Two key lawmakers reintroduced a bill on Wednesday that would essentially codify parts of a Biden administration rule that aims to streamline the use of prior authorization in Medicare Advantage.
The bill, introduced by Sen. Roger Marshall, R-Kan., and Rep. Suzan DelBene, D-Wash., would require Medicare Advantage plans to establish electronic prior authorization programs for health care providers beginning in 2027.
Some Medicare Advantage plans still require health care providers to submit requests through fax machines or proprietary payer portals, which can result in increasing burden if different insurers use different prior authorization systems.
