Mark Green (R-TN)
Reducing Medically Unnecessary Delays in Care Act of 2025
A Republican bill with 1 Democratic cosponsor · See all 17 cosponsors
Last activity — ASSUMING FIRST SPONSORSHIP - Mr. Murphy asked unanimous consent that he may hereafter be considered as the first sponsor of H.R. 2433, a bill originally introduced by Representative Green (TN), for the purpose of adding cosponsors and requesting reprintings pursuant to clause 7 of rule XII. Agreed to without objection.
Introduced, nothing more yet
Formally proposed, and not yet handed to a committee.
Nearly every bill is sent to a committee within days. Introduction alone is not a sign of support, of momentum, or of any likelihood of passing — any member may introduce any bill.
Its path through Congress
- Introduced
What this bill would do
The Reducing Medically Unnecessary Delays in Care Act of 2025 aims to ensure that prior authorization decisions for Medicare are handled by physicians. This bill establishes specific contract requirements for Medicare administrative contractors, Medicare Advantage plans, and prescription drug plans. It mandates that medical decisions be based on written clinical criteria and evidence-based standards. The Act requires these entities to obtain input from practicing, board-certified physicians when creating clinical criteria. Additionally, it requires the public posting of preauthorization requirements and statistics regarding approvals and denials. Finally, it dictates that all adverse determinations must be made by a qualified physician.
Yes· 3 of 5
- Scored +7
Would people over 65 be better off under this?
The bill significantly benefits seniors by improving the transparency and clinical oversight of Medicare prior authorization processes.
- Scored +7
Would retired people be better off under this?
The bill is highly beneficial for retirees who rely on Medicare and deserve more transparent, physician-led medical decisions.
- Scored +5
Does this make what the government does easier for the public to see?
The bill increases transparency by requiring health plans to post preauthorization requirements and statistical data on their websites.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Physician-Led Decisions: All preauthorizations and adverse determinations must be made by a physician who holds a current, valid, non-restricted license and is board-certified or eligible in the relevant specialty (Section 3, subsection 8).
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Expert Input: Before creating or changing clinical criteria, organizations must get input from actively practicing physicians who are not employees of the organization (Section 3, subsection 3).
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Increased Transparency: Organizations are required to post current preauthorization requirements, restrictions, and clinical criteria on their websites in easily understandable language (Section 3, subsection 5).
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Access to Data: Entities must make statistics regarding preauthorization approvals and denials available on their websites, including reasons for denials (Section 3, subsection 7).
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Protection Against Arbitrary Denials: Plans cannot deny coverage based solely on a lack of independently developed evidence-based standards (Section 3, subsection 2).
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Consistent and Flexible Standards: Written clinical criteria must be applied consistently, but must also be flexible enough to allow for deviations on a case-by-case basis (Section 3, subsection 4).
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Advance Notice: Health care providers must receive written notice at least 60 days before any new or amended preauthorization requirements are implemented (Section 3, subsection 6).
Potential Negative Impacts for People
- No specific negative impacts are explicitly detailed in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would retired people be better off under this? — The bill is highly beneficial for retirees who rely on Medicare and deserve more transparent, physician-led medical decisions. Would people over 65 be better off under this? — The bill significantly benefits seniors by improving the transparency and clinical oversight of Medicare prior authorization processes.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill increases transparency by requiring health plans to post preauthorization requirements and statistical data on their websites. Does this protect the right to fair treatment by the courts? — The bill enhances due process for patients by ensuring clinical decisions are made by qualified physicians following established standards.
- Healthcare
- Does this make health care easier to get in general? — The bill improves healthcare access by requiring that prior authorization decisions be made by qualified physicians and based on transparent, evidence-based criteria.
- 10/13/2026
- 1 Cosponsor added.
- 2/4/2026
- ASSUMING FIRST SPONSORSHIP - Mr. Murphy asked unanimous consent that he may hereafter be considered as the first sponsor of H.R. 2433, a bill originally introduced by Representative Green (TN), for the purpose of adding cosponsors and requesting reprintings pursuant to clause 7 of rule XII. Agreed to without objection.
- 6/4/2025
- 1 Cosponsor added.
- 4/30/2025
- 1 Cosponsor added.
- 4/3/2025
- 1 Cosponsor added.
- 4/1/2025
- 3 Cosponsors added.
- 3/31/2025
- 1 Cosponsor added.
- 3/27/2025
- Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 9 Cosponsors added.
- Introduced in House
Brian BabinRepublican · Texas
Tim BurchettRepublican · Tennessee
Robert BresnahanRepublican · Pennsylvania
Neal DunnRepublican · Florida
Gabe EvansRepublican · Colorado
Brad FinstadRepublican · Minnesota
Andy HarrisRepublican · Maryland
Pat HarriganRepublican · North Carolina
John JoyceRepublican · Pennsylvania
Ronny JacksonRepublican · Texas
Mike KennedyRepublican · Utah
Gregory MurphyRepublican · North Carolina
Mariannette Miller-MeeksRepublican · Iowa
Richard McCormickRepublican · Georgia
August PflugerRepublican · Texas
Kim SchrierDemocrat · Washington
Beth Van DuyneRepublican · Texas