House Energy and Commerce Passes Medicare Advantage Prior Authorization Reform Bill

A major bipartisan bill to reform prior authorization in Medicare Advantage plans passed the House Energy and Commerce Committee unanimously. The legislation, which now moves to the full House floor, mandates faster turnaround times for prior auth decisions and requires insurers to publicly report denial rates. For billing teams, this signals potential relief from administrative delays, but the law is not yet final. Monitor the bill's progress and prepare to adjust workflows if it passes, as it would impose new compliance deadlines on MA payers and could shift appeal timelines for denials.