Seniors Deserve SMARTER Care Act of 2025
Sponsored By: Representative DelBene
Introduced
Summary
Would prohibit the Secretary of Health and Human Services from implementing the WISeR prior authorization model in Medicare. It would also name the bill the 'Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery Care Act of 2025' or the 'Seniors Deserve SMARTER Care Act of 2025'.
Show full summary
- Seniors and Medicare beneficiaries: Keeps the current Medicare prior-authorization rules, so beneficiaries would not face the specific WISeR prior-approval process described in the cited notice.
- Health care providers: Prevents Medicare from testing the WISeR model that would require additional prior authorizations for select services, so providers would not need to adapt to that model.
- Federal health agencies and policymakers: Limits the Secretary's ability to implement the WISeR model or any substantially similar model, constraining this specific path for payment and service delivery reform.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Blocks WISeR prior authorization in Medicare
If enacted, the bill would prohibit HHS from implementing the WISeR model in Medicare. The WISeR model is described in a Federal Register notice (90 Fed. Reg. 28749, July 1, 2025). This would bar new WISeR-style prior authorization, payment, or service-delivery changes for Medicare services. Medicare beneficiaries and providers could avoid added approval steps, administrative delays, or payment shifts.
Sponsors & CoSponsors
Sponsor
DelBene
WA • D
Cosponsors
Rep. Courtney, Joe [D-CT-2]
CT • D
Sponsored 11/7/2025
Craig
MN • D
Sponsored 11/7/2025
Rep. Bera, Ami [D-CA-6]
CA • D
Sponsored 11/7/2025
Rep. Landsman, Greg [D-OH-1]
OH • D
Sponsored 11/7/2025
Schrier
WA • D
Sponsored 11/7/2025
Rep. Larsen, Rick [D-WA-2]
WA • D
Sponsored 11/7/2025
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 11/7/2025
Budzinski
IL • D
Sponsored 11/7/2025
Rep. Castor, Kathy [D-FL-14]
FL • D
Sponsored 11/7/2025
Rep. Dexter, Maxine [D-OR-3]
OR • D
Sponsored 11/7/2025
Rep. Dingell, Debbie [D-MI-6]
MI • D
Sponsored 11/7/2025
Rep. Frankel, Lois [D-FL-22]
FL • D
Sponsored 11/7/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 11/7/2025
Jackson (IL)
IL • D
Sponsored 11/7/2025
Rep. Jayapal, Pramila [D-WA-7]
WA • D
Sponsored 11/7/2025
Rep. Larson, John B. [D-CT-1]
CT • D
Sponsored 11/7/2025
Randall
WA • D
Sponsored 11/7/2025
Rep. Schneider, Bradley Scott [D-IL-10]
IL • D
Sponsored 11/7/2025
Simon
CA • D
Sponsored 11/7/2025
Smith (WA)
WA • D
Sponsored 11/7/2025
Rep. Stanton, Greg [D-AZ-4]
AZ • D
Sponsored 11/7/2025
Rep. Strickland, Marilyn [D-WA-10]
WA • D
Sponsored 11/7/2025
Thompson (CA)
CA • D
Sponsored 11/7/2025
Rep. Veasey, Marc A. [D-TX-33]
TX • D
Sponsored 11/7/2025
Khanna
CA • D
Sponsored 11/12/2025
Rep. Goldman, Daniel S. [D-NY-10]
NY • D
Sponsored 11/12/2025
Rep. Balint, Becca [D-VT-At Large]
VT • D
Sponsored 11/17/2025
Rep. Johnson, Julie [D-TX-32]
TX • D
Sponsored 11/17/2025
Rep. Ross, Deborah K. [D-NC-2]
NC • D
Sponsored 11/21/2025
McGovern
MA • D
Sponsored 12/4/2025
Rep. Beatty, Joyce [D-OH-3]
OH • D
Sponsored 12/10/2025
Pingree
ME • D
Sponsored 12/16/2025
Grijalva
AZ • D
Sponsored 1/6/2026
Rep. Walkinshaw, James R. [D-VA-11]
VA • D
Sponsored 1/6/2026
McClellan
VA • D
Sponsored 1/7/2026
Rep. Titus, Dina [D-NV-1]
NV • D
Sponsored 2/11/2026
Rep. DeSaulnier, Mark [D-CA-10]
CA • D
Sponsored 3/4/2026
Soto
FL • D
Sponsored 3/18/2026
Rep. Garamendi, John [D-CA-8]
CA • D
Sponsored 4/9/2026
Rep. Thanedar, Shri [D-MI-13]
MI • D
Sponsored 4/20/2026
Rep. Jacobs, Sara [D-CA-51]
CA • D
Sponsored 4/28/2026
Roll Call Votes
No roll call votes available for this bill.
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