Reducing Medically Unnecessary Delays in Care Act of 2025 aims to ensure Medicare prior authorization decisions are made by physicians.

The Reducing Medically Unnecessary Delays in Care Act of 2025 mandates that prior authorization decisions under Medicare be made by physicians. It requires Medicare Administrative Contractors, Medicare Advantage plans, and prescription drug plans to use written clinical criteria based on nationally recognized standards. These plans must also make statistics on preauthorization approvals and denials available on their websites. The bill ensures that any new or amended preauthorization requirements are communicated to health care providers at least 60 days before implementation.

Reducing Medically Unnecessary Delays in Care Act of 2025 aims to ensure Medicare prior authorization decisions are made by physicians.

The Reducing Medically Unnecessary Delays in Care Act of 2025 mandates that prior authorization decisions under Medicare be made by physicians. It requires Medicare Administrative Contractors, Medicare Advantage plans, and prescription drug plans to use written clinical criteria based on nationally recognized standards. These plans must also make statistics on preauthorization approvals and denials available on their websites. The bill ensures that any new or amended preauthorization requirements are communicated to health care providers at least 60 days before implementation.