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.
Sponsored By: Representative Pocan, Mark [D-WI-2]
Introduced
Summary
Opposes expanding private-style prior authorization into traditional Medicare. The resolution warns the Wasteful and Inappropriate Services Reduction (WISeR) Model would begin January 1, 2026, raise the number of services requiring prior authorization in traditional Medicare by 30%, and hire private companies that use artificial intelligence and machine learning to process those requests. It cites concerns that prior authorization delays care and burdens clinicians, noting American Medical Association data that 89% of physicians link prior authorization to burnout, that 81.7% of Medicare Advantage denials are overturned on appeal, and reporting of high error rates in insurer AI tools. The resolution expresses disapproval and requests that the Centers for Medicare and Medicaid Services terminate the WISeR Model.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
House asks CMS to stop WISeR
If adopted, this resolution would strongly request that CMS terminate the WISeR Model. The request would be non-binding and would not itself change law. If CMS stops the model, traditional Medicare beneficiaries would avoid expanded prior authorization, extra contractors, and more automated decisions.
More prior authorization in Medicare
If adopted, this resolution would note a proposed WISeR model starting January 1, 2026. The proposal would increase services needing prior authorization by 30%. It would use private contractors and artificial intelligence to process authorizations. If put in place, Medicare patients and their doctors could face more paperwork and possible delays.
Sponsors & CoSponsors
Sponsor
Pocan, Mark [D-WI-2]
WI • D
Cosponsors
Schakowsky
IL • D
Sponsored 9/11/2025
Rep. Doggett, Lloyd [D-TX-37]
TX • D
Sponsored 9/11/2025
Ocasio-Cortez
NY • D
Sponsored 9/11/2025
Rep. Tlaib, Rashida [D-MI-12]
MI • D
Sponsored 9/11/2025
Rep. Watson Coleman, Bonnie [D-NJ-12]
NJ • D
Sponsored 9/11/2025
Rep. Landsman, Greg [D-OH-1]
OH • D
Sponsored 9/11/2025
Rep. Goodlander, Maggie [D-NH-2]
NH • D
Sponsored 9/11/2025
McBride
DE • D
Sponsored 9/15/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 9/15/2025
Rep. Frankel, Lois [D-FL-22]
FL • D
Sponsored 9/15/2025
Khanna
CA • D
Sponsored 9/15/2025
Rep. Omar, Ilhan [D-MN-5]
MN • D
Sponsored 9/16/2025
Rep. McDonald Rivet, Kristen [D-MI-8]
MI • D
Sponsored 9/16/2025
DelBene
WA • D
Sponsored 9/17/2025
Smith (WA)
WA • D
Sponsored 9/18/2025
Rep. McIver, LaMonica [D-NJ-10]
NJ • D
Sponsored 10/6/2025
Rep. Strickland, Marilyn [D-WA-10]
WA • D
Sponsored 10/6/2025
Rep. Jayapal, Pramila [D-WA-7]
WA • D
Sponsored 10/14/2025
Rep. Dingell, Debbie [D-MI-6]
MI • D
Sponsored 10/14/2025
Roll Call Votes
No roll call votes available for this bill.
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