Eliminate prior authorization for Medicare Advantage Part A and Part B services unless prior authorization is already required in traditional Medicare.

Pramila Jayapal · Washington · Democratic

policy impact 0.73 specificity 0.94 extraction confidence 93%

Contest this claim

Occurrences

Mr. Khanna (for himself, Ms. Jayapal, ... ) introduced the following bill ... Full Title: To amend title XVIII of the Social Security Act to prohibit the use of prior authorization under Medicare Advantage plans, to amend title XI of the Social Security Act to limit the implementation of payment models testing prior authorization under traditional Medicare, and for other purposes.

Jayapal cosponsored H.R. 8377, the Stop Deadly Denials Act of 2026, committing to legislation prohibiting prior authorization under Medicare Advantage plans.

H.R. 8377 (IH) - Stop Deadly Denials Act of 2026 - BILLS-119hr8377ih | Content Details | GovInfo
primary · other · model gpt-5.5

Evidence

Rep. Jayapal announced the Stop Deadly Denials Act with Ro Khanna, saying it would no longer allow Medicare Advantage plans to require prior authorization for necessary medical items and services. The post says the bill 'eliminates prior authorization for all Medicare Advantage Part A and Part B services unless required in traditional Medicare.'

Official House release confirms the policy claim was introduced as legislation, but not enacted.

unresolved same_term A for effort

Reps. Jayapal and Khanna Introduce Bill to Ban Prior Authorization In Medicare Advantage Programs - Congresswoman Pramila Jayapal
primary · model gpt-5.4-mini · confidence 95%

Contest this evidence item

GovInfo shows H.R. 8377 was introduced in the House on April 20, 2026 and referred to the Committees on Ways and Means and Energy and Commerce. The title states it would 'prohibit the use of prior authorization under Medicare Advantage plans' and limit related models in traditional Medicare.

Official bill record confirms introduction and referral only; no enactment or final House/Senate action appears in the record provided.

unresolved same_term A for effort

H.R. 8377 (IH) - Stop Deadly Denials Act of 2026 - BILLS-119hr8377ih | Content Details | GovInfo
primary · model gpt-5.4-mini · confidence 98%

Contest this evidence item

GovInfo lists H.R. 8377 as the Stop Deadly Denials Act of 2026 with last action date listed as April 20, 2026: Mr. Khanna (for himself, Ms. Jayapal, Mr. Cohen, Mrs. Dingell, Mr. Jackson of Illinois, Ms. Norton, and Mr. Pocan) introduced the bill; it was referred to the Committee on Ways and Means and in addition to the Committee on Energy and Commerce. The record shows bill version IH and does not list any later House or Senate action.

Official bill record still shows introduction and committee referral only, with no enactment or later legislative movement visible as of the refresh date.

never same_term A for effort

H.R. 8377 (IH) - Stop Deadly Denials Act of 2026 - BILLS-119hr8377ih | Content Details | GovInfo
primary · model gpt-5.4-mini · confidence 98%

Contest this evidence item

CMS's Electronic Prior Authorization page was last modified May 14, 2026. It describes current policy as requiring Prior Authorization APIs, faster decision workflows, public reporting, and providers requesting prior authorizations electronically beginning January 1, 2027. CMS also describes industry pledges to reduce the volume of services subject to prior authorization, not eliminate Medicare Advantage Part A and B prior authorization.

Within the lookback window, CMS still described streamlining and reducing prior authorization, not banning it for Medicare Advantage Part A/B services.

never same_term

Electronic Prior Authorization | CMS
secondary · model gpt-5.5 · confidence 94%

Contest this evidence item

The preliminary U.S. Code page for 42 U.S.C. 1395w-22 says the text contains laws in effect on May 27, 2026. The Medicare Advantage beneficiary-protection section still includes disclosure of 'Prior authorization rules' and does not show the new broad subsection that H.R. 8377 proposed to add barring most MA Part A/B prior authorization.

Current statutory text during the lookback window does not show enactment of the promised Medicare Advantage prior-authorization ban.

never same_term

42 USC 1395w-22: Benefits and beneficiary protections
secondary · model gpt-5.5 · confidence 93%

Contest this evidence item

GovInfo's official introduced bill text for H.R. 8377 states that Ro Khanna introduced the bill with Pramila Jayapal among the listed cosponsors, and it was referred to Ways and Means and Energy and Commerce. The bill would add a Medicare Advantage limitation providing that, for plan years beginning on or after January 1, 2027, an MA plan may not impose prior authorization for covered items or services except where traditional Medicare already requires it.

The bill text closely matches the commitment and shows serious legislative effort by Jayapal, but only as introduced legislation.

unresolved same_term A for effort

H.R. 8377 Introduced in House - Stop Deadly Denials Act of 2026
secondary · model gpt-5.5 · confidence 98%

Contest this evidence item

GovInfo lists H.R. 8377 as the introduced-in-House version, with last action date April 20, 2026. The listed action is introduction and referral to the House Committees on Ways and Means and Energy and Commerce; the record lists Jayapal as a cosponsor and does not list passage, Senate action, presentment, or enactment.

The official bill record still supports non-delivery: introduction and committee referral only, with no enacted policy change found in the refresh.

never same_term A for effort

H.R. 8377 (IH) - Stop Deadly Denials Act of 2026 - BILLS-119hr8377ih | Content Details | GovInfo
primary · model gpt-5.5 · confidence 98%

Contest this evidence item

CMS lists the WISeR model as active, running January 1, 2026 through December 31, 2031 in six states including Washington. CMS says providers and suppliers in selected Original Medicare regions may submit a prior authorization request or go through post-service/pre-payment review for selected services; the page says the model does not apply to Medicare Advantage.

A related prior-authorization model that H.R. 8377 sought to block remains active, reinforcing that Jayapal's broader prior-authorization rollback has not been enacted or implemented.

never same_term

WISeR (Wasteful and Inappropriate Service Reduction) Model | CMS
secondary · model gpt-5.5 · confidence 90%

Contest this evidence item

The current U.S. Code page says the text contains laws in effect on June 11, 2026. It still shows the existing Medicare Advantage beneficiary-protection section and only a narrow prior-authorization exception for certain COVID-19 testing, not a broad ban on Medicare Advantage prior authorization.

As of June 11, 2026, the operative statutory text had not been amended to eliminate Medicare Advantage prior authorization for Part A and Part B services.

never same_term

42 USC 1395w-22: Benefits and beneficiary protections
secondary · model gpt-5.4-mini · confidence 96%

Contest this evidence item

CMS's Electronic Prior Authorization page, last modified May 14, 2026, says certain CMS-regulated health plans must implement prior-authorization APIs starting January 1, 2027. The page describes streamlining, transparency, and reducing the volume of services subject to prior authorization, not eliminating Medicare Advantage prior authorization for all Part A and Part B services.

CMS policy in the lookback window still aimed to modernize and reduce friction in prior authorization, which conflicts with the promised full elimination.

never same_term

Electronic Prior Authorization | CMS
secondary · model gpt-5.4-mini · confidence 95%

Contest this evidence item

CMS's WISeR page, last modified April 30, 2026, says the model runs from January 1, 2026 to December 31, 2031 and that it incorporates prior authorization for selected Original Medicare services. CMS also says the model does not apply to Medicare Advantage.

A live CMS prior-authorization model remained active in Original Medicare, and CMS explicitly stated it did not affect Medicare Advantage; there was no implemented rollback matching the promise.

never same_term

WISeR (Wasteful and Inappropriate Service Reduction) Model | CMS
secondary · model gpt-5.4-mini · confidence 93%

Contest this evidence item

The official bill text says H.R. 8377 would prohibit prior authorization under Medicare Advantage plans for plan years beginning on or after January 1, 2027. The record also shows it was introduced on April 20, 2026 and referred to House committees only.

Jayapal supported a bill that matched the commitment, but the official record shows introduction and referral only, not enactment or implemented policy change.

unresolved same_term A for effort

H.R. 8377 Introduced in House - Stop Deadly Denials Act of 2026
secondary · model gpt-5.4-mini · confidence 99%

Contest this evidence item

The introduced bill text for H.R. 8377 would prohibit most Medicare Advantage prior authorization beginning on or after January 1, 2027 unless the same item or service is already subject to prior authorization in traditional Medicare; the House record shows introduction on April 20, 2026 and referral only to Ways and Means and Energy and Commerce.

Official bill text matches the promise closely, but the record still shows only introduction and committee referral, not enactment.

never same_term A for effort

H.R. 8377 Introduced in House - Stop Deadly Denials Act of 2026
secondary · model gpt-5.4-mini · confidence 99%

Contest this evidence item

CMS's prior authorization overview, last modified May 14, 2026, says certain CMS-regulated plans must implement Prior Authorization APIs starting January 1, 2027 and emphasizes streamlining, transparency, and reduced burden; it does not announce elimination of Medicare Advantage prior authorization for Part A and Part B services.

CMS policy in effect during the lookback window still points to modernization and partial reduction of friction, not a full ban on Medicare Advantage prior authorization.

never same_term

Electronic Prior Authorization | CMS
secondary · model gpt-5.4-mini · confidence 95%

Contest this evidence item

The introduced House bill text matches the promise closely: it would bar most Medicare Advantage prior authorization beginning in 2027 unless the same service already requires prior authorization in traditional Medicare. The House record shows introduction on April 20, 2026 and referral to Ways and Means and Energy and Commerce, with no later enactment in the record.

Official bill text confirms the promise was introduced as legislation, but the record still stops at introduction and committee referral.

unresolved same_term A for effort

H.R. 8377 Introduced in House - Stop Deadly Denials Act of 2026
secondary · model gpt-5.4-mini · confidence 99%

Contest this evidence item

CMS says certain health plans regulated by CMS must implement and maintain prior-authorization APIs starting January 1, 2027, and frames the policy as streamlining prior authorization, reducing burden, and improving transparency rather than eliminating Medicare Advantage prior authorization.

CMS policy during the lookback window still supports modernization and workflow changes, not a full ban on Medicare Advantage prior authorization.

never same_term

Electronic Prior Authorization | CMS
secondary · model gpt-5.4-mini · confidence 95%

Contest this evidence item

CMS says WISeR runs from January 1, 2026 through December 31, 2031, uses prior authorization for selected Original Medicare services, and explicitly says it does not apply to Medicare Advantage.

A live CMS prior-authorization model remained in place and did not touch Medicare Advantage, which is inconsistent with the promised elimination.

never same_term

WISeR (Wasteful and Inappropriate Service Reduction) Model | CMS
secondary · model gpt-5.4-mini · confidence 94%

Contest this evidence item

The current preliminary U.S. Code text in the lookback window still contains the Medicare Advantage beneficiary-protection section and only a narrow prior-authorization exception, not the broad statutory ban that the promise called for.

The operative statutory text still did not show enactment of the promised Medicare Advantage prior-authorization ban.

never same_term

42 USC 1395w-22: Benefits and beneficiary protections
secondary · model gpt-5.4-mini · confidence 96%

Contest this evidence item

Assessments

never same_term A for effort

Jayapal materially advanced the promise by helping introduce and promote the Stop Deadly Denials Act in April 2026, and the bill text closely matched the commitment by barring most Medicare Advantage prior authorization unless traditional Medicare already required it. But the official record shows only introduction and committee referral, with no House passage, Senate passage, enactment, or implemented policy change. Current statutory and CMS materials in the record also do not show the promised elimination taking effect. Under the federal office standard, this counts as a serious legislative effort that failed to deliver the promised outcome.

provider codex_cli · model gpt-5.4 · confidence 98%

never same_term A for effort

Jayapal materially advanced the promise by helping introduce H.R. 8377, whose text closely matched the claim, but the bill only reached introduction and committee referral. The official record and current statutory/CMS materials show no enactment or implemented policy change eliminating Medicare Advantage prior authorization, so the promised outcome was not delivered.

provider codex_cli · model gpt-5.4-mini · confidence 99%

never same_term A for effort

Jayapal backed legislation that closely matched the promise: the Stop Deadly Denials Act would have barred most Medicare Advantage prior authorization for Part A and Part B services unless traditional Medicare already required it. But the official record shows only introduction and committee referral in April 2026, with no House passage, Senate passage, enactment, or implemented policy change. Current statutory and CMS materials in the record still show Medicare Advantage prior authorization was not eliminated. Because she made a serious legislative effort in the same term but did not deliver the promised outcome, this scores as never with effort credit.

provider codex_cli · model gpt-5.4 · confidence 97%

never same_term A for effort

Jayapal materially advanced a bill matching the promise: H.R. 8377/Stop Deadly Denials Act would eliminate Medicare Advantage prior authorization for Part A and Part B services unless traditional Medicare already requires it. However, the record shows only introduction and referral to House committees, with no House passage, Senate passage, presentment, enactment, or implemented statutory/CMS policy change. Current Medicare policy still reflects prior authorization rules and streamlining rather than the promised elimination. This is a serious same-term legislative effort, but the promised outcome has not been delivered.

provider codex_cli · model gpt-5.5 · confidence 97%

never same_term A for effort

Jayapal materially advanced the promised policy by joining introduction of H.R. 8377, the Stop Deadly Denials Act of 2026, which matches the claim by eliminating prior authorization for Medicare Advantage Part A and B services unless required in traditional Medicare. However, the evidence shows only introduction and committee referral, with no enactment or implemented federal policy change. Because the promised outcome was not delivered but there was a serious legislative attempt during her current House term, this is not fulfilled and receives an effort badge.

provider codex_cli · model gpt-5.5 · confidence 97%

never same_term A for effort

The promise has not been fulfilled as of May 18, 2026. Jayapal materially advanced the policy by introducing the Stop Deadly Denials Act of 2026, which matches the promised Medicare Advantage prior authorization restriction, but available official records show only introduction and committee referral, not enactment or implementation. Because this is a serious legislative attempt that has not delivered the promised outcome, it is best scored as never with an effort badge rather than unresolved or delivered.

provider codex_cli · model gpt-5.5 · confidence 92%