Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model".
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
This joint resolution seeks to block the Centers for Medicare & Medicaid Services’ (CMS) rule regarding prior authorization for certain Medicare services. Specifically, it aims to disapprove a CMS rule implemented as part of the Wasteful and Inappropriate Services Reduction (WISeR) Model. Congress is using its authority under the Congressional Review Act to overturn this rule, preventing CMS from requiring prior authorization for specific services.
Key provisions
- Congress disapproves the CMS rule.
- The rule is deemed to have no force or effect.
- The resolution targets a specific CMS rule related to Medicare.
- It utilizes the Congressional Review Act to challenge agency rulemaking.
- The rule is part of the Wasteful and Inappropriate Services Reduction (WISeR) Model.
Who is affected
- Medicare beneficiaries
- Healthcare providers
- Centers for Medicare & Medicaid Services (CMS)
- The Department of Health and Human Services
Notable changes
- This resolution represents an attempt to limit CMS’s authority to implement prior authorization requirements under the WISeR Model.
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