

Bipartisan prior auth transparency bill advances to House floor

American Medical Association | AMA · 2026-07-21
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The Health Insurance Prior Authorization Transparency Act has cleared the House Energy and Commerce Committee with bipartisan support and is headed for a floor vote. This bill, championed by Rep. Craig Goldman, requires health plans to publish data on prior authorization approval and denial rates, including statistics on expedited requests and appeals. It targets the lack of public data on payer-specific denial patterns. This reform follows sustained congressional pressure on Medicare Advantage insurers over high denial rates. Track the bill's progress; its passage would force commercial payers to disclose their denial metrics for the first time.

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