Skip to main content
CivicGate

HRES 704
Introduced Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.

Expressing the sense of the House of Representatives that the Wasteful and Inappropriate Service Reduction Model undermines beneficiary access to health care and should not be implemented.

Expressing the sense of the House of Representatives that the Wasteful and Inappropriate Service Reduction Model undermines beneficiary access to health care and should not be implemented.

Introduced Sep 11, 2025

Latest action (Sep 11, 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.

Referred to
Energy and Commerce Committee Ways and Means Committee
Policy area
Health
Issues
Healthcare

Summary

This House resolution expresses disapproval of the Wasteful and Inappropriate Service Reduction (WISeR) Model, a program proposed by the Center for Medicare and Medicaid Innovation to begin January 1, 2026. The WISeR Model would expand the number of services requiring prior authorization in traditional Medicare by 30 percent and contract with private companies to administer these authorizations using artificial intelligence and machine learning. The resolution finds that expanding prior authorization processes from Medicare Advantage into traditional Medicare undermines beneficiary access to timely and necessary medical care. The resolution strongly requests that the Centers for Medicare and Medicaid Services terminate the WISeR Model, citing concerns about physician burnout from prior authorization requirements and high error rates in prior authorization denials and AI-driven coverage reviews.

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)
24 cosponsors

Actions (2)
  1. Sep 11, 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. Sep 11, 2025 Submitted 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.

  • HRES 369 — Expressing the sense of the House of Representatives that the Secretary of Health and Human Services should withdraw a reduction in public notice and comment opportunities. · Introduced May 1, 2025 · Cong. 119 67%
  • HRES 238 — Expressing the sense of the House of Representatives that every person has the basic right to emergency health care, including abortion care. · Introduced Mar 21, 2025 · Cong. 119 63%
  • HJRES 187 — Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model". · Introduced May 19, 2026 · Cong. 119 61%
  • HRES 694 — Expressing the sense of the House of Representatives that the Centers for Medicare & Medicaid Services should halt the pilot program and should not jeopardize seniors' access to critical health care by utilizing artificial intelligence to determine Medicare coverage. · Introduced Sep 10, 2025 · Cong. 119 61%
  • HRES 382 — Providing a point of order in the House of Representatives during the 119th Congress against reconciliation measures that reduce benefits under the Medicaid program or the supplemental nutrition assistance program. · Introduced May 5, 2025 · Cong. 119 61%
  • HR 9542 — Protecting Health Care and Lowering Costs Act of 2026 · Introduced Jun 30, 2026 · Cong. 119 60%

Full text

IN THE HOUSE OF REPRESENTATIVES

September 11, 2025

Mr. Pocan (for himself, Ms. Schakowsky, Mr. Doggett, Ms. Ocasio-Cortez, Ms. Tlaib, Mrs. Watson Coleman, Mr. Landsman, and Ms. Goodlander) submitted the following resolution; 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

RESOLUTION

Expressing the sense of the House of Representatives that the Wasteful and Inappropriate Service Reduction Model undermines beneficiary access to health care and should not be implemented.

Whereas the Center for Medicare and Medicaid Innovation proposed a program called the Wasteful and Inappropriate Services Reduction (WISeR) Model to commence on January 1, 2026; Whereas the WISeR Model proposes to increase the number of services that require prior authorization in traditional Medicare by 30 percent; Whereas the WISeR Model proposes to contract with private companies that are currently administering prior authorization processes for private insurance companies, including Medicare Advantage companies; Whereas the WISeR Model proposes to use enhanced technologies, including artificial intelligence and machine learning, to process the expanded prior authorizations in traditional Medicare; Whereas prior authorization has become an obstacle to needed medical care for patients; Whereas, according to the American Medical Association, 89 percent of physicians report that prior authorization contributes to physician burnout; Whereas, according to the Medicare Limited Data Set published by the Centers for Medicare and Medicaid Services, private companies targeted for participation in this model have a demonstrated record of incorrect decisions on prior authorization requests, are 81.7 percent of denials made by Medicare Advantage insurers overturned once appealed, according to the Kaiser Family Foundation; and Whereas, according to an article in Fierce Healthcare, tools using artificial intelligence to review coverage decisions developed by private health insurance companies, like those targeted for participation in the WISeR model, are reported to have 90 percent error rates: Now, therefore, be it Resolved, That the House of Representatives—

(1) expresses disapproval of the Wasteful and Inappropriate Service Reduction (WISeR) Model;

(2) finds that expanding prior authorization processes used in Medicare Advantage into the publicly administered traditional Medicare Program undermines beneficiary access to timely and necessary medical care; and

(3) strongly requests that the Centers for Medicare and Medicaid Services terminate the WISeR Model. <all>

Comments

Comments

Loading comments…