This bill, titled the "Ban AI Denials in Medicare Act," would stop the Department of Health and Human Services from putting into effect the WISeR model. It would also change the Social Security Act (section 1115A(b)(2)) so the Secretary could not select any future Center for Medicare and Medicaid Innovation (CMMI) model that would implement prior authorization — including prior authorization that uses artificial intelligence — for items or services paid under Medicare Part A or Part B.
If this bill became law, the government could not test or run the WISeR model. It would also bar CMMI from choosing any payment or service models that create prior authorization requirements (including those that use AI) for services covered by traditional Medicare Part A or Part B. The bill was introduced in the House on December 2, 2025, and was referred to the House Ways and Means Committee and the Energy and Commerce Committee.
No publicly available information on estimated costs, savings, or a Congressional Budget Office score is included in the bill text or metadata.
No publicly available information on proponents' stated views or arguments is included in the bill text. Sponsors listed in the bill metadata include Greg Landsman, Bonnie Watson Coleman, Jim Costa, Adelita Grijalva, and Valerie Foushee.
No publicly available information on opponents' stated views or arguments is included in the bill text or metadata.