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.
This bill prohibits the federal government from implementing or testing automated systems that would use artificial intelligence to deny or delay Medicare payments for medical services. Specifically, it blocks the "WISeR" model—a program the Centers for Medicare & Medicaid Services proposed to test AI-based prior authorization (a process where insurers must approve treatments before patients receive them)—and prevents the creation of similar models in the future. The legislation applies to traditional Medicare (Part A and Part B coverage) and would prevent any future testing of prior authorization systems, whether powered by AI or not, under the Medicare innovation program. The bill was introduced in December 2025 and affects Medicare beneficiaries who would be protected from having their coverage decisions made by automated systems. There is no specific funding amount mentioned in the legislation, as it is primarily a restriction on existing government authority rather than an appropriations measure.
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