Ban AI Denials in Medicare Act prohibits AI-based prior authorization in Medicare.

The Ban AI Denials in Medicare Act prohibits the Secretary of Health and Human Services from implementing the Wasteful and Inappropriate Services Reduction (WISeR) model and any similar models that use artificial intelligence for prior authorization under traditional Medicare. The bill also amends the Social Security Act to prevent the testing of payment models that include AI-based prior authorization for Medicare services.

Ban AI Denials in Medicare Act prohibits AI-based prior authorization in Medicare.

The Ban AI Denials in Medicare Act prohibits the Secretary of Health and Human Services from implementing the Wasteful and Inappropriate Services Reduction (WISeR) model and any similar models that use artificial intelligence for prior authorization under traditional Medicare. The bill also amends the Social Security Act to prevent the testing of payment models that include AI-based prior authorization for Medicare services.