Require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under…
H.R. 6111119th Congress

Require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under…

Introduced in the HouseRep. Mark Pocan (D-WI-2)5 sections · 1 min read
Version: ih · Apr 20, 2026

Section 1. Requiring MA plan advertisements to include information on prior authorization

Section 1852(c) of the Social Security Act (42 U.S.C. 1395w–22(c)) is amended by adding at the end the following new paragraph:

(3) Advertisement requirements

Beginning on the date that is 1 year after the date of the enactment of this paragraph, any advertisement of an MA plan shall include, with respect to the most recent plan year ending before such advertisement is disseminated, a verbal and visual disclosure (to the extent possible) of—

(A) the number of requests for prior authorization that were denied under such plan during such plan year, including requests for prior authorization that were reconsidered and approved after being denied;

(B) the number of requests for prior authorization described in subparagraph (A) that were reconsidered and approved after being denied; and

(C) with respect to the requests for prior authorization described in subparagraph (B), the average number of days between the date on which such a request was initially denied and the date on which such request was approved.

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Require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under… — Full text — Govroll