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December 1, 2022: MGMA and coalition partners urge Congress to include prior authorization in a year-end legislative package

Advocacy Letter - December 2, 2022

December 1, 2022
 
The Honorable Nancy Pelosi The Honorable Charles E. Schumer
Speaker Majority Leader
U.S. House of Representatives U.S. Senate
Washington, DC 20515 Washington, DC 20510
 
The Honorable Kevin McCarthy The Honorable Mitch McConnell
Minority Leader Minority Leader
U.S. House of Representatives U.S. Senate
Washington, DC 20515 Washington, DC 20510


Speaker Pelosi, Leader McCarthy, and Leaders Schumer and McConnell:

We strongly urge you to advance the “Improving Seniors’ Timely Access to Care Act” (H.R. 3173/S. 3018) in any year-end legislative package under development by the House and Senate.

This legislation would establish an electric prior authorization program in Medicare Advantage (MA) and would require MA plans to provide real-time decisions in response to requests for items and services that are routinely approved. Notably, the legislation was created with the basic policy proposition that Congress can and should ensure proper transparency and oversight of the MA program to protect our nation’s seniors. Therefore, the bill would also require MA plans to provide data about their use of prior authorization to the public.

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