# 119-s-3762: Prior Authorization Relief Act

119-s-3762, Prior Authorization Relief Act, is a 119th Congress bill sponsored by Sen. Whitehouse, Sheldon [D-RI] (D-RI); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3762
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3762
- Congress: 119
- Title: Prior Authorization Relief Act
- Status: introduced
- Introduced: 2026-02-03
- Sponsor: Sen. Whitehouse, Sheldon [D-RI] (D-RI)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Standardizing prior authorization for certain high-cost, clinically supported Medicare Advantage items and Part D drugs** would require an audit to identify high-reimbursement, evidence-backed items that face excessive approval steps. It would set a single set of prior authorization rules and forms across Medicare Advantage plans while allowing exemptions for providers in two-sided risk models. - Medicare Advantage enrollees would get uniform prior authorization rules for selected high-reimbursement procedures and Part D drugs, aiming to streamline approvals for items that now require excessive steps. - Clinicians and hospitals would use the same prior authorization forms across plans for those items, reducing administrative variation. Providers participating in two-sided risk models, including accountable care organizations, can be exempted from the standardized requirements. - The Secretary must audit prior authorization rules by Jan 1, 2027 and issue a final rule to standardize requirements by May 1, 2028. Medicare Advantage organizations may request that the exemption not apply so prior authorization continues for chosen items in their plans.

## Cosponsors (1)

- Sen. Marshall, Roger [R-KS] (R-KS), 2026-04-13T00:00:00.000Z

## Provisions PRIA read

- Fewer prior authorizations for Medicare Advantage: mixed, low. If enacted, this bill would change prior authorization rules for some Medicare Advantage enrollees. The Secretary would audit prior authorization by January 1, 2027 to find items, services, and Part D drugs that meet three tests: they are in the top 10 percent of reimbursements, have enough clinica…

## Related bills

- 119-s-4949: Water Resources Development Act of 2026
- 119-s-5071: Children's Safe Welcome Act of 2026
- 119-s-1748: Kids Online Safety Act
- 119-s-4384: Medicare Advantage Improvement Act of 2026
- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-2287: Palliative Care and Hospice Education and Training Act

## Sources
- [119-s-3762 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3762)

## Related
- [119-s-4949: Water Resources Development Act of 2026](https://policyrisk.com/legislation/119-s-4949)
- [119-s-5071: Children's Safe Welcome Act of 2026](https://policyrisk.com/legislation/119-s-5071)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-4384: Medicare Advantage Improvement Act of 2026](https://policyrisk.com/legislation/119-s-4384)
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-2287: Palliative Care and Hospice Education and Training Act](https://policyrisk.com/legislation/119-s-2287)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3762 (as of 2026-04-21).
