End the WISeR AI prior-authorization pilot program for traditional Medicare.

Suzan K. DelBene · Washington · Democratic

policy impact 0.76 specificity 0.94 extraction confidence 96%

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Occurrences

I’m fighting to repeal this program so seniors can quickly get the care they need.

DelBene committed to fighting to repeal the AI program she says is delaying and denying care for seniors.

Video Gallery | U.S. House of Representatives
primary · official_post · model gpt-5.5

I introduced the Seniors Deserve SMARTER Care Act to cancel the program.

DelBene pledges through her legislation to cancel the Trump administration’s AI prior-authorization program for traditional Medicare.

Health Care - Delbene For Congress
campaign · campaign_site · model gpt-5.5

Evidence

CMS lists the WISeR model as running from January 1, 2026 to December 31, 2031 in six states, including Washington, and the model summary shows Stage: Active.

The most current official CMS model page found still identifies WISeR as active and scheduled to continue through 2031, so the commitment to end the pilot has not been delivered as of July 6, 2026.

unresolved same_term

WISeR (Wasteful and Inappropriate Service Reduction) Model | CMS
secondary · model gpt-5.5 · confidence 98%

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The letter says WISeR will contract with private companies to use AI for prior authorization and states: 'We urge you to put patients and providers first by cancelling the WISeR model.' Suzan K. DelBene is listed as a Member of Congress signer.

DelBene took concrete official action by urging CMS Administrator Oz to cancel WISeR, but the letter itself did not end the program.

unresolved same_term A for effort

Letter to CMS on Prior Authorization in Traditional Medicare via the CMMI WISeR Model
secondary · model gpt-5.5 · confidence 96%

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The Federal Register notice announces a six-year Medicare fee-for-service model using technology-enabled prior authorization, effective January 1, 2026, with selected states including Washington.

The official implementing notice created the pilot DelBene sought to end; no repeal or termination is shown in this record.

unresolved same_term

Medicare Program; Implementation of Prior Authorization for Select Services for the WISeR Model
secondary · model gpt-5.5 · confidence 95%

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CMS announced the WISeR Model to test enhanced technologies, including AI, in prior authorization for selected Original Medicare services; CMS said final non-coverage decisions would be made by licensed clinicians.

CMS formally launched the WISeR pilot rather than ending it, establishing the baseline program that remained active afterward.

unresolved same_term

CMS Launches New Model to Target Wasteful, Inappropriate Services in Original Medicare
secondary · model gpt-5.5 · confidence 94%

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MarketWatch reported the WISeR program started in January 2026 across six states, including Washington, and that CMS said it was monitoring performance while finding no current evidence of inappropriate denials.

Reporting after implementation shows WISeR was operating in 2026 and had not been ended; it also documents continued controversy and oversight pressure.

unresolved same_term

A new Medicare program that uses AI for prior authorizations is hurting patients and delaying care
secondary · model gpt-5.5 · confidence 83%

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Assessments

never same_term A for effort

The promised outcome was to end the WISeR AI prior-authorization pilot for traditional Medicare. The available official CMS and Federal Register evidence shows WISeR was launched, became active January 1, 2026, remained active as of July 6, 2026, and was scheduled to run through December 31, 2031. DelBene did take concrete official action by signing a congressional letter urging CMS to cancel the model, but that did not terminate the program. Because the outcome has not been delivered but she made a material official effort, this is a failed promise with an effort badge.

provider codex_cli · model gpt-5.5 · confidence 96%