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Seniors Deserve SMARTER Care Act of 2025
To prohibit implementation of the WISeR model under the Medicare program.
Summary
- Prohibits the federal government from implementing the WISeR (Wasteful and Inappropriate Services Reduction) Model under the Medicare program.
- Prevents prior authorization requirements that would have applied to select Medicare services under the WISeR Model.
- Blocks implementation of any substantially similar model to the WISeR Model.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
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Rep. DelBene, Suzan K. (D-WA) [#1]
45 cosponsors
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Del. Norton, Eleanor Holmes (D-DC) [At-large] -
Rep. Ansari, Yassamin (D-AZ) [#3] -
Rep. Balint, Becca (D-VT) [At-large] -
Rep. Beatty, Joyce (D-OH) [#3] -
Rep. Bera, Ami (D-CA) [#6] -
Rep. Budzinski, Nikki (D-IL) [#13] -
Rep. Castor, Kathy (D-FL) [#14] -
Rep. Cisneros, Gilbert Ray (D-CA) [#31] -
Rep. Courtney, Joe (D-CT) [#2] -
Rep. Craig, Angie (D-MN) [#2] -
Rep. DeSaulnier, Mark (D-CA) [#10] -
Rep. Dexter, Maxine (D-OR) [#3] -
Rep. Dingell, Debbie (D-MI) [#6] -
Rep. Frankel, Lois (D-FL) [#22] -
Rep. Frost, Maxwell (D-FL) [#10] -
Rep. Garamendi, John (D-CA) [#8] -
Rep. Goldman, Daniel S. (D-NY) [#10] -
Rep. Grijalva, Adelita S. (D-AZ) [#7] -
Rep. Jackson, Jonathan L. (D-IL) [#1] -
Rep. Jacobs, Sara (D-CA) [#51] -
Rep. Jayapal, Pramila (D-WA) [#7] -
Rep. Johnson, Julie (D-TX) [#32] -
Rep. Khanna, Ro (D-CA) [#17] -
Rep. Landsman, Greg (D-OH) [#1] -
Rep. Larsen, Rick (D-WA) [#2] -
Rep. Larson, John B. (D-CT) [#1] -
Rep. McClellan, Jennifer L. (D-VA) [#4] -
Rep. McGovern, James P. (D-MA) [#2] -
Rep. Pingree, Chellie (D-ME) [#1] -
Rep. Pocan, Mark (D-WI) [#2] -
Rep. Randall, Emily (D-WA) [#6] -
Rep. Ross, Deborah K. (D-NC) [#2] -
Rep. Sánchez, Linda T. (D-CA) [#38] -
Rep. Schneider, Bradley Scott (D-IL) [#10] -
Rep. Schrier, Kim (D-WA) [#8] -
Rep. Simon, Lateefah (D-CA) [#12] -
Rep. Smith, Adam (D-WA) [#9] -
Rep. Soto, Darren (D-FL) [#9] -
Rep. Stanton, Greg (D-AZ) [#4] -
Rep. Strickland, Marilyn (D-WA) [#10] -
Rep. Thanedar, Shri (D-MI) [#13] -
Rep. Thompson, Mike (D-CA) [#4] -
Rep. Titus, Dina (D-NV) [#1] -
Rep. Veasey, Marc A. (D-TX) [#33] -
Rep. Walkinshaw, James R. (D-VA) [#11]
Money behind the sponsor
Top reported contributors to Suzan K. Delbene’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Suzan K. Delbene → · Outside spending →
Actions (2)
- Nov 7, 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. · house
- Nov 7, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
November 7, 2025
Ms. DelBene (for herself, Mr. Bera, Mr. Landsman, Ms. Schrier, Mr. Larsen of Washington, Mr. Pocan, Ms. Budzinski, Ms. Castor of Florida, Mr. Courtney, Ms. Craig, Ms. Dexter, Mrs. Dingell, Ms. Lois Frankel of Florida, Ms. Norton, Mr. Jackson of Illinois, Ms. Jayapal, Mr. Larson of Connecticut, Ms. Randall, Mr. Schneider, Ms. Simon, Mr. Smith of Washington, Mr. Stanton, Ms. Strickland, Mr. Thompson of California, and Mr. Veasey) introduced the following bill; which was 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
A BILL
To prohibit implementation of the WISeR model under the Medicare program.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery Care Act of 2025” or the “Seniors Deserve SMARTER Care Act of 2025”.
SEC. 2. PROHIBITING IMPLEMENTATION OF THE WISER MODEL UNDER THE MEDICARE PROGRAM.
The Secretary of Health and Human Services may not implement the innovative payment and service delivery model described in the notice titled “Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model” (90 Fed. Reg. 28749 (July 1, 2025)), or any substantially similar model. <all>
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