119-HR-2433 Journalist Public Summary

Public Summary: H.R. 2433 — Reducing Medically Unnecessary Delays in Care Act of 2025

1) Headline Summary: Make Medicare’s prior authorization decisions doctor‑led, rule‑based, and more transparent. (congress.gov)

2) What It Does: The bill says Medicare, Medicare Advantage, and Part D plans must base prior authorization and other coverage decisions on written clinical criteria developed with physician input; post those criteria online in plain language; give advance notice before adding new prior‑auth requirements; publish approval/denial statistics; and ensure denials and prior‑auth decisions are made by a board‑certified physician in the same specialty as the treating clinician. (congress.gov)

• 3) Who’s For It:
• • Sponsors and cosponsors: Originally introduced by Rep. Mark Green (R‑TN) with bipartisan co‑leads Rep. Greg Murphy, MD (R‑NC) and Rep. Kim Schrier, MD (D‑WA); as of February 4, 2026, the House recognized Rep. Murphy as first sponsor for administrative purposes; 16 cosponsors are listed. (congress.gov)
• • Physician and provider groups: The American Medical Association (AMA), Medical Group Management Association (MGMA), and a broad coalition of specialty societies publicly support requiring specialty‑trained physicians to review prior‑auth decisions and increasing transparency. (ama-assn.org)

• 4) Who’s Against It:
• • Health insurer groups generally argue prior authorization is a necessary safeguard to ensure appropriate, evidence‑based, affordable care, and have favored voluntary streamlining commitments rather than new federal mandates; they caution that tighter rules could raise costs. (ahip.org)

5) What’s Next: As of February 5, 2026, H.R. 2433 remains at the “Introduced” stage; it has been referred to the House Ways and Means and Energy and Commerce Committees, with the latest action on February 4, 2026 (administrative reassignment of first sponsorship). It has not received a House floor vote yet. (congress.gov)