# 119-hr-9396: Prior Authorization Accountability Act

119-hr-9396, Prior Authorization Accountability Act, is a 119th Congress bill sponsored by Rep. Goldman, Craig A. [R-TX-12] (R-TX); status in_committee; PRIA reads it as touching household money (as of 2026-10-08).

- Canonical: https://policyrisk.com/legislation/119-hr-9396
- As of: 2026-10-08
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-9396
- Congress: 119
- Title: Prior Authorization Accountability Act
- Status: in_committee
- Introduced: 2026-06-23
- Sponsor: Rep. Goldman, Craig A. [R-TX-12] (R-TX)
- Cosponsors: 6
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-08

## Summary

**The Prior Authorization Accountability Act requires public, standardized reporting by group health plans and insurers to create clear, comparable visibility into who gets prior authorization approvals, denials, appeals, processing times, and whether AI or decision-support tools influence decisions.** It adds matching reporting rules across the Public Health Service Act, ERISA, and the tax code, with reporting required for plan years beginning on or after January 1, 2027 and Exchange comparability links beginning for plan years on or after January 1, 2029. - Patients and families: Get plan-level lists of services that need prior authorization, approval and denial rates, appeals outcomes, and average and median time-to-decision. This makes it easier to compare plan behavior when choosing coverage or pursuing appeals. - Clinicians and providers: See which plans have higher denial or slower decision rates and whether determinations rely on artificial intelligence or other decision tools. That information can guide preauthorization workflows and appeals. - Employers, issuers, Exchanges, and regulators: Must publish standardized data that can be aggregated across plans or markets, enabling monitoring of plan performance and cross-plan comparisons starting in 2027 and Exchange integration in 2029.

## Cosponsors (6)

- Rep. Bresnahan, Robert P. [R-PA-8] (R-PA), 2026-10-06T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-07-21T00:00:00.000Z
- Rep. Wittman, Robert J. [R-VA-1] (R-VA), 2026-07-21T00:00:00.000Z
- Rep. Schrier, Kim [D-WA-8] (D-WA), 2026-07-21T00:00:00.000Z
- Rep. Norcross, Donald [D-NJ-1] (D-NJ), 2026-07-21T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2026-07-21T00:00:00.000Z

## Provisions PRIA read

- Health plans must publish prior authorization data: benefit, medium. If enacted, group health plans and issuers that require prior authorization would need to submit and publish standard prior-authorization data. This reporting would start for plan years beginning January 1, 2027. Plans would send the data to the Secretary and, for Exchange coverage, to the Exchange…
- Exchanges must show prior authorization data: benefit, low. If enacted, Exchanges would include prior-authorization transparency data on plan comparison pages. This would start for plan years beginning January 1, 2029. It would apply when the same qualified health plan was offered on that Exchange in a prior plan year. Exchanges would show the most recent p…

## Related bills

- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-2102: Major Richard Star Act
- 119-hr-979: AM Radio for Every Vehicle Act of 2025
- 119-hr-879: Medicare Patient Access and Practice Stabilization Act of 2025

## Sources
- [119-hr-9396 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9396)

## Related
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-979: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-hr-979)
- [119-hr-879: Medicare Patient Access and Practice Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-879)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-9396 (as of 2026-10-08).