S. 5612 aims to change how prior authorizations work in the Medicare Advantage program. The bill requires an audit by January 1, 2026, to find items and drugs with high costs or complex authorization processes and calls for standardized requirements across all plans. By...
Simple Explanation
S. 5612 wants to make it easier for people to get special approvals (called "prior authorizations") for healthcare under a program called Medicare Advantage. The bill also suggests that by 2026, there should be new, simpler rules for everyone to follow, making healthcare easier to access without so many complicated steps.