A bipartisan bill to reform prior authorization in Medicare Advantage has been introduced in Congress with 130 representatives and 42 senators as sponsors, a signal of broad support.

• The House of Representatives approved a similar bill in 2022. That bill ultimately failed to pass the Senate after a Congressional Budget Office report estimated that the legislation would cost $16B over ten years to implement, a heftier price tag than proponents anticipated. Supporters in Congress are confident that the new version will have a smaller budgetary impact, however, as CMS has already passed the most expensive changes.