On June 9, the House Appropriations Committee adopted an amendment to the FY2027 Labor-HHS bill barring CMS from funding the Wasteful and Inappropriate Service Reduction (WISeR) model, its pilot bringing AI-enabled prior authorization to traditional Medicare.
The vote looks like vindication for the providers who fought the model. It changes nothing yet: WISeR is still operating in all six pilot states, a similar defunding effort died last year, and the more durable lesson for strategy leaders is in how CMS stood the model up—by notice, with no comment period and no published savings estimate—because the same mechanism enables whatever model comes next.