A joint resolution 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
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- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
This joint resolution seeks to block a rule issued by the Centers for Medicare & Medicaid Services (CMS) regarding prior authorization for certain healthcare services within Medicare. Specifically, it aims to disapprove CMS’s ‘Wasteful and Inappropriate Services Reduction (WISeR) Model,’ which requires doctors to obtain prior approval before providing specific services to Medicare patients. Congress is using the process of congressional disapproval to overturn this rule.
Key provisions
- Congress disapproves the CMS rule.
- The rule’s provisions will have no legal effect.
- The resolution targets the ‘Wasteful and Inappropriate Services Reduction (WISeR) Model’.
- It utilizes the congressional disapproval process.
- It references specific dates and publications related to the rule.
Who is affected
- Medicare patients
- Healthcare providers
- Centers for Medicare & Medicaid Services (CMS)
- The Department of Health and Human Services
Notable changes
- This resolution attempts to limit CMS’s authority to implement the WISeR Model.
- It could potentially alter the process for obtaining prior authorization for certain Medicare services.
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