S.3762

Prior Authorization Relief Act exempts certain Medicare Advantage items and services from prior authorization requirements.

The Prior Authorization Relief Act amends the Social Security Act to exempt certain items and services under the Medicare Advantage program from prior authorization requirements. This exemption applies to items and services provided by providers participating in a two-sided risk model, including accountable care organizations. The Secretary of Health and Human Services must conduct an audit to identify items and services meeting specific criteria, such as excessive prior authorization steps or high reimbursement rates.