U.S. Congress legislation · 119th Congress
HB2433: Reducing Medically Unnecessary Delays in Care Act of 2025
Status: Passed one chamber, February 4, 2026
To ensure that prior authorization medical decisions under Medicare are determined by physicians.
What the bill says
To ensure that prior authorization medical decisions under Medicare are determined by physicians.
From the introduced text, March 27, 2025:
A BILL To ensure that prior authorization medical decisions under Medicare are determined by physicians. SECTION 1. Short title This Act may be cited as the Reducing Medically Unnecessary Delays in Care Act of 2025 . SECTION 2. Definitions In this and benefit coverage under such program or plan for such services is therefore denied, reduced, or terminated. (2) Authorization The term authorization means a determination by a medicare administrative contractor, Medicare Advantage plan, or prescription drug plan that administers prior authorization programs under the Medicare program under title XVIII of the Social Security Act or such plan that a health care service has been reviewed and, based on the information provided, satisfies the utilization review entity's requirements for medical necessity and appropriateness and that payment will be made under the Medicare program under title XVIII of the Social Security Act or such plan for that health care service. (3) Clinical criteria The term clinical criteria means the written policies, written screening procedures, drug formularies, or lists of covered drugs, decision rules, decision abstracts, clinical protocols, practice guidelines, and medical protocols used by a medicare administrative contractor, Medicare Advantage plan, or prescription drug plan to determine the necessity and appropriateness of health care services. (4) Final adverse determination The term final adverse determination means an adverse determination that has been …
Sponsors
- Mark Green (R, HD-TN-7) · primary sponsor
- Gregory Murphy (R, HD-003)
- Kim Schrier (D, HD-008)
- John Joyce (R, HD-013)
- Richard McCormick (R, HD-GA-6)
- Andy Harris (R, HD-001)
- Tim Burchett (R, HD-002)
- Brian Babin (R, HD-036)
- Mariannette Miller-Meeks (R, HD-001)
- Mike Kennedy (R, HD-UT-3)
- Pat Harrigan (R, HD-010)
- Elizabeth Van Duyne (R, HD-TX-24)
Latest actions
- : ASSUMING FIRST SPONSORSHIP - Mr. Murphy asked unanimous consent that he may hereafter be considered as the first sponsor of H.R. 2433, a bill originally introduced by Representative Green (TN), for the purpose of adding cosponsors and requesting reprintings pursuant to clause 7 of rule XII. Agreed to without objection.
- : Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- : Introduced in House
Subjects: Public contracts and procurement, Health personnel, Internet, web applications, social media, Government information and archives, Health, Medicare, Prescription drugs
Common questions
- What is HB2433?
- HB2433 is a bill in Congress (119th Congress): Reducing Medically Unnecessary Delays in Care Act of 2025.
- What does HB2433 do?
- In its own words: To ensure that prior authorization medical decisions under Medicare are determined by physicians.
- What is the status of HB2433?
- Passed one chamber as of February 4, 2026. Latest action: ASSUMING FIRST SPONSORSHIP - Mr. Murphy asked unanimous consent that he may hereafter be considered as the first sponsor of H.R. 2433, a bill originally introduced by Representative Green (TN), for the purpose of adding cosponsors and requesting reprintings pursuant to clause 7 of rule XII. Agreed to without objection. (February 4, 2026).
- Who sponsored HB2433?
- Mark Green (R, HD-TN-7), with 11 co-sponsors.
- Where is the official record for HB2433?
- On the Congress website: https://www.congress.gov/bill/119th-congress/house-bill/2433
Source: official Congress record. Tracked by Delilah, AI for legislation across all 50 states and Congress.