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HR 6361
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Ban AI Denials in Medicare Act

To prohibit the Secretary of Health and Human Services from testing the WISeR model, and to amend title XI of the Social Security Act to prohibit the implementation of payment models testing prior authorization under traditional Medicare.

Introduced Dec 2, 2025

Latest action (Dec 2, 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.

Policy area
Issues
Healthcare

Summary

  • The bill prohibits the Secretary of Health and Human Services from implementing the WISeR (Wasteful and Inappropriate Services Reduction) Model that tests prior authorization for Medicare services.
  • The bill prohibits the Secretary from implementing any substantially similar prior authorization model.
  • The bill amends the Social Security Act to prevent the Center for Medicare and Medicaid Innovation from testing new prior authorization models (including those using artificial intelligence) under traditional Medicare Part A and Part B.

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)

Money behind the sponsor

Top reported contributors to Greg Landsman’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • UNIVERSITY OF CINCINNATI $22,085
  • CHAVEZ PROPERTIES LLC $19,800
  • KATZ TELLER $17,700
  • THE COUNSELING SOURCE INC $13,200
  • REMINGTON ROAD GROUP $10,925

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Greg Landsman → · Outside spending →

Actions (2)

  1. Dec 2, 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
  2. Dec 2, 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)

  • Introduced in House · Dec 2, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Committee action

What happened to this bill in committee — the meetings where it was considered and every recorded vote taken on it.

Meetings where this bill was on the agenda

Full text

IN THE HOUSE OF REPRESENTATIVES

December 2, 2025

Mr. Landsman (for himself and Mrs. Watson Coleman) 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 the Secretary of Health and Human Services from testing the WISeR model, and to amend title XI of the Social Security Act to prohibit the implementation of payment models testing prior authorization under traditional Medicare.

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 “Ban AI Denials in Medicare Act”.

SEC. 2. PROHIBITING IMPLEMENTATION OF CENTER FOR MEDICARE AND MEDICAID INNOVATION MODELS TESTING PRIOR AUTHORIZATION UNDER TRADITIONAL MEDICARE.

(a) Prohibiting Implementation of WISeR Model.—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.

(b) Prohibiting Implementation of Future CMI Models Testing Prior Authorization (including Through the Use of AI) Under Traditional Medicare.—Section 1115A(b)(2) of the Social Security Act (42 U.S.C. 1315a(b)(2)) is amended—

(1) in subparagraph (A), by striking “The Secretary shall select” and inserting “Subject to the limitation under subparagraph (D), the Secretary shall select”; and

(2) by adding at the end the following new subparagraph:

“(D) Limitation on models to be tested.—Beginning on the date of the enactment of this subparagraph, the Secretary may not select a model to be tested under subparagraph (A) if such model would provide for the implementation of prior authorization (including through the use of artificial intelligence) with respect to items or services for which payment may be made under part A or part B of title XVIII.”. <all>

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